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Showing results for "unit".

121. Perceptions of safety culture vary across the intensive care units of a single institution. | PSNet
     psnet.ahrq.gov/issue/perceptions-safety-culture-vary-across-intensive-care-units-single-institution
     June 27, 2011 - and Quality (AHRQ)  recommends assessing employees' perception of the culture of safety on their unit … Download Citation Related Resources From the Same Author(s) Intensive care unit … Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit

122. Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. | PSNet
     psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-postanesthesia-care-unit
     June 10, 2018 - Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit … : Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit … : Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit

123. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44284/psn-pdf
     September 09, 2015 - 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. … https://psnet.ahrq.gov/issue/operating-room-intensive-care-unit-handoffs-and-risks-patient-harm This … failure mode and effect analysis to study handoffs between the operating room and the intensive care unit … https://psnet.ahrq.gov/issue/operating-room-intensive-care-unit-handoffs-and-risks-patient-harm https

124. The ability of intensive care units to maintain zero central line–associated bloodstream infections. | PSNet
     psnet.ahrq.gov/issue/ability-intensive-care-units-maintain-zero-central-line-associated-bloodstream-infections
     January 29, 2020 - May 20, 2020 Impact of a statewide intensive care unit quality improvement initiative … Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit … Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit … March 2, 2011 Infection Control in the Intensive Care Unit.

125. Assessing system failures in operating rooms and intensive care units. | PSNet
     psnet.ahrq.gov/issue/assessing-system-failures-operating-rooms-and-intensive-care-units
     June 15, 2011 - The authors describe an instrument for identifying failures in the intensive care unit (ICU) and operating … Analyzing and mitigating the risks of patient harm during operating room to intensive care unit … 2017 Risks in the implementation and use of smart pumps in a pediatric intensive care unit

126. Clinical decision support for drug related events: moving towards better prevention. | PSNet
     psnet.ahrq.gov/issue/clinical-decision-support-drug-related-events-moving-towards-better-prevention
     December 16, 2020 - automated surveillance system using trigger alerts to prevent adverse drug events in the intensive care unit … laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit … Improving adverse drug event detection in critically ill patients through screening intensive care unit … October 8, 2014 Multiprofessional survey of protocol use in the intensive care unit.

127. In Conversation with…Peter J. Pronovost, MD, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
     June 01, 2005 - of intensivists, of the use of daily goal cards on safety and communication, of an executive adopt-a-unit … strategy, and of a comprehensive unit-based safety program. … Assign a senior leader to "adopt" each unit. … Impact of a rotating empiric antibiotic schedule on infectious mortality in an intensive care unit. … Pharmacist participation on physician rounds and adverse drug events in the intensive care unit.

128. Comparing NICU teamwork and safety climate across two commonly used survey instruments. | PSNet
     psnet.ahrq.gov/issue/comparing-nicu-teamwork-and-safety-climate-across-two-commonly-used-survey-instruments
     November 20, 2019 - November 20, 2019 The correlation between neonatal intensive care unit safety culture … April 18, 2012 Neonatal intensive care unit safety culture varies widely. … March 2, 2012 Burnout in the neonatal intensive care unit and its relation to healthcare-associated … January 10, 2024 The correlation between neonatal intensive care unit safety culture

129. A comprehensive obstetrics patient safety program improves safety climate and culture. | PSNet
     psnet.ahrq.gov/issue/comprehensive-obstetrics-patient-safety-program-improves-safety-climate-and-culture
     October 20, 2014 - patient safety program resulted in a sustained improvement in safety culture in an academic obstetrics unit … April 27, 2019 How to be a very safe maternity unit: an ethnographic study. … September 3, 2011 Attitudes toward safety and teamwork in a maternity unit with embedded

130. Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care? | PSNet
     psnet.ahrq.gov/issue/standardized-orders-titrating-vasopressors-do-efforts-improve-safety-slow-delivery-care
     March 20, 2019 - Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit … Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit … Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit … March 2, 2011 Prevention of intravenous drug incompatibilities in an intensive care unit

131. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/845971
     January 01, 2024 - First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit Jochen Profit, MD, … Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care … The Nudge Unit at... … Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care … The Nudge Unit at...

132. A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life. | PSNet
     psnet.ahrq.gov/issue/human-factors-framework-and-study-effect-nursing-workload-patient-safety-and-employee-quality
     May 16, 2012 - instance, medication errors may be predicted by task-level workload, whereas dissatisfaction may be by unit-level … January 20, 2021 Predictors of unit-level medication administration accuracy: microsystem … The nurses' experience of barriers to safe practice in the neonatal intensive care unit

133. The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers. | PSNet
     psnet.ahrq.gov/issue/prevalence-second-victim-syndrome-and-emotional-distress-pediatric-intensive-care-providers
     April 24, 2018 - Preventable harm continues to occur in high-risk care environments such as the pediatric intensive care unit … adverse event, respondents said that they would prefer peer support and the ability to step away from the unit … September 22, 2021 Psychological safety in intensive care unit rounding teams.

134. Rapid response systems as a patient safety strategy: a systematic review. | PSNet
     psnet.ahrq.gov/issue/rapid-response-systems-patient-safety-strategy-systematic-review
     March 20, 2013 - systems (RRSs) are somewhat effective at preventing cardiorespiratory arrest outside the intensive care unit … October 3, 2012 Diagnostic errors in the intensive care unit: a systematic review of … resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit

135. The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.  | PSNet
     psnet.ahrq.gov/issue/critical-care-safety-study-incidence-and-nature-adverse-events-and-serious-medical-errors
     July 15, 2020 - between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit … Related Resources Nighttime cross-coverage is associated with decreased intensive care unit … Discontinuity of chronic medications in patients discharged from the intensive care unit … An observational study of changes to long-term medication after admission to an intensive care unit

136. Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care | PSNet
     psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
     June 01, 2003 - Case & Commentary: Part 1   A 68-year-old man was admitted to the intensive care unit (ICU) with … , support staff, physical design of unit, vacancy, and turnover; and (vi) RN ratios benchmarked with … In the case presented, RN shortages could have been addressed by closing the unit to new admissions or … by considering the transfer of a more stable patient to an intermediate level of care unit. … Solutions that are commonly used include: (i) reassigning a nurse from another comparable unit where

137. Evaluation of medication errors at the transition of care from an ICU to non-ICU location. | PSNet
     psnet.ahrq.gov/issue/evaluation-medication-errors-transition-care-icu-non-icu-location
     September 23, 2020 - June 10, 2018 Unplanned transfers to a medical intensive care unit: causes and relationship … July 5, 2013 Unreported errors in the intensive care unit: a case study of the way we … physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit … July 28, 2010 Implementing and validating a comprehensive unit-based safety program.

138. Adverse events after transition from ICU to hospital ward: a multicenter cohort study. | PSNet
     psnet.ahrq.gov/issue/adverse-events-after-transition-icu-hospital-ward-multicenter-cohort-study
     October 13, 2018 - found that 19% of patients experienced an adverse event during the transition from the intensive care unit … Assessment of the safety of discharging select patients directly home from the intensive care unit … Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit

139. Potentially inappropriate medications in a large cohort of patients in geriatric units: association with clinical and functional characteristics. | PSNet
     psnet.ahrq.gov/issue/potentially-inappropriate-medications-large-cohort-patients-geriatric-units-association
     April 21, 2021 - In this retrospective study, approximately 26% of patients discharged from a geriatric unit were treated … December 18, 2013 Drug related problems and pharmacist interventions in a geriatric unit

140. Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. | PSNet
     psnet.ahrq.gov/issue/introduction-medical-emergency-team-met-system-cluster-randomised-controlled-trial
     January 18, 2011 - METs), also known as rapid response teams (RRTs), on cardiac arrests, transfers to an intensive care unit … June 17, 2014 Unplanned transfers to a medical intensive care unit: causes and relationship … experienced while transferring the critically ill patient from the emergency department to the intensive care unit