AHRQ Patient Safety Network

The Collection > Pediatric Cardiology

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•Diagnostic Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (1)

•Medication Safety (2)

•Medical Complications (2)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (3)

•Psychological and Social Complications (1)

Origin/Sponsor

Resource Types

•Journal Article (12)

•Newspaper/Magazine Article (2)

Error Types

•Epidemiology of Errors and Adverse Events (4)

•Active Errors (5)

Approach to Improving Safety

•Quality Improvement Strategies (4)

•Legal and Policy Approaches (2)

•Error Reporting and Analysis (3)

•Communication Improvement (4)

•Human Factors Engineering (1)

•Teamwork (2)

•Specialization of Care (2)

•Logistical Approaches (1)

•Culture of Safety (3)

•Education and Training (4)

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Pediatric Cardiology

Target Audience

•Health Care Providers (12)

•Health Care Executives and Administrators (12)

•Non-Health Care Professionals (7)

•Patients (2)

Setting of Care

•Hospitals (14)

•Ambulatory Care (2)

1 - 16 of 16

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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.

COMMENTARY classic

Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal Infirmary.

Weick KE, Sutcliffe KM. Calif Manage Rev. Winter 2003;45:73-84.

STUDY

A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response system.

Hanson CC, Randolph GD, Erickson JA, et al. Qual Saf Health Care. 2009;18:500-504.

STUDY

Accuracy of interpretation of preparticipation screening electrocardiograms.

Hill AC, Miyake CY, Grady S, Dubin AM. J Pediatr. 2011;159:783-788.

STUDY

Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital.

Wang GS, Erwin N, Zuk J, Henry DB, Dobyns EL. J Hosp Med. 2011;6:131-135.

STUDY

Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience.

Huang YC, Chang JS, Lai YC, Li PC. Pediatr Neonatol. 2009;50:280-286.

STUDY

Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests.

Hunt EA, Vera K, Diener-West M, et al. Resuscitation. 2009;80:819-825.

STUDY

Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications.

Kane JM, Preze E. J Nurs Care Qual. 2009;24:354-361.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:847-853.

NEWSPAPER/MAGAZINE ARTICLE

Ferrari's Formula One handovers and handovers from surgery to intensive care.

Sower VE, Duffy JA, Kohers G. American Society for Quality. August 2008.

STUDY

Missed diagnosis of critical congenital heart disease.

Chang RK, Gurvitz M, Rodriguez S. Arch Pediatr Adolesc Med. 2008;162:969-974.

STUDY

Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams.

Bognár A, Barach P, Johnson JK, et al. Ann Thorac Surg. 2008;85:1374-1381.

STUDY

Diagnostic errors in pediatric echocardiography: development of taxonomy and identification of risk factors.

Benavidez OJ, Gauvreau K, Jenkins KJ, Geva T. Circulation. 2008;117:2995-3001.

STUDY

Underdiagnosis of hypertension in children and adolescents.

Hansen ML, Gunn PW, Kaelber DC. JAMA. 2007;298:874-879.

NEWSPAPER/MAGAZINE ARTICLE

Doctor administered fatal dose of calcium to baby, inquest told.

Morris S. Guardian. February 13, 2007.

BOOK/REPORT

The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths at the Winnipeg Health Sciences Center in 1994.

Sinclar M. Provincial Court of Manitoba, CA.