Narrow Results Clear All
- Communication Improvement 11
- Culture of Safety 6
- Education and Training 6
- Error Reporting and Analysis 7
- Human Factors Engineering 7
- Legal and Policy Approaches 8
- Policies and Operations 1
- Quality Improvement Strategies 5
- Specialization of Care 2
- Clinical Information Systems 4
- Device-related Complications 5
- Diagnostic Errors 3
- Discontinuities, Gaps, and Hand-Off Problems 5
- Identification Errors 1
- Medical Complications 4
- Medication Safety 20
- Psychological and Social Complications 1
- Surgical Complications 3
- Pharmacy 10
Search results for "Hospitals"
Kowalczyk L. Boston Globe. May 27, 2018.
Pediatric patients are particularly vulnerable to medication errors. This news article reports on serious medication errors that occurred at Children's Hospital in 2017, the underlying system failures that contributed to the incidents, and challenges to implementing new policies meant to prevent similar errors.
Kliff S, Pinkerton B, Weinberger J, Drozdowska A. Vox. October 23, 2017.
Furfaro H. Wall Street Journal. September 25, 2016.
Medication errors in pediatric care are common in the hospital and at home. This newspaper article reports on problems associated with medication safety among pediatric patients and highlights several tools both clinicians and parents can use to enhance safety when administering medicine to children, including dosage calculators and pictures depicting medication administration processes.
Journal Article > Commentary
Schroeder AR, Duncan JR. JAMA Pediatr. 2016;170:1037-1038.
Overuse of CT scans can expose patients to levels of radiation linked to increased rates of cancer. Describing efforts to raise awareness of problems associated with using medical imaging in children, this commentary calls for more targeted work to standardize the process for this population to reduce overuse to ensure safer care for pediatric patients.
Journal Article > Study
The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department.
Tothy AS, Limper HM, Driscoll J, Bittick N, Howell MD. Jt Comm J Qual Patient Saf. 2016;42:281-286.
This study reports on efforts to enhance communication between clinicians and patients in an urban pediatric emergency department. A rapid-change project resulted in significant improvement in patient perceptions of communication—clinicians were perceived as being more sensitive to patients' concerns and displayed better listening behaviors. Poor discharge communication in the emergency department has been linked to safety concerns in prior studies.
Brown E, Lin RG II R, Xia R. Los Angeles Times. January 26, 2015.
In light of the recent outbreak of measles in California, this newspaper article reports on how lack of familiarity with measles among clinicians can contribute to diagnostic errors and spread of the disease.
Journal Article > Study
Family participation during intensive care unit rounds: goals and expectations of parents and health care providers in a tertiary pediatric intensive care unit.
Stickney CA, Ziniel SI, Brett MS, Truog RD. J Pediatr. 2014;165:1245-1251.
In this study, health care providers and parents of children in a pediatric intensive care unit described their perceptions of family involvement in morning rounds. Although parents were overwhelmingly enthusiastic about being included in rounds, providers expressed some concerns and potential drawbacks, such as the avoidance of discussing uncomfortable topics due to presence of family.
Catalanello R. The Times-Picayune. April 15, 2014.
Journal Article > Study
Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project.
Turner K, Frush K, Hueckel R, Relf MV, Thornlow D, Champagne MT. J Nurs Care Qual. 2013;28:257-264.
The Josie King Care Journal is a tool intended to improve communication between the health care team and families of hospitalized children. This study reports on the implementation of the journal in a pediatric intensive care unit. Use of the tool was associated with perceived improvements in communication by both clinicians and parents.
Lord T. Patient Saf Qual Healthc. March/April 2012;9:38-41,44.
This article details how miscommunication and lack of patient-centered care contributed to errors that led to the death of a child.
Consumer Reports. January 26, 2012.
Consumer Reports analyzed publicly reported infection rates for 92 pediatric intensive care units (ICUs) and found that hospital-acquired infections were 20% higher in pediatric ICUs than in adult ICUs.
Graham J, Dizikes C. Chicago Tribune. June 27, 2011.
This newspaper article reports on an order entry error that resulted in a 60-fold overdose and raised concerns about the safety of electronic medication data systems.
Harasim P. Las Vegas Review-Journal. November 21, 2010;News:1B.
This article discusses how the organizational system of one hospital delayed an investigation into catheter line malfunctions.
Vedder T. Problem Solvers. KOMO 4 News. October 1, 2010.
This news piece discusses medication errors that led to adverse events in a Seattle children's hospital.
Reed K, May R. Golden, CO: Health Grades, Inc; 2010.
This report analyzed Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator data from 2006–2008 to identify pediatric patient safety incidence rates.
Grant M. AARP The Magazine. September/October 2010;53:48-51,90-91.
Youker M. KPTM.com; May 30, 2010.
This news piece reports on a fatal drug administration error in a child.
Luby R. KETV. Omaha, NE. March 31, 2010.
This news piece focuses on a heparin overdose that resulted in the death of a toddler.
King S. New York, NY: Atlantic Monthly Press; 2009. ISBN: 9780802119209.
This memoir shares the story of Sorrel King's crusade to make medical care safer. Sorrel King is the mother of Josie King, who died tragically in 2001 at age 18 months because of medical errors during a hospitalization at Johns Hopkins Hospital. She has subsequently become one of the nation's foremost patient advocates for safety, forming an influential foundation (the Josie King Foundation) and partnering with Johns Hopkins to promote the field of patient safety around the world.
Tremlett G. Guardian.co.uk; July 13, 2009.
This newspaper article reports on a family that experienced two medical errors, resulting in the death of both a mother and her infant.