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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.236_slideshow.ppt
March 01, 2011 - *
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Case: Pediatric Patient Safety (1)
A 22-month-old infant was admitted to the hospital in … *
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Case: Pediatric Patient Safety (2)
Later in the evening, the infant drank 2 ounces (60 mL … Over the next few hours, the infant became more somnolent and less responsive. … The infant was transferred to the pediatric intensive care unit where an IV was placed, and he was given … to his severe dehydration
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This Child’s Urine Output
Abnormally low urine output for an infant
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psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
June 24, 2020 - The Case
An infant was born prematurely at 30 weeks weighing only 1.8 kg. … Soon after, the infant suffered a cardiac arrest and died. … As the symptoms displayed by this premature infant suggested lipid overload, the dose and rate of administration … The Commentary
This case is severe and shocking, as is the outcome: the death of an infant. … Drug formulations that require potentially inaccurate volumes to prepare doses for infants
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psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
February 14, 2024 - The nurse gave the vaccinations to the infant, and then, when documenting them in the electronic health … The patient and his mother were still in the exam room; the mother was breastfeeding the infant. … multivalent component pertussis vaccine formulations and a 5-component acellular pertussis vaccine in infants … Safety of DTaP-IPV/Hib vaccine administered routinely to infants and toddlers. … August 26, 2020
Adverse events in infants less than 6 months of age after ambulatory
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psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
October 04, 2023 - The Case
A 6-week-old infant underwent a craniotomy and excision of abnormal brain tissue for treatment … The infant had no other congenital abnormalities and was pre-operatively assigned an American Society … III or higher. 7 Pediatric anesthesiologists are uniquely qualified to care for patients such as the infant … External jugular cannulation in infants and children. … Anesthesia for intracranial surgery in infants and children.
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psnet.ahrq.gov/issue/infants-risk-when-nurse-fatigue-jeopardizes-quality-care
September 13, 2006 - Study
Infants at risk: when nurse fatigue jeopardizes quality care. … Citation Text:
Infants at risk: when nurse fatigue jeopardizes quality care. … Linkedin
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Cite
Citation
Citation Text:
Infants
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psnet.ahrq.gov/web-mm/central-line-clot
August 04, 2021 - Within minutes, the infant became cyanotic and apneic. … For the infant in this case, the acute onset of a high O2 requirement raises the suspicion of sudden … If this infant did not regain hemodynamic stability, it would be prudent to obtain an emergent echocardiogram … Almost all deep venous clots in neonates, and one-third in infants and young children, are related to … central venous access devices.( 10 ) Catheter-related DVTs are reported in 8% to 25% of infants and
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psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
June 17, 2010 - Two days later, the family brought the infant back to the urgent care clinic with unrelated concerns … The clinicians now recognized that the infant had active Rh hemolytic disease, and he was admitted to … This leads to unnecessary separation of mother and infant and extra costs. … Hyperbilirubinemia in the newborn infant > or =35 weeks' gestation: an update with clarifications. … Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation.
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psnet.ahrq.gov/node/49439/psn-pdf
March 01, 2004 - The doctor gave the first dose to the infant in the office,
demonstrating step-by-step how to deliver … The infant was then taken to the operating room to undergo bronchoscopy. … The infant was removed
from life support and died shortly thereafter. … return to the case at hand—a parent who misunderstood how to administer a liquid medication to an
infant … the parent to demonstrate back how he would be
drawing up and administering the medication to the infant
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psnet.ahrq.gov/issue/us-poison-control-center-calls-infants-6-months-age-and-younger
November 16, 2022 - Study
US poison control center calls for infants 6 months of age and younger. … US Poison Control Center Calls for Infants 6 Months of Age and Younger. … With the assumption that infants will not be mobile enough to access potentially harmful substances, … This retrospective study reviewed 10 years of calls to poison control centers for infants younger than … US Poison Control Center Calls for Infants 6 Months of Age and Younger.
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psnet.ahrq.gov/issue/interventions-improve-safe-sleep-among-hospitalized-infants-eight-childrens-hospitals
April 24, 2018 - Study
Interventions to improve safe sleep among hospitalized infants at eight children's … Interventions to Improve Safe Sleep Among Hospitalized Infants at Eight Children's Hospitals. … Neonatal hospital units do not always adhere to safe infant sleep practices. … Interventions to Improve Safe Sleep Among Hospitalized Infants at Eight Children's Hospitals.
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psnet.ahrq.gov/web-mm/breakage-picc-line
June 21, 2023 - The Case Born at 27 weeks' gestation, a premature infant had a standard, silastic, 1.9 F percutaneously … Initially, the infant was on ventilator support and NPO due to feeding intolerance and necrotizing enterocolitis … Several attempts were made to introduce feeds; however, the infant continued to have large residuals … After several attempts to retrieve the remainder of the line, with X-rays to check placement, the infant … The infant required an increased level of care that included ventilator support, infusion of blood products
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psnet.ahrq.gov/node/837324/psn-pdf
July 08, 2022 - safest
option in certain births, in others, the risks associated with the procedure, which include infant … doctors
Recognition of individual clinicians
Publishing early collaborative data demonstrating the infant … Maternal, Infant, and Child Health. https://www.healthypeople.gov/2020/topics-
objectives/topic/maternal-infant-and-child-health … https://www.healthypeople.gov/2020/topics-objectives/topic/maternal-infant-and-child-health
https:// … in the United States: Linked Birth/Infant Death Records, 2007-
2016.
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psnet.ahrq.gov/web-mm/slippery-slide-life
January 21, 2017 - A third-year obstetrics and gynecology resident delivered the infant under attending supervision via … patient adjusted her positioning while on the birthing bed (creating an inadvertent push), and the infant … The infant suffered a left parietal fracture and hematoma at the site of impact. … delivery team contributed to the error, which, through luck alone, led to no long-term sequelae for the infant … Preventing infant death and injury during delivery. Sentinel Event Alert. July 21, 2004; Issue 30.
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psnet.ahrq.gov/node/45072/psn-pdf
May 04, 2016 - Interventions to improve safe sleep among hospitalized
infants at eight children's hospitals. … Interventions to Improve Safe Sleep Among
Hospitalized Infants at Eight Children's Hospitals. … https://psnet.ahrq.gov/issue/interventions-improve-safe-sleep-among-hospitalized-infants-eight-childrens … -
hospitals
Neonatal hospital units do not always adhere to safe infant sleep practices. … https://psnet.ahrq.gov/issue/interventions-improve-safe-sleep-among-hospitalized-infants-eight-childrens-hospitals
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psnet.ahrq.gov/node/49704/psn-pdf
March 01, 2014 - Two days later, the family brought the infant back to the urgent care clinic with unrelated concerns … The clinicians now recognized that the infant had
active Rh hemolytic disease, and he was admitted to … This leads to unnecessary separation of mother
and infant and extra costs. … Hyperbilirubinemia in the
newborn infant > or =35 weeks' gestation: an update with clarifications. … Management of hyperbilirubinemia in the newborn infant 35 or
more weeks of gestation.
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psnet.ahrq.gov/web-mm/lp-or-not-lp
February 01, 2018 - The Case A 4-month-old male infant was seen in the office setting of a large multisite practice. … Management of the febrile infant without obvious source has been a subject of intense study over the … The high incidence of severe, invasive bacterial illness among very young febrile infants without identifiable … Practice guideline for the management of infants and children 0 to 36 months of age with fever without … Evaluation and management of febrile infants in the emergency department.
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psnet.ahrq.gov/issue/nonfatal-unintentional-medication-exposures-among-young-children-united-states-2001-2003
February 27, 2019 - November 17, 2011
Infant deaths associated with cough and cold medications—two states … November 7, 2012
Infant deaths associated with cough and cold medications—two states,
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psnet.ahrq.gov/node/49603/psn-pdf
June 01, 2010 - The Case
An infant was born prematurely at 30 weeks weighing only 1.8 kg. … Soon after, the infant suffered a cardiac arrest and died. … As the symptoms displayed by this premature infant suggested lipid overload, the dose and rate of
administration … fatal-error-neonate-does-just-culture-provide-answer
The Commentary
This case is severe and shocking, as is the outcome: the death of an infant
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psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
November 13, 2024 - 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.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.29_slideshow.ppt
September 01, 2003 - Spotlight Case September 2003
Spotlight Case September 2003
Infant Paralyzed for Intubation Before … communication
Design effective interventions to address deficiencies in teamwork and communication
Case: Infant … Shortly thereafter, but prior to intubation, the infant acutely desaturated. … Case (cont.): Infant Paralyzed
Upon review of the event, the team discovered that the nurse was new to