AHRQ Patient Safety Network

The Collection > Children’s Hospitals

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Safety Target

•Device-related Complications (6)

•Diagnostic Errors (2)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (8)

•Fatigue and Sleep Deprivation (2)

•Medication Safety (47)

•Medical Complications (17)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (4)

•Psychological and Social Complications (4)

Origin/Sponsor

•Asia (3)

•Australia and New Zealand (5)

•Central and South America (1)

Resource Types

•Journal Article (112)

•Meeting/Conference (1)

•Newspaper/Magazine Article (6)

•Special or Theme Issue (1)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (38)

•Active Errors (13)

•Latent Errors (7)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (35)

•Legal and Policy Approaches (7)

•Error Reporting and Analysis (38)

•Communication Improvement (24)

•Human Factors Engineering (21)

•Teamwork (12)

•Specialization of Care (18)

•Logistical Approaches (8)

•Culture of Safety (27)

•Technologic Approaches (26)

•Education and Training (19)

Clinical Areas

•Medicine (117)

•Nursing (15)

•Pharmacy (13)

Target Audience

•Health Care Providers (85)

•Health Care Executives and Administrators (106)

•Non-Health Care Professionals (40)

•Patients (10)

Setting of Care
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Children’s Hospitals

1 - 20 of 125

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STUDY

Infants at risk: when nurse fatigue jeopardizes quality care.

Dean GE, Scott LD, Rogers AE. Adv Neonatal Care. 2006;6:120-126.

STUDY

Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units.

Larson EL, Cimiotti J, Haas J, et al. Arch Pediatr Adolesc Med. 2005;159:377-383.

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

Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, an observational study.

de Neef M, Bos AP, Tol D. Intensive Crit Care Nurs. 2009;25:341-347.

STUDY

A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.

Holden RJ, Scanlon MC, Patel NR, et al. BMJ Qual Saf. 2011;20:15-24.

STUDY

Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit.

Grant MJ, Larsen GY. J Nurs Care Qual. 2007;22:213-221.

STUDY

Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit.

Del Beccaro MA, Jeffries HE, Eisenberg MA, Harry ED. Pediatrics. 2006;118:290-295.

STUDY

Adverse drug events in a paediatric intensive care unit: a prospective cohort.

Silva DCB, Araujo OR, Arduini RG, Alonso CFR, Shibata ARO, Troster EJ. BMJ Open. 2013;3:ee001868.

REVIEW

The high-reliability pediatric intensive care unit.

Niedner MF, Muething SE, Sutcliffe KM. Pediatr Clin North Am. 2013;60:563-580.

STUDY

Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs.

France DJ, Throop P, Walczyk B, et al. J Patient Safety. 2005;1:145-153.

COMMENTARY

Mitigating hazards through continuing design: the birth and evolution of a pediatric intensive care unit.

Madsen P, Desai V, Roberts K, Wong D. Org Sci. 2006;17:239-248.

STUDY

Evaluation of contextual influences on the medication administration practice of paediatric nurses.

Davis L, Ware R, McCann D, Keogh S, Watson K. J Adv Nurs. 2009;65:1293-1299.

STUDY

Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in paediatric critical care.

Vardi A, Efrati O, Levin I, et al. Resuscitation. 2007;73:400-406.

STUDY

Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists.

Bauer P, Hoffmann RG, Bragg D, Scanlon MC. Safety Sci. 2013;53:160-167.

STUDY

Patient misidentification in the neonatal intensive care unit: quantification of risk.

Gray JE, Suresh G, Ursprung R, et al. Pediatrics. 2006;117:e43-e47.

STUDY

Risk management, or just a different risk: a national survey of newborn units following a patient safety alert.

Freer Y, Lyon A. Arch Dis Child Fetal Neonatal Ed. 2006;91:F327-F329.

STUDY

In-house, overnight physician staffing: a cross-sectional survey of Canadian adult and pediatric intensive care units.

Parshuram CS, Kirpalani H, Mehta S, Granton J, Cook D, for the Canadian Critical Care Trials Group. Crit Care Med. 2006;34:1674-78.

COMMENTARY

A case of the birth and death of a high reliability healthcare organisation.

Roberts KH, Madsen P, Desai V, Van Stralen D. Qual Saf Health Care. 2005;14:216-220.

COMMENTARY

Lessons learned: basic evidence-based advice for preventing medication errors in children.

Thomas DO. J Emerg Nurs. 2005;31:490-493.

STUDY

Paediatric nurses' understanding of the process and procedure of double-checking medications.

Dickinson A, McCall E, Twomey B, James N. J Clin Nurs. 2010;19:728-735.

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