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Child Health Patient Safety Organization. Washington, DC: Children's Hospital Association; 2017.
Washington, DC: Leapfrog Group; March 2015.
National hospital quality reports aim to provide benchmarks on safety and other quality measures, though questions remain regarding their universal applicability to gauge improvement. This analysis of the 2014 Leapfrog Hospital Survey results found that while the majority of hospitals employed computerized provider order entry (CPOE), not all systems provided appropriate warnings to prevent potentially harmful orders, suggesting CPOE systems still need improvement to augment safety.
Shekelle PG, Morton SC, Keeler EB. Evidence Report/Technology Assessment No. 132 (Prepared by the Southern California Evidence-based Practice Center under Contract No. 290-02-0003.) Rockville, MD: Agency for Healthcare Research and Quality; April 2006. AHRQ Publication No. 06-E006.
The authors reviewed the literature on health information technology (HIT). They conclude that HIT may reduce pediatric medication errors, have the potential to improve safety and quality, and require more study to fully articulate the cost and implementation issues.
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.
A 3-year review investigating a series of deaths from a pediatric cardiac unit revealed flaws in the recruitment process, quality assurance mechanisms, treatment of nurses, staffing, and lines of authority. The report offers recommendations for necessary quality improvements.