AHRQ Patient Safety Network

The Collection > Neonatology and Intensive Care

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Safety Target

•Device-related Complications (15)

•Diagnostic Errors (8)

•Identification Errors (5)

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

•Fatigue and Sleep Deprivation (3)

•Medication Safety (56)

•Medical Complications (24)

•Nonsurgical Procedural Complications (5)

•Surgical Complications (4)

Origin/Sponsor

Resource Types

•Journal Article (93)

•Meeting/Conference (1)

•Newspaper/Magazine Article (20)

•Special or Theme Issue (5)

•Tools/Toolkit (2)

•Web Resource (1)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (35)

•Active Errors (33)

•Latent Errors (10)

•Near Miss (3)

Approach to Improving Safety

•Quality Improvement Strategies (27)

•Legal and Policy Approaches (9)

•Error Reporting and Analysis (29)

•Communication Improvement (20)

•Human Factors Engineering (22)

•Teamwork (17)

•Specialization of Care (10)

•Logistical Approaches (13)

•Culture of Safety (18)

•Technologic Approaches (32)

•Education and Training (27)

Clinical Areas
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Neonatology and Intensive Care

Target Audience

•Health Care Providers (87)

•Health Care Executives and Administrators (90)

•Non-Health Care Professionals (26)

•Patients (17)

Setting of Care

•Hospitals (114)

•Ambulatory Care (2)

1 - 20 of 130

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NEWSPAPER/MAGAZINE ARTICLE

Officials investigate infants' heparin OD at Texas hospital.

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

COMMENTARY

White blood cell left shift in a neonate: a case of mistaken identity.

Mohamed IS, Wynn RJ, Cominsky K, et al. J Perinatol. 2006;26:378-380.

COMMENTARY

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

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

AUDIOVISUAL

Nebraska Medical Center investigates staff after girl's death.

Luby R. KETV. Omaha, NE. March 31, 2010.

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.

NEWSPAPER/MAGAZINE ARTICLE

Dennis Quaid's Quest.

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

STUDY

Intralipid medication errors in the neonatal intensive care unit.

Chuo J, Lambert G, Hicks RW. Jt Comm J Qual Patient Saf. 2007;33:104-111.

STUDY

Patient misidentification in the neonatal intensive care unit: quantification of risk.

Gray JE, Suresh G, Ursprung R, et al. Pediatrics. 2006;117:e43-e47.

STUDY

The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU.

Profit J, Etchegaray J, Petersen LA, et al. Arch Dis Child Fetal Neonatal Ed. 2012;97:F127-F132.

STUDY

Speaking up and sharing information improves trainee neonatal resuscitations.

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

AUDIOVISUAL PRESENTATION

Mix-up: baby nursed by wrong mother.

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

NEWSPAPER/MAGAZINE ARTICLE

Parents asking hospital for answers in death of infant.

News 3 Las Vegas (KVBC/DT). December 7, 2006.

TOOLKIT

Perinatal SBAR Tools.

Institute for Healthcare Improvement.

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

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

AUDIOVISUAL

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

The Oprah Winfrey Show. March 10, 2009.

NEWSPAPER/MAGAZINE ARTICLE

Safety shortcomings spotted in Sunrise catheter case.

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

COMMENTARY

Failure to Latch

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

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