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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854382/psn-pdf
    October 11, 2023 - Battling alarm fatigue in the pediatric intensive care unit. October 11, 2023 Herrera H, Wood D. … Battling alarm fatigue in the pediatric intensive care unit. … https://psnet.ahrq.gov/issue/battling-alarm-fatigue-pediatric-intensive-care-unit Children in the pediatric … intensive care unit (PICU) require constant monitoring to detect early signs of worsening conditions … https://psnet.ahrq.gov/issue/battling-alarm-fatigue-pediatric-intensive-care-unit https://psnet.ahrq.gov
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72618/psn-pdf
    December 23, 2020 - Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care … The Nudge Unit at Penn Medicine focuses on a range of different care improvement projects, including … A list of Nudge Unit projects can be found here: https://nudgeunit.upenn.edu/portfolio. … Funding Sources Funding for nudge projects under the Nudge Unit comes from Penn Medicine. … Key insights on launching a Nudge Unit within a health care system.
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73180/psn-pdf
    April 28, 2021 - Accuracy and safety of medication histories obtained at the time of intensive care unit admission of … Accuracy and safety of medication histories obtained at the time of intensive care unit admission of … https://psnet.ahrq.gov/issue/accuracy-and-safety-medication-histories-obtained-time-intensive-care-unit … - admission When patients are admitted to the intensive care unit, medication histories can be obtained … https://psnet.ahrq.gov/issue/accuracy-and-safety-medication-histories-obtained-time-intensive-care-unit-admission
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850344/psn-pdf
    June 14, 2023 - Green Cross method in a postanaesthesia care unit: a qualitative study of the healthcare professionals … Green Cross method in a postanaesthesia care unit: a qualitative study of the healthcare professionals … https://psnet.ahrq.gov/issue/green-cross-method-postanaesthesia-care-unit-qualitative-study-healthcare … This Norwegian post-anesthesia care unit (PACU) implemented a voluntary incident reporting method, Green … https://psnet.ahrq.gov/issue/green-cross-method-postanaesthesia-care-unit-qualitative-study-healthcare-professionals
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74126/psn-pdf
    December 01, 2021 - Effect of automated unit dose dispensing with barcode scanning on medication administration errors: … Effect of automated unit dose dispensing with barcode scanning on medication administration errors: … https://psnet.ahrq.gov/issue/effect-automated-unit-dose-dispensing-barcode-scanning-medication- administration-errors … This prospective study assessed the impact of automated unit dose dispensing with barcode-assisted medication … https://psnet.ahrq.gov/issue/effect-automated-unit-dose-dispensing-barcode-scanning-medication-administration-errors
  6. psnet.ahrq.gov/issue/patient-safety-and-quality-pediatric-intensive-care-unit
    October 06, 2011 - Special or Theme Issue Patient safety and quality in the pediatric intensive care unit … Citation Text: Patient safety and quality in the pediatric intensive care unit. … Citation Citation Text: Patient safety and quality in the pediatric intensive care unit … 2011 Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit … October 22, 2013 Infection Control in the Intensive Care Unit.
  7. psnet.ahrq.gov/issue/iatroref-study-medical-errors-are-associated-symptoms-depression-icu-staff-not-burnout-or
    April 12, 2011 - Patients in the intensive care unit (ICU) are particularly vulnerable to medical errors, and the inherently … Related Resources From the Same Author(s) Selected medical errors in the intensive care unit … April 18, 2012 Impact of adverse events on outcomes in intensive care unit patients. … members are associated with seasonal peaks in severe adverse events in the adult medical intensive care unit … January 19, 2012 Patient-safety and quality initiatives in the intensive-care unit.
  8. psnet.ahrq.gov/issue/improving-communication-icu-using-daily-goals
    December 19, 2018 - This study sought to improve communication during daily rounds in the intensive care unit (ICU) through … September 24, 2008 A trigger tool to identify adverse events in the intensive care unit … 2019 Nurses' perceptions of error communication and reporting in the intensive care unit … Developing and testing a tool to measure nurse/physician communication in the intensive care unit … May 25, 2010 A model of recovering medical errors in the coronary care unit.
  9. psnet.ahrq.gov/issue/impact-prolonged-continuous-wakefulness-resident-clinical-performance-intensive-care-unit
    November 21, 2016 - The impact of prolonged continuous wakefulness on resident clinical performance in the intensive care unit … The impact of prolonged continuous wakefulness on resident clinical performance in the intensive care unit … The impact of prolonged continuous wakefulness on resident clinical performance in the intensive care unit … April 25, 2012 Moral distress in intensive care unit personnel is not consistently associated … May 26, 2010 Effect of work-hours regulations on intensive care unit mortality in United
  10. psnet.ahrq.gov/issue/computerized-physician-order-entry-cardiac-intensive-care-unit-effects-prescription-errors
    August 15, 2013 - Study Computerized physician order entry in the cardiac intensive care unit: effects … Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors … Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors … Reporting and classification of patient safety events in a cardiothoracic intensive care unit … and cardiothoracic postoperative care unit.
  11. psnet.ahrq.gov/issue/intensive-care-unit-nurses-perceptions-safety-after-highly-specific-safety-intervention
    June 16, 2011 - Study Intensive care unit nurses' perceptions of safety after a highly specific safety … Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. … Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. … 2019 Nurses' perceptions of error communication and reporting in the intensive care unit … Developing and testing a tool to measure nurse/physician communication in the intensive care unit
  12. psnet.ahrq.gov/issue/validation-second-victim-experience-and-support-tool-revised-neonatal-intensive-care-unit
    September 24, 2017 - Validation of the second victim experience and support tool-revised in the neonatal intensive care unit … Validation of the second victim experience and support tool-revised in the neonatal intensive care unit … Validation of the second victim experience and support tool-revised in the neonatal intensive care unit … Postdischarge adverse events among neonates admitted to the neonatal intensive care unit … Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50567/psn-pdf
    October 23, 2019 - Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. … Diagnostic errors in the neonatal intensive care unit: State of the science and new directions. … https://psnet.ahrq.gov/issue/diagnostic-errors-neonatal-intensive-care-unit-state-science-and-new- directions … https://psnet.ahrq.gov/issue/diagnostic-errors-neonatal-intensive-care-unit-state-science-and-new-directions … https://psnet.ahrq.gov/issue/diagnostic-errors-neonatal-intensive-care-unit-state-science-and-new-directions
  14. psnet.ahrq.gov/issue/errors-administration-parenteral-drugs-intensive-care-units-multinational-prospective-study
    September 30, 2010 - Intensive care unit (ICU) patients are generally considered to be at increased risk for medication … November 10, 2021 Improving patient safety in handover from intensive care unit to general … June 21, 2017 Adverse events are common on the intensive care unit: results from a structured … June 27, 2011 Selected medical errors in the intensive care unit: results of the IATROREF … April 12, 2011 Identification of patient information corruption in the intensive care unit
  15. psnet.ahrq.gov/issue/beyond-team-understanding-interprofessional-work-two-north-american-icus
    January 14, 2014 - The intensive care unit is often cited as a model of interprofessional teamwork . … ethnographic study found that while interprofessional communication is common between intensive care unit … November 21, 2017 Crew resource management training in the intensive care unit. … July 21, 2016 Crew resource management in the intensive care unit: a prospective 3-year … 2014 Risks in the implementation and use of smart pumps in a pediatric intensive care unit
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851654/psn-pdf
    July 26, 2023 - Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational … Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational … https://psnet.ahrq.gov/issue/antimicrobial-residual-drug-error-intensive-care-unit-single-blinded-prospective … This study found that discarded antibiotic vials in the intensive care unit (ICU) contained residual … https://psnet.ahrq.gov/issue/antimicrobial-residual-drug-error-intensive-care-unit-single-blinded-prospective
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48016/psn-pdf
    January 01, 2020 - Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration. … Reducing Three Infections Across Cardiac Surgery Programs: A Multisite Cross-Unit Collaboration. … ://psnet.ahrq.gov/issue/reducing-three-infections-across-cardiac-surgery-programs-multisite-cross- unit-collaboration … Investigators adopted the comprehensive unit-based safety program, which emphasizes safety culture and … https://psnet.ahrq.gov/issue/reducing-three-infections-across-cardiac-surgery-programs-multisite-cross-unit-collaboration
  18. psnet.ahrq.gov/issue/association-between-exposure-nonactionable-physiologic-monitor-alarms-and-response-time
    August 20, 2014 - This direct observation study of a pediatric intensive care unit found that response times increased … range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit … with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit … alarm settings and standard in-service are insufficient to improve alarm fatigue in an intensive care unit … Mitigating hazards through continuing design: the birth and evolution of a pediatric intensive care unit
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73511/psn-pdf
    July 21, 2021 - Psychological safety in intensive care unit rounding teams. … Psychological safety in intensive care unit rounding teams. … https://psnet.ahrq.gov/issue/psychological-safety-intensive-care-unit-rounding-teams A key feature of … In this study of intensive care unit clinicians, job strain, leader inclusiveness and perception of … https://psnet.ahrq.gov/issue/psychological-safety-intensive-care-unit-rounding-teams https://psnet.ahrq.gov
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837149/psn-pdf
    May 18, 2022 - Human factors analysis of latent safety threats in a pediatric critical care unit. … Human factors analysis of latent safety threats in a pediatric critical care unit. … https://psnet.ahrq.gov/issue/human-factors-analysis-latent-safety-threats-pediatric-critical-care-unit … https://psnet.ahrq.gov/issue/human-factors-analysis-latent-safety-threats-pediatric-critical-care-unit … https://psnet.ahrq.gov/issue/patient-safety-intensive-care-unit https://psnet.ahrq.gov/glossary-0#glossary-heading-term

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