AHRQ Patient Safety Network

The Collection > Pediatrics

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Safety Target

•Device-related Complications (17)

•Diagnostic Errors (12)

•Identification Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (29)

•Fatigue and Sleep Deprivation (5)

•Medication Safety (115)

•Medical Complications (21)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (12)

•Transfusion Complications (1)

•Psychological and Social Complications (6)

Origin/Sponsor

•Asia (4)

•Australia and New Zealand (2)

Resource Types

•Clinical Guideline (1)

•Journal Article (184)

•Legislation/Regulation (2)

•Meeting/Conference (2)

•Newspaper/Magazine Article (12)

•Press Release/Announcement (5)

•Special or Theme Issue (8)

•Tools/Toolkit (4)

•Web Resource (6)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (66)

•Active Errors (50)

•Latent Errors (19)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (72)

•Legal and Policy Approaches (15)

•Error Reporting and Analysis (63)

•Communication Improvement (61)

•Human Factors Engineering (30)

•Teamwork (18)

•Specialization of Care (18)

•Logistical Approaches (11)

•Culture of Safety (32)

•Technologic Approaches (48)

•Education and Training (52)

Clinical Areas
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Pediatrics

•Pediatric Allergy & Immunology (1)

•Pediatric Cardiology (6)

•Pediatric Emergency Medicine (8)

•Pediatric Gastroenterology (2)

•General Pediatrics (12)

•Pediatric Hematology (1)

•Pediatric Medical Oncology (2)

•Neonatology and Intensive Care (35)

•Pediatric Nephrology (1)

•Pediatric Pulmonology (1)

Target Audience

•Health Care Providers (186)

•Health Care Executives and Administrators (174)

•Non-Health Care Professionals (80)

•Patients (29)

Setting of Care

•Hospitals (173)

•Ambulatory Care (39)

•Outpatient Surgery (4)

•Patient Transport (4)

1 - 20 of 238

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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.

MEETING/CONFERENCE PROCEEDINGS

2005 Annual Patient Safety and Health Information Technology Conference: Making the Health Care System Safer through Implementation and Innovation.

Agency for Healthcare Research and Quality. June 6-10, 2005.

COMMENTARY

Scientific inquiry. 100,000 lives campaign and the application to children.

Edson BS, Williams MC. J Spec Pediatr Nurs. 2006;11:138-142.

STUDY

Pediatric antidepressant medication errors in a national error reporting database.

Rinke ML, Bundy DG, Shore AD, Colantuoni E, Morlock LL, Miller MR. J Dev Behav Pediatr. 2010;31:129-136.

STUDY

The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium.

Cravero JP, Beach ML, Blike GT, Gallagher SM, Hertzog J; Pediatric Sedation Research Consortium. Anesth Analg. 2009;108:795-804.

REVIEW

Systematic review of medication errors in pediatric patients.

Ghaleb MA, Barber N, Franklin BD, Yeung VW, Khaki ZF, Wong IC. Ann Pharmacother. 2006;40:1766-1776.

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.

BOOK/REPORT classic

Josie's Story.

King S. New York, NY: Atlantic Monthly Press; 2009. ISBN: 9780802119209.

AUDIOVISUAL PRESENTATION

Preventing Medical Errors.

Food and Drug Administration (FDA) Patient Safety News. Show #79. September 2008.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

CANADA MEETING/CONFERENCE

9th Annual Paediatric Patient Safety Symposium.

Hospital for Sick Children. June 13, 2013; Hospital for Sick Children, Toronto, ON.

ORGANIZATIONAL POLICY/GUIDELINES

Principles of pediatric patient safety: reducing harm due to medical care.

Steering Committee on Quality Improvement and Management and Committee on Hospital Care. Pediatrics. 2011;127:1199–1210.

COMMENTARY

Quality: performance improvement, teamwork, information technology and protocols.

Coleman NE, Pon S. Crit Care Clin. 2013;29:129-151.

COMMENTARY

Language Barrier

Flores G. AHRQ WebM&M [serial online]. April 2006.

NEWSPAPER/MAGAZINE ARTICLE

Pediatric safety.

Runy LA. Hosp Health Netw. May 2009.

SPECIAL OR THEME ISSUE

Pediatric Quality.

Feld LG, Jain S, eds. Pediatr Clin North Am. 2009;56:731-1034.

BOOK/REPORT classic

Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984–1995.

London, England: The Stationery Office; July 2001.

STUDY

Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children.

Hobgood C, Tamayo-Sarver JH, Elms A, Weiner B. Pediatrics. 2005;116:1276-1286.

MEASUREMENT TOOL/INDICATOR

Pediatric Quality Indicators Download.

AHRQ Quality Indicators. Rockville, MD: Agency for Healthcare Research and Quality; March 2007.

NEWSPAPER/MAGAZINE ARTICLE

Latest heparin fatality speaks loudly—what have you done to stop the bleeding?

ISMP Medication Safety Alert! April 8, 2010;15:1-3.

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