Narrow Results Clear All
- Communication Improvement 1
- Culture of Safety 1
- Error Reporting and Analysis 1
- Human Factors Engineering
- Logistical Approaches 1
- Quality Improvement Strategies 1
- Specialization of Care 1
- Technologic Approaches
- Device-related Complications 1
- Diagnostic Errors 1
- Fatigue and Sleep Deprivation 1
- Interruptions and distractions 1
- Medical Complications 1
- Medication Safety 3
Search results for "Pediatrics"
Journal Article > Study
Tham E, Calmes HM, Poppy A, et al. Pediatrics. 2011;128:e438-e445.
Pediatric inpatients are at high risk for adverse drug events (ADEs). Pediatric-specific trigger tools and computerized surveillance systems are effective methods to detect ADEs and identify opportunities for prevention. This performance-improvement collaborative implemented a multifaceted change strategy in 13 institutions and produced a 42% reduction in ADEs. The change strategies included efforts to reduce interruptions during medication administration, adopt consensus-based protocols and order sets, ensure high reliability with the Five Rights, and foster a culture of safety. The interventions had the greatest impact on opioid-related ADEs, which decreased by 51% across participating hospitals. The authors recommend using quality improvement collaboratives to drive improved patient care.
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.
Special or Theme Issue
Pediatr Crit Care Med. 2007;8(suppl):S1-S43.
This supplement covers issues related to safety indicators, fatigue, electronic medical records, infection, and disclosure of medical errors in the care of critically ill children.