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psnet.ahrq.gov/issue/critical-care-teamwork-future-role-teamstepps-covid-19-pandemic-and-implications-future
December 14, 2022 - Using interprofessional focus groups, this study explored the perspectives of medical intensive care … effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive … 14, 2023
Interprofessional team collaboration and work environment health in 68 US intensive … 30, 2022
Patient harm and institutional avoidability of out-of-hours discharge from intensive … November 10, 2021
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Intensive Care Units
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digital.ahrq.gov/ahrq-funded-projects/computer-based-provider-order-entry-cpoe-implementation-intensive-care-units/citation/medication
January 01, 2023 - Medication safety in two intensive care units of a community teaching hospital after electronic health … 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 … Technology
Computerized Provider Order Entry System
Electronic Health Record/Electronic Medical
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psnet.ahrq.gov/issue/association-nurse-workload-missed-nursing-care-neonatal-intensive-care-unit
September 27, 2017 - Emerging Classic
Association of nurse workload with missed nursing care in the neonatal intensive … Association of Nurse Workload With Missed Nursing Care in the Neonatal Intensive Care Unit. … This study examined whether nurse workload in the neonatal intensive care unit affected the quality of … Association of Nurse Workload With Missed Nursing Care in the Neonatal Intensive Care Unit. … November 3, 2021
Changes in medical errors after implementation of a handoff program.
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psnet.ahrq.gov/issue/raising-alarm-doctors-fight-yank-hospital-icus-modern-era
February 14, 2024 - Intensive care units (ICUs) are complex environments that harbor various challenges to safe care delivery … alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive … April 17, 2013
Improving alarm performance in the medical intensive care unit using delays … March 1, 2011
Intensive care unit alarms—how many do we need? … February 3, 2010
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Intensive Care Units
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digital.ahrq.gov/medical-condition/gastrointestinal-disease
January 01, 2023 - Clinical Decision Support Optimizing Necrotizing Enterocolitis Prevention Implementation in Neonatal Intensive … Clinical Decision Support Optimizing Necrotizing Enterocolitis Prevention Implementation in Neonatal Intensive … to Reduce Harm from Drug Interactions: An End-to-End Demonstration
Neonatal intensive … Neonatal intensive care workflow analysis informing NEC-zero clinical decision support design. … Clinical Decision Support Optimizing Necrotizing Enterocolitis Prevention Implementation in Neonatal Intensive
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psnet.ahrq.gov/issue/intervention-reduce-transmission-resistant-bacteria-intensive-care
February 29, 2012 - Classic
Intervention to reduce transmission of resistant bacteria in intensive … Intervention to reduce transmission of resistant bacteria in intensive care. … Intervention to reduce transmission of resistant bacteria in intensive care. … Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … October 13, 2010
Infection Control in the Intensive Care Unit.
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psnet.ahrq.gov/issue/validation-second-victim-experience-and-support-tool-revised-neonatal-intensive-care-unit
September 24, 2017 - Validation of the second victim experience and support tool-revised in the neonatal intensive … Validation of the second victim experience and support tool-revised in the neonatal intensive care unit … Healthcare professionals involved in a medical error often experience psychological distress. … September 24, 2017
Implementation of a second victim program in the neonatal intensive … May 19, 2021
Standardization of pediatric noncardiac operating room to intensive care
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psnet.ahrq.gov/issue/team-situation-awareness-and-anticipation-patient-progress-during-icu-rounds
May 06, 2009 - May 6, 2009
Communication skills and error in the intensive care unit. … March 28, 2012
Patient safety: helping medical students understand error in healthcare … December 21, 2011
Year 1 medical undergraduates' knowledge of and attitudes to medical … December 16, 2009
Non-technical skills in the intensive care unit. … January 19, 2011
Quality and safety in the intensive care unit.
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psnet.ahrq.gov/issue/effects-rapid-response-systems-clinical-outcomes-systematic-review-and-meta-analysis
September 23, 2020 - published studies found no overall benefit of RRS on inpatient mortality, cardiac arrests, or unanticipated intensive … January 2, 2017
Unplanned transfers to a medical intensive care unit: causes and relationship … June 22, 2009
The use of medical emergency teams in medical and surgical patients: impact … in patients admitted to intensive care from the emergency department. … March 2, 2008
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Intensive Care Units
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digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-optimizing-necrotizing-enterocolitis-prevention/final-report
January 01, 2023 - Clinical Decision Support Optimizing Necrotizing Enterocolitis Prevention Implementation in Neonatal Intensive … Clinical Decision Support Optimizing Necrotizing Enterocolitis Prevention Implementation in Neonatal Intensive … Clinical Decision Support Optimizing Necrotizing Enterocolitis Prevention Implementation in Neonatal Intensive … Clinical Decision Support System
Document Type
Report
Population
Infants
Medical
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psnet.ahrq.gov/issue/nicu-medication-errors-identifying-risk-profile-medication-errors-neonatal-intensive-care
September 21, 2008 - NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive … NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care … Medication errors are common in neonatal intensive care unit (NICU) settings. … NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care … April 8, 2011
A comparison of voluntarily reported medication errors in intensive care
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digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-solutions-accurate-reporting-data-interprofessional/final-report
January 01, 2023 - Electronic Health Record Solutions for Accurate Reporting of Data on Interprofessional Intensive Care … Electronic Health Record Solutions for Accurate Reporting of Data on Interprofessional Intensive Care … 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
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psnet.ahrq.gov/issue/impact-organizational-culture-preventability-assessment-selected-adverse-events-icu
August 15, 2016 - Intensive Care Med. 2013;39(7):1214-20. doi:10.1007/s00134-013-2923-y. … Intensive Care Med. 2013;39(7):1214-20. doi:10.1007/s00134-013-2923-y. … Related Resources From the Same Author(s)
Nurse workload and inexperienced medical … staff members are associated with seasonal peaks in severe adverse events in the adult medical intensive … April 14, 2021
Boosting medical diagnostics by pooling independent judgments.
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psnet.ahrq.gov/issue/association-between-unmet-nonmedication-needs-after-hospital-discharge-and-readmission-or
September 23, 2020 - were followed up 7-28 days post discharge to assess unmet nonmedication discharge needs (i.e., durable medical … equipment, home health services, follow-up medical appointments). … The Critical Care Safety Study: the incidence and nature of adverse events and serious medical … errors in intensive care. … teaching and evaluation methods in critical care medicine: has the Accreditation Council for Graduate Medical
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psnet.ahrq.gov/issue/association-between-mobile-telephone-interruptions-and-medication-administration-errors
June 29, 2009 - Association between mobile telephone interruptions and medication administration errors in a pediatric intensive … Association between mobile telephone interruptions and medication administration errors in a pediatric intensive … The Critical Care Safety Study: the incidence and nature of adverse events and serious medical … errors in intensive care. … 27, 2016
Strategies used by critical care nurses to identify, interrupt, and correct medical
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psnet.ahrq.gov/issue/medication-related-medical-emergency-team-activations-case-review-study-frequency-and
October 27, 2021 - Study
Medication-related medical emergency team activations: a case review study … Medication-related Medical Emergency Team activations: a case review study of frequency and preventability … signs of clinical deterioration to prevent transfer to intensive care, cardiac arrest, and death. … Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive … June 22, 2009
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Hospitals
Intensive
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psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit
April 08, 2011 - Study
A trigger tool to identify adverse events in the intensive care unit. … A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. … were present, the relevant portion of the chart was reviewed using methodology similar to the Harvard Medical … A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. … June 29, 2009
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Intensive Care Units
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psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports-uk-national
March 12, 2025 - RIS
Download Citation
Related Resources From the Same Author(s)
Medical … Premature Extubation
March 1, 2019
Unplanned transfers to a medical … intensive care unit: causes and relationship to preventable errors in care. … May 25, 2010
Iatrogenic events resulting in intensive care admission: frequency, cause … Health Care Providers
Anesthesiology
Critical Care
Medical Complications
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psnet.ahrq.gov/issue/development-and-evaluation-i-pass-picu-standard-electronic-template-improve-referral
June 14, 2023 - electronic template to improve referral communication for inter-facility transfers to the pediatric intensive … electronic template to improve referral communication for inter-facility transfers to the pediatric intensive … This study evaluated the usability of the I-PASS-to-PICU (Pediatric Intensive Care Unit) tool, which … electronic template to improve referral communication for inter-facility transfers to the pediatric intensive … December 19, 2018
Changes in medical errors after implementation of a handoff program
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psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care
August 12, 2015 - The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive … The Effect of an Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric Intensive … Use of a structured communication tool within an electronic medical record resulted in increased high-quality … of parents and health care providers in a tertiary pediatric intensive care unit. … June 16, 2010
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Intensive Care Units