AHRQ Patient Safety Network

The Collection > Children’s Hospitals

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Safety Target

•Device-related Complications (9)

•Diagnostic Errors (8)

•Identification Errors (5)

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

•Fatigue and Sleep Deprivation (3)

•Medication Safety (85)

•Medical Complications (20)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (11)

•Psychological and Social Complications (6)

Origin/Sponsor

•Asia (3)

•Australia and New Zealand (5)

•Central and South America (1)

Resource Types

•Journal Article (173)

•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 (35)

•Latent Errors (14)

•Near Miss (8)

Approach to Improving Safety

•Quality Improvement Strategies (59)

•Legal and Policy Approaches (14)

•Error Reporting and Analysis (59)

•Communication Improvement (32)

•Human Factors Engineering (25)

•Teamwork (14)

•Specialization of Care (28)

•Logistical Approaches (12)

•Culture of Safety (28)

•Technologic Approaches (49)

•Education and Training (29)

Clinical Areas

Target Audience

•Health Care Providers (140)

•Health Care Executives and Administrators (158)

•Non-Health Care Professionals (64)

•Patients (15)

Setting of Care
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Children’s Hospitals

1 - 20 of 198

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COMMENTARY

Implementing a pediatric surgical safety checklist in the OR and beyond.

Norton EK, Rangel SJ. AORN J. 2010;92:61-71.

STUDY

Human factors in pediatric anesthesia incidents.

Marcus R. Paediatr Anaesth. 2006;16:242-250.

STUDY

An intervention to decrease patient identification band errors in a children's hospital.

Hain PD, Joers B, Rush M, et al. Qual Saf Health Care. 2010;19:244-247.

STUDY

Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals?

Smith ER, Butler WE, Barker FG 2nd. J Neurosurg. 2006;105(suppl 3):169-176.

STUDY

Comparison of Broselow tape measurements versus physician estimations of pediatric weights.

Rosenberg M, Greenberger S, Rawal A, Latimer-Pierson J, Thundiyil J. Am J Emerg Med. 2011;29:482-488.

STUDY

Evaluation of inpatient admissions and potential antimicrobial and analgesic dosing errors in overweight children.

Miller JL, Johnson PN, Harrison DL, Hagemann TM. Ann Pharmacother. 2010;44:35-42.

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

Parents' perceptions of pediatric day surgery risks: unforeseeable complications, or avoidable mistakes?

Sobo EJ. Soc Sci Med. 2005;60:2341-2350.

STUDY

Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery.

Mattioli G, Guida E, Montobbio G, et al. Pediatr Surg Int. 2012;28:405-410.

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.

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

Identifying medication errors in surgical prescription charts.

Simons J. Paediatr Nurs. 2010;22:20-24.

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.

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

Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system.

Han YY, Carcillo JA, Venkataraman ST, et al. Pediatrics. 2005;116:1506-1512.

NEWSPAPER/MAGAZINE ARTICLE

Don't underestimate the impact of change on risk potential.

ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.

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.

STUDY

Association between license status and medication errors.

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

STUDY

Diagnostic errors with inserted tubes, lines and catheters in children.

Fuentealba I, Taylor GA. Pediatr Radiol. 2012;42:1305-1315.

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