-
psnet.ahrq.gov/issue/surveillance-medical-device-related-hazards-and-adverse-events-hospitalized-patients
March 11, 2011 - of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit … medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit
-
psnet.ahrq.gov/issue/burns-surgery-handover-study-trainees-assessment-current-practice-british-isles
February 01, 2013 - Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit … February 29, 2012
Intensive care unit safety incidents for medical versus surgical patients
-
psnet.ahrq.gov/issue/parents-medication-administration-errors-role-dosing-instruments-and-health-literacy
May 31, 2017 - April 24, 2018
Unit of measurement used and parent medication dosing errors. … April 26, 2023
Adverse drug event-related admissions to a pediatric emergency unit
-
psnet.ahrq.gov/issue/lost-opportunities-how-physicians-communicate-about-medical-errors
July 10, 2008 - of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit … A new safety event reporting system improves physician reporting in the surgical intensive care unit
-
psnet.ahrq.gov/issue/how-useful-are-voluntary-medication-error-reports-case-warfarin-related-medication-errors
May 27, 2011 - September 18, 2009
Pediatric medication errors in the postanesthesia care unit: analysis … November 30, 2016
Unreported errors in the intensive care unit: a case study of the way
-
psnet.ahrq.gov/issue/intervention-decrease-catheter-related-bloodstream-infections-icu
June 16, 2011 - Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit … Reducing catheter-associated bloodstream infections in the pediatric intensive care unit
-
psnet.ahrq.gov/node/49831/psn-pdf
June 01, 2018 - this medication error did not surface until
2 hours later when the patient arrived in the acute care unit … Delays from the admission decision to arrival
on the inpatient unit are problematic. … The median time from ED provider decision to admit to patient arrival
on the inpatient unit in the US … off-site
internist) had responsibility for this patient before he was transferred to the inpatient unit … of
delayed transfer of critically ill patients from the emergency department to the intensive care unit
-
psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-propofol-procedures
April 11, 2011 - April 3, 2013
Pediatric patient safety in emergency departments: unit characteristics … the impact of maternity-orientated human factors training on safety culture in a tertiary maternity unit
-
psnet.ahrq.gov/issue/severity-and-probability-harm-medication-errors-intercepted-emergency-department-pharmacist
May 04, 2012 - January 24, 2018
Medication errors and adverse drug events in an intensive care unit: … observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit
-
psnet.ahrq.gov/issue/ergonomic-and-human-factors-affecting-anesthetic-vigilance-and-monitoring-performance
May 31, 2011 - September 8, 2021
Changes in intensive care unit nurse task activity after installation … of a third-generation intensive care unit information system.
-
psnet.ahrq.gov/issue/medication-safety-neonatal-care-review-medication-errors-among-neonates
August 15, 2016 - Improving safety throughout the medication use process in a neonatal intensive care unit … provider order entry implementation: no association with increased mortality rates in an intensive care unit
-
psnet.ahrq.gov/issue/benefactor-or-burden-exploring-professional-identity-safety-professionals
October 11, 2017 - June 13, 2018
Structured interdisciplinary rounds in a medical teaching unit: improving … 2011
Educational strategy to reduce medication errors in a neonatal intensive care unit
-
psnet.ahrq.gov/issue/excess-dosing-antiplatelet-and-antithrombin-agents-treatment-non-st-segment-elevation-acute
November 10, 2015 - automated system for real-time medication administration error detection in a neonatal intensive care unit … Improving safety throughout the medication use process in a neonatal intensive care unit
-
psnet.ahrq.gov/issue/appropriateness-commercially-available-and-partially-customized-medication-dosing-alerts
July 16, 2015 - July 29, 2020
Perceptions of rounding checklists in the intensive care unit: a qualitative … range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit
-
psnet.ahrq.gov/issue/crying-wolf-alarm-safety-and-management-paediatrics-scoping-review
April 24, 2018 - range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit … Improving safety throughout the medication use process in a neonatal intensive care unit
-
psnet.ahrq.gov/issue/explaining-michigan-developing-ex-post-theory-quality-improvement-program
April 04, 2011 - 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
-
psnet.ahrq.gov/issue/uncovering-system-errors-using-rapid-response-team-cross-coverage-caught-crossfire
April 24, 2018 - September 12, 2016
Unplanned transfers to a medical intensive care unit: causes and relationship … A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit
-
psnet.ahrq.gov/issue/resilience-nursing-medication-administration-practice-systematic-review-narrative-synthesis
February 18, 2017 - interventions to reduce the frequency of critical medication doses missed or delayed during perioperative and unit-to-unit
-
psnet.ahrq.gov/web-mm/cups-error
January 12, 2011 - During his stay at a rehabilitation unit, a nursing student administered a “cup” of medications that … Unfortunately, this cup of medications belonged to another patient on the unit. … On this particular unit, nursing students receive supervision from a senior nursing instructor. … administration record (MAR) should be taken by the nurse to the bedside, and medications should remain in the unit-dose–labeled
-
psnet.ahrq.gov/issue/effects-interdisciplinary-team-care-interventions-general-medical-wards-systematic-review
April 24, 2018 - March 16, 2016
Communication skills and error in the intensive care unit. … April 28, 2010
Developing a team performance framework for the intensive care unit.