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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44407/psn-pdf
    April 15, 2016 - Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. April 15, 2016 MacKay M, Anderson C, Boehme S, et al. Frequency and Severity of Parenteral Nutrition Medication Errors at a Large Children's Hospital After Im…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47959/psn-pdf
    May 15, 2019 - A quality improvement initiative to reduce safety events among adolescents hospitalized after a suicide attempt. May 15, 2019 Noelck M, Velazquez-Campbell M, Austin JP. A Quality Improvement Initiative to Reduce Safety Events Among Adolescents Hospitalized After a Suicide Attempt. Hosp Pediatr. 2019;9(5):365-372. …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34786/psn-pdf
    March 28, 2005 - Errors in drug computations during newborn intensive care. March 28, 2005 Perlstein PH, Callison C, White M, et al. Errors in Drug Computations During Newborn Intensive Care. Arch Pediatr Adolesc Med. 1979;133(4):376-379. doi:10.1001/archpedi.1979.02130040030006. https://psnet.ahrq.gov/issue/errors-drug-computatio…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43596/psn-pdf
    December 19, 2014 - The role of the anesthesiologist in perioperative patient safety. December 19, 2014 Wacker J, Staender S. The role of the anesthesiologist in perioperative patient safety. Curr Opin Anaesthesiol. 2014;27(6):649-656. doi:10.1097/ACO.0000000000000124. https://psnet.ahrq.gov/issue/role-anesthesiologist-perioperative-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37511/psn-pdf
    February 06, 2008 - Validity of retrospective review of medical records as a means of identifying adverse events: comparison between medical records and accident reports. February 6, 2008 Kobayashi M, Ikeda S, Kitazawa N, et al. Validity of retrospective review of medical records as a means of identifying adverse events: comparison b…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866318/psn-pdf
    July 17, 2024 - Methods to increase reliability in quality improvement projects. July 17, 2024 Lenk MA, LaMantia S, Oehler J, et al. Methods to increase reliability in quality improvement projects. Hosp Pediatr. 2024;14(8):e372-e377. doi:10.1542/hpeds.2023-007340. https://psnet.ahrq.gov/issue/methods-increase-reliability-quality-…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837959/psn-pdf
    August 31, 2022 - Kelly, MD Emeritus Professor of Pediatrics, Allergy-Immunology University of North Carolina Chapel
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46749/psn-pdf
    April 04, 2018 - Toolkit for Improving Perinatal Safety. April 4, 2018 Rockville, MD: Agency for Healthcare Research and Quality. June 2017. https://psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety Communication in labor and delivery units can be challenging. This AHRQ-funded program draws from comprehensive unit-based safe…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851918/psn-pdf
    August 02, 2023 - Racism in health services for adolescents: a scoping review. August 2, 2023 Hilario C, Louie-Poon S, Taylor M, et al. Racism in health services for adolescents: a scoping review. Int J Soc Determinants Health Health Serv. 2023;53(3):343-353. doi:10.1177/27551938231162560. https://psnet.ahrq.gov/issue/racism-health…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41853/psn-pdf
    October 08, 2013 - Reported medication events in a paediatric emergency research network: sharing to improve patient safety. October 8, 2013 Shaw KN, Lillis KA, Ruddy RM, et al. Reported medication events in a paediatric emergency research network: sharing to improve patient safety. Emerg Med J. 2013;30(10):815-9. doi:10.1136/emermed…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45688/psn-pdf
    February 08, 2017 - Carers' medication administration errors in the domiciliary setting: a systematic review. February 8, 2017 Parand A, Garfield S, Vincent CA, et al. Carers' Medication Administration Errors in the Domiciliary Setting: A Systematic Review. PLoS One. 2016;11(12):e0167204. doi:10.1371/journal.pone.0167204. https://psn…
  12. Psn-Pdf (pdf file)

    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. …
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46038/psn-pdf
    July 05, 2017 - Significant and sustained reduction in chemotherapy errors through improvement science. July 5, 2017 Weiss BD, Scott M, Demmel K, et al. Significant and sustained reduction in chemotherapy errors through improvement science. J Oncol Pract. 2017;13(4):e329-e336. doi:10.1200/JOP.2017.020842. https://psnet.ahrq.gov/i…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42048/psn-pdf
    July 01, 2013 - Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project. July 1, 2013 Low DK, Reed MA, Geiduschek JM, et al. Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and respon…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860391/psn-pdf
    January 10, 2024 - Neonatal near-miss audits: a systematic review and a call to action. January 10, 2024 Medeiros PB, Bailey C, Pollock D, et al. Neonatal near-miss audits: a systematic review and a call to action. BMC Pediatr. 2023;23(1):573. doi:10.1186/s12887-023-04383-6. https://psnet.ahrq.gov/issue/neonatal-near-miss-audits-sys…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46050/psn-pdf
    August 03, 2017 - Video analysis of factors associated with response time to physiologic monitor alarms in a children's hospital. August 3, 2017 Bonafide CP, Localio R, Holmes JH, et al. Video Analysis of Factors Associated With Response Time to Physiologic Monitor Alarms in a Children's Hospital. JAMA Pediatr. 2017;171(6):524-531. …
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856633/psn-pdf
    January 01, 2024 - Digital health intervention on patient safety for children and parents: a scoping review. November 29, 2023 Park J, Jeon H, Choi EK. Digital health intervention on patient safety for children and parents: a scoping review. J Adv Nurs. 2024;80(5):1750-1760. doi:10.1111/jan.15954. https://psnet.ahrq.gov/issue/digita…
  20. Psn-Pdf (pdf file)

    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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