-
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
-
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
-
psnet.ahrq.gov/issue/white-blood-cell-left-shift-neonate-case-mistaken-identity
March 30, 2022 - authors present a case study illustrating the value of taking a family medical history when caring for infants
-
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
-
psnet.ahrq.gov/node/60248/psn-pdf
April 22, 2020 - emergency-hospitalizations-unsupervised-prescription-medication-ingestions-young-children
https://psnet.ahrq.gov/issue/us-poison-control-center-calls-infants
-
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
-
psnet.ahrq.gov/issue/mgh-halts-pediatric-program-heart-surgeries-hold-after-errors
August 24, 2016 - close its pediatric cardiac surgery program following errors that caused serious complications for two infants
-
psnet.ahrq.gov/node/50794/psn-pdf
January 15, 2020 - SIGNS-for-kids)
tool to empower parents and caregivers by identifying specific cues of severe illness in infants
-
psnet.ahrq.gov/node/49603/psn-pdf
June 01, 2010 - 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 … fatal-error-neonate-does-just-culture-provide-answer
The Commentary
This case is severe and shocking, as is the outcome: the death of an infant
-
psnet.ahrq.gov/issue/out-hospital-medication-errors-among-young-children-united-states-2002-2012
June 14, 2017 - Of concern, compared with older children, infants (children under age 1) were twice as likely to die … June 19, 2013
Infant deaths associated with cough and cold medications—two states, 2005
-
psnet.ahrq.gov/issue/delayed-diagnosis-serious-paediatric-conditions-13-regional-emergency-departments
July 05, 2023 - WebM&M Cases
Radiology Missed an Intracranial Bleed in a Lethargic Infant … January 4, 2024
Non-accidental Injuries in Infants Attending the Emergency Department
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.236_slideshow.ppt
March 01, 2011 - *
*
Case: Pediatric Patient Safety (1)
A 22-month-old infant was admitted to the hospital in … *
*
Case: Pediatric Patient Safety (2)
Later in the evening, the infant drank 2 ounces (60 mL … Over the next few hours, the infant became more somnolent and less responsive. … The infant was transferred to the pediatric intensive care unit where an IV was placed, and he was given … to his severe dehydration
*
*
This Child’s Urine Output
Abnormally low urine output for an infant
-
psnet.ahrq.gov/node/38749/psn-pdf
April 08, 2011 - Despite this, most parents in this study thought such medications were entirely
appropriate for their infants
-
psnet.ahrq.gov/issue/pharmacy-education-and-practice
September 27, 2016 - special issue covers several topics including strategies to reduce the susceptibility of hospitalized infants
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.29_slideshow.ppt
September 01, 2003 - Spotlight Case September 2003
Spotlight Case September 2003
Infant Paralyzed for Intubation Before … communication
Design effective interventions to address deficiencies in teamwork and communication
Case: Infant … Shortly thereafter, but prior to intubation, the infant acutely desaturated. … Case (cont.): Infant Paralyzed
Upon review of the event, the team discovered that the nurse was new to
-
psnet.ahrq.gov/issue/body-mass-index-category-and-adverse-events-hospitalized-children
August 03, 2022 - August 17, 2022
Adverse events in infants less than 6 months of age after ambulatory … March 16, 2022
Improving hospital infant safe sleep compliance by using safety prevention
-
psnet.ahrq.gov/node/47173/psn-pdf
June 06, 2018 - diagnostic-experiences-children-attention-deficithyperactivity-disorder
https://psnet.ahrq.gov/issue/us-poison-control-center-calls-infants
-
psnet.ahrq.gov/node/43547/psn-pdf
July 03, 2016 - 2012, there were
remarkable reductions in these hospital-acquired infections among critically ill infants
-
psnet.ahrq.gov/issue/she-hoped-shine-light-maternal-mortality-among-native-americans-instead-she-became-statistic
July 22, 2020 - This story discusses a case of an American Indian/Alaska Native mother and infants whose deaths may
-
psnet.ahrq.gov/issue/patient-safety-initiatives-obstetrics-rapid-review
September 23, 2020 - Various factors affect the safety of women and infants during childbirth.