AHRQ Patient Safety Network

The Collection > Neonatology and Intensive Care

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Safety Target

•Device-related Complications (14)

•Diagnostic Errors (9)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (15)

•Fatigue and Sleep Deprivation (2)

•Medication Safety (57)

•Medical Complications (27)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (4)

•Transfusion Complications (1)

•Psychological and Social Complications (1)

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•Asia (3)

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Resource Types

•Journal Article (101)

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•Newspaper/Magazine Article (21)

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•Special or Theme Issue (5)

•Tools/Toolkit (2)

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Error Types

•Epidemiology of Errors and Adverse Events (39)

•Active Errors (31)

•Latent Errors (9)

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Approach to Improving Safety

•Quality Improvement Strategies (28)

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•Error Reporting and Analysis (33)

•Communication Improvement (22)

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•Specialization of Care (14)

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•Culture of Safety (19)

•Technologic Approaches (31)

•Education and Training (29)

Clinical Areas
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Neonatology and Intensive Care

Target Audience

•Health Care Providers (97)

•Health Care Executives and Administrators (95)

•Non-Health Care Professionals (28)

•Patients (17)

Setting of Care

•Hospitals (121)

•Ambulatory Care (2)

•Patient Transport (2)

1 - 20 of 139

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COMMENTARY

Failure to Latch

Rodriguez M., Mannel R., Frye D. MN AHRQ WebM&M [serial online]. September 2008.

REVIEW

Perinatal high reliability.

Knox GE, Simpson KR. Am J Obstet Gynecol. 2011;204: 373-377.

SPECIAL OR THEME ISSUE

Patient Safety and Quality.

Lyndon A, Simpson KR, Bakewell-Sachs S, eds. J Perinat Neonat Nurs. 2010;24:1-89.

REVIEW

Changing practice to improve patient safety and quality of care in perinatal medicine.

Kaplan HC, Ballard J. Am J Perinatol. 2012;29:35-42.

SPECIAL OR THEME ISSUE

Patient Safety During Perinatal and Neonatal Care.

Am J Perinatol. 2012;29:1-70.

NEWSPAPER/MAGAZINE ARTICLE

Mother claims hospital error kept her from newborn daughter.

Barbella M. Drug Topics. October 8, 2007;151:18.

STUDY

Teamwork and quality during neonatal care in the delivery room.

Thomas EJ, Sexton JB, Lasky RE, Helmreich RL, Crandell DS, Tyson J. J Perinatol. 2006;26:163-169.

COMMENTARY

Perinatal patient safety from the perspective of nurse executives: a round table discussion.

Thorman KE, Capitulo KL, Dubow J, Hanold K, Noonan M, Wehmeyer J. J Obstet Gynecol Neonatal Nurs. 2006;35:409-416.

AUDIOVISUAL PRESENTATION

Mix-up: baby nursed by wrong mother.

Cisneros N. ABC-7/KGO-TV. June 10, 2006.

STUDY

Teamwork behaviours and errors during neonatal resuscitation.

Williams AL, Lasky RE, Dannemiller JL, Andrei AM, Thomas EJ. Qual Saf Health Care. 2010;19:60-64.

COMMENTARY

The road to zero preventable birth injuries.

Mazza F, Kitchens J, Akin M, et al. Jt Comm J Qual Patient Saf. 2008;34:201-205.

STUDY

Family alert: implementing direct family activation of a pediatric rapid response team.

Ray EM, Smith R, Massie S, et al. Jt Comm J Qual Patient Saf. 2009;35:575-580.

COMMENTARY

System errors in intrapartum electronic fetal monitoring: a case review.

Miller LA. J Midwifery Womens Health. 2005;50:507-516.

GRANT ANNOUNCEMENT

Patient Safety Research During Neonatal Care.

Bethesda, MD: National Institutes of Health. PAR-11-225; PAR-11-226; PAR-11-227.

COMMENTARY

In situ simulation: a method of experiential learning to promote safety and team behavior.

Miller KK, Riley W, Davis S, Hansen HE. J Perinat Neonatal Nurs. 2008;22:105-113.

NEWSPAPER/MAGAZINE ARTICLE

National safety effort targets perinatal injuries.

O'Reilly KB. American Medical News. June 16, 2008;15:17.

SPECIAL OR THEME ISSUE

Iatrogenic Disease.

Hermansen MC, ed. Clin Perinatal. 2008;35:1-292.

COMMENTARY

One intensive care nursery's experience with enhancing patient safety.

Alton M, Mericle J, Brandon D. Adv Neonatal Care. 2006;6:112-119.

COMMENTARY

Misgivings.

Farlow B. Hastings Cent Rep. 2009;39:19-21.

COMMENTARY

A case of the birth and death of a high reliability healthcare organisation.

Roberts KH, Madsen P, Desai V, Van Stralen D. Qual Saf Health Care. 2005;14:216-220.

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