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psnet.ahrq.gov/issue/improving-safety-recommendations-implementation-simulation-based-event-analysis-optimize
July 24, 2019 - June 8, 2022
Improving hospital infant safe sleep compliance by using safety prevention
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psnet.ahrq.gov/issue/secondary-traumatic-stress-ob-gyn-mixed-methods-analysis-assessing-physician-impact-and-needs
July 07, 2021 - March 29, 2023
Maternal and Infant Health Inequality: New Evidence from Linked Administrative
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psnet.ahrq.gov/issue/patient-and-family-involvement-serious-incident-investigations-perspectives-key-stakeholders
March 02, 2022 - WebM&M Cases
Importance of Following Safe Practices for Infant
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psnet.ahrq.gov/issue/reducing-preventable-adverse-events-obstetrics-improving-interprofessional-communication
February 16, 2022 - May 31, 2023
Maternal and Infant Health Inequality: New Evidence from Linked Administrative
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psnet.ahrq.gov/issue/vital-signs-improving-antibiotic-use-among-hospitalized-patients
February 27, 2019 - November 17, 2011
Infant deaths associated with cough and cold medications—two states
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psnet.ahrq.gov/issue/improving-timely-recognition-and-treatment-sepsis-pediatric-icu
December 09, 2020 - July 15, 2020
WebM&M Cases
Life-Threatening Infant Overdose
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psnet.ahrq.gov/issue/using-four-phased-unit-based-patient-safety-walkrounds-uncover-correctable-system-flaws
October 05, 2022 - November 16, 2022
Improving hospital infant safe sleep compliance by using safety
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.188_slideshow.ppt
November 01, 2008 - heuristics for effective coordination: Reduce, Reveal, Focus
Case: Dangerous Shift
A 3-month-old infant
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psnet.ahrq.gov/node/841200/psn-pdf
December 07, 2022 - https://psnet.ahrq.gov/issue/alert-reports-severe-harm-after-intravenous-administration-breast-milk-infants
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psnet.ahrq.gov/node/42861/psn-pdf
January 15, 2014 - https://psnet.ahrq.gov/issue/transitioning-newborns-nicu-home-resource-toolkit
Infants discharged from
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psnet.ahrq.gov/node/46535/psn-pdf
November 08, 2017 - This qualitative study of parents whose
infants were hospitalized in the neonatal intensive care unit
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psnet.ahrq.gov/node/867146/psn-pdf
November 13, 2024 - Language discordance and patient care-Babel.
November 13, 2024
Huson TA. Language discordance and patient care-Babel. JAMA Intern Med. 2024;184(11):1287-1288.
doi:10.1001/jamainternmed.2024.4273.
https://psnet.ahrq.gov/issue/language-discordance-and-patient-care-babel
Equitable, safe health care is affected by myr…
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psnet.ahrq.gov/issue/medication-errors-paediatric-care-systematic-review-epidemiology-and-evaluation-evidence
September 09, 2008 - Related Resources
WebM&M Cases
Life-Threatening Infant
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psnet.ahrq.gov/issue/how-can-we-improve-recognition-reporting-and-resolution-medical-device-related-incidents
May 06, 2015 - July 5, 2017
Improving hospital infant safe sleep compliance by using safety prevention
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psnet.ahrq.gov/issue/use-maternal-early-warning-trigger-tool-reduces-maternal-morbidity
September 27, 2017 - Pelvic Mass versus Pregnancy
July 29, 2020
Maternal sleepiness and risk of infant
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psnet.ahrq.gov/issue/health-professionals-experiences-whistleblowing-maternal-and-newborn-healthcare-settings
November 02, 2010 - WebM&M Cases
Importance of Following Safe Practices for Infant
-
psnet.ahrq.gov/issue/excess-dosing-antiplatelet-and-antithrombin-agents-treatment-non-st-segment-elevation-acute
November 10, 2015 - May 11, 2014
Infant deaths associated with cough and cold medications—two states, 2005
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psnet.ahrq.gov/issue/prevalence-underlying-causes-and-preventability-sepsis-associated-mortality-us-acute-care
August 20, 2018 - November 17, 2011
Infant deaths associated with cough and cold medications—two states
-
psnet.ahrq.gov/issue/intervention-decrease-patient-identification-band-errors-childrens-hospital
October 06, 2016 - September 7, 2022
Improving hospital infant safe sleep compliance by using safety prevention
-
psnet.ahrq.gov/node/49415/psn-pdf
September 01, 2003 - simulation) to address deficiencies in
teamwork and communication
Case & Commentary
A 17-month-old female infant … Shortly thereafter, but prior to intubation, the infant acutely
desaturated. … assisting nurse, nor was he aware of the status of the drugs that had been "ordered"
until after the infant … Case
Risk Priority
(see figure)
Patient Factors
Patient condition Acute respiratory distress in infant