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psnet.ahrq.gov/issue/missed-diagnosis-critical-congenital-heart-disease
September 09, 2020 - This population-based study revealed that approximately 30 infants per year in California die due to
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psnet.ahrq.gov/issue/diagnostic-errors-neonatal-intensive-care-unit-state-science-and-new-directions
March 23, 2022 - errors are relatively understudied but may have long-term consequences for health and development of infants
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psnet.ahrq.gov/issue/anticoagulant-safety-practices-call-pharmacist-supervision
May 08, 2024 - September 13, 2006
Infants at risk: when nurse fatigue jeopardizes quality care.
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psnet.ahrq.gov/node/49439/psn-pdf
March 01, 2004 - The doctor gave the first dose to the infant in the office,
demonstrating step-by-step how to deliver … The infant was then taken to the operating room to undergo bronchoscopy. … The infant was removed
from life support and died shortly thereafter. … return to the case at hand—a parent who misunderstood how to administer a liquid medication to an
infant … the parent to demonstrate back how he would be
drawing up and administering the medication to the infant
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psnet.ahrq.gov/issue/her-child-was-stillborn-39-weeks-she-blames-system-doesnt-always-listen-mothers
May 19, 2021 - Pregnancy is recognized as a high-risk condition for both mother and infant. … May 31, 2023
Maternal and Infant Health Inequality: New Evidence from Linked Administrative
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psnet.ahrq.gov/issue/pressing-better-quality-across-healthcare
July 14, 2010 - October 8, 2008
Officials investigate infants' heparin OD at Texas hospital.
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psnet.ahrq.gov/node/43643/psn-pdf
November 04, 2014 - Of concern, compared with older
children, infants (children under age 1) were twice as likely to die
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psnet.ahrq.gov/issue/redesigned-room-hospital-patients-may-feel-better-already
August 19, 2020 - October 8, 2008
Officials investigate infants' heparin OD at Texas hospital.
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psnet.ahrq.gov/issue/prevention-potential-errors-resuscitation-medications-orders-means-computerised-physician
July 05, 2013 - July 22, 2015
Officials investigate infants' heparin OD at Texas hospital. … Related Resources
WebM&M Cases
Life-Threatening Infant
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psnet.ahrq.gov/issue/frequency-and-severity-harm-medication-errors-related-parenteral-nutrition-process-large
January 16, 2019 - February 1, 2023
WebM&M Cases
Life-Threatening Infant … 2014
ALERT: reports of severe harm after intravenous administration of breast milk to infants
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psnet.ahrq.gov/web-mm/lethal-cap
December 19, 2018 - The doctor gave the first dose to the infant in the office, demonstrating step-by-step how to deliver … The infant was then taken to the operating room to undergo bronchoscopy. … The infant was removed from life support and died shortly thereafter. … Let's return to the case at hand—a parent who misunderstood how to administer a liquid medication to an infant … asking the parent to demonstrate back how he would be drawing up and administering the medication to the infant
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psnet.ahrq.gov/issue/transitioning-newborns-nicu-home-resource-toolkit
August 01, 2012 - Infants discharged from the neonatal intensive care unit to home are particularly vulnerable to care
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psnet.ahrq.gov/node/49845/psn-pdf
October 01, 2018 - psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
The Case
A 1-month-old preterm infant … 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
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psnet.ahrq.gov/issue/pediatric-adverse-drug-events-outpatient-setting-11-year-national-analysis
September 09, 2010 - A case of parental error in administering medication to an infant is discussed in this AHRQ WebM&M commentary … Adverse events from cough and cold medications after a market withdrawal of products labeled for infants
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psnet.ahrq.gov/issue/effect-documenting-patient-weight-kilograms-pediatric-medication-dosing-errors-emergency
October 19, 2022 - associated with a small but significantly lower rate of medication dose errors, particularly among infants
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psnet.ahrq.gov/issue/medication-errors-caregivers-home-neonates-discharged-neonatal-intensive-care-unit
June 07, 2023 - Researchers conducted a cross-sectional study on 166 infants younger than 3 months who were discharged
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psnet.ahrq.gov/issue/mbrrace-uk-mothers-and-babies-reducing-risk-through-audits-and-confidential-enquiries-across
July 07, 2021 - 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/issue/medication-errors-neonatal-and-paediatric-intensive-care-units
February 03, 2011 - October 28, 2020
WebM&M Cases
Life-Threatening Infant … May 27, 2011
Infants at risk: when nurse fatigue jeopardizes quality care.
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psnet.ahrq.gov/issue/post-event-debriefings-during-neonatal-care-why-are-we-not-doing-them-and-how-can-we-start
January 15, 2014 - April 7, 2022
WebM&M Cases
Life-Threatening Infant … May 27, 2011
Preventable adverse events in infants hospitalized with bronchiolitis.
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psnet.ahrq.gov/issue/safe-surgery-2015
February 22, 2023 - April 19, 2011
Infants at risk: when nurse fatigue jeopardizes quality care.