AHRQ Patient Safety Network

The Collection > Pediatric Surgery

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Safety Target

•Device-related Complications (2)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (3)

•Medication Safety (12)

•Medical Complications (2)

•Surgical Complications (26)

•Transfusion Complications (1)

•Psychological and Social Complications (1)

Origin/Sponsor

•Australia and New Zealand (1)

Resource Types

•Journal Article (30)

•Newspaper/Magazine Article (3)

•Press Release/Announcement (1)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (16)

•Active Errors (11)

•Latent Errors (1)

•Near Miss (3)

Approach to Improving Safety

•Quality Improvement Strategies (9)

•Legal and Policy Approaches (3)

•Error Reporting and Analysis (11)

•Communication Improvement (10)

•Human Factors Engineering (9)

•Teamwork (2)

•Specialization of Care (2)

•Logistical Approaches (1)

•Culture of Safety (1)

•Technologic Approaches (4)

•Education and Training (5)

Clinical Areas
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Pediatric Surgery

Target Audience

•Health Care Providers (25)

•Health Care Executives and Administrators (28)

•Non-Health Care Professionals (8)

•Patients (6)

Setting of Care

•Hospitals (34)

•Ambulatory Care (1)

•Outpatient Surgery (2)

1 - 20 of 37

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STUDY

Variation in surgical time-out and site marking within pediatric otolaryngology.

Shah RK, Arjmand E, Roberson DW, Deutsch E, Derkay C. Arch Otolaryngol Head Neck Surg. 2011;137:69-73.

STUDY

Implementing a surgical checklist: more than checking a box.

Levy SM, Senter CE, Hawkins RB, et al. Surgery. 2012;152:331-336.

STUDY

Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project.

Low DK, Reed MA, Geiduschek JM, Martin LD. Pediatr Anesth. 2013 Feb 4; [Epub ahead of print].

STUDY

Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events.

Shah RK, Lander L, Forbes P, Jenkins K, Healy GB, Roberson DW. Laryngoscope. 2009;119:871-879.

COMMENTARY

What happens when things go wrong?

Brandom BW, Callahan P, Micalizzi DA. Paediatr Anaesth. 2011;21:730-736.

STUDY

Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.

Vermaire D, Caruso MC, Lesko A, et al. BMJ Qual Saf. 2011;20:895-902.

STUDY

Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit.

Joy BF, Elliott E, Hardy C, Sullivan C, Backer CL, Kane JM. Pediatr Crit Care Med. 2011;12:304-308.

STUDY

A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient outcomes.

Schraagen JM, Schouten T, Smit M, et al. BMJ Qual Saf. 2011;20:599-603.

STUDY

Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery.

Mattioli G, Guida E, Montobbio G, et al. Pediatr Surg Int. 2012;28:405-410.

STUDY

A paradigm shift to balance safety and quality in pediatric pain management.

Avansino JR, Peters LM, Stockfish SL, Walco GA. Pediatrics. 2013;131:e921-e927.

STUDY

Effects of CPOE on provider cognitive workload: a randomized crossover trial.

Avansino J, Leu MG. Pediatrics. 2012;130:e547-e552.

STUDY

Identifying medication errors in surgical prescription charts.

Simons J. Paediatr Nurs. 2010;22:20-24.

STUDY

Analysis of adverse events in pediatric surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome measures.

Rice-Townsend S, Hall M, Jenkins KJ, Roberson DW, Rangel SJ. J Pediatr Surg. 2010;45:1126-1136.

STUDY

Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations in children.

Camp M, Chang DC, Zhang Y, Chrouser K, Colombani PM, Abdullah F. Arch Surg. 2010;145:1085-1090.

STUDY

Preprinted order sets as a safety intervention in pediatric sedation.

Broussard M, Bass PF 3rd, Arnold CL, McLarty JW, Bocchini JA Jr. J Pediatr. 2009;154:865-868.

STUDY

Parents' perceptions of pediatric day surgery risks: unforeseeable complications, or avoidable mistakes?

Sobo EJ. Soc Sci Med. 2005;60:2341-2350.

MULTI-USE WEBSITE

SmartTots.

Food and Drug Administration and the International Anesthesia Research Society.

STUDY

Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals?

Smith ER, Butler WE, Barker FG 2nd. J Neurosurg. 2006;105(suppl 3):169-176.

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.

COMMENTARY

Name and shame.

Cassidy J. BMJ. 2009;339:b2693.

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