AHRQ Patient Safety Network

The Collection > Children’s Hospitals

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Safety Target

•Device-related Complications (7)

•Diagnostic Errors (8)

•Identification Errors (7)

•Discontinuities, Gaps, and Hand-Off Problems (13)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (89)

•Medical Complications (20)

•Nonsurgical Procedural Complications (5)

•Surgical Complications (12)

•Psychological and Social Complications (6)

Origin/Sponsor

•Asia (4)

•Australia and New Zealand (5)

•Central and South America (1)

Resource Types

•Journal Article (178)

•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 (64)

•Active Errors (35)

•Latent Errors (11)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (60)

•Legal and Policy Approaches (14)

•Error Reporting and Analysis (61)

•Communication Improvement (32)

•Human Factors Engineering (26)

•Teamwork (14)

•Specialization of Care (28)

•Logistical Approaches (12)

•Culture of Safety (28)

•Technologic Approaches (50)

•Education and Training (31)

Clinical Areas

Target Audience

•Health Care Providers (139)

•Health Care Executives and Administrators (157)

•Non-Health Care Professionals (65)

•Patients (15)

Setting of Care
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Children’s Hospitals

1 - 20 of 203

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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.

STUDY

Lessons learned: use of event reporting by nurses to improve patient safety and quality.

Hession-Laband E, Mantell P. J Pediatr Nurs. 2011;26:149-155.

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

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

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

Family-centered rounds on pediatric wards: a PRIS network survey of US and Canadian hospitalists.

Mittal VS, Sigrest T, Ottolini MC, et al. Pediatrics. 2010;126:37-43.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

STUDY

Medical errors in US pediatric inpatients with chronic conditions.

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

STUDY

Preventable adverse events in infants hospitalized with bronchiolitis.

McBride SC, Chiang VW, Goldmann DA, Landrigan CP. Pediatrics. 2005;116:603-608.

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.

STUDY

The relationship between computerized physician order entry and pediatric adverse drug events: a nested matched case-control study.

Yu F, Salas M, Kim YI, Menachemi N. Pharmacoepidemiol Drug Saf. 2009;18:751-755.

STUDY

Nighttime and weekend medication error rates in an inpatient pediatric population.

Miller AD, Piro CC, Rudisill CN, Bookstaver PB, Bair JD, Bennett CL. Ann Pharmacother. 2010;44:1739-1746.

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

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

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.

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

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

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

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