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psnet.ahrq.gov/node/867013/psn-pdf
October 23, 2024 - Reducing automated dispensing cabinet overrides in the
peri-anesthesia care unit: a quality improvement … Reducing automated dispensing cabinet overrides in the peri-
anesthesia care unit: a quality improvement … https://psnet.ahrq.gov/issue/reducing-automated-dispensing-cabinet-overrides-peri-anesthesia-care-unit … describes a children's hospital's
intervention to decrease ADC overrides in the peri-anesthesia care unit … https://psnet.ahrq.gov/issue/reducing-automated-dispensing-cabinet-overrides-peri-anesthesia-care-unit-quality-improvement
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psnet.ahrq.gov/issue/model-recovering-medical-errors-coronary-care-unit
June 02, 2010 - Study
A model of recovering medical errors in the coronary care unit. … A model of recovering medical errors in the coronary care unit. … A model of recovering medical errors in the coronary care unit. … February 8, 2017
Unreported errors in the intensive care unit: a case study of the way … Developing and testing a tool to measure nurse/physician communication in the intensive care unit
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psnet.ahrq.gov/issue/comparison-voluntarily-reported-medication-errors-intensive-care-and-general-care-units
October 26, 2010 - Author(s)
Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit … October 8, 2014
Multiprofessional survey of protocol use in the intensive care unit. … automated surveillance system using trigger alerts to prevent adverse drug events in the intensive care unit … medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit … while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit
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psnet.ahrq.gov/node/836782/psn-pdf
March 23, 2022 - Frequency of diagnostic errors in the neonatal intensive
care unit: a retrospective cohort study. … Frequency of diagnostic errors in the neonatal intensive care unit: a
retrospective cohort study. … https://psnet.ahrq.gov/issue/frequency-diagnostic-errors-neonatal-intensive-care-unit-retrospective-cohort … -
study
Patients in the neonatal intensive care unit (NICU) are at risk for serious patient safety … https://psnet.ahrq.gov/issue/frequency-diagnostic-errors-neonatal-intensive-care-unit-retrospective-cohort-study
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psnet.ahrq.gov/issue/developing-patient-safety-surveillance-system-identify-adverse-events-intensive-care-unit
February 19, 2014 - Developing a patient safety surveillance system to identify adverse events in the intensive care unit … Developing a patient safety surveillance system to identify adverse events in the intensive care unit … Developing a patient safety surveillance system to identify adverse events in the intensive care unit … July 31, 2013
Multiprofessional survey of protocol use in the intensive care unit. … September 12, 2016
The effect of multidisciplinary care teams on intensive care unit
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psnet.ahrq.gov/issue/educational-strategy-reduce-medication-errors-neonatal-intensive-care-unit
November 03, 2008 - Study
Educational strategy to reduce medication errors in a neonatal intensive care unit … Educational strategy to reduce medication errors in a neonatal intensive care unit. … Educational strategy to reduce medication errors in a neonatal intensive care unit. … Involvement of parents in critical incidents in a neonatal-paediatric intensive care unit … May 27, 2009
Medication errors in a neonatal intensive care unit.
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psnet.ahrq.gov/issue/team-situation-awareness-and-anticipation-patient-progress-during-icu-rounds
May 06, 2009 - This study assessed situational awareness of intensive care unit teams through direct observation of … May 6, 2009
Communication skills and error in the intensive care unit. … March 24, 2011
Interdisciplinary communication in the intensive care unit. … December 16, 2009
Non-technical skills in the intensive care unit. … January 19, 2011
Quality and safety in the intensive care unit.
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psnet.ahrq.gov/node/72542/psn-pdf
December 09, 2020 - Factors influencing family member perspectives on safety
in the intensive care unit: a systematic review … Factors influencing family member perspectives on safety in
the intensive care unit: a systematic review … https://psnet.ahrq.gov/issue/factors-influencing-family-member-perspectives-safety-intensive-care-unit … family empowerment and engagement is a critical component of safety culture in the intensive
care unit … identified four factors influencing family member’s perceptions of
safety in the adult intensive care unit
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psnet.ahrq.gov/node/861280/psn-pdf
January 24, 2024 - Factors influencing diagnostic accuracy among intensive
care unit clinicians - an observational study … Factors influencing diagnostic accuracy among intensive care unit
clinicians – an observational study … https://psnet.ahrq.gov/issue/factors-influencing-diagnostic-accuracy-among-intensive-care-unit-clinicians … observational
Misdiagnosis is a major contributor to morbidity and mortality in the intensive care unit … https://psnet.ahrq.gov/issue/factors-influencing-diagnostic-accuracy-among-intensive-care-unit-clinicians-observational
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psnet.ahrq.gov/node/862992/psn-pdf
February 21, 2024 - Evaluating independent double checks in the pediatric
intensive care unit: a human factors engineering … Evaluating independent double checks in the pediatric intensive
care unit: a human factors engineering … https://psnet.ahrq.gov/issue/evaluating-independent-double-checks-pediatric-intensive-care-unit-human … In this study, mandatory IDC were discontinued in
a pediatric intensive care unit (except for total … https://psnet.ahrq.gov/issue/evaluating-independent-double-checks-pediatric-intensive-care-unit-human-factors-engineering
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psnet.ahrq.gov/node/836857/psn-pdf
April 06, 2022 - Increased mortality and costs associated with adverse
events in intensive care unit patients. … Increased mortality and costs associated with adverse events in
intensive care unit patients. … https://psnet.ahrq.gov/issue/increased-mortality-and-costs-associated-adverse-events-intensive-care-unit … An analysis of
more than 17,000 adult intensive care unit patients showed approximately 35% experienced … stays, experienced
higher rates of in-hospital mortality, and required more invasive intensive care unit
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psnet.ahrq.gov/sites/default/files/2021-09/Roll-out%20diagram%20generic.pdf
January 01, 2021 - Buddy program as part of a psychological resilience intervention
Can stand alone*
Specific nursing unit … leads or
physician champions request
program roll-out for
unit/department
Resilience program … lead
meets with dept/unit
leads to assess needs and
explain program
Program leads facilitate “ … all
hands” launch meeting with
dept/unit; introduce program
and determine specific
stressors/ … Health
Consultant facilitates
Anticipate and Plan
stress inoculation
discussions with dept/
unit
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psnet.ahrq.gov/node/854628/psn-pdf
October 18, 2023 - Determining medication errors in an adult intensive care
unit. … Determining medication errors in an adult intensive
care unit. … https://psnet.ahrq.gov/issue/determining-medication-errors-adult-intensive-care-unit
Medication errors … study describes the types of medication errors
and related costs in a Brazilian adult intensive care unit … https://psnet.ahrq.gov/issue/determining-medication-errors-adult-intensive-care-unit
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/factors-associated-post-intensive-care-unit-adverse-events-clinical-validation-study
February 13, 2013 - Study
Factors associated with post-intensive care unit adverse events: a clinical … Factors associated with post-intensive care unit adverse events: a clinical validation study. … Factors associated with post-intensive care unit adverse events: a clinical validation study. … September 12, 2016
Adverse drug events in a paediatric intensive care unit: a prospective … 2013
Overview of adverse events related to invasive procedures in the intensive care unit
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psnet.ahrq.gov/issue/discontinuity-chronic-medications-patients-discharged-intensive-care-unit
November 03, 2015 - Discontinuity of chronic medications in patients discharged from the intensive care unit … Discontinuity of chronic medications in patients discharged from the intensive care unit. … Discontinuity of chronic medications in patients discharged from the intensive care unit. … April 6, 2022
Nighttime cross-coverage is associated with decreased intensive care unit … March 28, 2011
Impact of intensive care unit discharge time on patient outcome.
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psnet.ahrq.gov/issue/improving-patient-safety-handover-intensive-care-unit-general-ward-systematic-review
June 12, 2008 - Review
Improving patient safety in handover from intensive care unit to general ward … Improving Patient Safety in Handover From Intensive Care Unit to General Ward: A Systematic Review. … Improving Patient Safety in Handover From Intensive Care Unit to General Ward: A Systematic Review. … and general ward professionals at intensive care unit discharge. … April 22, 2015
Often overlooked problems with handoffs: from the intensive care unit
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psnet.ahrq.gov/issue/assessing-and-improving-safety-culture-throughout-academic-medical-centre-prospective-cohort
January 02, 2017 - Teamwork training , executive walk rounds , and establishing unit-based safety teams are all initiatives … The initiatives implemented included a comprehensive unit-based safety program ( CUSP ), specific teamwork … January 2, 2017
Impact of the Comprehensive Unit-Based Safety Program (CUSP) on safety … culture in a surgical inpatient unit. … June 16, 2011
A web-based tool for the Comprehensive Unit-based Safety Program (CUSP)
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psnet.ahrq.gov/issue/frequency-passive-ehr-alerts-icu-another-form-alert-fatigue
January 23, 2017 - health record, which are considered passive alerts, are very common for patients in the intensive care unit … these passive alerts contribute to the pervasive problem of alert fatigue in the intensive care unit … Team-based intervention to reduce the impact of nonactionable alarms in an adult intensive care unit … August 28, 2019
Investigating the impact of intensive care unit interruptions on patient … Transcription errors of blood glucose values and insulin errors in an intensive care unit
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psnet.ahrq.gov/node/864856/psn-pdf
March 20, 2024 - Changes in perceptions of antibiotic stewardship among
neonatal intensive care unit providers over the … Changes in perceptions of antibiotic stewardship among neonatal
intensive care unit providers over the … https://psnet.ahrq.gov/issue/changes-perceptions-antibiotic-stewardship-among-neonatal-intensive-care-
unit-providers-over … This study describes neonatal intensive care unit (NICU) prescriber perceptions of
antibiotic stewardship … https://psnet.ahrq.gov/issue/changes-perceptions-antibiotic-stewardship-among-neonatal-intensive-care-unit-providers-over
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psnet.ahrq.gov/node/843461/psn-pdf
January 01, 2024 - The impact of TeamSTEPPS training on obstetric team
attitudes and outcomes on the labor and delivery unit … The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the
labor and delivery unit … psnet.ahrq.gov/issue/impact-teamstepps-training-obstetric-team-attitudes-and-outcomes-labor-and-
delivery-unit … The labor and delivery unit of an American hospital offered Team Strategies and Tools to
Enhance Performance … psnet.ahrq.gov/issue/impact-teamstepps-training-obstetric-team-attitudes-and-outcomes-labor-and-delivery-unit