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21. A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. | PSNet
    psnet.ahrq.gov/issue/longitudinal-study-multifaceted-intervention-reduce-newborn-falls-while-preserving-rooming
    March 20, 2019 - Study A longitudinal study of a multifaceted intervention to reduce newborn falls … A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in … Newborn falls or drops are receiving increasing attention as a patient safety issue. … Three years after implementation, the hospital achieved one year without any newborn falls and there … A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in

22. Finding blunders in thyroid testing: experience in newborns. | PSNet
    psnet.ahrq.gov/issue/finding-blunders-thyroid-testing-experience-newborns
    March 04, 2020 - Study Finding blunders in thyroid testing: experience in newborns. … Finding blunders in thyroid testing: experience in newborns. … Inconsistent and possibly erroneous results of thyroid tests for newborns occurred in 18 patients among … Finding blunders in thyroid testing: experience in newborns.

23. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/838252/psn-pdf
    October 05, 2022 - A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in … A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in … https://psnet.ahrq.gov/issue/longitudinal-study-multifaceted-intervention-reduce-newborn-falls-while- … preserving-rooming Newborn falls or drops are receiving increasing attention as a patient safety issue … Three years after implementation, the hospital achieved one year without any newborn falls and there

24. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72647/psn-pdf
    January 20, 2021 - Association of unexpected newborn deaths with changes in obstetric and neonatal process of care. … Association of Unexpected Newborn Deaths With Changes in Obstetric and Neonatal Process of Care. … https://psnet.ahrq.gov/issue/association-unexpected-newborn-deaths-changes-obstetric-and-neonatal- process-care … Unexpected death or serious disability of a newborn is considered a  never event. … analysis including over 5 million births between 2011 and 2017 in the United States found unexpected newborn

25. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73313/psn-pdf
    May 26, 2021 - Maintaining maternal-newborn safety during the COVID- 19 pandemic. … Maintaining maternal-newborn safety during the COVID-19 pandemic. … https://psnet.ahrq.gov/issue/maintaining-maternal-newborn-safety-during-covid-19-pandemic Improving … This article reviews the unique impact of the COVID-19 pandemic on maternal and newborn populations, … such as implications for maternity care, maternal-newborn separation, and universal testing.

26. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865924/psn-pdf
    May 22, 2024 - Health professionals' experiences of whistleblowing in maternal and newborn healthcare settings: a scoping … Health professionals' experiences of whistleblowing in maternal and newborn healthcare settings: a scoping … https://psnet.ahrq.gov/issue/health-professionals-experiences-whistleblowing-maternal-and-newborn- healthcare-settings … https://psnet.ahrq.gov/issue/health-professionals-experiences-whistleblowing-maternal-and-newborn-healthcare-settings … https://psnet.ahrq.gov/issue/health-professionals-experiences-whistleblowing-maternal-and-newborn-healthcare-settings

27. Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in obstetrics. | PSNet
    psnet.ahrq.gov/issue/wrong-patient-ordering-errors-peripartum-mother-newborn-pairs-unique-patient-safety-challenge
    July 28, 2021 - Commentary Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique … Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in … This commentary presents two cases of near-miss wrong-patient order errors between mother-newborn pairs … Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in

28. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46788/psn-pdf
    April 11, 2018 - Preventing newborn falls and drops. April 11, 2018 Quick Safety. March 27, 2018;(40):1-2. … https://psnet.ahrq.gov/issue/preventing-newborn-falls-and-drops Falls are a common patient safety concern … for adults but are rarely discussed as a threat to newborn safety. … This newsletter article provides a definition for a newborn fall or drop, highlights factors that increase … https://psnet.ahrq.gov/issue/preventing-newborn-falls-and-drops https://psnet.ahrq.gov/primer/falls https

29. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37299/psn-pdf
    June 13, 2011 - Mother claims hospital error kept her from newborn daughter. June 13, 2011 Barbella M. … https://psnet.ahrq.gov/issue/mother-claims-hospital-error-kept-her-newborn-daughter This article reports … perform medication reconciliation during patient transfer led to a mother being separated from her newborn … https://psnet.ahrq.gov/issue/mother-claims-hospital-error-kept-her-newborn-daughter https://psnet.ahrq.gov

30. Transitioning Newborns From NICU to Home: A Resource Toolkit. | PSNet
    psnet.ahrq.gov/issue/transitioning-newborns-nicu-home-resource-toolkit
    August 01, 2012 - Government Resource Transitioning Newborns From NICU to Home: A Resource Toolkit. … Citation Text: Transitioning Newborns From NICU to Home: A Resource Toolkit. … Copy URL Cite Citation Citation Text: Transitioning Newborns

31. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35719/psn-pdf
    April 12, 2011 - Risk management, or just a different risk: a national survey of newborn units following a patient safety … https://psnet.ahrq.gov/issue/risk-management-or-just-different-risk-national-survey-newborn-units-following … https://psnet.ahrq.gov/issue/risk-management-or-just-different-risk-national-survey-newborn-units-following-patient-safety … https://psnet.ahrq.gov/issue/risk-management-or-just-different-risk-national-survey-newborn-units-following-patient-safety

32. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44124/psn-pdf
    June 21, 2015 - Information gaps in newborn care and their potential for harm. … Information gaps in newborn care and their potential for harm. … https://psnet.ahrq.gov/issue/information-gaps-newborn-care-and-their-potential-harm Interviews with … https://psnet.ahrq.gov/issue/information-gaps-newborn-care-and-their-potential-harm https://psnet.ahrq.gov

33. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44238/psn-pdf
    November 03, 2015 - Use of temporary names for newborns and associated risks. … Use of Temporary Names for Newborns and Associated Risks. … https://psnet.ahrq.gov/issue/use-temporary-names-newborns-and-associated-risks Wrong-patient errors … Newborns are assigned temporary names if they don't have a name immediately after birth, and this may … https://psnet.ahrq.gov/issue/use-temporary-names-newborns-and-associated-risks https://psnet.ahrq.gov

34. Health professionals' experiences of whistleblowing in maternal and newborn healthcare settings: a scoping review and thematic analysis. | PSNet
    psnet.ahrq.gov/issue/health-professionals-experiences-whistleblowing-maternal-and-newborn-healthcare-settings
    November 02, 2010 - Review Health professionals' experiences of whistleblowing in maternal and newborn … Health professionals' experiences of whistleblowing in maternal and newborn healthcare settings: a scoping … Health professionals' experiences of whistleblowing in maternal and newborn healthcare settings: a scoping

35. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37941/psn-pdf
    July 30, 2008 - Finding blunders in thyroid testing: experience in newborns. … Finding blunders in thyroid testing: experience in newborns. … https://psnet.ahrq.gov/issue/finding-blunders-thyroid-testing-experience-newborns Inconsistent and possibly … erroneous results of thyroid tests for newborns occurred in 18 patients among 600,000 tested in this … https://psnet.ahrq.gov/issue/finding-blunders-thyroid-testing-experience-newborns

36. Factors Affecting the Delivery of Safe Care in Midwifery Units. | PSNet
    psnet.ahrq.gov/issue/factors-affecting-delivery-safe-care-midwifery-units
    November 11, 2020 - Maternity and Newborn Safety Investigations Programme. … Facebook Twitter Linkedin Copy URL June 12, 2024 Maternity and Newborn … Maternity and Newborn Safety Investigations Programme. … November 12, 2014 Association of unexpected newborn deaths with changes in obstetric

37. Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated health care systems. | PSNet
    psnet.ahrq.gov/issue/risk-wrong-patient-orders-among-multiple-vs-singleton-births-neonatal-intensive-care-units-2
    December 21, 2017 - A classic study found that the replacing the usual naming convention for newborns ("Babygirl" or "Babyboy … Commission issued a National Patient Safety Goal (NPSG) requiring the use of distinct naming systems for newborns … July 9, 2018 Use of temporary names for newborns and associated risks. … July 28, 2021 Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique … August 28, 2019 Transitioning Newborns From NICU to Home: A Resource Toolkit.

38. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/48132/psn-pdf
    March 18, 2025 - The 2025 theme is "Safe care for every newborn and every child" with the slogan “Patient safety from … parental and caregiver engagement in safety, and  advocacy to advance research focused on pediatric and newborn

39. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49773/psn-pdf
    July 01, 2016 - Near Miss With Neonate October 1, 2016 Malana J, Lyndon A. Near Miss With Neonate. … during the intrapartum period.(1,2) For neonates who survive early-onset GBS disease, long-term adverse … to early-onset GBS infections were as high as 50%.(4) Current data indicate that approximately 1000 neonates … Group B Strep Infection in Newborns. Atlanta, GA: Centers for Disease Control and Prevention. … ACOG Committee Opinion No. 485: Prevention of early-onset group B streptococcal disease in newborns.

40. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/34667/psn-pdf
    January 17, 2018 - blaming-individuals In October 1996, a medication error at a Denver-area hospital resulted in the death of a newborn … infant.