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psnet.ahrq.gov/issue/safemedicationuseca
October 10, 2012 - 2015
ALERT: reports of severe harm after intravenous administration of breast milk to infants
-
psnet.ahrq.gov/node/72587/psn-pdf
December 23, 2020 - mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-
instability
The Case
A 3-month-old twin male infant … 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
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psnet.ahrq.gov/web-mm/misread-label
August 28, 2024 - The Case An infant was born with sluggish respirations. … Approximately 1 hour later the infant died.
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psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein
January 22, 2020 - May 31, 2023
Non-accidental Injuries in Infants Attending the Emergency Department.
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psnet.ahrq.gov/issue/access-clinical-information-bedside
March 16, 2022 - September 6, 2023
Non-accidental Injuries in Infants Attending the Emergency Department
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psnet.ahrq.gov/issue/take-charge-your-hospital-stay-avoid-medical-mistakes
April 08, 2020 - January 27, 2009
Officials investigate infants' heparin OD at Texas hospital.
-
psnet.ahrq.gov/issue/safety-risk-air-embolus-associated-central-venous-catheters-used-haemodialysis-treatment
April 05, 2023 - September 6, 2023
Non-accidental Injuries in Infants Attending the Emergency Department
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psnet.ahrq.gov/issue/wrong-site-surgery-wrong-tooth-extraction
April 01, 2019 - May 31, 2023
Non-accidental Injuries in Infants Attending the Emergency Department.
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psnet.ahrq.gov/issue/opioid-prescribing-and-potential-overdose-errors-among-children-0-36-months-old
March 23, 2016 - found that prescribing errors were common in opioid pain medications dispensed to children, especially infants
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psnet.ahrq.gov/issue/hospital-bracelets-face-hurdles-they-fix-hazard
August 15, 2012 - December 3, 2008
Officials investigate infants' heparin OD at Texas hospital.
-
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/issue/using-preprinted-medication-order-forms-improve-safety-investigational-drug-use
April 24, 2024 - Adverse events from cough and cold medications after a market withdrawal of products labeled for infants
-
psnet.ahrq.gov/node/49425/psn-pdf
November 01, 2003 - https://psnet.ahrq.gov/web-mm/misread-label
The Case
An infant was born with sluggish respirations. … Approximately 1 hour later the infant died.
-
psnet.ahrq.gov/node/837324/psn-pdf
July 08, 2022 - safest
option in certain births, in others, the risks associated with the procedure, which include infant … doctors
Recognition of individual clinicians
Publishing early collaborative data demonstrating the infant … Maternal, Infant, and Child Health. https://www.healthypeople.gov/2020/topics-
objectives/topic/maternal-infant-and-child-health … https://www.healthypeople.gov/2020/topics-objectives/topic/maternal-infant-and-child-health
https:// … in the United States: Linked Birth/Infant Death Records, 2007-
2016.
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psnet.ahrq.gov/issue/clinical-investigation-booking-systems-failures-written-communications-community-languages
May 17, 2023 - Citation
Related Resources From the Same Author(s)
Non-accidental Injuries in Infants
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psnet.ahrq.gov/issue/care-delivery-within-community-mental-health-teams
April 26, 2023 - September 6, 2023
Non-accidental Injuries in Infants Attending the Emergency Department
-
psnet.ahrq.gov/issue/harm-caused-delays-transferring-patients-right-place-care
March 01, 2023 - May 31, 2023
Non-accidental Injuries in Infants Attending the Emergency Department.
-
psnet.ahrq.gov/issue/dramatic-drop-cancer-diagnoses-amid-covid-pandemic-cause-concern-doctors-say
May 06, 2020 - January 27, 2009
Officials investigate infants' heparin OD at Texas hospital.
-
psnet.ahrq.gov/issue/standardising-wristbands-improves-patient-safety
January 19, 2022 - October 8, 2008
Officials investigate infants' heparin OD at Texas hospital.
-
psnet.ahrq.gov/issue/va-pauses-16b-oracle-cerner-ehr-deployments-indefinitely-address-error-ridden-early-rollout
September 14, 2022 - May 31, 2023
Non-accidental Injuries in Infants Attending the Emergency Department.