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Patient Safety Network

The PSNet Collection: All Content

The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.

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Displaying 1 - 3 of 3 Results
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    • The morbidity and mortality conference in pediatric intensive care as a means for improving patient safety.
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    • Frey B, Doell C, Klauwer D, et al. Pediatr Crit Care Med. 2016;17:67-72.
    Interdisciplinary morbidity and mortality conferences were an effective way to identify system failures contributing to medical errors, in this report from a children's hospital in Switzerland. The study analyzed 48 morbidity and mortality conferences over a 5-year period and gives examples of the 34 system improvements that were put into place as a result.
    Analysis of medication prescribing errors in critically ill children.
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    • Glanzmann C, Frey B, Meier CR, et al. Eur J Pediatr. 2015;174:1347-1355.
    Prescribing errors are a common and serious problem for hospitalized pediatric patients. This prospective observational study in a single pediatric intensive care unit found an overall error rate of 14%. This study also defined several risk factors for prescribing errors in these patients and analyzed the severity of the most frequent errors.
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