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psnet.ahrq.gov/issue/misdiagnosis-and-failure-diagnose-emergency-care-causes-and-empathy-solution
August 04, 2021 - implications for patient safety
February 26, 2020
'So why didn't you think this baby
-
psnet.ahrq.gov/issue/situ-simulation-strategy-restore-patient-safety-intensive-care-units-after-covid-19-pandemic
March 09, 2022 - November 17, 2021
Naming the "baby" or the "beast"?
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psnet.ahrq.gov/issue/spreading-strategy-prevent-suicide-after-psychiatric-hospitalization-results-quality
May 04, 2022 - study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby
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psnet.ahrq.gov/issue/does-suggested-diagnosis-general-practitioners-referral-question-impact-diagnostic-reasoning
September 14, 2022 - April 1, 2020
'So why didn't you think this baby was ill?'
-
www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/neonatal.pdf
June 02, 2025 - Neonatal Abstinence Syndrome Rates Per 1,000 Births by Race/Ethnicity, 2015 (Q1-Q3)
Neonatal Abstinence Syndrome Rates Per
1,000 Births by Race/Ethnicity, 2015 (Q1-Q3)
Whites have higher
rates of babies born
with neonatal
abstinence syndrome
than other races/
ethnicities.
0 2 4 6 8 10 12
Non-Hispanic White…
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psnet.ahrq.gov/issue/detection-missed-injuries-pediatric-trauma-center-addition-acute-care-pediatric-nurse
March 10, 2011 - March 1, 2023
'So why didn't you think this baby was ill?'
-
psnet.ahrq.gov/issue/diagnostic-error-children-presenting-acute-medical-illness-community-hospital
September 25, 2011 - July 31, 2019
'So why didn't you think this baby was ill?'
-
psnet.ahrq.gov/issue/us-national-trends-pediatric-deaths-prescription-and-illicit-opioids-1999-2016
January 23, 2017 - February 15, 2023
An Investigation into the Death of Baby J at University Hospitals Bristol
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psnet.ahrq.gov/issue/association-between-day-delivery-and-obstetric-outcomes-observational-study
January 07, 2015 - August 4, 2015
View More
Related Resources
Each Baby Counts.
-
psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review
October 16, 2012 - September 14, 2022
'So why didn't you think this baby was ill?'
-
hcup-us.ahrq.gov/db/vars/pointoforiginub04/nisnote.jsp
October 04, 2025 - Newborn Admissions (TYPE = 4) (Beginning October 2007)
5
Born inside this hospital
5
A baby … born inside this hospital
6
Born outside this hospital
6
A baby born outside of this hospital … Newborn Admissions (TYPE = 4) (Beginning October 2007)
5
Born inside this hospital
5
A baby … born inside this hospital
6
Born outside this hospital
6
A baby born outside of this hospital … Newborn Admissions (TYPE = 4) (Valid Beginning in 2008)
N5
Born inside this hospital
5
A baby
-
effectivehealthcare.ahrq.gov/health-topics/preconception-care
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/stories.html
July 01, 2023 - Success Stories of Five Labor and Delivery Units Using the Toolkit
Toolkit for Improving Perinatal Safety
"AHRQ Safety Program for Perinatal Care: Experiences From the Frontline" describes the implementation experiences of five labor and delivery (L&D) units that successfully implemented the program.
This r…
-
www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
January 01, 2024 - current
job
-Doc does acceptable, but suboptimal, management of shoulder dystocia during
delivery, baby … /
anxiety
-Doc does acceptable, but suboptimal, management of shoulder dystocia during
delivery, baby … /
anxiety
- Doc does acceptable, but suboptimal, management of shoulder dystocia during
delivery, baby … /
anxiety
-Doc does acceptable, but suboptimal, management of shoulder dystocia during
delivery, baby … .
3 Annoyed -Doc does acceptable, but suboptimal, management of shoulder dystocia during
delivery, baby
-
www.uspreventiveservicestaskforce.org/uspstf/announcements/final-recommendation-statement-primary-care-behavioral-counseling-interventions-support-breastfeeding
April 08, 2025 - Final Recommendation Statement: Primary Care Behavioral Counseling Interventions to Support Breastfeeding
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April 8, 2025 – The U.S. Preventive Services Task Force released tod…
-
www.uspreventiveservicestaskforce.org/uspstf/announcements/public-comment-draft-recommendation-statement-and-draft-evidence-review-interventions-support-breastfeeding
November 18, 2024 - Public Comment on Draft Recommendation Statement and Draft Evidence Review: Interventions to Support Breastfeeding
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October 22, 2024 – The U.S. Preventive Services Task Force …
-
psnet.ahrq.gov/issue/target-focused-medical-emergency-team-training-using-human-patient-simulator-effects
May 23, 2013 - February 21, 2024
Naming the "baby" or the "beast"?
-
psnet.ahrq.gov/issue/missed-serious-neurologic-conditions-emergency-department-patients-discharged-nonspecific
April 08, 2018 - March 1, 2023
'So why didn't you think this baby was ill?'
-
www.ahrq.gov/sites/default/files/2024-01/thomas2-report.pdf
January 01, 2024 - This includes verbalization of information that relates to the assessment of
the baby. … Information sharing may take the form of "baby talk." … like it when you
cry," "you are nice and pink" (assessment of color), or "you are a strong little baby … An explicit discussion about the status of the baby and the decisions made
to get to the current situation
-
psnet.ahrq.gov/node/60216/psn-pdf
April 08, 2020 - The Diagnosis of Ectopic Pregnancy.
April 8, 2020
Farnborough, UK: Healthcare Safety Investigation Branch; March 2020.
https://psnet.ahrq.gov/issue/diagnosis-ectopic-pregnancy
Missed or delayed diagnosis in maternal care can result in serious harm to both the mother and the child.
This report analyzes a dela…