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Total Results: 826 records

Showing results for "infant".

421. Nebraska Medical Center investigates staff after girl's death. | PSNet
     psnet.ahrq.gov/issue/nebraska-medical-center-investigates-staff-after-girls-death
     August 18, 2010 - August 18, 2010 Heparin overdose in three infants revisits hospital error issues.

422. Misgivings. | PSNet
     psnet.ahrq.gov/issue/misgivings
     March 17, 2021 - one family's experience of learning about errors, delays, and miscommunication in the care of their infant … November 25, 2020 Improving hospital infant safe sleep compliance by using safety prevention

423. A Weighty Mistake | PSNet
     psnet.ahrq.gov/web-mm/weighty-mistake
     September 01, 2016 - cares 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.

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46945/psn-pdf
     August 29, 2018 - /patient-safety-initiatives-obstetrics-rapid-review Various factors affect the safety of women and infants

425. Distinguishing high-performing from low-performing hospitals for severe maternal morbidity: a focus on quality and equity. | PSNet
     psnet.ahrq.gov/issue/distinguishing-high-performing-low-performing-hospitals-severe-maternal-morbidity-focus
     June 01, 2022 - March 29, 2023 Maternal and Infant Health Inequality: New Evidence from Linked Administrative

426. Vial Mistakes Involving Heparin | PSNet
     psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
     May 11, 2014 - At Methodist Hospital (Indianapolis) in 2006, three infants died and three were injured when nurses … a medication, while anesthesiologists found the color of the container most important.( 4 ) In the infant … Certainly, widespread publicity about infant deaths did not prevent the same error from happening again

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37389/psn-pdf
     January 30, 2008 - A similar error captured  headlines in 2006 when it caused the deaths of three infants.

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45264/psn-pdf
     September 01, 2016 - that affect sustained improvement associated with an intervention to increase the rate of premature infants

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34786/psn-pdf
     March 28, 2005 - nursing, pharmacy, and medical personnel for their accuracy in calculating drug doses for newborn infants

430. Confusion With Acetaminophen | PSNet
     psnet.ahrq.gov/web-mm/confusion-acetaminophen
     December 01, 2009 - manufacturers to limit liquid preparations to only a single concentration might prevent confusion regarding infant … In treating infants or small children, select a single dose strength of acetaminophen and use it consistently … Age ranges listed are different for the oral suspension (infant and 2-11) versus the rapidly dissolved

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50945/psn-pdf
     February 26, 2020 - This story discusses a case of an American Indian/Alaska Native mother and infants whose deaths may

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848366/psn-pdf
     May 03, 2023 - associated with a small but significantly lower rate of medication dose errors, particularly among infants

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838023/psn-pdf
     September 07, 2022 - This prospective cohort, including infants discharged from one level 4 NICU between February 2017 and

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44173/psn-pdf
     July 16, 2015 - found that prescribing errors were common in opioid pain medications dispensed to children, especially infants

435. Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. | PSNet
     psnet.ahrq.gov/issue/pharmacist-participation-physician-rounds-and-adverse-drug-events-intensive-care-unit
     February 10, 2011 - February 2, 2022 WebM&M Cases Life-Threatening Infant

436. Preventing critical failure. Can routinely collected data be repurposed to predict avoidable patient harm? A quantitative descriptive study. | PSNet
     psnet.ahrq.gov/issue/preventing-critical-failure-can-routinely-collected-data-be-repurposed-predict-avoidable
     July 02, 2014 - WebM&M Cases Importance of Following Safe Practices for Infant

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46145/psn-pdf
     September 23, 2017 - Researchers conducted a cross-sectional study on 166 infants younger than 3 months who were discharged

438. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
     January 01, 2022 - Though successfully used in both neonates and infants due to its large epiphysis, the distal femur is … Amputation and intraosseous access in infants. Bmj 2011;342(may27 1):d2778. 25. Schmidt AH. … Near-Infrared Spectroscopy Identifies Compartment Syndrome in an Infant. … Intraosseous infusion in infants. Case report of a complication. … Compartment Syndrome in an Infant Following Emergency Intraosseous Infusion.

439. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.146_slideshow.ppt
     March 01, 2007 - institutions can take to increase reporting Case: Failure to Report A well-appearing 9-month-old infant … It was concluded that the infant most likely received 450 mg of IM cefazolin instead of the intended

440. Vitamin D supplement products: medication use error. | PSNet
     psnet.ahrq.gov/issue/vitamin-d-supplement-products-medication-use-error
     March 26, 2008 - This announcement cautions providers and parents about the potential for giving infants an overdose of