AHRQ Patient Safety Network

The Collection > Children’s Hospitals

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Safety Target

•Device-related Complications (7)

•Diagnostic Errors (7)

•Identification Errors (7)

•Discontinuities, Gaps, and Hand-Off Problems (11)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (87)

•Medical Complications (19)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (12)

•Psychological and Social Complications (6)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (5)

•Central and South America (1)

Resource Types

•Journal Article (172)

•Legislation/Regulation (2)

•Meeting/Conference (1)

•Newspaper/Magazine Article (10)

•Press Release/Announcement (1)

•Special or Theme Issue (2)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (60)

•Active Errors (34)

•Latent Errors (12)

•Near Miss (8)

Approach to Improving Safety

•Quality Improvement Strategies (58)

•Legal and Policy Approaches (14)

•Error Reporting and Analysis (60)

•Communication Improvement (31)

•Human Factors Engineering (25)

•Teamwork (14)

•Specialization of Care (27)

•Logistical Approaches (11)

•Culture of Safety (28)

•Technologic Approaches (50)

•Education and Training (29)

Clinical Areas

Target Audience

•Health Care Providers (137)

•Health Care Executives and Administrators (155)

•Non-Health Care Professionals (63)

•Patients (15)

Setting of Care
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Children’s Hospitals

1 - 20 of 197

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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

Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.

Takata GS, Taketomo CK, Waite S; for the California Pediatric Patient Safety Initiative. Am J Health Syst Pharm. 2008;65:2036-2044.

COMMENTARY

The Preventable Harm Index: an effective motivator to facilitate the drive to zero.

Brilli RJ, McClead RE Jr, Davis T, Stoverock L, Rayburn A, Berry JC. J Pediatr. 2010;157:681-683.

STUDY

Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative.

Tham E, Calmes HM, Poppy A, et al. Pediatrics. 2011;128:e438-e445.

STUDY

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

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

STUDY

Evaluation of an anonymous system to report medical errors in pediatric inpatients.

Taylor JA, Brownstein D, Klein EJ, Strandjord TP. J Hosp Med. 2007;2:226-33.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

STUDY

Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system.

Longhurst CA, Parast L, Sandborg CI, et al. Pediatrics. 2010;126:14-21.

COMMENTARY

Patient safety and quality improvement: an overview of QI.

Schriefer J, Leonard MS. Pediatr Rev. 2012;33:353-360.

COMMENTARY

I-PASS, a mnemonic to standardize verbal handoffs.

Starmer AJ, Spector ND, Srivastava R, Allen AD, Landrigan CP, Sectish TC; I-PASS Study Group. Pediatrics. 2012;129:201-204.

STUDY

Improving patient safety: effects of a safety program on performance and culture in a department of radiology.

Donnelly LF, Dickerson JM, Goodfriend MA, Muething SE. AJR Am J Roentgenol. 2009;193:165-171.

STUDY

Medical errors in US pediatric inpatients with chronic conditions.

Ahuja N, Zhao W, Xiang H. Pediatrics. 2012;130:e786-e793.

STUDY

Unit-based care teams and the frequency and quality of physician–nurse communications.

Gordon MB, Melvin P, Graham D, et al. Arch Pediatr Adolesc Med. 2011;165:424-428.

STUDY

Quality improvement initiative to reduce serious safety events and improve patient safety culture.

Muething SE, Goudie A, Schoettker PJ, et al. Pediatrics. 2012;130:e423-e431.

STUDY

Improving team performance during the preprocedure time-out in pediatric interventional radiology.

Gottumukkala R, Street M, Fitzpatrick M, Tatineny P, Duncan JR. Jt Comm J Qual Patient Saf. 2012;38:387-394.

STUDY

A safety culture transformation: its effects at a children's hospital.

Peterson TH, Teman SF, Connors RH. J Patient Saf. 2012;8:125-130.

STUDY

Analysis of overridden alerts in a drug–drug interaction detection system.

Mille F, Schwartz C, Brion F, et al. Int J Qual Health Care. 2008 Dec; 20:400-5.

STUDY

Peer review comments augment diagnostic error characterization and departmental quality assurance: 1-year experience from a children's hospital.

Iyer RS, Swanson JO, Otto RK, Weinberger E. AJR Am J Roentgenol. 2013;200:132-137.

STUDY

Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and intervention.

Di Pentima MC, Chan S, Eppes SC, Klein JD. Clin Pediatr (Phila). 2009;53:715-723e1.

STUDY

Effects of mental demands during dispensing on perceived medication safety and employee well-being: a study of workload in pediatric hospital pharmacies.

Holden RJ, Patel NR, Scanlon MC, Shalaby TM, Arnold JM, Karsh BT. Res Social Admin Pharm. 2010;6:293-306.

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