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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/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
July 23, 2024 - safest option in certain births, in others, the risks associated with the procedure, which include infant … to contribute to poorer birth outcomes for Black/African American women, including higher rates of infant … Maternal, Infant, and Child Health. … https://www.healthypeople.gov/2020/topics-objectives/topic/maternal-infant-and-child-health . … in the United States: Linked Birth/Infant Death Records, 2007-2016.
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psnet.ahrq.gov/node/50434/psn-pdf
September 04, 2019 - The authors of this study noted that the new
standard would still leave multiple-birth infants vulnerable … (e.g., twin infants might be named
"Marysgirl1" and "Marysgirl2"). … to singleton infants. … The rate of wrong-
patient errors was significantly higher among multiple-birth infants, most of which … , but not for multiple-birth infants.
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psnet.ahrq.gov/node/73998/psn-pdf
October 27, 2021 - https://psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
The Case
A 6-week-old infant … 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/node/837805/psn-pdf
August 10, 2022 - Adverse events in infants less than 6 months of age after
ambulatory surgery and diagnostic imaging … Adverse events in infants less than 6 months of age after ambulatory
surgery and diagnostic imaging … https://psnet.ahrq.gov/issue/adverse-events-infants-less-6-months-age-after-ambulatory-surgery-and- … This retrospective study of
infants less than 6 months of age admitted for ambulatory surgery found … https://psnet.ahrq.gov/issue/adverse-events-infants-less-6-months-age-after-ambulatory-surgery-and-diagnostic-imaging
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psnet.ahrq.gov/node/72837/psn-pdf
September 01, 2022 - Project Nurture Engages Pregnant People with Substance
Use Disorder, Improves Maternal and Infant Outcomes … patients with substance use disorder (SUD) prenatal care, inpatient maternity
care, postpartum care, and infant … experience with maternal care.1 Therefore, the objective of this innovation is to
address poor maternal and infant … build trust and confidence
in a nonjudgmental way to promote health and safety of both the mother and infant … Project Nurture has reduced poor outcomes among
patients with an SUD and their infants, specifically
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psnet.ahrq.gov/node/44823/psn-pdf
February 15, 2017 - 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. … https://psnet.ahrq.gov/issue/us-poison-control-center-calls-infants-6-months-age-and-younger
Pediatricians … 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
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psnet.ahrq.gov/node/37936/psn-pdf
July 23, 2008 - Officials investigate infants' heparin OD at Texas hospital.
July 23, 2008
Vonfremd M, Ibanga I. … https://psnet.ahrq.gov/issue/officials-investigate-infants-heparin-od-texas-hospital
Several infants … Authorities are
investigating whether the error contributed to the deaths of two infants. … https://psnet.ahrq.gov/issue/officials-investigate-infants-heparin-od-texas-hospital
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psnet.ahrq.gov/node/40079/psn-pdf
December 18, 2014 - Adverse events from cough and cold medications after a
market withdrawal of products labeled for infants … Adverse events from cough and cold medications after a market
withdrawal of products labeled for infants … psnet.ahrq.gov/issue/adverse-events-cough-and-cold-medications-after-market-withdrawal-
products-labeled-infants … improve packaging
information and education around avoiding use of these high-risk OTC medications in infants … psnet.ahrq.gov/issue/adverse-events-cough-and-cold-medications-after-market-withdrawal-products-labeled-infants
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psnet.ahrq.gov/node/49497/psn-pdf
December 01, 2005 - 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/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
May 27, 2020 - The Case
A 3-month-old twin male infant, born at 26 weeks’ gestation and with a history of bowel resection … The infant was rapidly moved into an OR bed while continuing resuscitation and intubation. … Although infants under six months of age represented only 7% of patients in the Wake-Up Safe database … patients at risk for physiologic instability is both common and potentially hazardous, particularly for infants … From the Same Author(s)
WebM&M Cases
Life-Threatening Infant
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psnet.ahrq.gov/node/50761/psn-pdf
December 18, 2019 - /issue/largest-maternity-scandal-nhs-history-dozens-mothers-and-babies-died-wards-
hospital-trust
Infants … This article shares preliminary findings of a
government investigation into infant deaths at a National
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psnet.ahrq.gov/node/36951/psn-pdf
September 09, 2011 - Evaluation of drug utilization and prescribing errors in
infants: a primary care prescription-based … Evaluation of drug utilization and prescribing errors in
infants: a primary care prescription-based … https://psnet.ahrq.gov/issue/evaluation-drug-utilization-and-prescribing-errors-infants-primary-care- … https://psnet.ahrq.gov/issue/evaluation-drug-utilization-and-prescribing-errors-infants-primary-care-prescription-based … https://psnet.ahrq.gov/issue/evaluation-drug-utilization-and-prescribing-errors-infants-primary-care-prescription-based
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psnet.ahrq.gov/web-mm/too-hot-comfort
May 19, 2015 - The Case A 4-month-old infant admitted to rule out sepsis was receiving maintenance intravenous (IV … During shift report, nurses noted that the extremity was taut and the infant was irritable. … Within the next hour, the nurse coming on shift assessed the infant further and discovered redness and … The infant was treated with topical ointment; no surgical intervention was necessary.
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psnet.ahrq.gov/node/40223/psn-pdf
June 25, 2012 - Drug formulations that require potentially inaccurate
volumes to prepare doses for infants and children … Drug formulations that require less than 0.1 mL of stock solution to
prepare doses for infants and children … https://psnet.ahrq.gov/issue/drug-formulations-require-potentially-inaccurate-volumes-prepare-doses-
infants-and-children … https://psnet.ahrq.gov/issue/drug-formulations-require-potentially-inaccurate-volumes-prepare-doses-infants-and-children … https://psnet.ahrq.gov/issue/drug-formulations-require-potentially-inaccurate-volumes-prepare-doses-infants-and-children
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psnet.ahrq.gov/issue/adverse-events-infants-less-6-months-age-after-ambulatory-surgery-and-diagnostic-imaging
August 12, 2020 - Study
Adverse events in infants less than 6 months of age after ambulatory surgery … Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring … This retrospective study of infants less than 6 months of age admitted for ambulatory surgery found that … Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring
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psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
November 01, 2012 - The Case
A 1-month-old preterm infant in the neonatal intensive care unit (NICU) was receiving the … 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 … October 14, 2020
WebM&M Cases
Life-Threatening Infant
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psnet.ahrq.gov/node/36620/psn-pdf
January 14, 2024 - ismps-list-high-alert-medications-acute-care-settings
https://psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
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psnet.ahrq.gov/node/846935/psn-pdf
March 29, 2023 - resources, increased use of drugs and
tobacco, and a higher risk of self-harm, suicide, or harming their infant … It is essential to understand how perinatal mood disorders
can affect the parental dyad and the infant … long term to enhance our understanding of the full impact
of mental health on both the mother and infant … Intertwined disparities: applying the maternal-infant dyad lens to
advance perinatal health equity.
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psnet.ahrq.gov/node/36695/psn-pdf
February 28, 2007 - doctor-administered-fatal-dose-calcium-baby-inquest-told
This story reports on an investigation into the death of an infant