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Neonatology and Intensive Care
PATIENT SAFETY PRIMERS
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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
Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections.
Chandonnet CJ, Kahlon PS, Rachh P, et al. Pediatrics. 2013;131:e1961-e1969.
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
Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports.
Snijders C, van Lingen RA, Klip H, Fetter WP, van der Schaaf TW, Molendijk HA, NEOSAFE study group. Arch Dis Child Fetal Neonatal Ed. 2009;94:F210-F215.
STUDY
Neonatal intensive care unit safety culture varies widely.
Profit J, Etchegaray J, Petersen LA, et al. Arch Dis Child Fetal Neonatal Ed. 2012;97:F120-F126.
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
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.
NEWSPAPER/MAGAZINE ARTICLE
Another tragic parenteral nutrition compounding error.
ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3.
STUDY
Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists.
Bauer P, Hoffmann RG, Bragg D, Scanlon MC. Safety Sci. 2013;53:160-167.
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
Toward learning from patient safety reporting systems.
Pronovost PJ, Thompson DA, Holzmueller CG, et al. J Crit Care. 2006;21:305-315.
REVIEW
A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections.
Folgori L, Bielicki J, Sharland M. Arch Dis Child Fetal Neonatal Ed. 2013 May 4; [Epub ahead of print].
COMMENTARY
Breakage of a PICC Line
Dimov V. AHRQ WebM&M [serial online]. April 2009.
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
Building collaborative teams in neonatal intensive care.
Brodsky D, Gupta M, Quinn M, et al. BMJ Qual Saf. 2013;374-382.
REVIEW
Patient safety in the NICU: a comprehensive review.
Samra HA, McGrath JM, Rollins W. J Perinat Neonatal Nurs. 2011;25:123-132.
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.
REVIEW
The high-reliability pediatric intensive care unit.
Niedner MF, Muething SE, Sutcliffe KM. Pediatr Clin North Am. 2013;60:563-580.
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.
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