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Total Results: 3,177 records

Showing results for "unit".

1221. 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

1222. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy | PSNet
      psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
      September 30, 2020 - The patient was admitted to the Labor and Delivery unit and confirmed to have a full-term singleton fetus … Each labor unit should have supplies to treat hemorrhage that are easily accessible and findable. … July 16, 2018 Medication errors in a neonatal intensive care unit. … 2008 Educational strategy to reduce medication errors in a neonatal intensive care unit

1223. 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.

1224. Walking Out of a Hospital After Attempted Suicide | PSNet
      psnet.ahrq.gov/web-mm/walking-out-hospital-after-attempted-suicide
      March 29, 2023 - inpatient psychiatry consultation-liaison teams routinely see patients admitted to the intensive care unit … need to be followed by the psychiatry consultation-liaison team while they are in the intensive care unit … After patients with high-risk suicide attempts are stabilized in the intensive care unit (ICU), they

1225. 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

1226. 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

1227. 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

1228. Handoffs and Handovers | PSNet
      psnet.ahrq.gov/glossary/handoffs-and-handovers
      September 13, 2021 - In addition to handoffs between professionals working in the same clinical unit, shorter lengths of stay

1229. 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.

1230. In Conversation With… Neel Shah, MD, MPP | PSNet
      psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
      October 30, 2019 - The only difference between the labor and delivery unit and the cardiac ICU is that our operating rooms … First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit October 30, 2019 … for improvement that should help inform the future of patient safety in the neonatal intensive care unit … Expectations for unit safety behavior and accountability for use of standard safety tools (readback, … George, a level 3, 24-bed (48-patient capacity) unit serving southern Utah.

1231. 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

1232. 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

1233. 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

1234. 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

1235. Unexplained Apnea Under Anesthesia | PSNet
      psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
      December 01, 2005 - similar results.( 13 ) Administrative medication errors in the operating room and intensive care unit … resolved, anesthesia was discontinued, and the patient was transported safely to the post-operative care unit … other patient information are instantly communicated from hospital information systems to the bedside unit … Medication errors at the administration stage in an intensive care unit.

1236. Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency | PSNet
      psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hypertensive-emergency
      May 01, 2018 - Cardiology was consulted and recommended to transfer the patient to the cardiac intensive care unit ( … For a patient with only one “ICU level need” (i.e., a titratable infusion), a stepdown unit may have … Admission to a cardiac stepdown or critical care unit would have allowed more active blood pressure management … Was the overnight nursing supervisor or the charge nurse on the receiving unit empowered to raise questions

1237. Good Night's Sleep Gone Wrong | PSNet
      psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
      September 01, 2015 - She was transferred to the hemodialysis unit where she underwent hemodialysis and was then admitted to … The patient was transferred to the medical intensive care unit for close observation and hemodialysis … August 20, 2018 Effect of work-hours regulations on intensive care unit mortality in

1238. Operationalizing Patient Safety at Academic Medical Centers | PSNet
      psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
      August 01, 2010 - Richard Shannon : At Penn, we picked four medicine units: the medical intensive care unit and three … But the 26-bed unit in Pittsburgh where we did this effort has now gone 35 months without a central line … results—every member of this team gets a daily report on whether or not there's an infection on their unit—begins … across what we call the customer–supplier relationship between the cath lab and our inpatient medicine unit … Allergy August 31, 2022 Effect of work-hours regulations on intensive care unit

1239. Antimicrobial Stewardship. | PSNet
      psnet.ahrq.gov/issue/antimicrobial-stewardship
      October 24, 2018 - June 16, 2019 Infection Control in the Intensive Care Unit.

1240. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough | PSNet
      psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
      September 01, 2003 - At the handoff to the post-anesthesia care unit (PACU) nurse, the OR nurse stated that there was packing … If care providers wait to tell the patient until after the ward or unit nurse receives another handoff … Thus , the receiving nurse should not delegate the responsibility to the ward or unit nurse (tertiary … Nurses may need additional training to perform digital vaginal exams, particularly if they are on a unit … Partnered pharmacist charting on admission in the general medical and emergency short-stay unit—a