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  1. psnet.ahrq.gov/issue/icu-attending-handoff-practices-results-national-survey-academic-intensivists
    February 06, 2019 - March 4, 2019 Controlled trial to improve resident sign-out in a medical intensive care unit … December 10, 2014 A systematic review of teamwork in the intensive care unit: what do
  2. psnet.ahrq.gov/issue/missed-nursing-care-during-covid-19-pandemic-comparative-observational-study
    June 22, 2022 - Related Resources From the Same Author(s) Missed nursing care in the critical care unit … February 1, 2023 Missed nursing care in the critical care unit, before and during the
  3. psnet.ahrq.gov/periodic-issue/periodic-issue-473
    March 25, 2025 - There was no association with intensive care unit stay or mortality. … There was no association with intensive care unit stay or mortality. … behavioral barriers and enablers for implementing healthcare-acquired condition improvement projects at the unit … Following the simulation, most participants responded that SDENA would be feasible in their unit.
  4. psnet.ahrq.gov/issue/care-transition-trauma-patients-processes-articulation-work-and-after-handoff
    June 22, 2022 - Analyzing and mitigating the risks of patient harm during operating room to intensive care unit … template to improve referral communication for inter-facility transfers to the pediatric intensive care unit
  5. psnet.ahrq.gov/issue/applying-decision-science-prioritization-healthcare-associated-infection-initiatives
    October 20, 2021 - September 22, 2021 Implementation of a comprehensive unit-based safety program to reduce … , 2020 Reducing three infections across cardiac surgery programs: a multisite cross-unit
  6. psnet.ahrq.gov/issue/black-womens-maternal-health-insights-community-based-participatory-research-newark-new
    June 21, 2023 - November 2, 2016 Medication errors in a neonatal intensive care unit. … 2008 Educational strategy to reduce medication errors in a neonatal intensive care unit
  7. psnet.ahrq.gov/issue/multicenter-collaborative-effort-reduce-preventable-patient-harm-due-retained-surgical-items
    March 20, 2019 - of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit … June 12, 2024 Green Cross method in a postanaesthesia care unit: a qualitative study
  8. psnet.ahrq.gov/issue/treatment-patterns-and-clinical-outcomes-after-introduction-medicare-sepsis-performance
    October 02, 2019 - May 5, 2021 Psychological safety in intensive care unit rounding teams. … and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit
  9. psnet.ahrq.gov/issue/paediatric-family-activated-rapid-response-interventions-qualitative-systematic-review
    November 24, 2021 - September 21, 2022 Missed nursing care in the critical care unit, before and during the … 2021 Factors influencing family member perspectives on safety in the intensive care unit
  10. psnet.ahrq.gov/primer/handoffs
    October 18, 2023 - to adverse clinical events in settings ranging from the emergency department  to the intensive care unit … HATRICC) prospective cohort study to improve communication between operating room and intensive care unit … April 20, 2022 Does a unit shift report "blackout" period improve patient safety?
  11. psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
    June 16, 2021 - procedure was uneventful, and he was extubated in the operating room and brought to the postanesthesia care unit … by Lina Bergman, RN, MSc, and Wendy Chaboyer, RN, PhD This transfer from the postanesthesia care unit … checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit
  12. psnet.ahrq.gov/issue/deficiencies-care-care-coordination-and-facility-response-patient-who-died-suicide-memphis-va
    December 16, 2020 - October 12, 2022 Patient Suicide on a Locked Mental Health Unit at the West Palm Beach … September 23, 2020 Patient Suicide on a Locked Mental Health Unit at the West Palm Beach
  13. psnet.ahrq.gov/issue/we-are-not-there-yet-qualitative-system-probing-study-hospital-rapid-response-system
    March 15, 2023 - March 25, 2020 View More Related Resources Intensive care unit … communication and response to clinical deterioration to increase patient safety in the intensive care unit
  14. psnet.ahrq.gov/issue/relationship-between-resident-burnout-and-safety-related-and-acceptability-related-quality
    October 21, 2020 - 2020 Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit … November 14, 2018 In search of common ground in handoff documentation in an intensive care unit
  15. psnet.ahrq.gov/issue/effect-provider-characteristics-responses-medication-related-decision-support-alerts
    July 16, 2019 - Evaluation of medication-related clinical decision support alert overrides in the intensive care unit … range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit
  16. psnet.ahrq.gov/issue/preserving-organizational-resilience-patient-safety-and-staff-retention-during-covid-19
    May 08, 2019 - Resources Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit … Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit
  17. psnet.ahrq.gov/issue/longitudinal-evaluation-pediatric-rapid-response-system-realist-evaluation-framework
    July 20, 2022 - of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit … communication and response to clinical deterioration to increase patient safety in the intensive care unit
  18. psnet.ahrq.gov/issue/lessons-learned-national-hospital-antibiotic-stewardship-implementation-project
    July 20, 2022 - outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit … August 1, 2009 Patient-safety and quality initiatives in the intensive-care unit.
  19. psnet.ahrq.gov/issue/medication-safety-amid-technological-change-usability-evaluation-inform-inpatient-nurses
    March 22, 2023 - May 8, 2024 Evaluating independent double checks in the pediatric intensive care unit … smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit
  20. psnet.ahrq.gov/issue/mitigating-imperfect-data-validity-administrative-data-psis-method-estimating-true-adverse
    March 17, 2021 - Systematic review and meta-analysis of interventions for operating room to intensive care unit … 2021 Factors influencing family member perspectives on safety in the intensive care unit

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