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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…
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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.
…
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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…
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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-…
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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…
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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-…
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psnet.ahrq.gov/node/837959/psn-pdf
August 31, 2022 - Kelly, MD
Emeritus Professor of Pediatrics, Allergy-Immunology
University of North Carolina Chapel
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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…
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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…
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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…
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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…
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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/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/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…
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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…
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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…
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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.
…
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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/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…
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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…