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1. TeamSTEPPS Specialty Scenarios: Neonatal ICU (pdf file)
   pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/neonatalicu.pdf
   March 19, 2014 - TeamSTEPPS Specialty Scenarios: Neonatal ICU TeamSTEPPS 2.0 Specialty Scenarios - 53 Specialty … Scenarios NEONATAL ICU Specialty Scenarios - 54 TeamSTEPPS 2.0 Specialty Scenarios … Neonatal ICU Scenario 44 Appropriate for: Neonatal ICU Setting: Hospital At approximately 2100 … ICU Scenario 45 Appropriate for: Neonatal ICU Setting: Hospital The on-call third-year resident … ICU Scenario 47 Appropriate for: Neonatal ICU Setting: Hospital In a level 2 NICU, the average

2. Neonatal Abstinence Syndrome Rates Per 1,000 Births by Race/Ethnicity, 2015 (Q1-Q3) | Agency for Healthcare Research and Quality
   pbrn.ahrq.gov/data/infographics/neonatal-abstinence-syndrome.html
   November 01, 2018 - States Health Information Knowledgebase Data Sources Available from AHRQ Neonatal … Abstinence Syndrome Rates Per 1,000 Births by Race/Ethnicity, 2015 (Q1-Q3)   Neonatal Abstinence … last reviewed November 2018 Page originally created September 2018 Internet Citation: Neonatal … https://www.ahrq.gov/data/infographics/neonatal-abstinence-syndrome.html  

3. Number of Newborns with Neonatal Abstinence Syndrome Continued To Increase Through 2016 | Agency for Healthcare Research and Quality
   pbrn.ahrq.gov/data/infographics/neonatal-abstinence-syndrome-2016.html
   July 01, 2019 - Knowledgebase Data Sources Available from AHRQ Number of Newborns with Neonatal … Abstinence Syndrome Continued To Increase Through 2016 Number of Newborns with Neonatal Abstinence … number of babies born each year with withdrawal symptoms from their mother’s drug dependence, known as neonatal … Source: AHRQ Healthcare Cost and Utilization Project Trends in Neonatal Abstinence Syndrome Births … https://www.ahrq.gov/data/infographics/neonatal-abstinence-syndrome-2016.html  

4. Caregiver Innovations to Reduce Harm in Neonatal Intensive Care | Agency for Healthcare Research and Quality
   pbrn.ahrq.gov/patient-safety/resources/learning-lab/caregiver-nicu-long-desc.html
   April 01, 2022 - Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm … An ethnography of parents' perceptions of patient safety in the neonatal intensive care unit . … Adv Neonatal Care 2019;19(6):500-8. 2018 Sedlock EW, et al. … Progress Report:  Caregiver Innovations To Reduce Harm in Neonatal Intensive Care. … Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm

5. Optimizing Safety of Mother and Neonate in a Mixed Methods Learning Laboratory | Agency for Healthcare Research and Quality
   pbrn.ahrq.gov/patient-safety/resources/learning-lab/optimizing-safety-long-desc.html
   June 01, 2020 - This PSLL for Neonatal and Maternal Care comprised multidisciplinary teams of obstetricians, neonatologists … A provisional patent for the display is in preparation. 1-4 A neonatal data display designed to show … key neonatal physiologic variables (such as heart rate and minute-to-minute changes in hemoglobin-oxygen … Ergonomic challenges inherent in neonatal resuscitation . … J Obstet Gynecol Neonatal Nurs, 2018 May;47(3):324-32. Sherman J, et al.

6. Designing and Testing Novel Solutions To Make Labor and Delivery Safer for Moms and Newborns | Agency for Healthcare Research and Quality
   pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-halamek.html
   August 01, 2023 - Halamek, M.D., a neonatologist who works in a Level IV (most critically ill) neonatal intensive care … years, he has worked to advance perinatal care, with a focus on events in labor and delivery and the neonatal … Halamek, who also is Director of Neonatal Resuscitation at Lucile Packard Children’s Hospital, was awarded … “Neonatal resuscitation requires accurate decision-making, proficient technical interventions, and flawless … “The NRP sets the standard for neonatal resuscitation in the U.S., and has been used by more than 3 million

7. Selected Best Practices and Suggestions for Improvement (pdf file)
   pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
   May 17, 2016 - Quality and Safety 1 Tool D.4y Selected Best Practices and Suggestions for Improvement NQI 03: Neonatal … Blood Stream Infection Why focus on neonatal blood stream infection (BSI)? … Recommended Practice: Assess neonatal patients for risk factors • Assess all neonatal NICU patients … Nosocomial bloodstream infections in a neonatal intensive care unit. … Blood Stream Infection Why focus on neonatal blood stream infection (BSI)?

8. Online Resources | Agency for Healthcare Research and Quality
   pbrn.ahrq.gov/opioids/data/online-resources.html
   March 01, 2024 - Neonatal Abstinence Syndrome. … trends in opioid-related inpatient stays, emergency department visits, and rate of births diagnosed with neonatal

9. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
   pbrn.ahrq.gov/teamstepps/instructor/scenarios/neonatalicu.html
   March 01, 2014 - TeamSTEPPS® Webinars TeamSTEPPS® Instructor Manual: Specialty Scenarios Neonatal … Contents Scenario 44 Scenario 45 Scenario 46 Scenario 47 Scenario 44 Appropriate for: Neonatal … Return to Contents Scenario 45 Appropriate for: Neonatal ICU Setting: Hospital The on-call … Return to Contents Scenario 46 Appropriate for: Neonatal ICU Setting: Hospital A premature … Return to Contents Scenario 47 Appropriate for: Neonatal ICU Setting: Hospital In a level

10. Fact Sheet on Pediatric Quality Indicators (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1c_combo_pdifactsheet.pdf
    October 01, 2015 - The 2015 AHRQ Neonatal Quality Indicators (NQIs) and Pediatric Quality Indicators (PDIs), With 2012 … Rates and National Quality Forum Endorsement Status NQF Endorsement Neonatal or Pediatric Indicator … Rate per 1,000 ID Most Recent Year NQI 01 Neonatal Iatrogenic Pneumothorax Rate 0.18 NQI … 02 Neonatal Mortality Rate 2.25 NQI 03 Neonatal Blood Stream Infection Rate 25.18 0478 2013 PDI

11. C1 Prioritization Worksheet (xls file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
    July 01, 2016 - IQI 06 and IQI 30 Percutaneous Coronary Intervention IQI 07 and IQI 31 Carotid Endarterectomy Neonatal … NQI 01 Neonatal Iatrogenic Pneumothorax NQI 02 Neonatal Mortality Rate NQI 03 Neonatal Blood Stream

12. About the Toolkit Development | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html
    July 01, 2023 - communication was a root cause of 48 percent of sentinel maternal events and 70 percent of sentinel neonatal … emergencies are rare, they have the potential to result in catastrophic outcomes such as maternal or neonatal

13. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/teamstepps/instructor/scenarios/icu.html
    March 01, 2014 - Return to Contents   Scenario 49 Appropriate for: ICU/Neonatal Setting: Hospital   At 1800 … , near the conclusion of a busy 12-hour shift in the Neonatal ICU, Karen, a new staff nurse, is preparing … Return to Contents   Scenario 50 Appropriate for: ICU/Neonatal Setting: Hospital   A patient … Return to Contents   Scenario 51 Appropriate for: ICU/Neonatal Setting: Hospital   John … Return to Contents Scenario 52 Appropriate for: ICU/Neonatal Setting: Hospital   At

14. Diagnostic Errors Are Common in Seriously Ill Hospitalized Adults | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/newsletters/e-newsletter/895.html
    January 01, 2024 - Neonatal Antibiotic Stewardship Associated With Drop in Pediatric Antibiotic Use . … Neonatal Antibiotic Stewardship Associated With Drop in Pediatric Antibiotic Use Antibiotic stewardship … efforts have yielded a 34 percent relative reduction in antibiotic use in neonatal intensive care units … that declines in ampicillin and gentamicin use reflected the reach of national calls for improving neonatal

15. Central Line-Associated Bloodstream Infections (CLABSI) | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/topics/central-line-associated-bloodstream-infections-clabsi.html
    Eliminating CLABSI, A National Patient Safety Imperative: Neonatal CLABSI Prevention This report on … AHRQ's national neonatal CLABSI prevention project provides an overview of the project and its accomplishments

16. TeamSTEPPS Specialty Scenarios: ICU (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/icu.pdf
    March 19, 2014 - TeamSTEPPS 2.0 Specialty Scenarios - 61 Specialty Scenarios ICU Scenario 49 Appropriate for: ICU/Neonatal … Setting: Hospital At 1800, near the conclusion of a busy 12-hour shift in the Neonatal ICU, Karen … Specialty Scenarios - 62 TeamSTEPPS 2.0 Specialty Scenarios ICU Scenario 50 Appropriate for: ICU/Neonatal … with a history of hyaline membrane disease and bronchopulmonary displasia, has been a patient in the neonatal … Specialty Scenarios - 64 TeamSTEPPS 2.0 Specialty Scenarios ICU Scenario 52 Appropriate for: ICU/Neonatal

17. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring (doc file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
    May 01, 2017 - provider or neonatal response team · calling a multidisciplinary rapid response maternity care team, … Unit can decide its approach to reviewing cases of severe maternal or neonatal morbidity or mortality … provider or neonatal response team; · calling a multidisciplinary rapid response maternity care team … J Obstet Gynecol Neonatal Nurs. 2008 Sep-Oct;37(5):510-5. PMID: 18761565. 2. … J Obstet Gynecol Neonatal Nurs. 2008 Sep-Oct;37(5):510-5. PMID: 18761565.

18. N | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/topics/n.html
    April 07, 2024 - N National Advisory Council National Healthcare Quality and Disparities Report (QDR) Neonatal

19. National Implementation Project Reports | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/hai/cusp/national/index.html
    December 01, 2016 - National Patient Safety Imperative—A Progress Report on the National On the CUSP: Stop BSI Project , Neonatal … Progress report, dated October 2012, discusses accomplishments and next steps to in the neonatal central

20. Introduction to the Quality Indicators Best Practices Tool (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
    June 05, 2016 - Rate—Vaginal Delivery Without Instrument Best practices forms exist for the following 12 PDIs: • NQI 01 Neonatal … Iatrogenic Pneumothorax Rate (bundled with the best practices for PDI 05) • NQI 03 Neonatal Blood … • NQI 02 Neonatal Mortality Rate: This PDI relates to the death rate for a number of ICD- 9 codes.