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Total Results: 2,939 records

Showing results for "unit".

201. Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. | PSNet
     psnet.ahrq.gov/issue/leveraging-science-teamwork-sustain-handoff-improvements-cardiovascular-surgery
     November 28, 2018 - project aimed to improve handoffs between the cardiovascular (CV) operating room and CV intensive care unit … Analyzing and mitigating the risks of patient harm during operating room to intensive care unit

202. Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac surgery. | PSNet
     psnet.ahrq.gov/issue/association-between-handover-anesthesiology-care-and-1-year-mortality-among-adults-undergoing
     June 08, 2022 - outcomes (i.e., higher 30-day and one-year mortality rates, longer hospitalizations and intensive care unit … Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit

203. Effect on patient safety of a resident physician schedule without 24-hour shifts. | PSNet
     psnet.ahrq.gov/issue/effect-patient-safety-resident-physician-schedule-without-24-hour-shifts
     March 10, 2021 - excess of 24 hours) on serious medical errors made by residents in the pediatric intensive care unit … resident well-being and continuity of care with different resident duty schedules in the intensive care unit

204. Chest Pain in a Rural Hospital | PSNet
     psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
     June 02, 2021 - this medication error did not surface until 2 hours later when the patient arrived in the acute care unit … Delays from the admission decision to arrival on the inpatient unit are problematic. … The median time from ED provider decision to admit to patient arrival on the inpatient unit in the US … off-site internist) had responsibility for this patient before he was transferred to the inpatient unit … of delayed transfer of critically ill patients from the emergency department to the intensive care unit

205. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation | PSNet
     psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
     June 28, 2023 - another hospital, diagnosed with COVID pneumonia and ileus, and admitted to a specialized COVID care unit … of the nares. 5 , 11-13 A study of medical device-related pressure injuries in the intensive care unit … The patient was also in a COVID-19 isolation unit, which could have increased his risk of complications … Jonathan Trask, RN, PhD Clinical Resource Nurse Medical Surgical Intensive Care Unit UC Davis Health … Clinical Professor PA and FNP Program Betty Irene Moore School of Nursing Medical Intensive Care Unit

206. How will we know patients are safer? An organization-wide approach to measuring and improving safety. | PSNet
     psnet.ahrq.gov/issue/how-will-we-know-patients-are-safer-organization-wide-approach-measuring-and-improving-safety
     May 20, 2009 - A system factors analysis of "line, tube, and drain" incidents in the intensive care unit … June 29, 2009 Intensive care unit safety incidents for medical versus surgical patients … Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit … of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit

207. A multi-facetted patient safety resource--a qualitative interview study on hospital managers' perception of the nurse-led Rapid Response Team. | PSNet
     psnet.ahrq.gov/issue/multi-facetted-patient-safety-resource-qualitative-interview-study-hospital-managers
     September 20, 2023 - signs of imminent clinical deterioration, in order to prevent death or transfer to the intensive care unit … communication and response to clinical deterioration to increase patient safety in the intensive care unit

208. What Was in Those Platelets? | PSNet
     psnet.ahrq.gov/web-mm/what-was-those-platelets
     August 28, 2024 - an infusion of dopamine to maintain adequate blood pressure, and transferred to the intensive care unit … If the platelet unit is contaminated, bacteria can flourish and grow quickly in the warm, nutrient-rich … As soon as a patient is suspected of receiving a bacterially contaminated platelet unit, the transfusion … Because of this, it is critically important, when a recipient of a contaminated platelet unit is identified … ***This isolate was in a platelet unit co-contaminated with viridans group streptococcus.  

209. Review of computerized physician handoff tools for improving the quality of patient care. | PSNet
     psnet.ahrq.gov/issue/review-computerized-physician-handoff-tools-improving-quality-patient-care
     September 07, 2011 - Same Author(s) A prospective observational study of physician handoff for intensive-care-unit-to-ward … medication administration errors and factors associated with their reporting in the neonatal intensive care unit … Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit … 15, 2011 A prospective observational study of physician handoff for intensive-care-unit-to-ward

210. Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. | PSNet
     psnet.ahrq.gov/issue/interprofessional-training-and-communication-practices-among-clinicians-postoperative-icu
     February 06, 2019 - practices, and preferences in interprofessional handoffs from the operating room to the intensive care unit … Analyzing and mitigating the risks of patient harm during operating room to intensive care unit

211. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836839/psn-pdf
     March 31, 2022 - Creating psychological safety3 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 … provided evidence that nurse managers are strongly influential for establishing environments that foster unit … https://psnet.ahrq.gov/issue/psychological-safety-intensive-care-unit-rounding-teams https://psnet.ahrq.gov … Psychological safety in intensive care unit rounding teams.

212. Silent Pain in the Neck | PSNet
     psnet.ahrq.gov/web-mm/silent-pain-neck
     August 19, 2020 - After an uncomplicated procedure, the patient was transferred to a surgical unit with stable vital signs … emergent tracheostomy was performed at the bedside and the patient was transferred to the intensive care unit … When there are concerns for postoperative bleeding, prolonged observation in a unit with personnel who … However, careful monitoring in a unit capable of providing early airway and surgical intervention is … the impact of maternity-orientated human factors training on safety culture in a tertiary maternity unit

213. Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU. | PSNet
     psnet.ahrq.gov/issue/design-and-implementation-analgesia-sedation-and-paralysis-order-set-enhance-compliance-pro
     February 09, 2022 - The authors describe the implementation of staff education and a pediatric intensive care unit (PICU) … between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit

214. Improving timely recognition and treatment of sepsis in the pediatric ICU. | PSNet
     psnet.ahrq.gov/issue/improving-timely-recognition-and-treatment-sepsis-pediatric-icu
     December 09, 2020 - this study aimed to reduce the frequency of delayed sepsis recognition in a pediatric intensive care unit … Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33584/psn-pdf
     March 15, 2025 - Both the intensive care unit team and the cardiac surgery team were aware of the patient's deteriorating … The unit-based safety team model, which emphasizes teamwork training approaches within a geographic … unit, has also been effective in improving safety culture.

216. Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP. | PSNet
     psnet.ahrq.gov/issue/medication-dosing-safety-pediatric-patients-recognizing-gaps-safety-threats-and-best
     March 01, 2023 - Suggestions for improvement include use of kilograms as the standard unit of weight, pre-calculated … Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit

217. What quality and safety of care for patients admitted to clinically inappropriate wards: a systematic review. | PSNet
     psnet.ahrq.gov/issue/what-quality-and-safety-care-patients-admitted-clinically-inappropriate-wards-systematic
     February 15, 2023 - the evidence has prompted the study team to begin a prospective observational study of appropriate unit … involving a patient who was boarded in the emergency department due to lack of room in the intensive care unit

218. Establishing a Safety Culture: Thinking Small | PSNet
     psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
     December 01, 2006 - It's capturing something much broader about the general ethos of the unit. BS: That's right. … The unit really is like a network of caregivers. … RW: Is safety climate an institutional phenomenon or a unit phenomenon? … are going to be viewed within the context of that specific unit and that specific situation. … It's what the unit said about how we're doing.

219. Communication Error in a Closed ICU | PSNet
     psnet.ahrq.gov/web-mm/communication-error-closed-icu
     July 01, 2016 - The relationship between the surgeon and the intensivist in the surgical intensive care unit. … Prevalence and factors of intensive care unit conflicts: the Conflicus study. … Non-technical skills in the intensive care unit. Br J Anaesth. 2006;96:551-559. … The effect of multidisciplinary care teams on intensive care unit mortality. … Standardized postoperative handover process improves outcomes in the intensive care unit: a model for

220. Fatal Error in Neonate: Does "Just Culture" Provide an Answer? | PSNet
     psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
     June 24, 2020 - In the neonatal intensive care unit, he was started on total parenteral nutrition (TPN) with Premasol … The neonatal intensive care unit had frequent orders for this treatment and kept a stock of lipid emulsion … In the process of calculating the dose with the concentration of lipid emulsion available on the unit … automated system for real-time medication administration error detection in a neonatal intensive care unit … medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit