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Thumbnail associated with Event Reporting story titled: Newborn Tragedy Inspires Safety Interventions
Newborn Tragedy Inspires Safety Interventions
OB/GYN
Pediatric
The birth of a couple’s first child went from one of the most exciting moments of their lives to a nightmare no parent ever wants to have, following a long and complicated delivery that required an uncommonly used vacuum extraction delivery.
Thumbnail associated with Event Reporting story titled: Bringing Awareness to Infant Falls
Bringing Awareness to Infant Falls
Fall​s
OB/GYN
Pediatric
While reviewing high harm events, a Patient Safety Authority analyst noted a report describing the near-death of a newborn after the mother fell asleep with the baby in her arms.
Thumbnail associated with Event Reporting story titled: Drug Mix-Up in High-Risk Pregnancy Prompts Medication Process Changes
Drug Mix-Up in High-Risk Pregnancy Prompts Medication Process Changes
Medication
OB/GYN
A woman in her second trimester (24 weeks gestation), who had experienced two prior fetal losses at 18 and 20 weeks respectively and had undergone a cervical cerclage (closing the cervix with stitches to hold a pregnancy) about a month earlier, presented to the hospital with intermittent contractions.