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psnet.ahrq.gov/issue/unit-based-incident-reporting-and-root-cause-analysis-variation-three-hospital-unit-types
April 14, 2011 - Study
Unit-based incident reporting and root cause analysis: variation at three hospital … unit types. … Unit-based incident reporting and root cause analysis: variation at three hospital unit types. … This study sought to determine whether more localized, unit-based incident reporting systems might provide … Unit-based incident reporting and root cause analysis: variation at three hospital unit types.
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psnet.ahrq.gov/issue/improving-nursing-unit-teamwork
January 18, 2011 - Commentary
Improving nursing unit teamwork. … Improving nursing unit teamwork. … Improving nursing unit teamwork.
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psnet.ahrq.gov/issue/creating-comprehensive-unit-based-approach-detecting-and-preventing-harm-neonatal-intensive
December 15, 2021 - Commentary
Creating a comprehensive, unit-based approach to detecting and preventing … harm in the neonatal intensive care unit. … neonatal intensive care unit. … Unit-based improvement approaches have achieved some success . … approach to detecting and preventing harm in the neonatal intensive care unit.
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psnet.ahrq.gov/issue/impact-comprehensive-unit-based-safety-program-cusp-safety-culture-surgical-inpatient-unit
January 03, 2017 - Study
Impact of the Comprehensive Unit-Based Safety Program (CUSP) on safety culture … in a surgical inpatient unit. … Impact of the Comprehensive Unit-based Safety Program (CUSP) on safety culture in a surgical inpatient … unit. … unit.
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psnet.ahrq.gov/issue/audit-handover-ent-unit
October 28, 2020 - Study
Audit of handover in an ENT unit. … Audit of handover in an ENT unit. … feedback intervention substantially improved the quality of handoffs in an otolaryngology inpatient unit … Audit of handover in an ENT unit.
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psnet.ahrq.gov/issue/va-hospital-rogue-cancer-unit
March 09, 2011 - Newspaper/Magazine Article
At VA hospital, a rogue cancer unit. … Citation Text:
At VA hospital, a rogue cancer unit. Bogdanich W. … safety standards, including a lack of peer review and oversight, led to a series of errors in a cancer unit … Cite
Citation
Citation Text:
At VA hospital, a rogue cancer unit
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psnet.ahrq.gov/issue/infection-control-intensive-care-unit
May 27, 2011 - Special or Theme Issue
Infection Control in the Intensive Care Unit. … Citation Text:
Infection Control in the Intensive Care Unit. Crit Care Med. 2010;38:S265-S404. … Articles in this special issue describe strategies to reduce infections in the intensive care unit, including … Cite
Citation
Citation Text:
Infection Control in the Intensive Care Unit … September 11, 2023
An evaluation of hand hygiene in an intensive care unit: are visitors
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psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit
October 05, 2022 - Study
Medication errors in a neonatal intensive care unit. … Medication errors in a neonatal intensive care unit. … A high incidence of medication errors was documented in a neonatal intensive care unit in Brazil. … Medication errors in a neonatal intensive care unit. … April 14, 2021
Determining medication errors in an adult intensive care unit.
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psnet.ahrq.gov/issue/psychological-safety-intensive-care-unit-rounding-teams
May 05, 2021 - Study
Psychological safety in intensive care unit rounding teams. … Psychological safety in intensive care unit rounding teams. … In this study of intensive care unit clinicians, job strain, leader inclusiveness and perception of … Psychological safety in intensive care unit rounding teams. … 2021
Factors influencing family member perspectives on safety in the intensive care unit
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psnet.ahrq.gov/issue/improving-clinical-handover-between-intensive-care-unit-and-general-ward-professionals
January 30, 2019 - Review
Improving clinical handover between intensive care unit and general ward professionals … at intensive care unit discharge. … Improving clinical handover between intensive care unit and general ward professionals at intensive care … unit discharge. … unit discharge.
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psnet.ahrq.gov/issue/impact-intensive-care-unit-discharge-time-patient-outcome
December 14, 2022 - Study
Impact of intensive care unit discharge time on patient outcome. … Impact of intensive care unit discharge time on patient outcome. … The investigators analyzed intensive care unit (ICU) discharges in 31 Canadian hospitals and found that … patients discharged to another unit at night had a higher risk of mortality than those discharged during … Impact of intensive care unit discharge time on patient outcome.
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psnet.ahrq.gov/issue/changes-intensive-care-unit-nurse-task-activity-after-installation-third-generation-intensive
October 14, 2015 - Study
Changes in intensive care unit nurse task activity after installation of a … third-generation intensive care unit information system. … Citation Text:
Changes in intensive care unit nurse task activity after installation of a third-generation … intensive care unit information system. … The investigators studied the effect of an intensive care unit information system on documentation time
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psnet.ahrq.gov/issue/safety-ii-behavior-pediatric-intensive-care-unit
January 12, 2022 - Study
Safety II behavior in a pediatric intensive care unit. … Safety II Behavior in a Pediatric Intensive Care Unit. … Safety II Behavior in a Pediatric Intensive Care Unit. … Validation of the second victim experience and support tool-revised in the neonatal intensive care unit … December 9, 2020
Psychological safety in intensive care unit rounding teams.
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psnet.ahrq.gov/issue/associations-between-healthcare-environment-design-and-adverse-events-intensive-care-unit
August 17, 2022 - Associations between healthcare environment design and adverse events in intensive care unit … Associations between healthcare environment design and adverse events in intensive care unit. … Conducted in one intensive care unit (ICU) in Sweden, this study did not identify any difference in adverse … Associations between healthcare environment design and adverse events in intensive care unit. … November 21, 2017
Crew resource management in the intensive care unit: a prospective
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psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care-unit-reduce-harm
March 23, 2022 - Implementing a robust process improvement program in the neonatal intensive care unit … Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. … Medical errors in the neonatal intensive care unit threaten patient safety . … Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. … From the Same Author(s)
Frequency of diagnostic errors in the neonatal intensive care unit
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psnet.ahrq.gov/issue/medication-errors-intensive-care-unit
October 12, 2022 - Study
Medication errors in an intensive care unit. … Medication errors in an intensive care unit. … Medication errors in an intensive care unit. … July 16, 2013
Adverse drug events in a paediatric intensive care unit: a prospective … 2010
Educational strategy to reduce medication errors in a neonatal intensive care unit
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psnet.ahrq.gov/issue/improving-resident-handoffs-children-transitioning-intensive-care-unit
January 12, 2022 - Improving resident handoffs for children transitioning from the intensive care unit … Improving resident handoffs for children transitioning from the intensive care unit. … augment the quality of handoffs for patients being transferred from the pediatric intensive care unit … Improving resident handoffs for children transitioning from the intensive care unit. … April 26, 2023
Frequency of diagnostic errors in the neonatal intensive care unit
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psnet.ahrq.gov/issue/hidden-health-it-hazards-qualitative-analysis-clinically-meaningful-documentation
January 15, 2020 - of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit … of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit … transfer notes and handoff documents for 50 patients transferred from a pediatric ICU to a medical unit … of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit … of parents and health care providers in a tertiary pediatric intensive care unit.
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psnet.ahrq.gov/issue/operating-room-intensive-care-unit-handoffs-and-risks-patient-harm
October 05, 2022 - Study
Operating room to intensive care unit handoffs and the risks of patient harm … Operating room to intensive care unit handoffs and the risks of patient harm. … failure mode and effect analysis to study handoffs between the operating room and the intensive care unit … Operating room to intensive care unit handoffs and the risks of patient harm. … and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit
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psnet.ahrq.gov/issue/validity-unplanned-admission-intensive-care-unit-measure-patient-safety-surgical-patients
May 26, 2021 - Study
Validity of unplanned admission to an intensive care unit as a measure of patient … Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical … to identify 200 patients who experienced an unplanned postoperative admission to an intensive care unit … Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical … September 12, 2016
Factors associated with post-intensive care unit adverse events: a