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psnet.ahrq.gov/issue/speaking-and-sharing-information-improves-trainee-neonatal-resuscitations
April 08, 2011 - 2016
Association of open communication and the emotional and behavioural impact of medical … September 12, 2018
Intralipid medication errors in the neonatal intensive care unit. … January 5, 2017
A systematic review of teamwork in the intensive care unit: what do we … April 16, 2014
Building collaborative teams in neonatal intensive care. … August 9, 2006
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Intensive Care Units
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psnet.ahrq.gov/issue/review-computerized-physician-handoff-tools-improving-quality-patient-care
September 07, 2011 - perception of medication administration errors and factors associated with their reporting in the neonatal intensive … Prevalence, causes and severity of medication administration errors in the neonatal intensive … Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … Related Resources
Identifying what is known about improving operating room to intensive … reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical
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psnet.ahrq.gov/issue/standardized-orders-titrating-vasopressors-do-efforts-improve-safety-slow-delivery-care
March 20, 2019 - Examining the frequency, types and senders of pages in academic medical services. … Prompting rounding teams to address a daily best practice checklist in a pediatric intensive … Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive … May 25, 2011
The ability of intensive care units to maintain zero central line–associated … March 2, 2011
Prevention of intravenous drug incompatibilities in an intensive care unit
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psnet.ahrq.gov/issue/attitudes-and-barriers-medical-emergency-team-system-tertiary-paediatric-hospital
April 11, 2011 - Study
Attitudes and barriers to a medical emergency team system at a tertiary paediatric … Attitudes and barriers to a Medical Emergency Team system at a tertiary paediatric hospital. … Attitudes and barriers to a Medical Emergency Team system at a tertiary paediatric hospital. … April 11, 2011
Interventions to reduce medication errors in pediatric intensive care. … Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
June 01, 2005 - Pronovost: When I was a fourth-year medical student at Johns Hopkins, my dad died from a medical mistake—his … Clinicians reviewing medical records often disagree in labeling cases as adverse events from medical … Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. … Effect of reducing interns' work hours on serious medical errors in intensive care units. … to size of intensive care unit and physician management model.
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psnet.ahrq.gov/issue/3-year-study-medication-incidents-acute-general-hospital
July 15, 2020 - 2020
Association of pediatric resident physician depression and burnout with harmful medical … The Critical Care Safety Study: the incidence and nature of adverse events and serious medical … errors in intensive care. … Association between mobile telephone interruptions and medication administration errors in a pediatric intensive … qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive
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psnet.ahrq.gov/issue/effect-illness-severity-and-comorbidity-patient-safety-and-adverse-events
December 01, 2011 - These findings are supported by the fact that intensive care unit patients have consistently been shown … June 23, 2021
Lifetime prevalence and correlates of patient-perceived medical errors … July 2, 2014
Specialty-based, voluntary incident reporting in neonatal intensive care … February 23, 2011
Coming clean on medical mistakes. … April 4, 2007
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Intensive Care Units
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psnet.ahrq.gov/issue/bipartisan-consensus-public-wants-well-rested-medical-residents-help-ensure-safe-patient-care
July 06, 2011 - Book/Report
Bipartisan Consensus: The Public Wants Well-Rested Medical Residents … Citation Text:
Bipartisan Consensus: The Public Wants Well-Rested Medical Residents to Help Ensure … qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive … January 31, 2018
Medical residents angered at extended work hours. … Patient safety, resident well-being and continuity of care with different resident duty schedules in the intensive
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digital.ahrq.gov/funding-mechanism/demonstrating-value-health-information-technology
January 01, 2023 - the Value of Health Information Technology
Medication safety in two intensive … Medication safety in two intensive care units of a community teaching hospital after electronic health … Carayon, Pascale
Project Name
Computer-Based Provider Order Entry (CPOE) Implementation in Intensive … Dashboards in an Electronic Health Record (EHR)
Prediction of early readmission in medical … Prediction of early readmission in medical inpatients using the Probability of Repeated Admission instrument
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psnet.ahrq.gov/issue/harmed-patients-gaining-voice-challenging-dominant-perspectives-construction-medical-harm-and
March 18, 2020 - Harmed patients gaining voice: challenging dominant perspectives in the construction of medical … Harmed patients gaining voice: challenging dominant perspectives in the construction of medical harm … Harmed patients gaining voice: challenging dominant perspectives in the construction of medical harm … perception of medication administration errors and factors associated with their reporting in the neonatal intensive … Prevalence, causes and severity of medication administration errors in the neonatal intensive
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psnet.ahrq.gov/issue/evaluation-harm-associated-high-dose-range-clinical-decision-support-overrides-intensive-care
August 17, 2018 - Evaluation of harm associated with high dose-range clinical decision support overrides in the intensive … Evaluation of Harm Associated with High Dose-Range Clinical Decision Support Overrides in the Intensive … clinical decision support for medication dosing is needed to balance safety with alert fatigue in the intensive … Evaluation of Harm Associated with High Dose-Range Clinical Decision Support Overrides in the Intensive … Prospective evaluation of medication-related clinical decision support over-rides in the intensive
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psnet.ahrq.gov/issue/preventable-medication-harm-across-health-care-settings-systematic-review-and-meta-analysis
July 31, 2019 - The highest rates of preventable medication harm were seen in elderly patient care settings, intensive … the Same Author(s)
Prevalence, severity, and nature of preventable patient harm across medical … Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive … February 1, 2010
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Researchers
Intensive
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www.ahrq.gov/hai/pfp/haccost2017-ref.html
May 01, 2023 - Medical error—the third leading cause of death in the US. BMJ . 2016 May;353:i2139. … Industry Data, General medical and surgical hospitals (series PCU622110). … How are the costs of care for medical falls distributed? … The costs of medical falls by component of cost, timing, and injury severity. … a suburban medical center.
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psnet.ahrq.gov/innovation/esimpler-dynamic-electronic-health-record-integrated-checklist-clinical-decision-support
June 16, 2021 - converted to web-based platform in 2011) used during daily interdisciplinary rounds in the pediatric intensive … mortality in emergency general surgery patients using a regional health system integrated electronic medical … July 31, 2023
Understanding medication safety involving patient transfer from intensive … Innovations
The University of Michigan Emergency Critical Care Center (EC3) Provides Timely Intensive … September 1, 2008
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Intensive Care
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/learning_pt_narratives_053123-schlesinger.pdf
April 01, 2022 - frequently
0 20 40 60 80
Other Provider
Staff
Nurse
Patient Financial Advisor
Supervisors/Administr…
Medical … …
Have Seen Comments…
0 5 10 15 20 25 30
Other Provider
Nurse
Patient Financial…
Physician or…
Medical … Assistant
Staff (e.g.,…
Supervisors/Adminis…
Saw Comments Frequently…
Diffusion and Exposure 2:
Intensive … Interview Findings
• Preliminary Assessment and Diffusion through Practice Administrators
Medical … on Patient Experience
Diffusion and Exposure 1: Staff Survey Results
Diffusion and Exposure 2: Intensive
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www.ahrq.gov/news/newsroom/case-studies/201524.html
August 01, 2015 - Health Care in eastern Wisconsin reduced central line-associated bloodstream infections (CLABSI) in intensive … "We had such success with CUSP in the intensive care units, that, starting in 2013, we expanded our efforts … Patient Safety Culture, which helps hospitals assess staff perspectives on patient safety issues, medical
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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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digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-solutions-accurate-reporting-data-interprofessional/citation/simulation
January 01, 2023 - electronic health records environment to evaluate the structure and accuracy of notes generated by medical … electronic health records environment to evaluate the structure and accuracy of notes generated by medical … Project Name
Electronic Health Record Solutions for Accurate Reporting of Data on Interprofessional Intensive … Care Unit Rounds
Technology
Electronic Health Record/Electronic Medical Record
Document