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Total Results: 2,939 records

Showing results for "unit".

381. The effect of drug concentration expression on epinephrine dosing errors: a randomized trial. | PSNet
     psnet.ahrq.gov/issue/effect-drug-concentration-expression-epinephrine-dosing-errors-randomized-trial
     August 27, 2008 - Variability in the concentrations of intravenous drug infusions prepared in a critical care unit … Variability in the concentrations of intravenous drug infusions prepared in a critical care unit

382. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules | PSNet
     psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
     March 25, 2020 - The patient remained intubated and was transferred to the intensive care unit, where he was later extubated … outpatient procedure. 4 This patient, however, had to be needlessly admitted to the intensive care unit … these potential complications, but the unnecessary admission to the hospital and the intensive care unit

383. Ebola: Are We Ready? | PSNet
     psnet.ahrq.gov/web-mm/ebola-are-we-ready
     July 01, 2012 - As the clinicians soon discovered, this set was not available on the patient unit. … The intensive care unit (ICU) physicians decided the patient needed central venous access and requested … the case had failed to plan the route in sufficient detail from the ED to the designated isolation unit … A second group of errors was identified once on the isolation unit: a lack of standardized equipment … The team's solution was to post written protocols inside the isolation unit so staff could easily view

384. Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans | PSNet
     psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-customized-prevention
     July 23, 2024 - provider teams) willing and able to work together Support and buy-in from nursing staff and hospital and unit … program includes assessing the patient’s knowledge of their risk factors and prevention plan at the unit … provider teams) willing and able to work together Support and buy-in from nursing staff and hospital and unit … More specifically,nurses should have channels to provide ongoing feedback to both staff and unit leadership

385. Effects of learning climate and registered nurse staffing on medication errors. | PSNet
     psnet.ahrq.gov/issue/effects-learning-climate-and-registered-nurse-staffing-medication-errors
     February 15, 2011 - Association of nurse workload with missed nursing care in the neonatal intensive care unit … October 6, 2016 Predictors of unit-level medication administration accuracy: microsystem

386. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk | PSNet
     psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
     January 31, 2024 - The Cases  Case #1: A 29-day-old infant had an uneventful stay in the neonatal intensive care unit (NICU … shortly after hospital discharge.Students, whether in nursing or medicine, should be educated as to unit … and the provision of formula, and how to assist the team with educating the mother/infant or family unit … in safe newborn feeding practices regardless of the method the mother/infant/family unit is utilizing … Data-driven nurse staffing in the neonatal intensive care unit.

387. Are temporary staff associated with more severe emergency department medication errors? | PSNet
     psnet.ahrq.gov/issue/are-temporary-staff-associated-more-severe-emergency-department-medication-errors
     June 29, 2011 - March 21, 2012 Comparison of intensive care unit medication errors reported to the United … January 12, 2011 Integrating the intensive care unit safety reporting system with existing

388. Professionalism: a necessary ingredient in a culture of safety. | PSNet
     psnet.ahrq.gov/issue/professionalism-necessary-ingredient-culture-safety
     November 01, 2011 - September 19, 2016 Structured interdisciplinary rounds in a medical teaching unit: improving … Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit

389. Factors associated with barcode medication administration technology that contribute to patient safety: an integrative review. | PSNet
     psnet.ahrq.gov/issue/factors-associated-barcode-medication-administration-technology-contribute-patient-safety
     September 28, 2010 - January 11, 2017 Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve … smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit

390. Surveillance of medical device-related hazards and adverse events in hospitalized patients. | PSNet
     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

391. Lost opportunities: how physicians communicate about medical errors. | PSNet
     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

392. Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with record review. | PSNet
     psnet.ahrq.gov/issue/measurement-patient-safety-systematic-review-reliability-and-validity-adverse-event-detection
     November 16, 2016 - January 30, 2019 Improving clinical handover between intensive care unit and general … ward professionals at intensive care unit discharge.

393. Hospital safety climate and safety outcomes: is there a relationship in the VA? | PSNet
     psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-outcomes-there-relationship-va
     October 14, 2009 - 2011 How does patient safety culture in the operating room and post-anesthesia care unit … December 15, 2011 A relational leadership perspective on unit-level safety climate.

394. Parents' medication administration errors: role of dosing instruments and health literacy. | PSNet
     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

395. How useful are voluntary medication error reports? The case of warfarin-related medication errors. | PSNet
     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

396. Psn-Pdf (pdf file)
     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

397. An intervention to decrease catheter-related bloodstream infections in the ICU. | PSNet
     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

398. The Role of the Patient in Improving Patient Safety | PSNet
     psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
     March 01, 2007 - their own safety, working with health care organizations to improve safety at the organization and unit … She was intubated and moved to the medical intensive care unit, where she vomited and choked on her secretions … , patients and families are an integral part of quality-improvement teams, hospital-wide teams, and unit-based … A reduction in medical errors and an increase in patient satisfaction in its neuro-rehabilitation unit

399. The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium. | PSNet
     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

400. Severity and probability of harm of medication errors intercepted by an emergency department pharmacist. | PSNet
     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