Improving reporting of outpatient pediatric medical errors.

D. R Neuspiel; E. H Stubbs; L. Liggin

Study

Improving reporting of outpatient pediatric medical errors.

January 30, 2005

Neuspiel DR, Stubbs EH, Liggin L. PEDIATRICS. 2011;128(6).

View more articles from the same authors.

This study describes the implementation of a voluntary reporting system that allowed a multidisciplinary team to evaluate and recommend necessary prevention strategies.

Available at

Free full text

PubMed citation

Related Resources From the Same Author(s)

Barriers to the reporting of medication administration errors and near misses: an interview study of nurses at a psychiatric hospital.

May 14, 2014

Prescription errors in psychiatry - a multi-centre study.

September 6, 2006

An observational study of medication administration errors in old-age psychiatric inpatients.

July 4, 2007

A review of medication administration errors reported in a large psychiatric hospital in the United Kingdom.

January 4, 2006

The health care cost of drug-related morbidity and mortality in nursing facilities.

March 6, 2005

Impact of the introduction of electronic prescribing on staff perceptions of patient safety and organizational culture.

June 28, 2017

Role of registered nurses in error prevention, discovery and correction.

April 16, 2008

The costs of adverse drug events in hospitalized patients.

March 27, 2005

30-day potentially avoidable readmissions due to adverse drug events.

May 3, 2017

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

June 15, 2011

Effect of computerized physician order entry and a team intervention on prevention of serious medication errors.

March 27, 2005

The natural history of recovery for the healthcare provider "second victim" after adverse patient events.

October 21, 2009

Potential role of pharmacogenomics in reducing adverse drug reactions: a systematic review.

August 31, 2005

The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities.

December 6, 2017

Pharmacist participation on physician rounds and adverse drug events in the intensive care unit.

March 27, 2005

Anatomy of a patient safety event: a pediatric patient safety taxonomy.

December 21, 2005

The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program.

January 4, 2006

Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 years?

February 26, 2014

Prevalence of preventable medication-related hospitalizations in Australia: an opportunity to reduce harm.

May 2, 2012

Incident and long-term opioid therapy among patients with psychiatric conditions and medications: a national study of commercial health care claims.

January 25, 2017

Influencing sceptical staff to become supporters of service improvement: a qualitative study of doctors' and managers' views.

March 6, 2005

Retained guidewires in the Veterans Health Administration: getting to the root of the problem.

May 9, 2018

What is accountability in health care?

March 6, 2005

The impact of the medical emergency team on the resuscitation practice of critical care nurses.

February 23, 2011

Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: evaluation of the sterilization and use of surgical instruments.

September 21, 2005

The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program.

June 14, 2017

Nursing crew resource management: a follow-up report from the Veterans Health Administration.

March 13, 2013

Minimizing errors of omission: Behavioural rEenforcement of Heparin to Avert Venous Emboli: The BEHAVE Study.

March 8, 2006

A preliminary taxonomy of medical errors in family practice.

March 6, 2005

Relationship between medication errors and adverse drug events.

March 6, 2005

Checking anaesthetic equipment 2012: Association of Anaesthetists of Great Britain and Ireland.

May 23, 2012

Patterns in outpatient benzodiazepine prescribing in the United States.

February 13, 2019

The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005.

March 18, 2020

What has change management in industry got to do with improving patient safety?

January 30, 2005

Crossing to safety: transforming healthcare organizations for patient safety.

April 15, 2005

Impact of nursing on hospital patient mortality: a focused review and related policy implications.

February 22, 2006

Establishing a simulation center for surgical skills: what to do and how to do it.

September 12, 2007

Am I (un)safe here? Chemotherapy patients' perspectives towards engaging in their safety.

May 19, 2010

Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care.

March 27, 2013

Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network.

June 11, 2008

Teamwork behaviours and errors during neonatal resuscitation.

March 24, 2010

When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine.

September 11, 2013

Dealing honestly with an honest mistake.

January 20, 2010

Cognitive bias in clinical medicine.

November 7, 2018

Causes of near misses in critical care of neonates and children.

April 30, 2008

Applying modern error theory to the problem of missed injuries in trauma.

April 2, 2008

Mitigation of patient harm from testing errors in family medicine offices: a report from the American Academy of Family Physicians National Research Network.

June 11, 2008

Foundations for teaching surgeons to address the contributions of systems to operating room team conflict.

August 28, 2013

Association between hospital safety culture and surgical outcomes in a statewide surgical quality improvement collaborative.

May 15, 2019

Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety.

November 13, 2013

Patient safety attitudes of paediatric trainee physicians.

January 6, 2010

A living will misinterpreted as a DNR order: confusion compromises patient care.

March 25, 2009

Surgical fires, a clear and present danger.

April 28, 2010

Clinical nurse specialists as leaders in rapid response.

March 10, 2010

Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature.

November 25, 2015

Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review.

January 12, 2011

Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients.

August 20, 2008

Moving beyond readmission penalties: creating an ideal process to improve transitional care.

January 16, 2013

Office-based surgery and patient outcomes.

March 27, 2019

Checklist implementation for office-based surgery: a team effort.

September 4, 2013

Patient safety and office-based anesthesia.

October 17, 2012

The role of anesthesia in surgical mortality.

March 6, 2005

Prevalence and nature of errors and near errors reported by hospital staff nurses.

March 6, 2005

Identification of in-hospital complications from claims data. Is it valid?

March 6, 2005

A guide to evaluation of quality improvement and patient safety educational programs: lessons from the VA Chief Resident in Quality and Safety Program.

November 28, 2018

Patient handoffs: is cross cover or night shift better?

May 31, 2017

Evaluation of wound photography for remote postoperative assessment of surgical site infections.

November 7, 2018

Diagnostic performance by medical students working individually or in teams.

February 11, 2015

Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big data.

February 21, 2018

Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress.

February 20, 2013

Effect of the 80-hour work week on resident case coverage.

June 18, 2008

Minimising medication errors in children.

February 25, 2009

Medication errors reported by US family physicians and their office staff.

August 20, 2008

Post-event debriefings during neonatal care: why are we not doing them, and how can we start?

May 4, 2016

Incidence and preventability of adverse drug events in hospitalized patients.

March 6, 2005

Motivational influences on anaesthetists' use of practice guidelines.

May 13, 2009

Why psychiatry is different--challenges and difficulties in managing a nosocomial outbreak of coronavirus disease (COVID-19) in hospital care.

January 20, 2021

Medication histories in critically ill patients completed by pharmacy personnel.

August 7, 2019

Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists.

January 3, 2007

Relationship between patient complaints and surgical complications.

February 15, 2006

Communication failures in the operating room: an observational classification of recurrent types and effects.

March 6, 2005

Do faculty and resident physicians discuss their medical errors?

October 15, 2008

Barriers to the implementation of checklists in the office-based procedural setting.

June 4, 2014

Administrative issues to ensure safe anesthesia care in the office-based setting.

October 30, 2013

Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems.

April 19, 2006

Residents' perceptions of professionalism in training and practice: barriers, promoters, and duty hour requirements.

July 19, 2006

Impact of a computerized physician order-entry system.

June 3, 2009

Incident reporting system does not detect adverse drug events: a problem for quality improvement.

March 27, 2005

National Patient Safety Foundation agenda for research and development in patient safety.

March 27, 2005

Nurse–pharmacist collaboration on medication reconciliation prevents potential harm.

August 22, 2012

Do patient safety indicators explain increased weekend mortality?

September 2, 2015

Preventable errors in organ transplantation: an emerging patient safety issue?

July 11, 2012

Adverse events are common on the intensive care unit: results from a structured record review.

June 20, 2012

Understanding diagnostic errors in medicine: a lesson from aviation.

June 21, 2006

From a blame culture to a just culture in health care.

November 18, 2009

Identifying unintended consequences of quality indicators: a qualitative study.

December 14, 2011

Increase in US medication-error deaths between 1983 and 1993.

March 6, 2005

What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff.

August 19, 2009

Veterans Health Administration response to the COVID-19 crisis: surveillance to action.

October 26, 2022

Leading causes of anesthesia-related liability claims in ambulatory surgery centers.

October 6, 2021

Related Resources

ISMP List of High-Alert Medications in Community/Ambulatory Healthcare.

October 1, 2021

Laboratory test ordering and results management systems: a qualitative study of safety risks identified by administrators in general practice.

March 12, 2014

Clinical Uncertainty in Primary Care: The Challenge of Collaborative Engagement.

March 5, 2014

"Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care.

March 5, 2014

Doing right by our patients when things go wrong in the ambulatory setting.

February 12, 2014

Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program.

December 18, 2013

The costs of developing, implementing, and operating a safety learning system in community practice.

December 11, 2013

The effects of electronic prescribing by community-based providers on ambulatory medication safety.

December 4, 2013

Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice.

November 20, 2013

Patient Safety Toolkits.

October 30, 2013

Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial.

September 11, 2013

Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients.

August 21, 2013

Impact of individual and team features of patient safety climate: a survey in family practices.

August 14, 2013

What patients think doctors know: beliefs about provider knowledge as barriers to safe medication use.

August 14, 2013

Office-based physicians are responding to incentives and assistance by adopting and using electronic health records.

July 24, 2013

Safety climate and its association with office type and team involvement in primary care.

May 29, 2013

Advanced practice nursing students' identification of patient safety issues in ambulatory care.

April 10, 2013

Engaging Patients in Improving Ambulatory Care.

April 3, 2013

Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory care.

March 27, 2013

Certain uncertainties: modes of patient safety in healthcare.

December 19, 2012

The relationship of self-report of quality to practice size and health information technology.

October 10, 2012

Electronic medical record availability and primary care depression treatment.

September 26, 2012

Patient safety perceptions of primary care providers after implementation of an electronic medical record system.

September 12, 2012

Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities.

September 12, 2012

Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed.

August 15, 2012

Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients.

August 1, 2012

Information distortion in physicians' diagnostic judgments.

July 18, 2012

Medication safety in primary care practice: results from a PPRNet quality improvement intervention.

July 11, 2012

Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims.

June 13, 2012

Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians.

June 6, 2012

See More About The Topic

Ambulatory Care

Health Care Providers

Quality and Safety Professionals

Family Medicine

Primary Care

Improving reporting of outpatient pediatric medical errors.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Improving reporting of outpatient pediatric medical errors.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site