The role of critical incident monitoring in detection and prevention of human breast milk confusions

European Journal of Pediatrics

Volumn 168, Issue 10, 2009, Pages 1277-1279

  Zeilhofer, Ulrike B ^a   Frey, Bernhard ^a   Zandee, Jeanette ^a   Bernet, Vera ^a  

^a UNIVERSITY CHILDREN S HOSPITAL   (Switzerland)

Author keywords

Breast milk; Critical incident monitoring; Newborn

Indexed keywords

ARTICLE; BREAST MILK; HUMAN; MEDICAL ERROR; NEWBORN CARE; NEWBORN MONITORING; PATIENT SAFETY; PRIORITY JOURNAL;

CHI-SQUARE DISTRIBUTION; FEMALE; HUMANS; INFANT, NEWBORN; INTENSIVE CARE UNITS, NEONATAL; MEDICAL ERRORS; MILK, HUMAN; QUALITY ASSURANCE, HEALTH CARE; TASK PERFORMANCE AND ANALYSIS;

EID: 69049104206     PISSN: 03406199     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00431-008-0917-5     Document Type: Article

References (11)

1. AD Calabrese BL Erstad K Brandl, et al. 2001 Medication administration errors in adult patients in the ICU Intensive Care Med 27 1592 1598
2. GL Cochran KJ Jones J Brockman A Skinner RW Hicks 2007 Errors prevented by and associated with bar-code medication administration systems Jt Comm J Qual Patient Saf 33 293 301
3. DJ Cullen DW Bates SD Small, et al. 1995 The incident reporting system does not detect adverse drug events: a problem for quality improvement Jt Comm J Qual Improv 21 541 548
4. D Dougherty V Giles 2000 From breast to baby: quality assurance for breast milk management Neonatal Netw 19 21 25
5. D Drenckpohl L Bowers H Cooper 2007 Use of the six sigma methodology to reduce incidence of breast milk administration errors in the NICU Neonatal Netw 26 161 166
6. Fischer A. Baby in Zürcher Spital verwechselt. 20 Minuten, Tamedia, Zürich, 6. December 2007
7. B Frey V Buettiker MI Hug, et al. 2002 Does critical incident reporting contribute to medication error prevention? Eur J Pediatr 161 594 599
8. JE Gray G Suresh R Ursprung, et al. 2006 Patient misidentification in the neonatal intensive care unit: quantification of risk Pediatrics 117e 43 47
9. D Kotronias N Kapranos 1999 Detection of herpes simplex virus DNA in maternal breast milk by in situ hybridization with thyramide signal amplification In Vivo 13 463 466
10. LL Leape 1997 A systems analysis approach to medical error J Eval Clin Pract 3 213 222
11. JB Ziegler D Cooper R Johnson, et al. 1985 Postnatal transmission of AIDS-associated metrovirus from mother to infant Lancet 1 896 898