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psnet.ahrq.gov/issue/optimizing-patient-safety-clinical-trials-improving-transitions-care
October 16, 2024 - June 14, 2017
Evaluation of drug utilization and prescribing errors in infants: a primary
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psnet.ahrq.gov/web-mm/too-hot-comfort
May 19, 2015 - The Case A 4-month-old infant admitted to rule out sepsis was receiving maintenance intravenous (IV … During shift report, nurses noted that the extremity was taut and the infant was irritable. … Within the next hour, the nurse coming on shift assessed the infant further and discovered redness and … The infant was treated with topical ointment; no surgical intervention was necessary.
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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
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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
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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
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psnet.ahrq.gov/node/44124/psn-pdf
June 21, 2015 - information-gaps-newborn-care-and-their-potential-harm
Interviews with mothers were compared with maternal prenatal histories and infant
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psnet.ahrq.gov/node/34668/psn-pdf
June 06, 2018 - The error involved administration of morphine to a
9-month-old infant who received 5 mg instead of 0.5
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psnet.ahrq.gov/node/60542/psn-pdf
May 27, 2020 - Life-Threatening Infant Overdose of Sodium Chloride
May 27, 2020
Hamline M, McGlynn G, Lee A, et al … Life-Threatening Infant Overdose of Sodium Chloride. PSNet
[internet]. 2020. … https://psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
The Case
An infant … The
https://psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
infant’s family
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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
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psnet.ahrq.gov/issue/selected-medical-errors-intensive-care-unit-results-iatroref-study-parts-i-and-ii
April 18, 2012 - Drug formulations that require potentially inaccurate volumes to prepare doses for infants
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psnet.ahrq.gov/issue/medication-errors-nursing-part-1-and-part-2
March 23, 2016 - February 1, 2017
Interventions to improve safe sleep among hospitalized infants at eight
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psnet.ahrq.gov/issue/comparison-broselow-tape-measurements-versus-physician-estimations-pediatric-weights
November 15, 2017 - Adverse events from cough and cold medications after a market withdrawal of products labeled for infants
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psnet.ahrq.gov/issue/analysis-medication-safety-intervention-pediatric-emergency-department
August 02, 2012 - March 10, 2021
US poison control center calls for infants 6 months of age and younger
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psnet.ahrq.gov/issue/unit-measurement-used-and-parent-medication-dosing-errors
June 04, 2014 - October 17, 2018
US poison control center calls for infants 6 months of age and younger
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psnet.ahrq.gov/issue/missed-nursing-care-pediatrics
January 16, 2019 - July 10, 2008
Infants at risk: when nurse fatigue jeopardizes quality care.
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm
November 15, 2011 - November 3, 2015
Evaluation of drug utilization and prescribing errors in infants: a
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psnet.ahrq.gov/issue/comparison-voluntarily-reported-medication-errors-intensive-care-and-general-care-units
October 26, 2010 - Drug formulations that require potentially inaccurate volumes to prepare doses for infants
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psnet.ahrq.gov/issue/operating-room-clinicians-attitudes-and-perceptions-pediatric-surgical-safety-checklist-1
July 14, 2010 - January 12, 2022
Evaluation of drug utilization and prescribing errors in infants: a
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psnet.ahrq.gov/issue/overcoming-barriers-implementation-pharmacy-bar-code-scanning-system-medication-dispensing
October 25, 2010 - December 30, 2014
Officials investigate infants' heparin OD at Texas hospital.
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psnet.ahrq.gov/issue/influence-causes-and-contexts-medical-errors-emergency-medicine-residents-responses-their
April 11, 2011 - October 23, 2024
Adverse events in infants less than 6 months of age after ambulatory