Urgent action alerts on patient safety and public policy advocacy.
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Thermal Injury
February 28, 2017
This is a patient safety alert about how to mitigate injuries from thermal devices (hot or cold) that can cause thermal injuries (e.g., severe burns, ...
Alert
Fingertip Amputation
July 1, 2014
A neonate’s fingertip was amputated with scissors while removing tape around malfunctioning peripheral arterial line.
Alert
Wrong Size Tracheostomy Selection
March 1, 2014
A patient required increased oxygen, ventilator support, sedation and paralytics when the wrong-size cuffed tracheostomy tube was inserted.
Alert
Blind Pediatric NG Tube Placements
August 1, 2012
NG tube placement can lead to complications such as esophageal perforation, bronchopulmonary intubation, pneumothorax, hydrothorax, empyema, and ...