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41. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73614/psn-pdf
    August 18, 2021 - alleged-kidnapper-agrees-extradition https://psnet.ahrq.gov/primer/never-events https://psnet.ahrq.gov/issue/distinct-newborn-identification-requirement … https://psnet.ahrq.gov/issue/use-temporary-names-newborns-and-associated-risks

42. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42861/psn-pdf
    January 15, 2014 - Transitioning Newborns From NICU to Home: A Resource Toolkit. … https://psnet.ahrq.gov/issue/transitioning-newborns-nicu-home-resource-toolkit Infants discharged from … https://psnet.ahrq.gov/issue/transitioning-newborns-nicu-home-resource-toolkit https://psnet.ahrq.gov

43. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50610/psn-pdf
    October 30, 2019 - concerningly, an association of painful stimuli with poor long-term neurodevelopmental outcomes.(1) Newborn … psnet.ahrq.gov//#ref1 https://psnet.ahrq.gov//#ref2 at ever younger gestational ages (in some NICUs, newborns … 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

44. Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist? | PSNet
    psnet.ahrq.gov/issue/communication-improved-implementation-obstetrical-version-world-health-organization-safe
    February 02, 2022 - December 21, 2017 Use of temporary names for newborns and associated risks. … November 3, 2015 Wrong-patient ordering errors in peripartum mother-newborn pairs: a … September 27, 2017 WebM&M Cases Near Miss With Neonate

45. World Patient Safety Day. | PSNet
    psnet.ahrq.gov/issue/world-patient-safety-day
    September 30, 2020 - 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

46. Near Miss With Neonate | PSNet
    psnet.ahrq.gov/web-mm/near-miss-neonate
    August 15, 2018 - Near Miss With Neonate Citation Text: Malana J, Lyndon A. Near Miss With Neonate. … Near Miss With Neonate. PSNet [internet]. … 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. … Near Miss With Neonate. PSNet [internet].

47. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37389/psn-pdf
    January 30, 2008 - hospital-drug-errors-far-uncommon This article reports on a non-fatal medication error that involved several neonates … (including the newborn twins of actor Dennis Quaid) receiving a concentration of heparin 1000 times

48. Maternal Health Indicators. | PSNet
    psnet.ahrq.gov/issue/maternal-health-indicators
    May 22, 2024 - Related Resources Health professionals' experiences of whistleblowing in maternal and newborn … March 31, 2021 Association of unexpected newborn deaths with changes in obstetric and

49. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38343/psn-pdf
    December 09, 2014 - Investigators found that while the proportion of maternal death and newborn death or brain damage claims … communication between the obstetrician and anesthesiologist are identified as preventable causes of newborn

50. Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. | PSNet
    psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals
    June 16, 2019 - In October 1996, a medication error at a Denver-area hospital resulted in the death of a newborn infant

51. First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality. | PSNet
    psnet.ahrq.gov/issue/first-do-no-harm-practitioners-ability-diagnose-system-weaknesses-and-improve-safety-critical
    March 03, 2021 - for Patient Safety ( SEIPS) framework   to discuss the strengths and challenge of a low-resource newborn … March 3, 2021 Association of unexpected newborn deaths with changes in obstetric and

52. How to do no harm: empowering local leaders to make care safer in low-resource settings. | PSNet
    psnet.ahrq.gov/issue/how-do-no-harm-empowering-local-leaders-make-care-safer-low-resource-settings
    March 03, 2021 - In the second of a two-part series , using examples from newborn units, the authors present a framework … April 26, 2023 A longitudinal study of a multifaceted intervention to reduce newborn

53. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-275
    January 29, 2021 - the Weekly Issue Study Association of unexpected newborn … Unexpected death or serious disability of a newborn is considered a never event. … associated with a significant increase in use of procedures to avert or mitigate fetal distress and newborn … Study Association of unexpected newborn deaths with changes in obstetric and neonatal … Unexpected death or serious disability of a newborn is considered a never event.

54. Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. | PSNet
    psnet.ahrq.gov/issue/risk-management-or-just-different-risk-national-survey-newborn-units-following-patient-safety
    April 12, 2011 - Study Risk management, or just a different risk: a national survey of newborn units

55. Liability associated with obstetric anesthesia: a closed claims analysis. | PSNet
    psnet.ahrq.gov/issue/liability-associated-obstetric-anesthesia-closed-claims-analysis
    July 13, 2010 - Investigators found that while the proportion of maternal death and newborn death or brain damage claims … communication between the obstetrician and anesthesiologist are identified as preventable causes of newborn

56. Proactive prevention of maternal death from maternal hemorrhage. | PSNet
    psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage
    January 15, 2020 - October 6, 2021 Association of unexpected newborn deaths with changes in obstetric and … January 20, 2021 Wrong-patient ordering errors in peripartum mother-newborn pairs: a

57. Iatrogenic Disease. | PSNet
    psnet.ahrq.gov/issue/iatrogenic-disease
    March 19, 2008 - medication errors in obstetrics, anesthetic complications, and a variety of iatrogenic conditions affecting neonates … June 15, 2011 View More Related Resources Maintaining maternal-newborn

58. Neonatal near-miss audits: a systematic review and a call to action. | PSNet
    psnet.ahrq.gov/issue/neonatal-near-miss-audits-systematic-review-and-call-action
    August 04, 2021 - January 15, 2025 Health professionals' experiences of whistleblowing in maternal and newborn … March 3, 2021 Association of unexpected newborn deaths with changes in obstetric and

59. Wrong-patient orders in obstetrics. | PSNet
    psnet.ahrq.gov/issue/wrong-patient-orders-obstetrics
    September 23, 2020 - Resources From the Same Author(s) Wrong-patient ordering errors in peripartum mother-newborn … November 11, 2020 Wrong-patient ordering errors in peripartum mother-newborn pairs: a

60. Risk management, or just a different risk? | PSNet
    psnet.ahrq.gov/issue/risk-management-or-just-different-risk
    April 12, 2011 - From the Same Author(s) Risk management, or just a different risk: a national survey of newborn … October 6, 2011 Risk management, or just a different risk: a national survey of newborn