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Total Results: 2,939 records

Showing results for "unit".

141. Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. | PSNet
     psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and
     September 25, 2024 - The study found that units with stronger nurse manager direction, coaching, perceived unit performance … , and quality of unit relationship had significantly higher rates of medication errors.

142. Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. | PSNet
     psnet.ahrq.gov/issue/handoff-checklists-improve-reliability-patient-handoffs-operating-room-and-postanesthesia
     December 29, 2014 - checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit … checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit … checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit

143. Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events. | PSNet
     psnet.ahrq.gov/issue/two-state-collaborative-study-multifaceted-intervention-decrease-ventilator-associated-events
     January 15, 2014 - The participating ICUs introduced a multifaceted intervention structured around the Comprehensive Unit-based … Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit … April 11, 2012 Intensive care unit safety incidents for medical versus surgical patients

144. Eliminating central line-associated bloodstream infections: a national patient safety imperative. | PSNet
     psnet.ahrq.gov/issue/eliminating-central-line-associated-bloodstream-infections-national-patient-safety-imperative
     March 21, 2012 - infection control checklist with interventions to enhance safety culture (such as the comprehensive unit-based … Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit … 12, 2016 Is hand hygiene before putting on nonsterile gloves in the intensive care unit

145. Culture of Safety | PSNet
     psnet.ahrq.gov/primer/culture-safety
     September 15, 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 … 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,

146. Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs. | PSNet
     psnet.ahrq.gov/issue/does-patient-centered-design-guarantee-patient-safety-using-human-factors-engineering-find
     November 23, 2016 - They follow by presenting their hospital design process, sharing both unit and floor layouts aimed to … December 1, 2011 Implementing and validating a comprehensive unit-based safety program … Improving safety throughout the medication use process in a neonatal intensive care unit

147. Spotlight: Mistaken Attribution, Diagnostic Misstep | PSNet
     psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
     July 01, 2011 - She was barely arousable and confused, and she was transferred to the intensive care unit (ICU) of the … The director of the inpatient psychiatric unit used the case as an opportunity to broadly consider not … only medical complications but all of the patient safety issues involving the unit. … The types of patient safety events that can occur on the inpatient psychiatric unit are analogous to … or after discharge from that unit.

148. Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. | PSNet
     psnet.ahrq.gov/issue/impact-agency-healthcare-research-and-qualitys-safety-program-perinatal-care
     April 04, 2018 - The Agency for Healthcare Research and Quality adapted its Comprehensive Unit-based Safety Program , … May 11, 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

149. Failure to Rescue the Mother | PSNet
     psnet.ahrq.gov/web-mm/failure-rescue-mother
     September 23, 2020 - At 32 weeks, she was readmitted for vaginal bleeding, received 1 unit of packed red blood cells, and … In the interim, options for emergent transfusion include selection of another unit of O-negative blood … Preparation for an obstetric hemorrhage requires identification of high-risk patients, unit protocols … If a transfusion reaction is suspected, the blood unit being transfused should be immediately stopped … Periodic unit education is critical as are regular drills to ensure all team members are prepared for

150. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867850/psn-pdf
     February 26, 2025 - And these changes led this unit to being highly reliable after having not been.  … With the departure of that leader, all that went away, and the unit went right back to what they were … before, an underperforming pediatric intensive care unit. … And that can be difficult, especially studying it at a team or unit level. … , by briefing members of the unit as a group.

151. Interdisciplinary teamwork | PSNet
     psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
     April 17, 2025 - Read More A systematic review of teamwork in the intensive care unit: what … Read More View More View Less Specialty/Unit Focused (5) … Classic The effect of multidisciplinary care teams on intensive care unit … Review A systematic review of teamwork in the intensive care unit: what do we know … This systematic review revealed that although studies of teamwork in the intensive care unit abound,

152. Your Safety in our Hands in Hospital. | PSNet
     psnet.ahrq.gov/issue/your-safety-our-hands-hospital
     July 07, 2021 - Patient Safety Surveillance Unit. Department of Health, Perth: Western Australia. … Twitter Linkedin Copy URL May 20, 2024 Patient Safety Surveillance Unit … Patient Safety Surveillance Unit. Department of Health, Perth: Western Australia.

153. Guidelines on Human Factors in Critical Situations 2023. | PSNet
     psnet.ahrq.gov/issue/guidelines-human-factors-critical-situations-2023
     November 29, 2023 - 2025 Overview of adverse events related to invasive procedures in the intensive care unit … August 7, 2013 Drug related problems and pharmacist interventions in a geriatric unit … June 17, 2014 Selected medical errors in the intensive care unit: results of the IATROREF

154. Association between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit. | PSNet
     psnet.ahrq.gov/issue/association-between-mobile-telephone-interruptions-and-medication-administration-errors
     June 29, 2009 - between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit … between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit … between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit

155. Effectiveness of artificial intelligence (AI) in clinical decision support systems and care delivery. | PSNet
     psnet.ahrq.gov/issue/effectiveness-artificial-intelligence-ai-clinical-decision-support-systems-and-care-delivery
     March 20, 2024 - Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit … alarm settings and standard in-service are insufficient to improve alarm fatigue in an intensive care unit … Transcription errors of blood glucose values and insulin errors in an intensive care unit

156. A program to prevent catheter-associated urinary tract infection in acute care. | PSNet
     psnet.ahrq.gov/issue/program-prevent-catheter-associated-urinary-tract-infection-acute-care
     December 21, 2017 - remarkable sustained reductions in central line–associated bloodstream infections in intensive care unit … In this new AHRQ funded national study, the Comprehensive Unit-based Safety Program was implemented … Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit

157. NHS Safety Thermometer Reports. | PSNet
     psnet.ahrq.gov/issue/nhs-safety-thermometer-report-patient-harms-and-harm-free-care-november-2014-november-2015
     July 08, 2021 - Leeds, UK: Clinical Support Audit Unit, Health and Social Care Information Centre. 2012-2017. … Linkedin Copy URL January 27, 2016 Leeds, UK: Clinical Support Audit Unit … Leeds, UK: Clinical Support Audit Unit, Health and Social Care Information Centre. 2012-2017.

158. Strategies for Hospitals to Improve Patient Safety: A Review of the Literature. | PSNet
     psnet.ahrq.gov/issue/strategies-hospitals-improve-patient-safety-review-literature
     May 20, 2020 - September 23, 2020 Changes in intensive care unit nurse task activity after installation … of a third-generation intensive care unit information system. … September 25, 2019 Patient Suicide on a Locked Mental Health Unit at the West Palm Beach

159. Development of the ICU safety reporting system. | PSNet
     psnet.ahrq.gov/issue/development-icu-safety-reporting-system
     May 27, 2011 - physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit … May 27, 2011 Implementing and validating a comprehensive unit-based safety program. … Reporting and classification of patient safety events in a cardiothoracic intensive care unit … and cardiothoracic postoperative care unit. … observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit

160. A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. | PSNet
     psnet.ahrq.gov/issue/controlled-trial-smart-infusion-pumps-improve-medication-safety-critically-ill-patients
     March 13, 2019 - Improving safety throughout the medication use process in a neonatal intensive care unit … of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit … January 12, 2011 Implementing and validating a comprehensive unit-based safety program