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Updated: Jan 31, 2026

Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography
Published on: January 27, 2023
Diagnostic Errors in the Neonatal Intensive Care Unit: A Case Series.
Grant J Shafer1,2, Gautham Suresh1,2
1Division of Neonatal-Perinatal Medicine, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Diagnostic errors in neonatal intensive care units (NICUs) are common but understudied. This case series highlights 10 nonlethal diagnostic errors, emphasizing the need for more research into NICU diagnostic accuracy.
Area of Science:
- Neonatal Medicine
- Medical Diagnostics
- Patient Safety
Background:
- Diagnostic errors in neonatal intensive care units (NICUs) are not well understood.
- Existing research predominantly relies on autopsy data, overlooking non-fatal diagnostic mistakes.
Observation:
- This case series details 10 instances of nonlethal diagnostic errors within the NICU.
- Errors were categorized based on the specific stage of the diagnostic process involved.
Findings:
- The presented cases confirm that diagnostic errors occur frequently in NICU settings.
- These errors span various components of the diagnostic pathway, from initial assessment to final diagnosis.
Implications:
- Findings underscore the critical need for further investigation into diagnostic error in the NICU.
- Improved understanding can lead to enhanced diagnostic strategies and better patient outcomes for critically ill newborns.
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