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Total Results: 2,939 records

Showing results for "unit".

241. Does teamwork improve performance in the operating room? A multilevel evaluation. | PSNet
     psnet.ahrq.gov/issue/does-teamwork-improve-performance-operating-room-multilevel-evaluation
     July 02, 2014 - evaluation of the TeamSTEPPS training program within an operating room service line and used a comparison unit … This study adds to the literature by employing a multilevel evaluation strategy, using a comparison unit

242. A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers. | PSNet
     psnet.ahrq.gov/issue/cross-sectional-study-relationship-between-utilization-root-cause-analysis-and-patient-safety
     January 11, 2017 - September 19, 2016 Unit-based incident reporting and root cause analysis: variation at … three hospital unit types. … August 21, 2013 Using root cause analysis to reduce falls with injury in the psychiatric unit

243. Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients. | PSNet
     psnet.ahrq.gov/issue/effect-pediatric-early-warning-system-all-cause-mortality-hospitalized-pediatric-patients
     April 24, 2018 - resident well-being and continuity of care with different resident duty schedules in the intensive care unit … provider order entry implementation: no association with increased mortality rates in an intensive care unit … of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit

244. Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? | PSNet
     psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety
     October 23, 2013 - September 19, 2016 Unit-based incident reporting and root cause analysis: variation at … three hospital unit types. … February 11, 2013 Using root cause analysis to reduce falls with injury in the psychiatric unit

245. Evaluation of the association between Hospital Survey on Patient Safety Culture (HSOPS) measures and catheter-associated infections: results of two national collaboratives. | PSNet
     psnet.ahrq.gov/issue/evaluation-association-between-hospital-survey-patient-safety-culture-hsops-measures-and
     December 21, 2017 - Interestingly, no association was found between safety culture scores and HAI rates at the hospital unit … , 2024 Reducing three infections across cardiac surgery programs: a multisite cross-unit

246. Team Training: Classroom Training vs. High-Fidelity Simulation | PSNet
     psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
     January 12, 2011 - This does not include training residents, unit coordinators, scrub technicians, or others who are part … Thus, new staff can quickly and efficiently be taught the KSAs they must know in order to work on a unit … Teamwork champions are placed on the unit to coach the behaviors as they are rolled out. … These environments require that teamwork concepts be applied to the management of the entire unit, not … that high-fidelity simulation is highly limited in its ability to effectively teach this CRM-based unit

247. Dangerous Shift | PSNet
     psnet.ahrq.gov/web-mm/dangerous-shift
     July 24, 2013 - month-old infant was admitted with a respiratory syncytial virus (RSV) infection to a pediatric medical unit … She had been told that the patient was being transferred "non-emergently" to a unit for closer observation … The patient was transferred to the intensive care unit (ICU), where she made a full recovery, after a … Reduce transfers by: Proactively "bumping" patients (e.g., moving them to another unit) in advance … Discontinuity of chronic medications in patients discharged from the intensive care unit.

248. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38079/psn-pdf
     February 15, 2011 - screening for adverse events, with past research demonstrating their utility in the intensive care unit … psnet.ahrq.gov//#adverseevent https://psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit

249. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue | PSNet
     psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
     May 01, 2016 - These decisions should be based on the workflow and patient population for each individual unit. … vs. a pulmonary care unit. … Crying wolf: false alarms in a pediatric intensive care unit. Crit Care Med. 1994;22:981-985. … Intensive care unit alarms—how many do we need? Crit Care Med. 2010;38:451-456. … Poor prognosis for existing monitors in the intensive care unit. Crit Care Med. 1997;25:614-619.

250. ABCDEF Bundle Data Literacy Training, Performance Measurement Tracking, and Performance Feedback | PSNet
     psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
     September 23, 2024 - Research shows that medical errors and adverse events occur more frequently in the intensive care unit … units, compliance was associated with a 16% lower likelihood of next-day ICU transfer to a general unit … Disclosing errors and adverse events in the intensive care unit.  … Impact of adverse events on outcomes in intensive care unit patients.  … Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II. 

251. Communication Failure—Who's in Charge? | PSNet
     psnet.ahrq.gov/web-mm/communication-failure-whos-charge
     April 01, 2018 - The Case A 20-month-old boy was admitted to the intensive care unit (ICU) following a Fontan surgical … falls outside what the mental model predicts or therapy does not produce the expected improvement, unit … qualitative study of expert and team cognition on complex patients in the pediatric intensive care unit … Developing a team performance framework for the intensive care unit. … , 2009 Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46307/psn-pdf
     August 20, 2018 - psnet.ahrq.gov/issue/nurse-staffing-and-inpatient-hospital-mortality https://psnet.ahrq.gov/issue/intensive-care-unit-nurse-staffing-and-risk-complications-after-abdominal-aortic-surgery … https://psnet.ahrq.gov/issue/intensive-care-unit-nurse-staffing-and-risk-complications-after-abdominal-aortic-surgery

253. Hidden Danger! Insidious Postpartum Bleeding After Emergency Cesarean Delivery. | PSNet
     psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
     November 25, 2020 - The patient was hemodynamically stable when transferred to the post-anesthesia care unit (PACU) with … She was transferred to the intensive care unit (ICU) and required intubation and mechanical ventilation … The authors noted that in an obstetric unit with high volume and acuity, the MEWT system performed the … In one study of 77 ICU beds in a unit over a one-month period, there were 381,000 audible alarms with … with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit

254. The impact of teamwork on missed nursing care. | PSNet
     psnet.ahrq.gov/issue/impact-teamwork-missed-nursing-care
     September 27, 2017 - September 27, 2017 Improving nursing unit teamwork. … February 10, 2015 A relational leadership perspective on unit-level safety climate.

255. Inappropriate Antibiotic Use | PSNet
     psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
     September 22, 2010 - increased use of prophylactic and empiric antibiotics; and higher overall antibiotic use per area, per unit … Antibiotic resistance in the intensive care unit. … education program on decreasing catheter-related bloodstream infections in the surgical intensive care unit … Short-course empiric antibiotic therapy for patients with pulmonary infiltrates in the intensive care unit … A new safety event reporting system improves physician reporting in the surgical intensive care unit

256. Elopement | PSNet
     psnet.ahrq.gov/web-mm/elopement
     July 14, 2010 - A typical protocol includes the following steps: Notification of the operator by unit staff indicating … Immediate search of the unit and surrounding area by unit staff. … period of time, most typically 4 hours, are typically readmitted rather than just returned to their unit … Wrist bracelets ( 15 ) that are linked to signal detection devices within the unit can trigger an alarm … Response to elopement by patients with diminished capacity should be immediate and include unit staff

257. In Conversation with…Barbara A. Blakeney, MS, RN | PSNet
     psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
     August 01, 2005 - 1 ) take into account the available support system and support staff; the geographic layout of the unit … ; the technology in the unit; the admissions, discharges, and transfers into and out of the unit; and … If it's an oncology unit, how many nurses are certified as oncology specialists? … We just believe that the people who are best able to determine what each unit needs are those who are … on that unit day in and day out.

258. DNR in the OR and Afterwards | PSNet
     psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
     July 01, 2003 - After initial evaluation in the emergency department, the patient was admitted to a surgical unit where … The patient’s operative course was uneventful and she returned to the surgical unit for routine postoperative … If an intensive care unit physician assumes primary responsibility for a patient requiring mechanical … transfer from the postoperative recovery room, and every few days thereafter while in the intensive care unit … checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit

259. Preventing catheter-related bloodstream infections: thinking outside the checklist. | PSNet
     psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-thinking-outside-checklist
     January 05, 2012 - Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit … Reducing catheter-associated bloodstream infections in the pediatric intensive care unit

260. Radiation offers new cures, and ways to do harm. | PSNet
     psnet.ahrq.gov/issue/radiation-offers-new-cures-and-ways-do-harm
     January 20, 2010 - Related Resources From the Same Author(s) At VA hospital, a rogue cancer unit … April 7, 2010 At VA hospital, a rogue cancer unit.