AHRQ Patient Safety Network

The Collection > Neonatology and Intensive Care

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Safety Target

•Device-related Complications (17)

•Diagnostic Errors (7)

•Identification Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (13)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (64)

•Medical Complications (30)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (3)

•Transfusion Complications (1)

•Psychological and Social Complications (1)

Origin/Sponsor

•Asia (4)

•Australia and New Zealand (3)

•Central and South America (3)

Resource Types

•Journal Article (110)

•Meeting/Conference (1)

•Newspaper/Magazine Article (22)

•Press Release/Announcement (1)

•Special or Theme Issue (5)

•Tools/Toolkit (2)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (46)

•Active Errors (33)

•Latent Errors (9)

•Near Miss (3)

Approach to Improving Safety

•Quality Improvement Strategies (27)

•Legal and Policy Approaches (9)

•Error Reporting and Analysis (35)

•Communication Improvement (22)

•Human Factors Engineering (24)

•Teamwork (18)

•Specialization of Care (16)

•Logistical Approaches (13)

•Culture of Safety (21)

•Technologic Approaches (34)

•Education and Training (30)

Clinical Areas
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Neonatology and Intensive Care

Target Audience

•Health Care Providers (98)

•Health Care Executives and Administrators (102)

•Non-Health Care Professionals (31)

•Patients (17)

Setting of Care

•Hospitals (131)

•Ambulatory Care (2)

1 - 20 of 148

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NEWSPAPER/MAGAZINE ARTICLE

Parents sue over babies' heparin overdoses: infants were given too much heparin at Methodist Hospital.

Higgins W. Indianapolis Star. September 13, 2008;News section:A1

NEWSPAPER/MAGAZINE ARTICLE

Baby's death spotlights safety risks linked to computerized systems.

Graham J, Dizikes C. Chicago Tribune. June 27, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Dennis Quaid's Quest.

Grant M. AARP The Magazine. September/October 2010;53:48-51,90-91.

AUDIOVISUAL PRESENTATION

Mix-up: baby nursed by wrong mother.

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

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.

AUDIOVISUAL

Medical Mistakes: Dr. Oz Talks to Actor Dennis Quaid.

The Oprah Winfrey Show. March 10, 2009.

NEWSPAPER/MAGAZINE ARTICLE

Officials investigate infants' heparin OD at Texas hospital.

Vonfremd M, Ibanga I. ABC News.com. July 10, 2008.

STUDY

Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project.

Turner K, Frush K, Hueckel R, Relf MV, Thornlow D, Champagne MT. J Nurs Care Qual. 2012 Oct 31; [Epub ahead of print].

COMMENTARY

Quality: performance improvement, teamwork, information technology and protocols.

Coleman NE, Pon S. Crit Care Clin. 2013;29:129-151.

NEWSPAPER/MAGAZINE ARTICLE

Safety shortcomings spotted in Sunrise catheter case.

Harasim P. Las Vegas Review-Journal. November 21, 2010;News:1B.

STUDY

Implementation of Condition Help: family teaching and evaluation of family understanding.

Hueckel RM, Mericle JM, Frush K, Martin PL, Champagne MT. J Nurs Care Qual. 2012;27:176-181.

NEWSPAPER/MAGAZINE ARTICLE

Baby has jaundice: is that a problem?

Zimmerman R. Wall Street Journal. February 6, 2007:A1.

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.

NEWSPAPER/MAGAZINE ARTICLE

Nurse accidentally kills premature son of swine flu victim in Spain.

Tremlett G. Guardian.co.uk; July 13, 2009.

TOOLS/TOOLKIT

Introduction to Trigger Tools for Identifying Adverse Events.

Institute for Healthcare Improvement.

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

Origins of and solutions for neonatal medication-dispensing errors.

Sauberan JB, Dean LM, Fiedelak J, Abraham JA. Am J Health Syst Pharm. 2010;67:49-57.

STUDY

Current teaching and evaluation methods in critical care medicine: has the Accreditation Council for Graduate Medical Education affected how we practice and teach in the intensive care unit?

Chudgar SM, Cox CE, Que LG, Andolsek K, Knudsen NW, Clay AS. Crit Care Med. 2009;37:49-60.

NEWSPAPER/MAGAZINE ARTICLE

Heparin errors continue despite prior, high-profile, fatal events.

ISMP Medication Safety Alert! Acute Care Edition. July 17, 2008;13:1-2.

AUDIOVISUAL

The Wrong Medicine: Quaid on Medical Mistakes

"60 Minutes." CBS News Video. March 16, 2008.

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