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psnet.ahrq.gov/node/38635/psn-pdf
May 13, 2009 - Consensus-based recommendations for standardizing
terminology and reporting adverse events for emergency
department procedural sedation and analgesia in
children.
May 13, 2009
Bhatt M, Kennedy RM, Osmond MH, et al. Consensus-Based Recommendations for Standardizing
Terminology and Reporting Adverse Events for Emer…
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psnet.ahrq.gov/node/48152/psn-pdf
July 17, 2019 - Safety incident reports associated with blood
transfusions.
July 17, 2019
Vossoughi S, Perez G, Whitaker BI, et al. Safety incident reports associated with blood transfusions.
Transfusion (Paris). 2019;59(9):2827-2832. doi:10.1111/trf.15429.
https://psnet.ahrq.gov/issue/safety-incident-reports-associated-blood-tra…
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psnet.ahrq.gov/node/42702/psn-pdf
January 09, 2014 - Developing a quality and safety curriculum for fellows:
lessons learned from a neonatology fellowship program.
January 9, 2014
Gupta M, Ringer S, Tess A, et al. Developing a quality and safety curriculum for fellows: lessons learned
from a neonatology fellowship program. Acad Pediatr. 2014;14(1):47-53. doi:10.1016/…
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psnet.ahrq.gov/node/40808/psn-pdf
January 12, 2012 - Prevalence of polypharmacy exposure among
hospitalized children in the United States.
January 12, 2012
Feudtner C, Dai D, Hexem KR, et al. Prevalence of polypharmacy exposure among hospitalized children in
the United States. Arch Pediatr Adolesc Med. 2012;166(1):9-16. doi:10.1001/archpediatrics.2011.161.
https://p…
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psnet.ahrq.gov/node/50807/psn-pdf
January 15, 2020 - Artificial intelligence is rushing into patient care - and
could raise risks.
January 15, 2020
Szabo L. Scientific American and Kaiser Health News. December 24, 2019.
https://psnet.ahrq.gov/issue/artificial-intelligence-rushing-patient-care-and-could-raise-risks
Artificial intelligence (AI) has the potential to im…
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psnet.ahrq.gov/node/38129/psn-pdf
January 02, 2017 - The Daily Goals Communication Sheet: a simple and
novel tool for improved communication and care.
January 2, 2017
Schwartz JM, Nelson KL, Saliski M, et al. The daily goals communication sheet: a simple and novel tool for
improved communication and care. Jt Comm J Qual Patient Saf. 2008;34(10):608-13, 561.
https://…
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psnet.ahrq.gov/node/38503/psn-pdf
June 16, 2009 - Antimicrobial prescription errors in hospitalized children:
role of antimicrobial stewardship program in detection
and intervention.
June 16, 2009
Di Pentima C, Chan S, Eppes SC, et al. Antimicrobial prescription errors in hospitalized children: role of
antimicrobial stewardship program in detection and interventi…
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psnet.ahrq.gov/node/73886/psn-pdf
September 29, 2021 - When less is more: the role of overdiagnosis and
overtreatment in patient safety.
September 29, 2021
Kamzan AD, Ng E. When less is more: the role of overdiagnosis and overtreatment in patient safety. Adv
Pediatr. 2021;68:21-35. doi:10.1016/j.yapd.2021.05.013.
https://psnet.ahrq.gov/issue/when-less-more-role-overdi…
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psnet.ahrq.gov/node/47821/psn-pdf
May 22, 2019 - Patient Safety.
May 22, 2019
National Pharmacy Association; NPA.
https://psnet.ahrq.gov/issue/patient-safety-15
This website for independent community pharmacy owners across the United Kingdom features both free
and members-only guidance, reporting platforms, and document templates to support patient safety. It
i…
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psnet.ahrq.gov/node/866531/psn-pdf
August 14, 2024 - The Impact of Artificial Intelligence (AI) on the Safety of
Patients.
August 14, 2024
Institute for Healthcare Improvement. The Impact of Artificial Intelligence (AI) on the Safety of Patients. .
https://psnet.ahrq.gov/issue/impact-artificial-intelligence-ai-safety-patients
Artificial intelligence (AI) is rapidly …
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psnet.ahrq.gov/node/42631/psn-pdf
November 08, 2013 - "That was a close call": endorsing a broad definition of
near misses in health care.
November 8, 2013
Marks CM, Kasda E, Paine LA, et al. "That was a close call": endorsing a broad definition of near misses in
health care. Jt Comm J Qual Patient Saf. 2013;39(10):475-479.
https://psnet.ahrq.gov/issue/was-close-call…
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psnet.ahrq.gov/node/839328/psn-pdf
November 02, 2022 - Quality and Safety.
November 2, 2022
Iyer R, Walker A, eds. Paediatr Anaesth. 2022;32(11):1176-1272.
https://psnet.ahrq.gov/issue/quality-and-safety-1
Progress made in the adoption of infrastructure, Safety I, and Safety II concepts in high- and middle- to
lower-income countries around the world support safe pedia…
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psnet.ahrq.gov/node/46863/psn-pdf
December 05, 2024 - Safer Together Annual Report.
December 5, 2024
Child Health Patient Safety Organization. Washington, DC: Children's Hospital Association.
https://psnet.ahrq.gov/issue/perfecting-detection-understanding-source-harm
This annual publication provides common cause analyses of incidents submitted to a pediatric patient
…
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psnet.ahrq.gov/node/74145/psn-pdf
January 01, 2022 - Diagnostic Excellence in the ICU: Thinking Critically and
Masterfully.
December 1, 2021
Bergl PA, Nanchal RS, eds. Crit Care Clin. 2022;38(1):1-158.
https://psnet.ahrq.gov/issue/diagnostic-excellence-icu-thinking-critically-and-masterfully
Critical care diagnosis is complicated by factors such as stress, patient a…
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psnet.ahrq.gov/node/37759/psn-pdf
April 07, 2010 - A prospective review of adverse events during
interhospital transfers of neonates by a dedicated
neonatal transfer service.
April 7, 2010
Lim MTC, Ratnavel N. A prospective review of adverse events during interhospital transfers of neonates by
a dedicated neonatal transfer service. Pediatr Crit Care Med. 2008;9(3)…
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psnet.ahrq.gov/node/38574/psn-pdf
November 21, 2016 - Family-identified barriers to medication reconciliation.
November 21, 2016
Riley-Lawless K. Family-identified barriers to medication reconciliation. J Spec Pediatr Nurs.
2009;14(2):94-101. doi:10.1111/j.1744-6155.2009.00182.x.
https://psnet.ahrq.gov/issue/family-identified-barriers-medication-reconciliation
Medica…
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psnet.ahrq.gov/node/35131/psn-pdf
April 19, 2011 - Monitoring adverse drug reactions in children using
community pharmacies: a pilot study.
April 19, 2011
Stewart D, Helms P, McCaig D, et al. Monitoring adverse drug reactions in children using community
pharmacies: a pilot study. Br J Clin Pharmacol. 2005;59(6):677-83.
https://psnet.ahrq.gov/issue/monitoring-adver…
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psnet.ahrq.gov/node/43010/psn-pdf
March 19, 2014 - Why pediatricians fail to diagnose hypertension: a
multicenter survey.
March 19, 2014
Bijlsma MW, Blufpand HN, Kaspers GJL, et al. Why pediatricians fail to diagnose hypertension: a
multicenter survey. J Pediatr. 2014;164(1):173-177.e7. doi:10.1016/j.jpeds.2013.08.066.
https://psnet.ahrq.gov/issue/why-pediatrician…
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psnet.ahrq.gov/node/46535/psn-pdf
November 08, 2017 - Parents' perspectives on navigating the work of speaking
up in the NICU.
November 8, 2017
Lyndon A, Wisner K, Holschuh C, et al. Parents' Perspectives on Navigating the Work of Speaking Up in
the NICU. J Obstet Gynecol Neonatal Nurs. 2017;46(5):716-726. doi:10.1016/j.jogn.2017.06.009.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/45513/psn-pdf
October 26, 2016 - A national physician survey of diagnostic error in
paediatrics.
October 26, 2016
Perrem LM, Fanshawe TR, Sharif F, et al. A national physician survey of diagnostic error in paediatrics. Eur
J Pediatr. 2016;175(10):1387-92. doi:10.1007/s00431-016-2772-0.
https://psnet.ahrq.gov/issue/national-physician-survey-diagno…