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- Pediatric Allergy & Immunology
- United States of America
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Tools/Toolkit > Measurement Tool/Indicator
ISMP National Vaccine Error Reporting Program.
Horsham, PA: Institute for Safe Medication Practices.
This reporting program collects data on errors and concerns associated with vaccines.
Journal Article > Commentary
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:847-853.
This monthly selection reports on two pediatric deaths due to severe hyponatremia following postoperative fluid administration. Errors involving a missing dose clarification request, a related near miss, and medication name confusion are also described.
Journal Article > Study
Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database.
Bundy DG, Shore AD, Morlock LL, Miller MR. Vaccine. 2009;27:3890-3896.
This study analyzed more than 600 pediatric vaccination error reports from MEDMARX and used a framework to illustrate opportunities for prevention.
Journal Article > Study
Enhancing pediatric safety: using simulation to assess radiology resident preparedness for anaphylaxis from intravenous contrast media.
Gaca AM, Frush DP, Hohenhaus SM, et al. Radiology. 2007;245:236-244.
This study developed a simulation model in the radiology environment and identified the need for greater resuscitation aids to treat unexpected clinical events. A past AHRQ WebM&M commentary discussed the role of simulation as a method to practice both behavioral and technical skills.