AHRQ Patient Safety Network

The Collection > Neonatology and Intensive Care

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Safety Target

•Device-related Complications (20)

•Diagnostic Errors (9)

•Identification Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (16)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (65)

•Medical Complications (31)

•Nonsurgical Procedural Complications (7)

•Surgical Complications (4)

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•Asia (6)

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•Journal Article (119)

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•Newspaper/Magazine Article (22)

•Special or Theme Issue (5)

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Error Types

•Epidemiology of Errors and Adverse Events (48)

•Active Errors (34)

•Latent Errors (9)

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Approach to Improving Safety

•Quality Improvement Strategies (31)

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•Error Reporting and Analysis (40)

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•Technologic Approaches (33)

•Education and Training (31)

Clinical Areas
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Neonatology and Intensive Care

Target Audience

•Health Care Providers (101)

•Health Care Executives and Administrators (109)

•Non-Health Care Professionals (32)

•Patients (18)

Setting of Care

•Hospitals (139)

•Ambulatory Care (2)

•Patient Transport (2)

1 - 20 of 158

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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.

MEETING/CONFERENCE PROCEEDINGS

Safety in the NICU: preventing medical errors.

Stokowski LA. Highlights of the National Association of Neonatal Nurses 22nd Annual Conference [Medscape.com]. March 8, 2007.

COMMENTARY

Failure to rescue in neonatal care.

Gephart SM, McGrath JM, Effken JA. J Perinat Neonatal Nurs. 2011;25:275-282.

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

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.

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

Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal intensive care units.

De Giorgi I, Fonzo-Christe C, Cingria L, et al. Int J Qual Health Care. 2010;22:170-178.

STUDY

Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units.

Larson EL, Cimiotti J, Haas J, et al. Arch Pediatr Adolesc Med. 2005;159:377-383.

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

Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit.

Grant MJ, Larsen GY. J Nurs Care Qual. 2007;22:213-221.

STUDY

Toward learning from patient safety reporting systems.

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

STUDY

Speaking up and sharing information improves trainee neonatal resuscitations.

Katakam LI, Trickey AW, Thomas EJ. J Patient Saf. 2012;8:202-209.

STUDY

Computerized order entry with limited decision support to prevent prescription errors in a PICU.

Kadmon G, Bron-Harlev E, Nahum E, Schiller O, Haski G, Shonfeld T. Pediatrics. 2009;124:945-950.

NEWSPAPER/MAGAZINE ARTICLE

Another tragic parenteral nutrition compounding error.

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

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

Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, an observational study.

de Neef M, Bos AP, Tol D. Intensive Crit Care Nurs. 2009;25:341-347.

REVIEW

Patient safety in the NICU: a comprehensive review.

Samra HA, McGrath JM, Rollins W. J Perinat Neonatal Nurs. 2011;25:123-132.

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.

AUDIOVISUAL

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

The Oprah Winfrey Show. March 10, 2009.

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.

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