AHRQ Patient Safety Network

The Collection > Neonatology and Intensive Care

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Safety Target

•Device-related Complications (19)

•Diagnostic Errors (8)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (14)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (59)

•Medical Complications (30)

•Nonsurgical Procedural Complications (5)

•Surgical Complications (2)

•Psychological and Social Complications (1)

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•Asia (6)

•Australia and New Zealand (3)

•Central and South America (3)

Resource Types

•Journal Article (112)

•Meeting/Conference (1)

•Newspaper/Magazine Article (16)

•Press Release/Announcement (1)

•Special or Theme Issue (4)

•Tools/Toolkit (1)

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Error Types

•Epidemiology of Errors and Adverse Events (48)

•Active Errors (31)

•Latent Errors (9)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (30)

•Legal and Policy Approaches (8)

•Error Reporting and Analysis (39)

•Communication Improvement (18)

•Human Factors Engineering (24)

•Teamwork (15)

•Specialization of Care (16)

•Logistical Approaches (14)

•Culture of Safety (23)

•Technologic Approaches (30)

•Education and Training (24)

Clinical Areas
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Neonatology and Intensive Care

Target Audience

•Health Care Providers (92)

•Health Care Executives and Administrators (103)

•Non-Health Care Professionals (31)

•Patients (14)

Setting of Care

•Hospitals (126)

•Ambulatory Care (2)

•Patient Transport (2)

1 - 20 of 143

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STUDY

Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists.

Schulman J, Stricof R, Stevens TP, et al; New York State Regional Perinatal Care Centers. Pediatrics. 2011;127:436-444.

STUDY

Toward learning from patient safety reporting systems.

Pronovost PJ, Thompson DA, Holzmueller CG, et al. J Crit Care. 2006;21:305-315.

STUDY

Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system.

Morriss FH, Jr, Abramowitz PW, Nelson SP, Milavetz G, Michael SL, Gordon SN. Am J Health Syst Pharm. 2011;68:57-62.

STUDY

Prevalence of adverse events in pediatric intensive care units in the United States.

Agarwal S, Classen D, Larsen G, et al. Pediatr Crit Care Med. 2010;11:568-578.

STUDY

Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study.

Morriss FH Jr, Abramowitz PW, Nelson SP, et al. J Pediatr. 2009;197:678-685.

STUDY

Pediatric safety incidents from an intensive care reporting system.

Skapik JL, Pronovost PJ, Miller MR, Thompson DA, Wu AW. J Patient Saf. 2009;5:95-101.

STUDY

Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children.

Uppal N, Yasseen B, Seto W, Parshuram CS. CMAJ. 2011;183:E246-E248.

STUDY

Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement.

Nowak JE, Brilli RJ, Lake MR, et al. Pediatr Crit Care Med. 2010;11:579-587.

STUDY

Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units.

Mayer CM, Cluff L, Lin WT, et al. Jt Comm J Qual Patient Saf. 2011;37:365-374.

STUDY

NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit.

Stavroudis TA, Shore AD, Morlock L, Hicks RW, Bundy D, Miller MR. J Perinatol. 2010;30:459-468.

STUDY

Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit.

Buckley MS, Erstad BL, Kopp BJ, Theodorou AA, Priestley G. Pediatr Crit Care Med. 2007;8:145-152.

REVIEW

The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review.

van Rosse F, Maat B, Rademaker CMA, van Vught AJ, Egberts ACG, Bollen CW. Pediatrics. 2009;123:1184-1190.

STUDY

Adverse drug events in a paediatric intensive care unit: a prospective cohort.

Silva DCB, Araujo OR, Arduini RG, Alonso CFR, Shibata ARO, Troster EJ. BMJ Open. 2013;3:ee001868.

STUDY

Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit.

Silas R, Tibballs J. Qual Saf Health Care. 2010;19:568-571.

REVIEW

Critical incident monitoring in paediatric and adult critical care: from reporting to improved patient outcomes?

Frey B, Schwappach D. Curr Opin Crit Care. 2010;16: 649-653.

COMMENTARY

Breakage of a PICC Line

Dimov V. AHRQ WebM&M [serial online]. April 2009.

STUDY

Reduction in hospital mortality over time in a hospital without a pediatric medical emergency team: limitations of before-and-after study designs.

Joffe AR, Anton NR, Burkholder SC. Arch Pediatr Adolesc Med. 2011;165:419-423.

STUDY

Impact of computerized orders for pediatric continuous drug infusions on detecting infusion pump programming errors: a simulated study.

Sowan AK, Gaffoor MI, Soeken K, Johantgen ME, Vaidya VU. J Pediatr Nurs. 2010;25:108-118.

STUDY

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.

NEWSPAPER/MAGAZINE ARTICLE

Another tragic parenteral nutrition compounding error.

ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3.

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