-
psnet.ahrq.gov/node/836763/psn-pdf
March 16, 2022 - program incident where erroneous information was transmitted to a pregnant patient
that contributed to infant
-
psnet.ahrq.gov/issue/risk-wrong-patient-orders-among-multiple-vs-singleton-births-neonatal-intensive-care-units-2
December 21, 2017 - 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/840492/psn-pdf
November 30, 2022 - weeks-she-blames-system-doesnt-always-listen-
mothers
Pregnancy is recognized as a high-risk condition for both mother and infant
-
psnet.ahrq.gov/node/72559/psn-pdf
December 09, 2020 - expertise were among the contributing factors identified in this analysis of the
death of a special needs infant
-
psnet.ahrq.gov/node/49420/psn-pdf
October 01, 2003 - https://psnet.ahrq.gov/web-mm/lp-or-not-lp
The Case
A 4-month-old male infant was seen in the office … 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.
-
psnet.ahrq.gov/node/38826/psn-pdf
July 29, 2009 - reports on a family that experienced two medical errors, resulting in the death of
both a mother and her infant
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psnet.ahrq.gov/issue/adverse-events-cough-and-cold-medications-after-market-withdrawal-products-labeled-infants
August 02, 2015 - 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 … improve packaging information and education around avoiding use of these high-risk OTC medications in infants … Adverse events from cough and cold medications after a market withdrawal of products labeled for infants
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psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
March 29, 2023 - For example, the ability of the parent to bond with their infant and the developmental impacts on that … infant if the parent is unwell and unable to care for them as effectively is difficult to measure with … allow for co-admission of a parent who is experiencing a mental health condition and the neonate or infant … It is essential to understand how perinatal mood disorders can affect the parental dyad and the infant … Intertwined disparities: applying the maternal-infant dyad lens to advance perinatal health equity.
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psnet.ahrq.gov/node/36802/psn-pdf
April 11, 2007 - Israel Deaconess Hospital for its approach to improving
patient safety in response to the death of an infant
-
psnet.ahrq.gov/node/73965/psn-pdf
October 13, 2021 - association-simulation-training-rates-medical-malpractice-claims-among-
obstetrician
Adverse events in obstetrics threaten the safety of both maternal and infant
-
psnet.ahrq.gov/node/74042/psn-pdf
November 03, 2021 - investigation-death-baby-j-university-hospitals-bristol-and-weston-nhs-
foundation-trust
This report examines a premature infant
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psnet.ahrq.gov/node/35329/psn-pdf
April 11, 2011 - Preventable adverse events in infants hospitalized with
bronchiolitis. … Preventable adverse events in infants hospitalized with
bronchiolitis. … https://psnet.ahrq.gov/issue/preventable-adverse-events-infants-hospitalized-bronchiolitis
This study … https://psnet.ahrq.gov/issue/preventable-adverse-events-infants-hospitalized-bronchiolitis
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psnet.ahrq.gov/node/49803/psn-pdf
January 01, 2018 - 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. … This caused distress for the
infant and the mother, even though the doctor explained how it came about … 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.
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psnet.ahrq.gov/node/36846/psn-pdf
March 03, 2011 - issue/information-technology-cannot-guarantee-patient-safety
The authors provide a case report of an infant
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psnet.ahrq.gov/node/837900/psn-pdf
August 24, 2022 - inaccurate-penicillin-allergy-labeling-electronic-health-record-and-adverse-outcomes-care
https://psnet.ahrq.gov/issue/misdiagnosed-food-allergy-resulting-severe-malnutrition-infant
-
psnet.ahrq.gov/node/73222/psn-pdf
May 05, 2021 - pediatric-weight-errors-and-resultant-medication-dosing-errors-emergency-department
https://psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
-
psnet.ahrq.gov/node/74005/psn-pdf
October 27, 2021 - institution-successes
Pregnancy and childbirth are recognized as high-risk activities for both the pregnant person and infant
-
psnet.ahrq.gov/innovation/implementing-watcher-program-improve-timeliness-recognition-deterioration-hospitalized
June 30, 2021 - This intervention was piloted on the Infant-Toddler unit and was expanded across all other medical-surgical … September 29, 2021
WebM&M Cases
Life-Threatening Infant
-
psnet.ahrq.gov/node/42524/psn-pdf
August 21, 2013 - issue/fentanyl-patch-fatalities-linked-bystander-apathy-we-all-have-role-prevention
Relating how an infant
-
psnet.ahrq.gov/node/44436/psn-pdf
October 30, 2017 - year-meta-analysis
https://psnet.ahrq.gov/issue/misdiagnosed-food-allergy-resulting-severe-malnutrition-infant