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psnet.ahrq.gov/issue/medication-competency-nurses-according-theoretical-and-drug-calculation-online-exams
May 08, 2024 - April 8, 2020
Application of human factors methods to ensure appropriate infant identification
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psnet.ahrq.gov/issue/hospital-drug-errors-far-uncommon
February 11, 2015 - A similar error captured headlines in 2006 when it caused the deaths of three infants. … December 3, 2008
Officials investigate infants' heparin OD at Texas hospital.
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psnet.ahrq.gov/issue/post-event-debriefings-during-neonatal-care-why-are-we-not-doing-them-and-how-can-we-start
January 15, 2014 - April 7, 2022
WebM&M Cases
Life-Threatening Infant … May 27, 2011
Preventable adverse events in infants hospitalized with bronchiolitis.
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psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units
February 03, 2011 - October 28, 2020
WebM&M Cases
Life-Threatening Infant … May 27, 2011
Infants at risk: when nurse fatigue jeopardizes quality care.
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psnet.ahrq.gov/issue/disparities-racial-ethnic-and-payer-groups-pediatric-safety-events-us-hospitals
February 21, 2024 - Improving Diagnostic Safety and Quality
April 26, 2023
Improving hospital infant
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psnet.ahrq.gov/issue/disclosure-and-apology-whats-missing-advancing-programs-support-clinicians
December 07, 2016 - May 25, 2022
Maternal and Infant Health Inequality: New Evidence from Linked Administrative
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psnet.ahrq.gov/issue/uneven-burden-maternal-mortality-us
November 15, 2011 - April 12, 2023
Maternal and Infant Health Inequality: New Evidence from Linked Administrative
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psnet.ahrq.gov/issue/eliminating-racial-and-ethnic-disparities-causing-mortality-and-morbidity-pregnant-and
December 23, 2016 - Point, Counterpoint, and Areas of Agreement
September 24, 2024
Maternal and Infant
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psnet.ahrq.gov/issue/repair-project
March 27, 2005 - Hospital Readmissions and Improve Health Outcomes
March 29, 2023
Maternal and Infant
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psnet.ahrq.gov/issue/work-design-drivers-organizational-learning-about-operational-failures-laboratory-experiment
September 05, 2012 - March 9, 2011
Maternal and Infant Health Inequality: New Evidence from Linked Administrative
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psnet.ahrq.gov/issue/crushing-or-splitting-medications-unrecognized-hazards
October 26, 2010 - April 3, 2018
Improving hospital infant safe sleep compliance by using safety prevention
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psnet.ahrq.gov/issue/eliminating-insulin-errors-rphs-share-tricks
June 13, 2011 - January 28, 2015
Infant deaths associated with cough and cold medications—two states,
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psnet.ahrq.gov/issue/we-will-not-compete-safety-how-childrens-hospitals-have-come-together-hasten-harm-reduction
August 10, 2022 - A prior WebM&M commentary discussed a medication error that involved a young infant.
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psnet.ahrq.gov/node/49845/psn-pdf
October 01, 2018 - psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
The Case
A 1-month-old preterm infant … In the case,
an infant received an incorrect concentration of a medication due to a compounding error … For example, in 2007 at a Los Angeles hospital, a massive
heparin overdose was administered to three infants … in the neonatal intensive care unit (NICU) at a
Texas hospital, which resulted in the death of two infants
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psnet.ahrq.gov/issue/prevalence-and-nature-adverse-medical-device-events-hospitalized-children
October 05, 2011 - discusses the consequences of a central venous catheter–associated complication in a hospitalized infant
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psnet.ahrq.gov/issue/mistreatment-health-care-among-women-appalachia
October 04, 2023 - September 6, 2023
Maternal and Infant Health Inequality: New Evidence from Linked Administrative
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psnet.ahrq.gov/issue/they-are-terrified-fearing-coronavirus-people-potentially-fatal-conditions-avoid-emergency
May 27, 2020 - March 31, 2010
Officials investigate infants' heparin OD at Texas hospital. … May 31, 2023
Non-accidental Injuries in Infants Attending the Emergency Department.
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psnet.ahrq.gov/issue/parents-partners-obtaining-medication-history
March 19, 2019 - August 4, 2021
Preventable adverse events in infants hospitalized with bronchiolitis. … June 13, 2011
Preventable adverse events in infants hospitalized with bronchiolitis.
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psnet.ahrq.gov/issue/methods-increase-reliability-quality-improvement-projects
October 20, 2021 - November 16, 2022
Improving hospital infant safe sleep compliance by using safety
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psnet.ahrq.gov/issue/applying-root-cause-analysis-improve-patient-safety-decreasing-falls-postpartum-women
August 04, 2021 - quality improvement collaboratives
February 26, 2020
Maternal sleepiness and risk of infant