AHRQ Patient Safety Network

The Collection > Children’s Hospitals

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Safety Target

•Device-related Complications (6)

•Diagnostic Errors (6)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (12)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (70)

•Medical Complications (13)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (11)

•Psychological and Social Complications (4)

Origin/Sponsor

•Asia (1)

•Australia and New Zealand (4)

Resource Types

•Journal Article (131)

•Legislation/Regulation (1)

•Meeting/Conference (1)

•Newspaper/Magazine Article (8)

•Press Release/Announcement (1)

•Special or Theme Issue (2)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (45)

•Active Errors (32)

•Latent Errors (11)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (52)

•Legal and Policy Approaches (10)

•Error Reporting and Analysis (44)

•Communication Improvement (25)

•Human Factors Engineering (19)

•Teamwork (7)

•Specialization of Care (22)

•Logistical Approaches (8)

•Culture of Safety (22)

•Technologic Approaches (39)

•Education and Training (21)

Clinical Areas

Target Audience

•Health Care Providers (115)

•Health Care Executives and Administrators (125)

•Non-Health Care Professionals (49)

•Patients (12)

Setting of Care
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Children’s Hospitals

1 - 20 of 153

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COMMENTARY

XL or Smaller?

Kozer E. AHRQ WebM&M [serial online]. June 2003.

COMMENTARY

Medication Overdose.

Kaushal R. AHRQ WebM&M [serial online]. April 2003.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

STUDY

Hospital admission medication reconciliation in medically complex children: an observational study.

Stone BL, Boehme S, Mundorff MB, Maloney CG, Srivastava R. Arch Dis Child. 2010;95:250-255.

STUDY

An intervention to decrease narcotic-related adverse drug events in children's hospitals.

Sharek PJ, McClead RE Jr, Taketomo C, et al. Pediatrics. 2008;122:e861-e866.

COMMENTARY

Intubation Mishap.

Weinger MB, Blike GT. AHRQ WebM&M [serial online]. September 2003.

COMMENTARY

Central Line Clot.

Randolph AG. AHRQ WebM&M [serial online]. May 2003.

STUDY

Effects of CPOE on provider cognitive workload: a randomized crossover trial.

Avansino J, Leu MG. Pediatrics. 2012;130:e547-e552.

STUDY

A paradigm shift to balance safety and quality in pediatric pain management.

Avansino JR, Peters LM, Stockfish SL, Walco GA. Pediatrics. 2013;131:e921-e927.

MULTI-USE WEBSITE

Solutions for Patient Safety.

Ohio Business Roundtable. 41 S. High Street, Suite 2240, Columbus, OH, 43215.

STUDY

Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project.

Turner K, Frush K, Hueckel R, Relf MV, Thornlow D, Champagne MT. J Nurs Care Qual. 2012 Oct 31; [Epub ahead of print].

STUDY

Association between license status and medication errors.

Conroy S. Arch Dis Child. 2011;96:305-306.

NEWSPAPER/MAGAZINE ARTICLE

Fatal drug mix-up exposes hospital flaws.

Davies T. Washington Post. September 22, 2006.

STUDY

Decreasing paediatric prescribing errors in a district general hospital.

Davey AL, Britland A, Naylor RJ. Qual Saf Health Care. 2008;17:146-149.

STUDY

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.

STUDY

Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and influencing factors.

Matlow AG, Moody L, Laxer R, Stevens P, Goia C, Friedman JN. Arch Dis Child. 2010;95:286-290.

STUDY

Interruption handling strategies during paediatric medication administration.

Colligan L, Bass EJ. BMJ Qual Saf. 2012;21:912-917.

PRESS RELEASE/ANNOUNCEMENT

Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 15, 2012.

STUDY

Prevalence of polypharmacy exposure among hospitalized children in the United States.

Feudtner C, Dai D, Hexem KR, Luan X, Metjian TA. Arch Pediatr Adolesc Med. 2012;166:9-16.

COMMENTARY

A Little Shuteye.

Farion KJ. AHRQ WebM&M [serial online]. July 2003.

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