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psnet.ahrq.gov/node/37972/psn-pdf
May 02, 2018 - heparin-errors-continue-despite-prior-high-profile-fatal-events
https://psnet.ahrq.gov/issue/officials-investigate-infants-heparin-od-texas-hospital
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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
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psnet.ahrq.gov/node/38159/psn-pdf
October 22, 2008 - missed-diagnosis-critical-congenital-heart-disease
This population-based study revealed that approximately 30 infants
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.197_slideshow.ppt
April 01, 2009 - central venous catheters
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Case: PICC Line Breakage
Born at 27 weeks’ gestation, a premature infant … 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/issue/better-health-mothers-and-babies
April 15, 2021 - articles, case studies, and information for patients and families to inform efforts to protect mothers and infants
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psnet.ahrq.gov/issue/postdischarge-adverse-events-among-neonates-admitted-neonatal-intensive-care-unit
October 05, 2022 - This prospective cohort, including infants discharged from one level 4 NICU between February 2017 and … October 28, 2020
WebM&M Cases
Life-Threatening Infant
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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
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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
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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/issue/focusing-medical-errors
May 29, 2019 - October 15, 2018
US poison control center calls for infants 6 months of age and younger … April 25, 2016
Infant deaths associated with cough and cold medications—two states, 2005
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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/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/50613/psn-pdf
October 30, 2019 - Sometimes we think of the well-being of
the mom and the infant as being an either/or proposition, when … Infants are not better off. Moms are actually worse off. … But because moms have more than one infant, that's like a Tuesday for
me. … , and 1 in 10 of their infants
goes to the NICU. … Even if you're fairly well connected and
wealthy, the period after having an infant is very socially
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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/issue/saving-moms
April 26, 2023 - April 16, 2023
Non-accidental Injuries in Infants Attending the Emergency Department. … April 12, 2023
Maternal and Infant Health Inequality: New Evidence from Linked Administrative
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psnet.ahrq.gov/node/37201/psn-pdf
October 06, 2011 - Mistaken identity of skin cleansing solution leading to
extensive chemical burns in an extremely preterm infant … Mistaken identity of skin cleansing solution leading to extensive
chemical burns in an extremely preterm infant
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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.
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psnet.ahrq.gov/node/60217/psn-pdf
January 01, 2012 - initiative
seeks to review clinical practices and make recommendations reduce risks to material and infant … Initiatives include the Confidential Enquiries into Maternal and Infant Deaths program which produces
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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
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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