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  1. psnet.ahrq.gov/issue/comparison-and-interpretation-urinalysis-performed-nephrologist-versus-hospital-based
    March 14, 2016 - February 15, 2010 Finding blunders in thyroid testing: experience in newborns.
  2. psnet.ahrq.gov/issue/implementation-josie-king-care-journal-pediatric-intensive-care-unit-quality-improvement
    November 21, 2016 - September 24, 2014 Transitioning Newborns From NICU to Home: A Resource Toolkit.
  3. psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care-unit-reduce-harm
    March 23, 2022 - September 6, 2016 Transitioning Newborns From NICU to Home: A Resource Toolkit.
  4. psnet.ahrq.gov/issue/national-survey-patient-safety-experiences-hospital-medicine-during-covid-19-pandemic
    November 30, 2022 - September 23, 2020 Use of temporary names for newborns and associated risks.
  5. psnet.ahrq.gov/web-mm/slippery-slide-life
    January 21, 2017 - JCAHO issued several recommendations to health care organizations that care for pregnant women and newborns … ” simulators are just that, designed with a size and features that portray a patient older than a newborn … display realistic waveforms on a bedside monitor, effectively conveying the physiologic state of the neonate … This eliminates the need for an instructor to continuously verbally describe the state of the neonate … A depressed neonate is being resuscitated after a delivery complicated by fetal blood loss.
  6. psnet.ahrq.gov/issue/effect-restriction-number-concurrently-open-records-electronic-health-record-wrong-patient
    July 09, 2018 - December 21, 2017 Use of temporary names for newborns and associated risks.
  7. psnet.ahrq.gov/issue/interpretive-diagnostic-error-reduction-surgical-pathology-and-cytology-guideline-college
    February 10, 2012 - February 15, 2010 Finding blunders in thyroid testing: experience in newborns.
  8. psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
    October 30, 2019 - concerningly, an association of painful stimuli with poor long-term neurodevelopmental outcomes. (1) Newborn … to actively provide care for more complex infants at ever younger gestational ages (in some NICUs, newborns … routine care" paradigm requires a cultural shift and a reorientation of thinking focused on value for the newborn … Annette Scheid, MD Attending Neonatologist and Director of Physician Wellbeing Department of Pediatric Newborn … Using umbilical cord blood for the initial blood tests of VLBW neonates results in higher hemoglobin
  9. psnet.ahrq.gov/web-mm/failure-rescue-mother
    September 23, 2020 - Intraoperatively, placenta previa and percreta were confirmed, an upper uterine segment incision was made, and the newborn … for the detection of antibodies to minor red cell antigens that can cause hemolytic disease of the newborn
  10. psnet.ahrq.gov/issue/national-survey-assessing-number-records-allowed-open-electronic-health-records-hospitals-and
    May 29, 2019 - December 21, 2017 Use of temporary names for newborns and associated risks.
  11. psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
    July 31, 2023 - Several years ago, a researcher at the Patient Safety Authority was reviewing newborn-related safety … events and discovered a newborn fall that seemed odd given that newborns are not walking around. … A newborn fall often means the baby was dropped, likely by exhausted parents who fall asleep holding
  12. psnet.ahrq.gov/perspective/building-capacity-patient-safety
    July 31, 2023 - Several years ago, a researcher at the Patient Safety Authority was reviewing newborn-related safety … events and discovered a newborn fall that seemed odd given that newborns are not walking around. … A newborn fall often means the baby was dropped, likely by exhausted parents who fall asleep holding
  13. psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
    October 30, 2019 - concerningly, an association of painful stimuli with poor long-term neurodevelopmental outcomes. (1) Newborn … to actively provide care for more complex infants at ever younger gestational ages (in some NICUs, newborns … routine care" paradigm requires a cultural shift and a reorientation of thinking focused on value for the newborn … Annette Scheid, MD Attending Neonatologist and Director of Physician Wellbeing Department of Pediatric Newborn … Using umbilical cord blood for the initial blood tests of VLBW neonates results in higher hemoglobin
  14. psnet.ahrq.gov/issue/understanding-and-preventing-wrong-patient-electronic-orders-randomized-controlled-trial
    December 21, 2017 - December 21, 2017 Use of temporary names for newborns and associated risks.
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33772/psn-pdf
    September 01, 2014 - A newborn can be harmed by it. Overuse is a patient safety concern, not just a financial burden. … physicians account for a http://www.cbo.gov/publication/41646 https://www.leapfroggroup.org/news-events/newborn-deliveries-are-scheduled-too-early-according-hospital-watchdog-group
  16. psnet.ahrq.gov/issue/babys-death-spotlights-safety-risks-linked-computerized-systems
    December 05, 2018 - Newborn naming conventions and wrong-patient errors.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49869/psn-pdf
    July 02, 2019 - , placenta previa and percreta were confirmed, an upper uterine segment incision was made, and the newborn … for the detection of antibodies to minor red cell antigens that can cause hemolytic disease of the newborn
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33673/psn-pdf
    September 01, 2008 - These errors were responsible for the deaths of three newborn infants at Methodist Hospital in Indianapolis
  19. psnet.ahrq.gov/periodic-issue/periodic-issue-281
    March 15, 2021 - Initiative for Patient Safety (SEIPS) framework  to discuss the strengths and challenge of a low-resource newborn … In the second of a two-part series, using examples from newborn units, the authors present a framework
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49451/psn-pdf
    June 01, 2004 - qualifications or variations High Notes Serum Glucose   >500 mg/dL High value could have lower threshold in newborns … Calcium (total)   >13.0 mg/dL Either value could have slightly different threshold Serum Bilirubin, Newborn

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