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psnet.ahrq.gov/issue/frequency-and-severity-harm-medication-errors-related-parenteral-nutrition-process-large
January 16, 2019 - February 1, 2023
WebM&M Cases
Life-Threatening Infant … 2014
ALERT: reports of severe harm after intravenous administration of breast milk to infants
-
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/child-age-and-risk-medication-error-multisite-childrens-hospital-study
August 28, 2024 - of deterioration in hospitalized children
April 7, 2022
Improving hospital infant
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psnet.ahrq.gov/issue/alliance-innovation-maternal-health-consensus-bundle-sepsis-obstetric-care
August 21, 2024 - May 31, 2023
Maternal and Infant Health Inequality: New Evidence from Linked Administrative
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psnet.ahrq.gov/issue/fatal-drug-mix-exposes-hospital-flaws
March 02, 2016 - This article reports on the deaths of three infants from heparin overdoses and describes how the hospital … August 18, 2010
Officials investigate infants' heparin OD at Texas hospital.
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psnet.ahrq.gov/issue/organizational-learning-experience-high-hazard-industries-problem-investigations-line
May 24, 2016 - March 9, 2011
Maternal and Infant Health Inequality: New Evidence from Linked Administrative
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psnet.ahrq.gov/issue/improving-process-while-changing-practice-fmea-and-medication-administration
January 18, 2011 - August 19, 2020
Maternal and Infant Health Inequality: New Evidence from Linked Administrative
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psnet.ahrq.gov/issue/safety-maternity-services-england
February 04, 2015 - May 31, 2023
Maternal and Infant Health Inequality: New Evidence from Linked Administrative
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psnet.ahrq.gov/issue/prescribing-safely-children
September 03, 2014 - December 18, 2013
Infant deaths associated with cough and cold medications—two states
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psnet.ahrq.gov/issue/one-systems-journey-creating-disclosure-and-apology-program
May 27, 2011 - February 17, 2011
Improving hospital infant safe sleep compliance by using safety prevention
-
psnet.ahrq.gov/issue/preventing-vincristine-administration-errors-does-evidence-support-minibag-infusions
January 01, 2008 - May 11, 2014
Infant deaths associated with cough and cold medications—two states, 2005
-
psnet.ahrq.gov/issue/speaking-constructively-managerial-practices-elicit-solutions-front-line-employees
September 05, 2012 - January 30, 2008
Maternal and Infant Health Inequality: New Evidence from Linked Administrative
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psnet.ahrq.gov/issue/reducing-cognitive-errors-dermatology-can-anything-be-done
September 29, 2010 - February 6, 2019
Misdiagnosed food allergy resulting in severe malnutrition in an infant
-
psnet.ahrq.gov/issue/bias-er-doctors-suffer-same-cognitive-distortions-rest-us
March 01, 2017 - June 21, 2006
Improving hospital infant safe sleep compliance by using safety prevention
-
psnet.ahrq.gov/issue/medication-errors-involving-pediatric-patients
January 02, 2017 - January 9, 2014
Infant deaths associated with cough and cold medications—two states,
-
psnet.ahrq.gov/issue/acog-scope-safety-certification-outpatient-practice-excellence-womens-health
January 23, 2017 - March 29, 2023
Maternal and Infant Health Inequality: New Evidence from Linked Administrative
-
psnet.ahrq.gov/node/49678/psn-pdf
March 01, 2013 - for pediatric
patients must have a weight scale "that displays in kilograms only (not pounds) for infants … In some environments without an infant or pediatric scale, pediatric weights are documented
based on … patient weight include
the following: (i) All providers that care for children should have access to infant … WHO Growth Standards Are Recommended for Use in the U.S. for Infants and Children 0 to 2 Years of
Age … Infant kilogram only scale.
Figure 2. Pediatric kilogram only scale.
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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/developing-and-evaluating-clinical-leadership-interventions-frontline-healthcare-providers
May 01, 2024 - September 11, 2019
Maternal sleepiness and risk of infant drops in the postpartum period