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Total Results: 3,306 records

Showing results for "unit".

1201. Checklists | PSNet
      psnet.ahrq.gov/primer/checklists
      September 15, 2024 - implemented to reduce the risk of central line-associated bloodstream infections (CLABSI) in intensive care unit … implementation of a checklist requires extensive preparatory work to maximize safety culture in the unit

1202. Misconnection Leading to Arterial Thrombosis | PSNet
      psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
      January 29, 2021 - Intensive care unit staff frequently must provide care for several patients at the same time, which leads … may occur in a patient with low blood pressure in the emergency department or in the critical care unit … Infusion systems in the intensive care unit are often complex and an explanation of how the lines are … Inexperienced staff need adequate supervision especially in high-stake environments such as the critical care unit … Intentional intra-arterial injection of midazolam in a patient with status epilepticus in the Intensive Care Unit

1203. Suicide Prevention | PSNet
      psnet.ahrq.gov/perspective/suicide-prevention
      March 24, 2025 - and Suicide Deaths Subsequent to Discharge From an Emergency Department or an Inpatient Psychiatry Unit … If they are in an emergency department, an inpatient unit, or, of course, a behavioral health unit, it … high risk, safety precautions need to be maintained, and they need to be admitted to a psychiatric unit … Edwin Boudreaux : In a medical unit, most beds or rooms have a lot of items that are unsafe for a person … Those are the precautions you would take if a person were highly suicidal in a medical unit; do your

1204. In Conversation with Edwin Boudreaux about Suicide Prevention | PSNet
      psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
      March 25, 2025 - If they are in an emergency department, an inpatient unit, or, of course, a behavioral health unit, it … high risk, safety precautions need to be maintained, and they need to be admitted to a psychiatric unit … Edwin Boudreaux : In a medical unit, most beds or rooms have a lot of items that are unsafe for a person … Most often, when a person dies or gets seriously injured in a unit, they use something that is available … Those are the precautions you would take if a person were highly suicidal in a medical unit; do your

1205. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33588/psn-pdf
      March 15, 2025 - Adverse Event A survey of 898 clinicians at the University of Missouri found that clinicians wanted a unit … The first tier of support consists of unit- or department-based event recognition and support by colleagues

1206. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33578/psn-pdf
      September 15, 2024 - Newborns in a neonatal intensive care unit are given full-dose heparin instead of low-dose flushes, … hospital may have many different models scattered around the building, sometimes even on the same unit

1207. In Conversation With… Nicholas G. Castle, MHA, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
      August 01, 2012 - did find the lowest scores in areas of the survey that reflect staffing issues and transition between unit … What we'd really like to do is look at the patient safety culture of a particular unit and the outcomes … RW : Brian Sexton's work shows that the differences in culture from unit to unit in hospitals are greater … Is your sense that there are a lot of differences unit to unit in nursing homes as well? … There may be directors of each unit, but compared with the hospital setting, there is not a hierarchy

1208. The Role of Bar Coding and Smart Pumps in Safety | PSNet
      psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
      September 01, 2008 - Drug libraries may be unit specific, with unique rules for individual clinical areas such as pediatrics … 11 ) An obstacle to universal dissemination of BCMA is the lag in availability of bar-coded single-unit … which requires some institutions to repackage and bar code those drugs not yet available in the single-unit … With this technology, the nurse will not have to hunt around the unit looking for the paper medication … So when we rolled out barcode technology, we decided to not roll it out on the oncology unit, in order

1209. Intubation Mishap | PSNet
      psnet.ahrq.gov/web-mm/intubation-mishap
      April 26, 2023 - communication Case & Commentary A 17-month-old female infant in the pediatric intensive care unit … How to investigate and analyse clinical incidents: clinical risk unit and association of litigation and … A look into the nature and causes of human errors in the intensive care unit. … Nursing shortage has led to higher turnover with younger/less experienced nurses or those unfamiliar with unit … Administrative and management support Orientation and training of nurses on high-risk unit

1210. Annual Perspective: Psychological Safety of Healthcare Staff | PSNet
      psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
      November 16, 2022 - Creating psychological safety 3  is one component of the Comprehensive Unit-based Safety Program (CUSP … Another study of hospital intensive care unit (ICU) team members reported that psychological safety was … provided evidence that nurse managers are strongly influential for establishing environments that foster unit … Psychological safety in intensive care unit rounding teams.

1211. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849592/psn-pdf
      May 31, 2023 - program includes assessing the patient’s knowledge of their risk factors and prevention plan at the unit … provider teams) willing and able to work together Support and buy-in from nursing staff and hospital and unit … More specifically,nurses should have channels to provide ongoing feedback to both staff and unit leadership

1212. Check the Wristband | PSNet
      psnet.ahrq.gov/web-mm/check-wristband
      August 03, 2009 - was reported to AHRQ WebM&M by this circulating nurse, who noted, “I went to the surgical day care unit … I had to take the patient off the OR table and return her to the surgical day care unit.” … Here, it would have been useful for the RN, the nurse anesthetist, and the unit clerk to meet and work … out a unit reminder system.

1213. PCA Overdose | PSNet
      psnet.ahrq.gov/web-mm/pca-overdose
      April 01, 2017 - She remained alert and oriented and, while in the post-anesthesia care unit (PACU), she began receiving … nursing staff called a “code” and the patient was resuscitated and transferred to the intensive care unit … Thrombosis June 28, 2023 Interdisciplinary communication in the intensive care unit

1214. Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet
      psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
      August 01, 2012 - did find the lowest scores in areas of the survey that reflect staffing issues and transition between unit … What we'd really like to do is look at the patient safety culture of a particular unit and the outcomes … RW : Brian Sexton's work shows that the differences in culture from unit to unit in hospitals are greater … Is your sense that there are a lot of differences unit to unit in nursing homes as well? … There may be directors of each unit, but compared with the hospital setting, there is not a hierarchy

1215. Delay in Initiating Antibiotics Results in Fatal Error | PSNet
      psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
      August 02, 2015 - meningococcemia, the attending started antibiotic therapy and transferred the patient to the intensive care unit … resulted in the ordering of empiric broad-spectrum antibiotics and admission to an intermediate care unit … It applies anytime an attending is not physically present in a patient care unit to personally evaluate … November 14, 2018 A randomized trial of nighttime physician staffing in an intensive care unit

1216. Back to Basics | PSNet
      psnet.ahrq.gov/web-mm/back-basics
      July 13, 2010 - infusions can be used safely throughout the hospital (i.e., they do not require admission to a step-down unit … or intensive care unit) when the system of care allows for adequate training and supervision of those … Implementation of a safe and effective insulin infusion protocol in a medical intensive care unit.

1217. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47282/psn-pdf
      August 08, 2018 - educational initiatives, and a whiteboard system to enhance the reliability of insulin therapy in the unit

1218. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46135/psn-pdf
      July 11, 2017 - The participating ICUs introduced a multifaceted intervention structured around the Comprehensive Unit-based

1219. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37437/psn-pdf
      June 03, 2010 - no overall benefit of RRS on inpatient mortality, cardiac arrests, or unanticipated intensive care unit

1220. Coming Up Short: Maintaining Safety in the Face of Drug Shortages | PSNet
      psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
      November 01, 2012 - The Case A 1-month-old preterm infant in the neonatal intensive care unit (NICU) was receiving the … Practices (ISMP) reported in 2008 that at least 17 heparin errors occurred in the neonatal intensive care unit … Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit