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psnet.ahrq.gov/issue/system-failure-versus-personal-accountability-case-clean-hands
February 16, 2011 - February 1, 2012
Patient misidentification in the neonatal intensive care unit: quantification … April 11, 2011
Adverse events in the neonatal intensive care unit: development, testing … December 1, 2010
Unit-based clinical pharmacists' prevention of serious medication errors
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psnet.ahrq.gov/issue/using-evidence-rigorous-measurement-and-collaboration-eliminate-central-catheter-associated
January 15, 2014 - Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit … , 2022
Reducing three infections across cardiac surgery programs: a multisite cross-unit … Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit
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psnet.ahrq.gov/issue/speaking-and-sharing-information-improves-trainee-neonatal-resuscitations
April 08, 2011 - May 11, 2019
Sustained improvement in neonatal intensive care unit safety attitudes after … September 12, 2018
Intralipid medication errors in the neonatal intensive care unit. … January 5, 2017
A systematic review of teamwork in the intensive care unit: what do we
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psnet.ahrq.gov/issue/utilizing-improvement-science-methods-improve-physician-compliance-proper-hand-hygiene
April 13, 2011 - 2011
Improving resident handoffs for children transitioning from the intensive care unit … Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit … Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit
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psnet.ahrq.gov/issue/intervention-enhance-nursing-staff-teamwork-and-engagement
June 21, 2010 - Download Citation
Related Resources From the Same Author(s)
Improving nursing unit … October 17, 2012
Influence of unit-level staffing on medication errors and falls in military … January 23, 2012
Using ORA to explore the relationship of nursing unit communication
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psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
February 23, 2022 - placed the patient at risk for life-threatening seizures, so he was admitted to the intensive care unit … hyponatremia require close monitoring of serum sodium, urine osmolarity and urine output in an intensive care unit … hyponatremia, resulted in appropriate escalation of care and admission to a medical intensive care unit … Developing and testing a tool to measure nurse/physician communication in the intensive care unit
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psnet.ahrq.gov/issue/preventability-adverse-drug-events-involving-multiple-drugs-using-publicly-available-clinical
December 21, 2017 - Evaluation of harm associated with high dose-range clinical decision support overrides in the intensive care unit … Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit … January 8, 2014
Diagnostic errors in the intensive care unit: a systematic review of
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psnet.ahrq.gov/issue/can-we-make-postoperative-patient-handovers-safer-systematic-review-literature
June 10, 2015 - Systematic review and meta-analysis of interventions for operating room to intensive care unit … January 3, 2017
Often overlooked problems with handoffs: from the intensive care unit … Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit
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psnet.ahrq.gov/issue/association-registered-nurse-and-nursing-support-staffing-inpatient-hospital-mortality
September 09, 2011 - have prompted policies mandating particular nurse staffing ratios, especially in the intensive care unit … September 27, 2017
Predictors of unit-level medication administration accuracy: microsystem
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psnet.ahrq.gov/issue/delayed-time-defibrillation-after-hospital-cardiac-arrest
June 08, 2010 - cases, delays were associated with noncardiac admitting diagnoses, care received in an unmonitored unit … Resources From the Same Author(s)
Validity of unplanned admission to an intensive care unit
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psnet.ahrq.gov/issue/improving-situation-awareness-reduce-unrecognized-clinical-deterioration-and-serious-safety
December 02, 2014 - particularly dramatic outcome of poor situational awareness is an unanticipated transfer to an intensive care unit … 2016
Improving resident handoffs for children transitioning from the intensive care unit
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psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
June 14, 2023 - The patient was admitted to an intensive care step down unit for close observation as his CIWA scores … patient was evaluated by the intensivist team who recommended admission to the intensive care step down unit … on dexmedetomidine IV infusion at 0.6 mcg/kg/hr, which is a high dose used for ICU (Intensive Care Unit … Criteria for Admission to Different Inpatient Units The patient in this case was admitted to a stepdown unit … Healthcare utilization in medical intensive care unit survivors with alcohol withdrawal.
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psnet.ahrq.gov/issue/specialty-based-voluntary-incident-reporting-neonatal-intensive-care-description-4846
March 09, 2010 - Reducing catheter-associated bloodstream infections in the pediatric intensive care unit … 2010
Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit … medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit
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psnet.ahrq.gov/issue/computerized-order-entry-limited-decision-support-prevent-prescription-errors-picu
January 31, 2018 - implementation of a CPOE system did not initially reduce adverse drug events in a pediatric intensive care unit … automated system for real-time medication administration error detection in a neonatal intensive care unit
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psnet.ahrq.gov/issue/handoff-communication-tools
May 25, 2022 - of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit … between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit
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psnet.ahrq.gov/issue/patient-safety-culture-nephrology-nurse-practice-settings-initial-findings
August 10, 2022 - February 23, 2022
Patient-safety and quality initiatives in the intensive-care unit. … outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit
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psnet.ahrq.gov/web-mm/harm-alarm-fatigue
February 14, 2018 - He was admitted to the observation unit, placed on a telemetry monitor, and treated as having a non-ST … Unlike bedside ECG monitors in the intensive care unit where data is displayed in the patient's room, … Other hospitals use pager systems or enhanced sound systems on the unit to alert nurses to alarms. … In our recent analysis of monitor alarms in 77 intensive care unit beds over a 31-day period, there were … with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit
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psnet.ahrq.gov/issue/do-hospitals-support-second-victims-collective-insights-patient-safety-leaders-maryland
May 11, 2016 - January 12, 2011
Integrating the intensive care unit safety reporting system with existing … 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
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psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ
February 24, 2011 - August 26, 2020
Impact of the Comprehensive Unit-Based Safety Program (CUSP) on safety … culture in a surgical inpatient unit. … December 23, 2012
A relational leadership perspective on unit-level safety climate.
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psnet.ahrq.gov/issue/impact-multidisciplinary-team-huddles-patient-safety-systematic-review-and-proposed-taxonomy
November 10, 2015 - This systematic review synthesized 24 studies examining the impact of either unit-based or hospital-wide … Results for unit-based huddle programs appear positive.