AHRQ Patient Safety Network

The Collection > Neonatology and Intensive Care

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Safety Target

•Device-related Complications (19)

•Diagnostic Errors (9)

•Identification Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (15)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (66)

•Medical Complications (31)

•Nonsurgical Procedural Complications (7)

•Surgical Complications (4)

•Transfusion Complications (1)

•Psychological and Social Complications (1)

Origin/Sponsor

•Asia (6)

•Australia and New Zealand (3)

•Central and South America (3)

Resource Types

•Journal Article (118)

•Meeting/Conference (1)

•Newspaper/Magazine Article (21)

•Press Release/Announcement (1)

•Special or Theme Issue (5)

•Tools/Toolkit (2)

•Web Resource (1)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (48)

•Active Errors (36)

•Latent Errors (8)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (30)

•Legal and Policy Approaches (10)

•Error Reporting and Analysis (40)

•Communication Improvement (24)

•Human Factors Engineering (26)

•Teamwork (18)

•Specialization of Care (16)

•Logistical Approaches (14)

•Culture of Safety (23)

•Technologic Approaches (33)

•Education and Training (30)

Clinical Areas
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Neonatology and Intensive Care

Target Audience

•Health Care Providers (102)

•Health Care Executives and Administrators (108)

•Non-Health Care Professionals (33)

•Patients (17)

Setting of Care

•Hospitals (139)

•Ambulatory Care (2)

•Patient Transport (1)

1 - 20 of 157

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NEWSPAPER/MAGAZINE ARTICLE

Dennis Quaid's Quest.

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

STUDY

Interruption handling strategies during paediatric medication administration.

Colligan L, Bass EJ. BMJ Qual Saf. 2012;21:912-917.

NEWSPAPER/MAGAZINE ARTICLE

Parents asking hospital for answers in death of infant.

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

COMMENTARY

Quality: performance improvement, teamwork, information technology and protocols.

Coleman NE, Pon S. Crit Care Clin. 2013;29:129-151.

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

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].

AUDIOVISUAL

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

The Oprah Winfrey Show. March 10, 2009.

COMMENTARY

Improving safety throughout the medication use process in a neonatal intensive care unit.

Asdigha MN. Hosp Pharm. 2006;41:1067-1075.

NEWSPAPER/MAGAZINE ARTICLE

Hospital drug errors far from uncommon.

Lin R-G II, Watanabe T. Los Angeles Times. November 22, 2007;A1.

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

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

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

COMMENTARY

Where’s the Feeding Tube?

Metheny MA., Meert KL, AHRQ WebM&M [serial online]. September 2008.

STUDY

Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in paediatric critical care.

Vardi A, Efrati O, Levin I, et al. Resuscitation. 2007;73:400-406.

STUDY

Family alert: implementing direct family activation of a pediatric rapid response team.

Ray EM, Smith R, Massie S, et al. Jt Comm J Qual Patient Saf. 2009;35:575-580.

COMMENTARY

A case of the birth and death of a high reliability healthcare organisation.

Roberts KH, Madsen P, Desai V, Van Stralen D. Qual Saf Health Care. 2005;14:216-220.

STUDY

Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit.

Del Beccaro MA, Jeffries HE, Eisenberg MA, Harry ED. Pediatrics. 2006;118:290-295.

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.

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

Dangerous infections are more likely in pediatric intensive-care units.

Consumer Reports. January 26, 2012.

AUDIOVISUAL PRESENTATION

Mix-up: baby nursed by wrong mother.

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

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