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Showing results for "pediatrics".
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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42090/psn-pdf
    March 06, 2013 - Adverse drug events in a paediatric intensive care unit: a prospective cohort. March 6, 2013 Silva DCB, Araujo OR, Arduini RG, et al. Adverse drug events in a paediatric intensive care unit: a prospective cohort. BMJ Open. 2013;3(2):e001868. doi:10.1136/bmjopen-2012-001868. https://psnet.ahrq.gov/issue/adverse-dru…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41637/psn-pdf
    February 20, 2013 - Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death. February 20, 2013 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 15, 2012. (Updated February 20, 2013) https://psnet.ahrq.gov/issue/codeine-us…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45153/psn-pdf
    May 18, 2016 - Structuring feedback and debriefing to achieve mastery learning goals. May 18, 2016 Eppich W, Hunt EA, Duval-Arnould JM, et al. Structuring feedback and debriefing to achieve mastery learning goals. Acad Med. 2015;90(11):1501-8. doi:10.1097/ACM.0000000000000934. https://psnet.ahrq.gov/issue/structuring-feedback-an…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39319/psn-pdf
    March 05, 2010 - The incidence and nature of prescribing and medication administration errors in paediatric inpatients. March 5, 2010 Ghaleb M, Barber N, Franklin BD, et al. The incidence and nature of prescribing and medication administration errors in paediatric inpatients. Arch Dis Child. 2010;95(2):113-8. doi:10.1136/adc.2009.…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39184/psn-pdf
    January 06, 2010 - Patient safety attitudes of paediatric trainee physicians. January 6, 2010 Parry G, Horowitz L, Goldmann D. Patient safety attitudes of paediatric trainee physicians. Qual Saf Health Care. 2009;18(6):462-6. doi:10.1136/qshc.2006.020230. https://psnet.ahrq.gov/issue/patient-safety-attitudes-paediatric-trainee-physic…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42304/psn-pdf
    November 21, 2016 - Strategies for improving family engagement during family-centered rounds. November 21, 2016 Kelly MM, Xie A, Carayon P, et al. Strategies for improving family engagement during family-centered rounds. J Hosp Med. 2013;8(4):201-7. doi:10.1002/jhm.2022. https://psnet.ahrq.gov/issue/strategies-improving-family-engage…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61052/psn-pdf
    April 01, 2019 - Inadvertent Administration of an Oral Liquid Medicine into a Vein. April 1, 2019 Farnborough, UK; Healthcare Safety Investigation Branch: April 2019. https://psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein Wrong route medication administration is a never event. This report examined the co…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43185/psn-pdf
    May 14, 2014 - Preventing health care–associated harm in children. May 14, 2014 Walsh KE, Bundy DG, Landrigan CP. Preventing health care-associated harm in children. JAMA. 2014;311(17):1731-2. doi:10.1001/jama.2014.2038. https://psnet.ahrq.gov/issue/preventing-health-care-associated-harm-children This commentary describes why de…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42370/psn-pdf
    June 19, 2013 - Resident Projects for Improvement. June 19, 2013 Heilman J, ed. UNM CIR Journal of Quality Improvement in Healthcare. Albuquerque, NM: University of New Mexico; May 2013. https://psnet.ahrq.gov/issue/journal-quality-improvement-healthcare-second-edition This publication outlines quality and safety improvement proj…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73860/psn-pdf
    September 22, 2021 - A system safety approach to assessing risks in the sepsis treatment process. September 22, 2021 Kaya GK. A system safety approach to assessing risks in the sepsis treatment process. Appl Ergon. 2021;94:103408. doi:10.1016/j.apergo.2021.103408. https://psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sep…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35413/psn-pdf
    September 11, 2009 - Lessons learned: basic evidence-based advice for preventing medication errors in children. September 11, 2009 Thomas DO. Lessons learned: basic evidence-based advice for preventing medication errors in children. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association.…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36688/psn-pdf
    May 27, 2011 - Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in paediatric critical care. May 27, 2011 Vardi A; Efrati O; Levin I; Matok I; Rubinstein M; Paret G; Barzilay Z. https://psnet.ahrq.gov/issue/prevention-potential-errors-resuscitation-medications-or…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47477/psn-pdf
    November 14, 2018 - Losing Laura. November 14, 2018 DeMarco P. Globe Magazine. November 3, 2018. https://psnet.ahrq.gov/issue/losing-laura This magazine article reports on the preventable death of a patient during an acute asthma attack. Written by the patient's husband, the article outlines the failures that led to her death despite…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45307/psn-pdf
    September 07, 2016 - End Sepsis. September 7, 2016 1212 Avenue of the Americas, 5th Floor, New York, NY 10036. 212-244- 6294 contact@endsepsis.org https://psnet.ahrq.gov/issue/rory-staunton-foundation-sepsis-prevention Sepsis is a serious condition that can be rapidly fatal if it is not promptly diagnosed and treated. T…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41897/psn-pdf
    December 05, 2012 - Diagnostic errors with inserted tubes, lines and catheters in children. December 5, 2012 Fuentealba I, Taylor GA. Diagnostic errors with inserted tubes, lines and catheters in children. Pediatr Radiol. 2012;42(11):1305-15. doi:10.1007/s00247-012-2462-7. https://psnet.ahrq.gov/issue/diagnostic-errors-inserted-tubes…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61055/psn-pdf
    October 21, 2020 - How administrative burdens can harm health. October 21, 2020 Herd P, Moynihan D. Health Affairs Health Policy Brief. October 2, 2020. https://psnet.ahrq.gov/issue/how-administrative-burdens-can-harm-health The crossover of health equity concepts to patient safety has emerged as a consideration for improvement. Thi…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38201/psn-pdf
    May 21, 2009 - Drug dosing error with drops – severe clinical course of codeine intoxication in twins. May 21, 2009 Hermanns-Clausen M, Weinmann W, Auwärter V, et al. Drug dosing error with drops: severe clinical course of codeine intoxication in twins. Eur J Pediatr. 2009;168(7):819-24. doi:10.1007/s00431-008-0842-7. https://ps…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45478/psn-pdf
    October 26, 2016 - Core principles of quality improvement and patient safety. October 26, 2016 Bartman T, McClead RE. Core Principles of Quality Improvement and Patient Safety. Pediatr Rev. 2016;37(10):407-417. https://psnet.ahrq.gov/issue/core-principles-quality-improvement-and-patient-safety This review discusses key patient safet…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73380/psn-pdf
    June 09, 2021 - Wrong Site Surgery–Wrong Tooth Extraction. June 9, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; April 2021. https://psnet.ahrq.gov/issue/wrong-site-surgery-wrong-tooth-extraction Wrong-site surgery in dentistry is a frequent and persistent never event. This report examines a case of pediatric wron…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867145/psn-pdf
    November 13, 2024 - Technology, Education and Safety. November 13, 2024 Technology, Education and Safety. Harbell MW, ed. Curr Opin Anaesthesiol. 2024;37(6):666-742. https://psnet.ahrq.gov/issue/technology-education-and-safety-3 Despite consummate efforts to improve safety, errors still occur in anesthesiology. This special collection…
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