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psnet.ahrq.gov/node/44320/psn-pdf
October 28, 2015 - Interventions for reducing medication errors in children in
hospital.
October 28, 2015
Maaskant JM, Vermeulen H, Apampa B, et al. Interventions for reducing medication errors in children in
hospital. Cochrane Database Syst Rev. 2015;(3):CD006208. doi:10.1002/14651858.CD006208.pub3.
https://psnet.ahrq.gov/issue/int…
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psnet.ahrq.gov/node/41959/psn-pdf
January 16, 2013 - Use of FMEA analysis to reduce risk of errors in
prescribing and administering drugs in paediatric wards:
a quality improvement report.
January 16, 2013
Lago P, Bizzarri G, Scalzotto F, et al. Use of FMEA analysis to reduce risk of errors in prescribing and
administering drugs in paediatric wards: a quality improv…
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psnet.ahrq.gov/node/44920/psn-pdf
June 01, 2016 - Role of parents in the promotion of hand hygiene in the
paediatric setting: a systematic literature review.
June 1, 2016
Bellissimo-Rodrigues F, Pires D, Zingg W, et al. Role of parents in the promotion of hand hygiene in the
paediatric setting: a systematic literature review. J Hosp Infect. 2016;93(2):159-63.
doi…
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psnet.ahrq.gov/node/45912/psn-pdf
May 09, 2017 - Medication reconciliation failures in children and young
adults with chronic disease during intensive and
intermediate care.
May 9, 2017
DeCourcey DD, Silverman M, Chang E, et al. Medication reconciliation failures in children and young adults
with chronic disease during intensive and intermediate care. Pediatr Cr…
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psnet.ahrq.gov/node/50453/psn-pdf
October 09, 2019 - Effect of a sedation weaning protocol on safety and
medication use among hospitalized children post critical
illness
October 9, 2019
Solodiuk JC, Greco CD, O'Donnell KA, et al. Effect of a Sedation Weaning Protocol on Safety and
Medication Use among Hospitalized Children Post Critical Illness. J Pediatr Nurs. 2019…
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psnet.ahrq.gov/node/44969/psn-pdf
March 23, 2016 - Evaluating the potential severity of look-alike, sound-alike
drug substitution errors in children.
March 23, 2016
Basco WT, Garner SS, Ebeling M, et al. Evaluating the Potential Severity of Look-Alike, Sound-Alike Drug
Substitution Errors in Children. Acad Pediatr. 2016;16(2):183-191. doi:10.1016/j.acap.2015.06.014…
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psnet.ahrq.gov/node/47274/psn-pdf
November 21, 2018 - Developing a hospital-wide quality and safety dashboard:
a qualitative research study.
November 21, 2018
Weggelaar-Jansen AMJWM, Broekharst DSE, de Bruijne M. Developing a hospital-wide quality and safety
dashboard: a qualitative research study. BMJ Qual Saf. 2018;27(12):1000-1007. doi:10.1136/bmjqs-2018-
007784.
…
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psnet.ahrq.gov/node/36999/psn-pdf
September 15, 2011 - The nature and occurrence of registration errors in the
emergency department.
September 15, 2011
Hakimzada AF, Green RA, Sayan OR, et al. The nature and occurrence of registration errors in the
emergency department. Int J Med Inform. 2007;77(3). doi:10.1016/j.ijmedinf.2007.04.011.
https://psnet.ahrq.gov/issue/natu…
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psnet.ahrq.gov/node/34811/psn-pdf
March 28, 2005 - Medication error prevention by clinical pharmacists in two
children's hospitals.
March 28, 2005
Folli HL; Poole RL; Benitz WE; Russo JC
https://psnet.ahrq.gov/issue/medication-error-prevention-clinical-pharmacists-two-childrens-hospitals
This prospective study recorded the rate and potential for harm caused by err…
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psnet.ahrq.gov/node/48102/psn-pdf
August 07, 2019 - The unmeasured quality metric: burn out and the second
victim syndrome in healthcare.
August 7, 2019
Heiss K, Clifton M. The unmeasured quality metric: Burn out and the second victim syndrome in healthcare.
Semin Pediatr Surg. 2019;28(3):189-194. doi:10.1053/j.sempedsurg.2019.04.011.
https://psnet.ahrq.gov/issue/u…
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psnet.ahrq.gov/node/48035/psn-pdf
May 29, 2019 - Is the future of medical diagnosis in computer
algorithms?
May 29, 2019
Gruber K. Is the future of medical diagnosis in computer algorithms? Lancet Digit Health. 2019;1(1):e15-
e16. doi:10.1016/s2589-7500(19)30011-1.
https://psnet.ahrq.gov/issue/future-medical-diagnosis-computer-algorithms
Artificial intelligence…
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psnet.ahrq.gov/node/44791/psn-pdf
January 13, 2016 - FDA Drug Safety Communication: FDA cautions about
dosing errors when switching between different oral
formulations of antifungal Noxafil (posaconazole); label
changes approved.
January 13, 2016
US Food and Drug Administration; FDA.
https://psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-cautions-about-dosi…
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psnet.ahrq.gov/node/72763/psn-pdf
February 17, 2021 - Apotex Corp. issues voluntary nationwide recall of
Enoxaparin Sodium Injection, USP due to mislabeling of
syringe barrel measurement markings.
February 17, 2021
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 3. 2021.
https://psnet.ahrq.gov/issue/apotex-corp-issues…
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psnet.ahrq.gov/node/44196/psn-pdf
March 27, 2017 - Patient Safety in Ambulance Services: A Scoping Review.
March 27, 2017
Patient Safety In Ambulance Services: A Scoping Review.
https://psnet.ahrq.gov/issue/patient-safety-ambulance-services-scoping-review
The safety of emergency medical care delivered in conjunction with ambulance services has not been
studied in …
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psnet.ahrq.gov/node/36046/psn-pdf
June 21, 2006 - The Future of Emergency Care in the United States Health
System.
June 21, 2006
Institute of Medicine. Washington DC; National Academies Press: 2007.
https://psnet.ahrq.gov/issue/future-emergency-care-united-states-health-system
In September 2003, an Institute of Medicine (IOM) committee began a detailed examinatio…
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psnet.ahrq.gov/node/47660/psn-pdf
January 27, 2019 - Improving electronic health record usability and safety
requires transparency.
January 27, 2019
Ratwani RM, Hodgkins M, Bates DW. Improving Electronic Health Record Usability and Safety Requires
Transparency. JAMA. 2018;320(24):2533-2534. doi:10.1001/jama.2018.14079.
https://psnet.ahrq.gov/issue/improving-electron…
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psnet.ahrq.gov/node/46686/psn-pdf
January 31, 2018 - Case not closed: prescription errors 12 years after
computerized physician order entry implementation.
January 31, 2018
Kadmon G, Pinchover M, Weissbach A, et al. Case Not Closed: Prescription Errors 12 Years after
Computerized Physician Order Entry Implementation. J Pediatr. 2017;190:236-240.e2.
doi:10.1016/j.jpe…
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psnet.ahrq.gov/node/45522/psn-pdf
January 01, 2020 - Is communication improved with the implementation of an
obstetrical version of the World Health Organization safe
surgery checklist?
November 9, 2016
Govindappagari S, Guardado A, Goffman D, et al. Is Communication Improved With the Implementation of
an Obstetrical Version of the World Health Organization Safe Sur…
-
psnet.ahrq.gov/node/46922/psn-pdf
January 01, 2019 - Reducing interdisciplinary communication failures
through secure text messaging: a quality improvement
project.
March 21, 2018
Hansen JE, Lazow M, Hagedorn PA. Reducing Interdisciplinary Communication Failures Through Secure
Text Messaging. Pediatr Qual Saf. 2019;3(1). doi:10.1097/pq9.0000000000000053.
https://ps…
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psnet.ahrq.gov/node/866441/psn-pdf
August 07, 2024 - Association of patient photographs and reduced retract-
and-reorder events.
August 7, 2024
Rzewnicki D, Kanvinde A, Gillespie S, et al. Association of patient photographs and reduced retract-and-
reorder events. JAMIA Open. 2024;7(3):ooae042. doi:10.1093/jamiaopen/ooae042.
https://psnet.ahrq.gov/issue/association-…