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Total Results: 2,939 records

Showing results for "unit".

281. Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder consultation. | PSNet
     psnet.ahrq.gov/issue/seven-features-safety-maternity-units-framework-based-multisite-ethnography-and-stakeholder
     February 20, 2019 - Related Resources From the Same Author(s) How to be a very safe maternity unit … January 29, 2020 Attitudes toward safety and teamwork in a maternity unit with embedded

282. Life-Threatening Infant Overdose of Sodium Chloride | PSNet
     psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
     December 23, 2020 - complete atrioventricular canal defect and was subsequently cared for in the pediatric intensive care unit … risk for medication errors, with some studies finding up to 95 percent of all pediatric intensive care unit … sodium exceeding 0.90%, potassium exceeding 20 mEq/L, calcium exceeding 8 mEq/L, and heparin exceeding 1 unit … Errors in Parenteral Nutrition for Pediatric Inpatients at a Neonatal and Pediatric Intensive Care Unit … Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit

283. Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety-icu-prospective-identification-missing-safety-barriers-using-bow-tie
     February 14, 2024 - Analyzing and mitigating the risks of patient harm during operating room to intensive care unit … 2014 Risks in the implementation and use of smart pumps in a pediatric intensive care unit

284. Association of safety culture with surgical site infection outcomes. | PSNet
     psnet.ahrq.gov/issue/association-safety-culture-surgical-site-infection-outcomes
     October 23, 2024 - November 21, 2017 Implementation of a surgical comprehensive unit-based safety program … Statewide collaborative to reduce surgical site infections: results of the Hawaii Surgical Unit-Based

285. Errors in electronic health record–based data query of statin prescriptions in patients with coronary artery disease in a large, academic, multispecialty clinic practice. | PSNet
     psnet.ahrq.gov/issue/errors-electronic-health-record-based-data-query-statin-prescriptions-patients-coronary
     March 12, 2025 - of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit … May 1, 2015 Computerized physician order entry in the cardiac intensive care unit: effects

286. Surgical never events in the United States. | PSNet
     psnet.ahrq.gov/issue/surgical-never-events-united-states
     September 10, 2014 - 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

287. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/73848
     July 01, 2022 - This AHRQ-funded program draws from comprehensive unit-based safety program principles to reduce errors … Building on the success of the Keystone ICU project model, this study also implemented a comprehensive unit-based … The Agency for Healthcare Research and Quality adapted its Comprehensive Unit-based Safety Program, a … The Agency for Healthcare Research and Quality adapted its Comprehensive Unit-based Safety Program, a … This AHRQ-funded program draws from comprehensive unit-based safety program principles to reduce errors

288. Changes in nursing practice: associations with responses to and coping with errors. | PSNet
     psnet.ahrq.gov/issue/changes-nursing-practice-associations-responses-and-coping-errors
     October 19, 2022 - July 16, 2015 A relational leadership perspective on unit-level safety climate. … November 9, 2011 Using ORA to explore the relationship of nursing unit communication

289. Toolkit for Reducing Central Line-Associated Blood Stream Infections. | PSNet
     psnet.ahrq.gov/issue/toolkit-reducing-central-line-associated-blood-stream-infections
     October 01, 2024 - Designed to be used alongside the Comprehensive Unit-based Safety Program (CUSP) toolkit, this AHRQ

290. Maternal Safety | PSNet
     psnet.ahrq.gov/curated-library/maternal-safety
     January 31, 2024 - This AHRQ-funded program draws from comprehensive unit-based safety program principles to reduce errors … Building on the success of the Keystone ICU project model, this study also implemented a comprehensive unit-based … Building on the success of the Keystone ICU project model, this study also implemented a comprehensive unit-based … The Agency for Healthcare Research and Quality adapted its Comprehensive Unit-based Safety Program, a … This AHRQ-funded program draws from comprehensive unit-based safety program principles to reduce errors

291. Understanding the facilitators and barriers to barcode medication administration by nursing staff using behavioural science frameworks. A mixed methods study. | PSNet
     psnet.ahrq.gov/issue/understanding-facilitators-and-barriers-barcode-medication-administration-nursing-staff-using
     August 28, 2024 - October 21, 2020 How to be a very safe maternity unit: an ethnographic study. … August 10, 2022 Effect of automated unit dose dispensing with barcode scanning on medication

292. A comparison of medication administration errors from original medication packaging and multi-compartment compliance aids in care homes: a prospective observational study. | PSNet
     psnet.ahrq.gov/issue/comparison-medication-administration-errors-original-medication-packaging-and-multi
     July 24, 2024 - February 14, 2017 Validity of unplanned admission to an intensive care unit as a measure … Medication errors by caregivers at home in neonates discharged from the neonatal intensive care unit

293. Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: challenges, opportunities, and future directions. | PSNet
     psnet.ahrq.gov/issue/leveraging-artificial-intelligence-reduce-diagnostic-errors-emergency-medicine-challenges
     May 29, 2019 - 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

294. Mindful workarounds in bar code medication administration. | PSNet
     psnet.ahrq.gov/issue/mindful-workarounds-bar-code-medication-administration
     July 20, 2022 - August 26, 2020 Effect of automated unit dose dispensing with barcode scanning on medication … September 21, 2022 Effect of automated unit dose dispensing with barcode scanning on

295. Toward the development of the perfect medical team: critical components for adaptation. | PSNet
     psnet.ahrq.gov/issue/toward-development-perfect-medical-team-critical-components-adaptation
     February 09, 2022 - Validation of the second victim experience and support tool-revised in the neonatal intensive care unit … May 13, 2015 A systematic review of teamwork in the intensive care unit: what do we know

296. An effectiveness analysis of healthcare systems using a systems theoretic approach. | PSNet
     psnet.ahrq.gov/issue/effectiveness-analysis-healthcare-systems-using-systems-theoretic-approach
     August 10, 2022 - PSC) perceptions of frontline staff in acute care hospitals: examining the role of ease of reporting, unit … patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based

297. Risk mitigation in large scale systems: lessons from high reliability organizations. | PSNet
     psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
     January 30, 2019 - January 16, 2019 Creating a comprehensive, unit-based approach to detecting and preventing … harm in the neonatal intensive care unit.

298. Patient safety in palliative care at the end of life from the perspective of complex thinking. | PSNet
     psnet.ahrq.gov/issue/patient-safety-palliative-care-end-life-perspective-complex-thinking
     October 05, 2022 - August 11, 2014 Adverse drug event-related admissions to a pediatric emergency unit. … systematic review May 20, 2020 Determining medication errors in an adult intensive care unit

299. Harmed patients gaining voice: challenging dominant perspectives in the construction of medical harm and patient safety reforms. | PSNet
     psnet.ahrq.gov/issue/harmed-patients-gaining-voice-challenging-dominant-perspectives-construction-medical-harm-and
     March 18, 2020 - 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

300. A 3-year study of medication incidents in an acute general hospital. | PSNet
     psnet.ahrq.gov/issue/3-year-study-medication-incidents-acute-general-hospital
     July 15, 2020 - between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit … of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit