@article{6430, author = {Tonse N K Raju and Gautham Suresh and Rosemary D. Higgins}, title = {Patient safety in the context of neonatal intensive care: research and educational opportunities.}, abstract = {

Case reports and observational studies continue to report adverse events from medical errors. However, despite considerable attention to patient safety in the popular media, this topic is not a regular component of medical education, and much research needs to be carried out to understand the causes, consequences, and prevention of healthcare-related adverse events during neonatal intensive care. To address the knowledge gaps and to formulate a research and educational agenda in neonatology, the Eunice Kennedy Shriver National Institute of Child Health and Human Development invited a panel of experts to a workshop in August 2010. Patient safety issues discussed were the reasons for errors, including systems design, working conditions, and worker fatigue; a need to develop a "culture" of patient safety; the role of electronic medical records, information technology, and simulators in reducing errors; error disclosure practices; medicolegal concerns; and educational needs. Specific neonatology-related topics discussed were errors during resuscitation, mechanical ventilation, and performance of invasive procedures; medication errors including those associated with milk feedings; diagnostic errors; and misidentification of patients. This article provides an executive summary of the workshop.

}, year = {2011}, journal = {Pediatr Res}, volume = {70}, pages = {109-15}, month = {07/2011}, issn = {1530-0447}, doi = {10.1203/PDR.0b013e3182182853}, language = {eng}, }