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digital.ahrq.gov/ahrq-funded-projects/care-transitions-and-teamwork-pediatric-trauma-implications-health-information/citation/linking
January 01, 2023 - Linking electronic health record and trauma registry data: assessing the value of probabilistic linkage.
Citation
Durojaiye AB, Puett LL, Levin S, et al. Linking electronic health record and trauma registry data: assessing the value of probabilistic linkage. Methods Inf Med. 2018 Nov 19. doi: 10.1055/…
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psnet.ahrq.gov/node/41888/psn-pdf
December 12, 2012 - ACOG Committee Opinion #546: tracking and reminder
systems.
December 12, 2012
Improvement AC of O and GC on PS and Q. Committee Opinion No.546: Tracking and reminder systems.
Obstet Gynecol. 2012;120(6):1535-7. doi:10.1097/01.AOG.0000423820.92906.d0.
https://psnet.ahrq.gov/issue/acog-committee-opinion-546-tracking…
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psnet.ahrq.gov/node/41631/psn-pdf
September 24, 2016 - Interruption handling strategies during paediatric
medication administration.
September 24, 2016
Colligan L, Bass EJ. Interruption handling strategies during paediatric medication administration. BMJ Qual
Saf. 2012;21(11):912-7. doi:10.1136/bmjqs-2011-000292.
https://psnet.ahrq.gov/issue/interruption-handling-stra…
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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…
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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…
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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…
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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.…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/infantile-hemangioma_executive.pdf
January 01, 2016 - Pediatrics 2015
Jul;136(1):e203-14. PMID: 26055853.
2. Kilcline C, Frieden IJ. … Pediatrics 1976 Aug;58(2):218-22. PMID: 951136.
5. Enjolras O, Mulliken JB. … Pediatrics 2011
Aug;128(2):e259-66. PMID: 21788220.
26
16. … Pediatrics
2013 Jun;131(6):e1739-47. PMID: 23650294.
34. … Pediatrics 2013 Jan;131(1):128-40. PMID: 23266923.
27
AHRQ Pub.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-fullreport.pdf
April 01, 2018 - The Q-METRIC expert
panel included nationally recognized experts in SCD, representing hematology, pediatrics … Pediatrics 2011; 128(6):e1552-74.
Lemanek KL, Ranalli M, Lukens C. … Last Name: Freed, MD, MPH
Title: Percy and Mary Murphy Professor of Pediatrics, School of Medicine