Distinct newborn identification requirement.

Newspaper/Magazine Article

Distinct newborn identification requirement.

July 11, 2018

R3 Report. June 25, 2018;7:1-2.

Neonatal patients are at risk for misidentification due to communication challenges and lack of distinguishable features. This report highlights new Joint Commission requirements to reduce errors related to newborn misidentification.

Free full text (PDF)

Available at

Related Resources From the Same Author(s)

Pain assessment and management standards for hospitals.

September 6, 2017

National patient safety goal to improve health care equity.

February 8, 2023

PC standards for maternal safety.

September 11, 2019

Health IT Patient Safety Supplemental Items for Hospitals.

July 18, 2018

How communications issues between doctors and nurses can affect your health.

September 19, 2018

FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing.

February 24, 2022 - February 24, 2022

Leadership Survey: Immunization Against Burnout: Insights Report.

May 9, 2018

A Randomized Field Study of a Leadership WalkRounds-Based Intervention.

September 5, 2012

Hospitals installed more sinks to stop infections. The sinks can make the problem worse.

November 9, 2016

Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths.

July 13, 2005

8 ways to prevent medication errors in kids.

May 12, 2010

Is surgery safer at a teaching hospital?

November 12, 2014

When doctors get the wrong patient.

October 5, 2016

Nursing homes fined for COVID infection control lapses.

December 9, 2020

We Can’t Do This Alone! The Role That Patients, Family Members, and the General Public Play in Advancing Patient Safety.

January 27, 2022 - January 27, 2022

Ambulance crew in Chicago got lost trying to find hospital.

November 7, 2007

Rx for a better prescription. Hospital bans doctors from using confusing medical abbreviations.

October 5, 2005

Surviving a bad diagnosis.

September 28, 2016

As doctors age, worries about their ability grow.

February 9, 2011

Hospitals own up to errors.

September 2, 2009

Sick children face potentially deadly danger: medication errors.

October 5, 2016

Death of a boy prompts new medical efforts nationwide.

November 7, 2012

Black or 'other'? Doctors may be relying on race to make decisions about your health.

May 5, 2021

Why false positives merit concern, too.

November 4, 2020

Are vital home health workers now a safety threat?

April 8, 2020

A crisis within a crisis.

September 15, 2021

The consumer: and now, a warning about labels.

November 9, 2005

Cybersecurity is Patient Safety: Policy Options in the Health Care Sector.

December 14, 2022

Unprofessional Behavior Leads to Complications.

April 1, 2020

What's in a name? Newborn naming conventions and wrong-patient errors.

May 8, 2019

A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays.

March 11, 2020

The five rights: a destination without a map.

February 7, 2007

"Use as directed" can cause confusion for both patients and practitioners.

September 14, 2016

Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors.

March 9, 2016

AHRQ Health Services Research Projects: Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R01).

March 4, 2015

A recurring call to action: every healthcare organization needs a medication safety officer!

March 10, 2021

How implicit bias harms patient care.

December 18, 2019

Safety still compromised by computer weaknesses.

September 7, 2005

Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime.

September 7, 2022

Tamiflu (oseltamivir) for oral suspension: potential medication errors.

October 7, 2009

Serious adverse events from accidental ingestion by children of over-the-counter eye drops and nasal sprays.

November 7, 2012

FDA requires label warnings to prohibit sharing of multi-dose diabetes pen devices among patients.

March 11, 2015

Diagnostic experiences of children with attention-deficit/hyperactivity disorder.

September 30, 2015

ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2.

July 18, 2018

Artificial intelligence will improve medical treatments.

June 20, 2018

Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis.

December 18, 2019

Mistakes even good doctors make.

November 13, 2013

Fear of Covid-19 leads other patients to decline critical treatment.

June 3, 2020

AHRQ announces interest in research on diagnostic errors in ambulatory care settings.

November 12, 2008

JCAHO proposal for patient-centered care brings concept to mainstream healthcare settings.

June 29, 2005

AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2016.

June 13, 2018

Medicare takes aim at boomerang hospitalizations of nursing home patients.

June 27, 2018

Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer III Report.

September 2, 2020

Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals.

September 12, 2018

Are second victims getting the help they need?

June 20, 2018

Agent of change.

August 1, 2018

The differences between human error, at-risk behavior, and reckless behavior are key to a just culture.

July 1, 2020

Education is “predictably disappointing” and should never be relied upon alone to improve safety.

June 24, 2020

Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees.

March 9, 2011

Physical and verbal violence against health care workers.

June 18, 2021

Questions and Answers on FDA's Adverse Event Reporting System (FAERS).

September 17, 2008

Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs.

June 27, 2018

Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA.

June 16, 2021

Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened.

July 12, 2006

Health Care Leader Action Guide to Reduce Avoidable Readmissions.

February 10, 2010

Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia.

July 13, 2022

Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas.

July 26, 2023

Deficiencies in Emergency Preparedness for Veterans Health Administration Telemental Health Care at VA Clinic Locations Prior to the Pandemic.

July 14, 2021

Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. Louis Health Care System in Missouri.

August 2, 2023

Critical Deficiencies at the Washington DC VA Medical Center.

March 21, 2018

Surgical fires: decreasing incidence relies on continued prevention efforts.

July 18, 2018

Stakeholder safety communication: patient and family reports on safety risks in hospitals.

October 12, 2022

Qualitative content analysis: a framework for the substantive review of hospital incident reports.

March 23, 2022

Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries.

January 9, 2019

Medical Office Survey on Patient Safety Culture: 2014 User Comparative Database Report.

June 25, 2014

Diagnostic errors reported in primary healthcare and emergency departments: a retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden.

October 9, 2019

Novel telephone-based interactive voice response system for incident reporting.

November 17, 2021

Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic.

October 28, 2020

Artificial intelligence versus clinicians: systematic review of design, reporting standards, and claims of deep learning studies.

May 13, 2020

Improving critical incident reporting in primary care through education and involvement.

October 16, 2019

Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports.

December 16, 2015

Antidepressant and antipsychotic medication errors reported to United States poison control centers.

November 28, 2018

Improving Patient Safety.

March 28, 2007

Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations.

June 24, 2020

Drug shortages amid the COVID-19 pandemic.

February 24, 2021

IV push medications survey results—part 1 and part 2.

November 28, 2018

Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: the RightRx project.

January 10, 2018

Final Report of the Commission on Care.

August 3, 2016

The overlooked danger of delirium in hospitals.

June 24, 2015

The drawbacks of data-driven medicine.

June 26, 2013

Reduce medication errors through following metrics.

June 10, 2009

Machine learning is booming in medicine. It’s also facing a credibility crisis.

June 16, 2021

‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care.

July 5, 2023

Inside the preventable deaths that happened within a prominent transplant center.

June 28, 2023

Engaging Physicians in Teamwork Training for Quality and Safety - Or Why Don’t Your Physicians Get Engaged?

June 8, 2022 - June 8, 2022

Promoting psychosocial well-being of health care staff during crisis.

June 17, 2020

Keeping Nursing Home Residents and Staff Safe in the Era of COVID-19.

June 3, 2020

Transgender patients and diagnostic safety: back to basics.

March 14, 2018

Saying Sorry.

March 26, 2014

Focus on Computerized Provider Order Entry.

January 10, 2007

Related Resources

2022 John M. Eisenberg Patient Safety and Quality Awards.

August 30, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Journal Article

Study

Patient Safety Innovations

Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children

April 7, 2022

WebM&M Cases

Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care

November 30, 2021

Exploring the association between organizational safety climate, failure to rescue, and mortality in inpatient surgical units.

February 3, 2021

WebM&M Cases

Timely diagnosis of esophageal perforation

February 26, 2020

WebM&M Cases

“This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event

January 29, 2020

What is an ethically informed approach to managing patient safety risk during discharge planning?

January 20, 2020

Using video to assess and improve patient safety during simulated and actual neonatal resuscitation.

October 30, 2019

Diagnostic errors in the neonatal intensive care unit: state of the science and new directions.

October 23, 2019

What's in a name? Newborn naming conventions and wrong-patient errors.

May 8, 2019

The wicked problem of patient misidentification: how could the technological revolution help address patient safety?

May 1, 2019

Using incident reports to assess communication failures and patient outcomes.

April 17, 2019

What's in a name? Provider perception of injured John Doe patients.

April 3, 2019

Unintentionally retained guidewires: a descriptive study of 73 sentinel events.

March 20, 2019

Formative evaluation of the video reflexive ethnography method, as applied to the physician–nurse dyad.

February 6, 2019

WebM&M Cases

Diagnostic Failure: The Growing Deficit

February 1, 2019

Implementation of a second victim program in the neonatal intensive care unit: an interim analysis of employee satisfaction.

January 23, 2019

Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient insulin pen errors.

November 21, 2018

How communications issues between doctors and nurses can affect your health.

September 19, 2018

Support strategies for health care professionals who are second victims.

August 1, 2018

Fail-safe patient ID matching remains just out of reach.

July 25, 2018

Safe handling of concentrated electrolyte products from outsourcing facilities during critical drug shortages.

June 13, 2018

Evaluating serial strategies for preventing wrong-patient orders in the NICU.

June 28, 2017

WebM&M Cases

One Dose, Two Errors

December 1, 2016

Statement on the prevention of retained foreign bodies after surgery.

October 1, 2016

Safe implementation of standard concentration infusions in paediatric intensive care.

August 24, 2016

Incorporating indications into medication ordering—time to enter the age of reason.

August 10, 2016

Medication safety in neonatal care: a review of medication errors among neonates.

July 20, 2016

Interventions to improve safe sleep among hospitalized infants at eight children's hospitals.

May 4, 2016

See More About The Topic

Hospitals

Physicians

Nurses

Neonatology and Intensive Care

Wrong Patient