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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40905/psn-pdf
    November 09, 2011 - A relational leadership perspective on unit-level safety climate. … A relational leadership perspective on unit-level safety climate. … https://psnet.ahrq.gov/issue/relational-leadership-perspective-unit-level-safety-climate This survey … of staff and unit directors at an academic medical center found that the relationship between leadership … and staff was predictive of unit-level safety climate.
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36570/psn-pdf
    January 12, 2011 - Impact of intensive care unit discharge time on patient outcome. … Impact of intensive care unit discharge time on patient outcome. … https://psnet.ahrq.gov/issue/impact-intensive-care-unit-discharge-time-patient-outcome The investigators …  to another unit at night had a higher risk of mortality than those discharged during the day. … https://psnet.ahrq.gov/issue/impact-intensive-care-unit-discharge-time-patient-outcome
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37227/psn-pdf
    December 15, 2011 - Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter … Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter … https://psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients- … prospective study used data from a previously described voluntary reporting system, the Intensive Care Unit … https://psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients-prospective-multicenter
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42032/psn-pdf
    April 10, 2013 - Evaluation of a nurse-led safety program in a critical care unit. … Evaluation of a nurse-led safety program in a critical care unit. … https://psnet.ahrq.gov/issue/evaluation-nurse-led-safety-program-critical-care-unit A nurse-led comprehensive … unit-based safety program identified numerous important safety issues in an intensive care unit. … https://psnet.ahrq.gov/issue/evaluation-nurse-led-safety-program-critical-care-unit https://psnet.ahrq.gov
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49858/psn-pdf
    April 01, 2019 - Because of her history of CHF, she was admitted to a unit with telemetry monitoring. … When the patient arrived on the telemetry unit, the nurse performed a full evaluation. … He tried to call back the unit and no one answered. … The remote telemetry monitoring technician's phone call to the unit went unanswered. … telemetry box would provide essential information on the unit.
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41682/psn-pdf
    September 19, 2012 - Impact of the unit-based patient safety officer. … Impact of the unit-based patient safety officer. … https://psnet.ahrq.gov/issue/impact-unit-based-patient-safety-officer A unit-based nurse patient safety … officer was implemented on a surgical unit at an academic medical center that had a persistently high … https://psnet.ahrq.gov/issue/impact-unit-based-patient-safety-officer https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36495/psn-pdf
    May 11, 2014 - Improving safety throughout the medication use process in a neonatal intensive care unit. … Improving Safety Throughout the Medication Use Process in a Neonatal Intensive Care Unit. … //psnet.ahrq.gov/issue/improving-safety-throughout-medication-use-process-neonatal-intensive-care- unit … The author describes changes made within the neonatal intensive care unit to improve medication use … https://psnet.ahrq.gov/issue/improving-safety-throughout-medication-use-process-neonatal-intensive-care-unit
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34683/psn-pdf
    February 10, 2011 - Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. … Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. … psnet.ahrq.gov/issue/pharmacist-participation-physician-rounds-and-adverse-drug-events-intensive- care-unit … pharmacist participate in the daily rounds of physicians and nurses in an academic intensive care unit … The authors estimate a total cost savings of $270,000 per year in the 17-bed intervention unit.
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39698/psn-pdf
    July 21, 2010 - Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention … Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention … https://psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-outside-intensive-care-unit … and provides recommendations to prevent health care–associated infections outside the intensive care unit … https://psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-outside-intensive-care-unit-expanding
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35715/psn-pdf
    February 15, 2006 - Changes in intensive care unit nurse task activity after installation of a third-generation intensive … care unit information system. … https://psnet.ahrq.gov/issue/changes-intensive-care-unit-nurse-task-activity-after-installation-third … - generation-intensive The investigators studied the effect of an intensive care unit information system … https://psnet.ahrq.gov/issue/changes-intensive-care-unit-nurse-task-activity-after-installation-third-generation-intensive
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39284/psn-pdf
    April 12, 2011 - Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II. … Selected Medical Errors in the Intensive Care Unit. … https://psnet.ahrq.gov/issue/selected-medical-errors-intensive-care-unit-results-iatroref-study-parts-i-and-ii … experiencing more than two adverse events had an associated threefold increase in the risk of intensive care unit … https://psnet.ahrq.gov/issue/selected-medical-errors-intensive-care-unit-results-iatroref-study-parts-i-and-ii
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40043/psn-pdf
    March 03, 2011 - Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit … Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit … psnet.ahrq.gov/issue/effect-lean-intervention-improve-safety-processes-and-outcomes-surgical- emergency-unit … psnet.ahrq.gov/issue/effect-lean-intervention-improve-safety-processes-and-outcomes-surgical-emergency-unit … psnet.ahrq.gov/issue/effect-lean-intervention-improve-safety-processes-and-outcomes-surgical-emergency-unit
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39338/psn-pdf
    April 30, 2014 - The effect of multidisciplinary care teams on intensive care unit mortality. … The effect of multidisciplinary care teams on intensive care unit mortality. … https://psnet.ahrq.gov/issue/effect-multidisciplinary-care-teams-intensive-care-unit-mortality Efforts … improve the care of complex patients in intensive care units (ICUs) focus on many factors, including unit-based … https://psnet.ahrq.gov/issue/effect-multidisciplinary-care-teams-intensive-care-unit-mortality https:
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35234/psn-pdf
    December 11, 2008 - Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes … Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes … https://psnet.ahrq.gov/issue/using-orgahead-computational-modeling-program-improve-patient-care-unit- … describe their experience using a computerized model to understand the impact of organizational, patient unit … https://psnet.ahrq.gov/issue/using-orgahead-computational-modeling-program-improve-patient-care-unit-safety-and-quality
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40844/psn-pdf
    January 04, 2012 - Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes … Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes … https://psnet.ahrq.gov/issue/intensive-care-unit-readmissions-us-hospitals-patient-characteristics-risk … - factors-and In this nationwide sample, 6.1% of patients discharged from the intensive care unit ( … https://psnet.ahrq.gov/issue/intensive-care-unit-readmissions-us-hospitals-patient-characteristics-risk-factors-and
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38525/psn-pdf
    April 01, 2009 - Stressful intensive care unit medical crises: how individual responses impact on team performance. … Stressful intensive care unit medical crises: How individual responses impact on team performance. … https://psnet.ahrq.gov/issue/stressful-intensive-care-unit-medical-crises-how-individual-responses-impact … team-performance This qualitative study of provider responses to critical incidents in the intensive care unit … https://psnet.ahrq.gov/issue/stressful-intensive-care-unit-medical-crises-how-individual-responses-impact-team-performance
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42307/psn-pdf
    January 14, 2014 - Comparison of intensive care unit medication errors reported to the United States' MedMarx and the United … Comparison of intensive care unit medication errors reported to the United States' MedMarx and the United … https://psnet.ahrq.gov/issue/comparison-intensive-care-unit-medication-errors-reported-united-states- … medmarx-and-united This study found significant differences in the types and severity of intensive care unit … https://psnet.ahrq.gov/issue/comparison-intensive-care-unit-medication-errors-reported-united-states-medmarx-and-united
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40530/psn-pdf
    September 25, 2011 - Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review … Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review … https://psnet.ahrq.gov/issue/patient-safety-factors-children-dying-paediatric-intensive-care-unit-picu-case … hospital course of more than one-third of children who subsequently died in a pediatric intensive care unit … https://psnet.ahrq.gov/issue/patient-safety-factors-children-dying-paediatric-intensive-care-unit-picu-case-notes-review
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42206/psn-pdf
    April 24, 2013 - Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study … Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study … https://psnet.ahrq.gov/issue/use-simulation-assess-electronic-health-record-safety-intensive-care-unit-pilot … abnormalities when asked to review the electronic medical record (EMR) of a simulated intensive care unit … https://psnet.ahrq.gov/issue/use-simulation-assess-electronic-health-record-safety-intensive-care-unit-pilot-study
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35740/psn-pdf
    May 27, 2011 - Impact of computerized physician order entry on medication prescription errors in the intensive care unit … Impact of computerized physician order entry on medication prescription errors in the intensive care unit … psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-medication-prescription-errors- intensive-care-unit … The investigators evaluated medication prescription errors in an intensive care unit (ICU) that implemented … psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-medication-prescription-errors-intensive-care-unit

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