-
psnet.ahrq.gov/node/40723/psn-pdf
August 24, 2011 - ALERT: reports of severe harm after intravenous
administration of breast milk to infants. … https://psnet.ahrq.gov/issue/alert-reports-severe-harm-after-intravenous-administration-breast-milk-infants … https://psnet.ahrq.gov/issue/alert-reports-severe-harm-after-intravenous-administration-breast-milk-infants
-
psnet.ahrq.gov/node/34737/psn-pdf
November 19, 2015 - Management Foundation,
presents a series of missteps involving a healthy obstetric patient and her unborn infant
-
psnet.ahrq.gov/node/35656/psn-pdf
June 14, 2011 - The authors present a case study of accidental intravenous breast milk administration to a premature
infant
-
psnet.ahrq.gov/node/46520/psn-pdf
December 19, 2017 - emotional-fallout-culture-blame-and-shame
In this commentary, a physician recounts a mistake that led to an infant
-
psnet.ahrq.gov/node/46369/psn-pdf
September 06, 2017 - issue/overreaction
https://psnet.ahrq.gov/issue/misdiagnosed-food-allergy-resulting-severe-malnutrition-infant
-
psnet.ahrq.gov/node/864368/psn-pdf
March 13, 2024 - In this study, researchers compared mortality rates of Black and white infants using the
International … During the study period of 1968 - 2015, results show Black infants were at significantly higher risk … of dying
from medical misadventure than were white infants.
-
psnet.ahrq.gov/node/73906/psn-pdf
October 06, 2021 - of Obstetrics and Gynecology at UNC Chapel Hill and a member of
the Collaborative for Maternal and Infant … We spoke with them about their work in maternal and
infant care, their Agency for Healthcare Research … I'm also the co-director of the Collaborative for Maternal and Infant Health, which is a
multidisciplinary … the
Health Resources and Services Administration] looking at the needs of moms of medically fragile infants … KT: Infant health is maternal health and vice versa.
-
psnet.ahrq.gov/node/45571/psn-pdf
January 18, 2017 - morbidity-and-mortality
Communication failures in obstetric care can increase risk of harm for the mother and the infant
-
psnet.ahrq.gov/issue/evaluation-drug-utilization-and-prescribing-errors-infants-primary-care-prescription-based
March 16, 2022 - Study
Evaluation of drug utilization and prescribing errors in infants: a primary … Evaluation of drug utilization and prescribing errors in infants: a primary care prescription-based study … Evaluation of drug utilization and prescribing errors in infants: a primary care prescription-based study
-
psnet.ahrq.gov/issue/largest-maternity-scandal-nhs-history-dozens-mothers-and-babies-died-wards-hospital-trust
January 29, 2020 - Infants are particularly vulnerable to patient safety errors . … This article shares preliminary findings of a government investigation into infant deaths at a National
-
psnet.ahrq.gov/issue/beth-israel-cited-improving-obstetrics-care
August 24, 2016 - Israel Deaconess Hospital for its approach to improving patient safety in response to the death of an infant
-
psnet.ahrq.gov/node/34667/psn-pdf
January 17, 2018 - blaming-individuals
In October 1996, a medication error at a Denver-area hospital resulted in the death of a newborn infant
-
psnet.ahrq.gov/node/44681/psn-pdf
April 13, 2016 - triggers-bundles-protocols-and-checklists-what-every-maternal-care-provider-
needs-know
Obstetric care is recognized as a high-risk activity both for the mother and the infant
-
psnet.ahrq.gov/node/60362/psn-pdf
April 13, 2018 - The High-Risk Pregnancy Program has reduced Arkansas' 60-day infant mortality rate
by 0.5 percent due … to increasing the proportion of low-birthweight infants delivered at the medical center. … infants delivered at the medical center. … Reduced infant mortality: The program has reduced the 60-day infant mortality rate by 0.5 percent
by … Telemedicine collaboration improves perinatal
regionalization and lowers statewide infant mortality.
-
psnet.ahrq.gov/web-mm/misread-label
August 28, 2024 - The Case An infant was born with sluggish respirations. … Approximately 1 hour later the infant died.
-
psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
March 28, 2023 - It is essential to understand how perinatal mood disorders can affect the parental dyad and the infant … Intertwined disparities: applying the maternal-infant dyad lens to advance perinatal health equity. … For example, the ability of the parent to bond with their infant and the developmental impacts on that … infant if the parent is unwell and unable to care for them as effectively is difficult to measure with … allow for co-admission of a parent who is experiencing a mental health condition and the neonate or infant
-
psnet.ahrq.gov/node/38940/psn-pdf
November 25, 2009 - A case of an inadvertent medication overdose in an infant due to
inadequate parental education is discussed
-
psnet.ahrq.gov/issue/investigation-death-baby-j-university-hospitals-bristol-and-weston-nhs-foundation-trust
August 04, 2021 - This report examines a premature infant death associated with failings of antibiotic administration
-
psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure
September 07, 2022 - Management Foundation, presents a series of missteps involving a healthy obstetric patient and her unborn infant
-
psnet.ahrq.gov/issue/maternity-pre-arrival-instructions-999-call-handlers
February 16, 2022 - incident where erroneous information was transmitted to a pregnant patient that contributed to infant