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psnet.ahrq.gov/issue/practice-respect-icu
August 09, 2018 - respect and dignity, which include the need to expand the research on respect in the intensive care unit … October 25, 2018
Family participation during intensive care unit rounds: goals and expectations … of parents and health care providers in a tertiary pediatric intensive care unit. … Involvement of parents in critical incidents in a neonatal-paediatric intensive care unit
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psnet.ahrq.gov/issue/clinical-handover-critically-ill-postoperative-patient-integrative-review
March 23, 2016 - Exploring standardized handovers between the operating room and the intensive care unit , this commentary … January 27, 2021
Improving clinical handover between intensive care unit and general … ward professionals at intensive care unit discharge. … December 4, 2015
Often overlooked problems with handoffs: from the intensive care unit
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psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
October 30, 2024 - of the AAM program include lower mortality within 30 days of an alert, reduction of intensive care unit … Adverse outcomes associated with delayed intensive care unit transfers in an integrated healthcare system … Admission source to the medical intensive care unit predicts hospital death independent of APACHE II … Intra‐hospital transfers to a higher level of care: contribution to total hospital and intensive care unit … Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in
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psnet.ahrq.gov/issue/intervention-reduce-transmission-resistant-bacteria-intensive-care
February 29, 2012 - faecalis (VRE) , are frequent sources of hospital-acquired infection (HAI) in the intensive care unit … Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit … Reducing catheter-associated bloodstream infections in the pediatric intensive care unit … October 13, 2010
Infection Control in the Intensive Care Unit.
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psnet.ahrq.gov/issue/operating-room-icu-patient-handovers-multidisciplinary-human-centered-design-approach
June 27, 2012 - , specifically for postsurgical patients transferred from the operating room to the intensive care unit … February 18, 2019
Often overlooked problems with handoffs: from the intensive care unit … Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit … June 9, 2010
Identification of patient information corruption in the intensive care unit
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psnet.ahrq.gov/web-mm/workaround-error
October 30, 2024 - After his acute hospitalization, he was transferred to a skilled nursing unit to complete antibiotic … Three days after transfer to the skilled nursing unit, the patient complained of nausea. … He was given glucagon and transferred to the intensive care unit. … In this skilled nursing unit, many of the nurses remove medications from the Pyxis machine (an automated … Hospital mortality in relation to staff workload: a 4-year study in an adult intensive-care unit.
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psnet.ahrq.gov/node/50610/psn-pdf
October 30, 2019 - First, Do No Harm: Value-driven Patient Safety in the
Neonatal Intensive Care Unit
October 30, 2019 … First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care
Unit. … https://psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit … for improvement that should help inform the future of patient safety in
the neonatal intensive care unit … George, a level 3, 24-bed (48-patient capacity) unit serving southern Utah.
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psnet.ahrq.gov/issue/risk-management-or-just-different-risk-national-survey-newborn-units-following-patient-safety
April 12, 2011 - Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit … Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit … September 6, 2016
Adverse drug events in a paediatric intensive care unit: a prospective … June 9, 2011
Adverse events in the neonatal intensive care unit: development, testing … The nurses' experience of barriers to safe practice in the neonatal intensive care unit
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psnet.ahrq.gov/node/33563/psn-pdf
September 16, 2024 - It is also important to note that culture
exists at multiple levels, from the unit level to the department … These surveys ask providers to rate the safety culture in their unit and in the organization as a whole … Specific measures of safety culture, such as teamwork
training, leadership walk rounds, and establishing unit-based … The perception of safety culture might be high in one unit within a
hospital and low in another unit … safety-culture-and-workforce-well-being-associations-positive-leadership-walkrounds
https://psnet.ahrq.gov/issue/targeted-implementation-comprehensive-unit-based-safety-program-through-assessment-safety
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psnet.ahrq.gov/issue/clinical-characteristics-and-short-term-outcomes-acute-kidney-injury-missed-diagnosis-older
April 20, 2022 - outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit … outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit … outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit
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psnet.ahrq.gov/issue/raising-alarm-doctors-fight-yank-hospital-icus-modern-era
February 14, 2024 - with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit … alarm settings and standard in-service are insufficient to improve alarm fatigue in an intensive care unit … 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?
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psnet.ahrq.gov/issue/pilot-implementation-perioperative-protocol-guide-operating-room-intensive-care-unit-patient
January 03, 2017 - Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit … Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient … Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient … January 3, 2017
Often overlooked problems with handoffs: from the intensive care unit
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psnet.ahrq.gov/issue/computerized-dose-range-checking-using-hard-and-soft-stop-alerts-reduces-prescribing-errors
June 16, 2010 - range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit … Range Checking Using Hard and Soft Stop Alerts Reduces Prescribing Errors in a Pediatric Intensive Care Unit … Range Checking Using Hard and Soft Stop Alerts Reduces Prescribing Errors in a Pediatric Intensive Care Unit … Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit
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psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
October 30, 2019 - First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit
Jochen Profit, MD … First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit. … First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit. … George, a level 3, 24-bed (48-patient capacity) unit serving southern Utah. … First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit.
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psnet.ahrq.gov/web-mm/transfusion-overload
September 23, 2020 - Thirty minutes after the second unit of blood finished transfusing, the patient became lethargic and … She was successfully resuscitated and intubated and transferred to the intensive care unit (ICU). … Because a normal response to a unit of blood is an increase in hemoglobin of 1.0 g/dL, the hemoglobin … For unknown reasons in the past, physicians had been taught to give 2 units of blood rather than 1 unit … by all modern guidelines ( 6,9 ), the clinicians might have avoided giving the second unit, which seems
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psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
August 21, 2024 - Case Objectives
List the common causes of obstetric hemorrhage and the need for a unit-standard diagnosis … Case
A 19-year-old woman, pregnant at 35 weeks gestation, was admitted to the labor and delivery unit … could not be found so the uterus was packed with gauze, and she was transferred to the intensive care unit … Readiness ensures that the unit is prepared for immediate action in the case of hemorrhage. … Response has two components: develop a unit-standard, stage-based response protocol with checklists
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psnet.ahrq.gov/issue/patient-safety-event-reporting-critical-care-study-three-intensive-care-units
September 22, 2010 - Reporting and classification of patient safety events in a cardiothoracic intensive care unit … and cardiothoracic postoperative care unit. … and cardiothoracic postoperative care unit. … November 11, 2015
Comparison of intensive care unit medication errors reported to the … January 14, 2014
Adverse events are common on the intensive care unit: results from a
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psnet.ahrq.gov/issue/prevalence-causes-and-severity-medication-administration-errors-neonatal-intensive-care-unit
psnet
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psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-reduce-nicu-line-associated-bloodstream
April 24, 2018 - reduction in the incidence of central line–associated bloodstream infections in a neonatal intensive care unit … October 2, 2013
The high-reliability pediatric intensive care unit. … Reducing catheter-associated bloodstream infections in the pediatric intensive care unit
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psnet.ahrq.gov/issue/pediatric-patient-safety-emergency-departments-unit-characteristics-and-staff-perceptions
April 03, 2013 - Study
Pediatric patient safety in emergency departments: unit characteristics and … Pediatric patient safety in emergency departments: unit characteristics and staff perceptions. … Pediatric patient safety in emergency departments: unit characteristics and staff perceptions.