AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (2)

•Diagnostic Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (7)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (27)

•Medical Complications (12)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (1)

•Psychological and Social Complications (3)

Origin/Sponsor

•Australia and New Zealand (1)

•North America (54)

Resource Types

•Book/Report (1)

•Journal Article (52)

•Legislation/Regulation (2)

•Special or Theme Issue (1)

•Tools/Toolkit (1)

Error Types

•Epidemiology of Errors and Adverse Events (24)

•Active Errors (8)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (10)

•Legal and Policy Approaches (2)

•Error Reporting and Analysis (7)

•Communication Improvement (9)

•Human Factors Engineering (7)

•Teamwork (10)

•Specialization of Care (12)

•Logistical Approaches (3)

•Culture of Safety (4)

•Technologic Approaches (7)

•Education and Training (17)

Clinical Areas
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Pediatric Emergency Medicine

Target Audience

•Health Care Providers (45)

•Health Care Executives and Administrators (43)

•Non-Health Care Professionals (14)

Setting of Care

•Hospitals (51)

•Ambulatory Care (2)

•Patient Transport (3)

1 - 20 of 58

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REVIEW

Pediatric patient safety in the prehospital/emergency department setting.

Barata IA, Benjamin LS, Mace SE, Herman MI, Goldman RD. Pediatr Emerg Care. 2007;23:412-418.

STUDY

Teamwork errors in trauma resuscitation.

Sarcevic A, Marsic I, Burd RS. ACM Trans Comput Hum Interact. 2012;19:13:1-13:30.

STUDY

Pediatric patient safety in emergency departments: unit characteristics and staff perceptions.

Shaw KN, Ruddy RM, Olsen CS, et al; Pediatric Emergency Care Applied Research Network. Pediatrics. 2009;124:485-493.

BOOK/REPORT

Pediatric Patient Safety in the Emergency Department.

Krug SE, ed. Oak Brook, IL: Joint Commission Resources and the American Academy of Pediatrics; 2010. ISBN: 9781599402123.

STUDY

Time motion study in a pediatric emergency department before and after computer physician order entry.

Yen K, Shane EL, Pawar SS, Schwendel ND, Zimmanck RJ, Gorelick MH. Ann Emerg Med. 2009;53:462-468.

STUDY

Emergency department visits for medical device–associated adverse events among children.

Wang C, Hefflin B, Cope JU, et al. Pediatrics. 2010;126:247-259.

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

Adverse events from cough and cold medications after a market withdrawal of products labeled for infants.

Shehab N, Schaefer MK, Kegler SR, Budnitz DS. Pediatrics. 2010;126:1100-1107.

MEASUREMENT TOOL/INDICATOR

Pediatric Patient Safety in the Emergency Department - Survey Preview Version.

Oakbrook Terrace, IL: Joint Commission Resources; 2008.

STUDY

Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors.

Hsiao AL, Shiffman RN. Jt Comm J Qual Patient Saf. 2009;35:467-474.

STUDY

A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center.

Kalina M, Tinkoff G, Gleason W, Veneri P, Fulda G. Pediatr Emerg Care. 2009;25:444-446.

STUDY

Medication errors among acutely ill and injured children treated in rural emergency departments.

Marcin JP, Dharmar M, Cho M, et al. Ann Emerg Med. 2007;50:361-367.e1-2.

STUDY

Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children.

Yin HS, Dreyer BP, van Schaick L, et al. Arch Pediatr Adolesc Med. 2008;162:814-822.

STUDY

Pediatric adverse drug events in the outpatient setting: an 11-year national analysis.

Bourgeois FT, Mandl KD, Valim C, Shannon MW. Pediatrics. 2009;124:e744-e750.

STUDY

Family alert: implementing direct family activation of a pediatric rapid response team.

Ray EM, Smith R, Massie S, et al. Jt Comm J Qual Patient Saf. 2009;35:575-580.

STUDY

Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emergency department network.

Chamberlain JM, Shaw KN, Lillis KA, et al. Pediatr Emerg Care. 2013;29:125-130.

COMMENTARY

An implementation strategy for a multicenter pediatric rapid response system in Ontario.

Lobos A, Costello J, Gilleland J, Gaiteiro R, Kotsakis A; The Ontario Pediatric Critical Care Response Team Collaborative. Jt Comm J Qual Patient Saf. 2010;36:271-280.

STUDY

Root causes of errors in a simulated prehospital pediatric emergency.

Lammers R, Byrwa M, Fales W. Acad Emerg Med. 2012;19:37-47.

COMMENTARY

A pediatric medical emergency team manages a complex child with hypoxia and a worried parent.

Shilkofski NA, Hunt EA. Jt Comm J Qual Patient Saf. 2007;33:236-241.

STUDY

Factors associated with medication errors in the pediatric emergency department.

Vilà-de-Muga M, Colom-Ferrer L, Gonzàlez-Herrero M, Luaces-Cubells C. Pediatr Emerg Care. 2011;27:290-294.

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