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psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-interventions-operating-room-intensive-care-unit-handoffs
July 08, 2020 - Emerging Classic
Systematic review and meta-analysis of interventions for operating room to intensive … Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs … Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs … August 19, 2020
Standardization of pediatric noncardiac operating room to intensive care … June 17, 2015
Often overlooked problems with handoffs: from the intensive care unit to
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psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
February 23, 2022 - This level placed the patient at risk for life-threatening seizures, so he was admitted to the intensive … symptomatic hyponatremia require close monitoring of serum sodium, urine osmolarity and urine output in an intensive … intensive care unit. … 2013
Developing and testing a tool to measure nurse/physician communication in the intensive … Tight Control
May 1, 2004
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Intensive
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psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain
June 09, 2010 - Classic
Human factor in cardiac surgery: errors and near misses in a high technology medical … The human factor in cardiac surgery: errors and near misses in a high technology medical domain. … The human factor in cardiac surgery: errors and near misses in a high technology medical domain. … Related Resources From the Same Author(s)
Patient handover from surgery to intensive … Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive
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psnet.ahrq.gov/issue/ems-helicopter-crashes-what-influences-fatal-outcome
September 23, 2020 - The authors studied data on emergency medical service helicopter crashes and identified factors that … September 1, 2016
Root cause analysis and actions for the prevention of medical errors … July 31, 2013
Analyzing communication errors in an air medical transport service. … events experienced while transferring the critically ill patient from the emergency department to the intensive … April 19, 2011
Patient safety in intensive care: results from the multinational Sentinel
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psnet.ahrq.gov/issue/paediatric-family-activated-rapid-response-interventions-qualitative-systematic-review
November 24, 2021 - Intensive Crit Care Nurs. 2023;2023(75):103363. doi:10.1016/j.iccn.2022.103363. … Intensive Crit Care Nurs . 2023; 2023 (75) :103363 . … Intensive Crit Care Nurs. 2023;2023(75):103363. doi:10.1016/j.iccn.2022.103363. … April 13, 2022
Critical incidents involving the medical emergency team: a 5-year retrospective … July 7, 2021
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Hospitals
Intensive
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psnet.ahrq.gov/issue/exploring-care-left-undone-pediatric-nursing
October 25, 2017 - April 27, 2022
Patient safety issues from information overload in electronic medical … September 14, 2022
Communication patterns during routine patient care in a pediatric intensive … June 15, 2022
Standardization of pediatric noncardiac operating room to intensive care … June 22, 2022
Supervision, interprofessional collaboration, and patient safety in intensive … nursing care delivery models on quality and safety outcomes of care: A cross‐sectional survey study of medical‐surgical
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psnet.ahrq.gov/issue/hacking-teamwork-health-care-addressing-adverse-effects-ad-hoc-team-composition-critical-care
October 11, 2023 - Effective teamwork is critical to ensuring patient safety, particularly in intensive settings such as … This paper describes a “hackathon” – an intensive problem-solving event commonly used in computer science … January 4, 2012
Emergency department visits for medical device–associated adverse events … Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical … January 8, 2020
Pediatric rapid response teams in the academic medical center.
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psnet.ahrq.gov/issue/promoting-patient-and-nurse-safety-testing-behavioural-health-intervention-learning
May 04, 2022 - A behavioral intervention team (BIT) was deployed on two adult medical-surgical wards to evaluate the … effectiveness of an intensive behavioral management intervention. … March 17, 2021
Support for healthcare workers and patients after medical error through … Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive … 2020
Association of open communication and the emotional and behavioural impact of medical
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psnet.ahrq.gov/issue/cross-sectional-study-relationship-between-utilization-root-cause-analysis-and-patient-safety
January 11, 2017 - between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical … between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical … April 24, 2011
Code debriefing from the Department of Veterans Affairs (VA) Medical Team … August 18, 2010
Suicide attempts and completions on medical-surgical and intensive care … September 26, 2017
Suicide attempts and completions on medical-surgical and intensive
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psnet.ahrq.gov/issue/integrating-cusp-and-trip-improve-patient-safety
June 16, 2011 - January 15, 2014
Assessing and improving safety climate in a large cohort of intensive … , 2012
Sustaining reductions in catheter related bloodstream infections in Michigan intensive … Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive … June 16, 2011
Assessing and improving safety climate in a large cohort of intensive care … January 10, 2011
Assessing and improving safety culture throughout an academic medical
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psnet.ahrq.gov/issue/suicide-medical-setting
April 24, 2018 - Review
Suicide in the medical setting. … Suicide in the medical setting. Jt Comm J Qual Patient Saf. 2008;34(8):474-481. … This review sought to differentiate suicides in hospitalized medical patients from suicides in psychiatric … Suicide in the medical setting. Jt Comm J Qual Patient Saf. 2008;34(8):474-481. … December 23, 2016
Suicide attempts and completions on medical-surgical and intensive
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psnet.ahrq.gov/issue/effect-pediatric-early-warning-system-all-cause-mortality-hospitalized-pediatric-patients
April 24, 2018 - March 5, 2010
The medical emergency team system and not-for-resuscitation orders: results … June 30, 2021
An ethnographic study of health information technology use in three intensive … August 15, 2018
Safe implementation of standard concentration infusions in paediatric intensive … Computerized provider order entry implementation: no association with increased mortality rates in an intensive … January 12, 2011
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Intensive Care Units
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psnet.ahrq.gov/issue/how-will-we-know-patients-are-safer-organization-wide-approach-measuring-and-improving-safety
May 20, 2009 - May 20, 2009
Improving patient safety in intensive care units in Michigan. … January 29, 2015
A system factors analysis of "line, tube, and drain" incidents in the intensive … June 29, 2009
Intensive care unit safety incidents for medical versus surgical patients … , 2011
Sustaining reductions in catheter related bloodstream infections in Michigan intensive … Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive
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psnet.ahrq.gov/issue/patient-safety-medical-imaging-joint-paper-european-society-radiology-esr-and-european
September 30, 2010 - Commentary
Patient safety in medical imaging: a joint paper of the European Society … Patient Safety in Medical Imaging: a joint paper of the European Society of Radiology (ESR) and the European … Download Citation
Related Resources From the Same Author(s)
Patient safety in intensive … September 30, 2010
Errors in administration of parenteral drugs in intensive care units … August 11, 2021
Visual illusions in radiology: untrue perceptions in medical images and
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psnet.ahrq.gov/issue/artificial-intelligence-can-be-regulated-using-current-patient-safety-procedures-and
March 06, 2019 - Artificial intelligence (AI) is being characterized as a medical device that requires guidance to ensure … staff behavior at an academic medical center. … May 30, 2014
The effect of multidisciplinary care teams on intensive care unit mortality … A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive … June 12, 2024
Kentucky first state to decriminalize medical errors.
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psnet.ahrq.gov/issue/can-we-make-postoperative-patient-handovers-safer-systematic-review-literature
June 10, 2015 - Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical … 16, 2022
Systematic review and meta-analysis of interventions for operating room to intensive … January 3, 2017
Often overlooked problems with handoffs: from the intensive care unit … February 29, 2012
Patient handover from surgery to intensive care: using Formula 1 pit-stop … February 6, 2009
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Intensive Care Units
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psnet.ahrq.gov/issue/it-rational-pursue-zero-suicides-among-patients-health-care
October 18, 2023 - A previous WebM&M commentary discussed a suicide attempt on an inpatient medical unit. … Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive … August 19, 2009
The effect of computerised decision support alerts tailored to intensive … Deficiencies in Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical … September 23, 2020
Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical
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psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - shows that medical errors and adverse events occur more frequently in the intensive care unit (ICU) … in intensive care. … Disclosing errors and adverse events in the intensive care unit. … Impact of adverse events on outcomes in intensive care unit patients. … Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II.
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psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-systems-medical-imaging-services-systematic-review
June 14, 2017 - Study
The impact of computerized provider order entry systems on medical-imaging … The impact of computerized provider order entry systems on medical-imaging services: a systematic review … The impact of computerized provider order entry systems on medical-imaging services: a systematic review … and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality in intensive … and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality in intensive
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psnet.ahrq.gov/issue/parent-reported-errors-and-adverse-events-hospitalized-children
June 29, 2009 - Whether patient and family understanding of safety issues aligns with standard definitions of medical … Consistent with prior studies , many of the confirmed errors were not captured in the medical record … errors in intensive care. … Association between mobile telephone interruptions and medication administration errors in a pediatric intensive … October 13, 2018
Physician attitudes toward family-activated medical emergency teams