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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40383/psn-pdf
    April 20, 2011 - Increased mortality associated with after-hours and weekend admission to the intensive care unit: a … Increased mortality associated with after-hours and weekend admission to the intensive care unit: a … psnet.ahrq.gov/issue/increased-mortality-associated-after-hours-and-weekend-admission-intensive- care-unit … psnet.ahrq.gov/issue/increased-mortality-associated-after-hours-and-weekend-admission-intensive-care-unit … psnet.ahrq.gov/issue/increased-mortality-associated-after-hours-and-weekend-admission-intensive-care-unit
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44283/psn-pdf
    July 15, 2015 - An analysis of near misses identified by anesthesia providers in the intensive care unit. … An analysis of near misses identified by anesthesia providers in the intensive care unit. … https://psnet.ahrq.gov/issue/analysis-near-misses-identified-anesthesia-providers-intensive-care-unit … This analysis of near misses in intensive care unit patients that were voluntarily reported by anesthesiologists … https://psnet.ahrq.gov/issue/analysis-near-misses-identified-anesthesia-providers-intensive-care-unit
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43984/psn-pdf
    November 16, 2015 - Improving resident handoffs for children transitioning from the intensive care unit. … Improving resident handoffs for children transitioning from the intensive care unit. … https://psnet.ahrq.gov/issue/improving-resident-handoffs-children-transitioning-intensive-care-unit … to augment the quality of handoffs for patients being transferred from the pediatric intensive care unit … https://psnet.ahrq.gov/issue/improving-resident-handoffs-children-transitioning-intensive-care-unit https
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36906/psn-pdf
    September 01, 2011 - Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. … Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. … psnet.ahrq.gov/issue/implementation-rapid-response-team-decreases-cardiac-arrest-outside- intensive-care-unit … psnet.ahrq.gov/issue/implementation-rapid-response-team-decreases-cardiac-arrest-outside-intensive-care-unit … psnet.ahrq.gov/issue/implementation-rapid-response-team-decreases-cardiac-arrest-outside-intensive-care-unit
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42383/psn-pdf
    December 29, 2014 - Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals … Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals … https://psnet.ahrq.gov/issue/associations-patient-safety-outcomes-models-nursing-care-organization-unit … https://psnet.ahrq.gov/issue/associations-patient-safety-outcomes-models-nursing-care-organization-unit-level-hospitals … https://psnet.ahrq.gov/issue/associations-patient-safety-outcomes-models-nursing-care-organization-unit-level-hospitals
  6. psnet.ahrq.gov/issue/patient-safety-event-reporting-critical-care-study-three-intensive-care-units
    September 22, 2010 - Reporting and classification of patient safety events in a cardiothoracic intensive care unit … and cardiothoracic postoperative care unit. … and cardiothoracic postoperative care unit. … November 11, 2015 Comparison of intensive care unit medication errors reported to the … January 14, 2014 Adverse events are common on the intensive care unit: results from a
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38524/psn-pdf
    July 13, 2009 - How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest … How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest … https://psnet.ahrq.gov/issue/how-does-patient-safety-culture-operating-room-and-post-anesthesia-care- unit-compare-rest … This study found that operating room (OR) and post-anesthesia care unit (PACU) staff had a significantly … https://psnet.ahrq.gov/issue/how-does-patient-safety-culture-operating-room-and-post-anesthesia-care-unit-compare-rest
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40393/psn-pdf
    December 21, 2014 - Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. … Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. … https://psnet.ahrq.gov/issue/structured-interdisciplinary-rounds-medical-teaching-unit-improving-patient … https://psnet.ahrq.gov/issue/structured-interdisciplinary-rounds-medical-teaching-unit-improving-patient-safety … psnet.ahrq.gov/issue/improving-teamwork-impact-structured-interdisciplinary-rounds-medical-teaching-unit
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44284/psn-pdf
    September 09, 2015 - Operating room to intensive care unit handoffs and the risks of patient harm. … Operating room to intensive care unit handoffs and the risks of patient harm. … https://psnet.ahrq.gov/issue/operating-room-intensive-care-unit-handoffs-and-risks-patient-harm This … failure mode and effect analysis to study handoffs between the operating room and the intensive care unit … https://psnet.ahrq.gov/issue/operating-room-intensive-care-unit-handoffs-and-risks-patient-harm https
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42747/psn-pdf
    November 20, 2013 - Drug related problems and pharmacist interventions in a geriatric unit employing electronic prescribing … Drug related problems and pharmacist interventions in a geriatric unit employing electronic prescribing … https://psnet.ahrq.gov/issue/drug-related-problems-and-pharmacist-interventions-geriatric-unit-employing … https://psnet.ahrq.gov/issue/drug-related-problems-and-pharmacist-interventions-geriatric-unit-employing-electronic … https://psnet.ahrq.gov/issue/drug-related-problems-and-pharmacist-interventions-geriatric-unit-employing-electronic
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41900/psn-pdf
    December 05, 2012 - Impact of an intervention to reduce prescribing errors in a pediatric intensive care unit. … Impact of an intervention to reduce prescribing errors in a pediatric intensive care unit. … https://psnet.ahrq.gov/issue/impact-intervention-reduce-prescribing-errors-pediatric-intensive-care-unit … physicians resulted in a significant reduction in prescribing errors in a Spanish pediatric intensive care unit … https://psnet.ahrq.gov/issue/impact-intervention-reduce-prescribing-errors-pediatric-intensive-care-unit
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35468/psn-pdf
    April 12, 2011 - Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: … Medical record review of deaths, unexpected intensive care unit admissions, and clinician referrals: … https://psnet.ahrq.gov/issue/medical-record-review-deaths-unexpected-intensive-care-unit-admissions-and … https://psnet.ahrq.gov/issue/medical-record-review-deaths-unexpected-intensive-care-unit-admissions-and-clinician … https://psnet.ahrq.gov/issue/medical-record-review-deaths-unexpected-intensive-care-unit-admissions-and-clinician
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40545/psn-pdf
    June 22, 2011 - Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes … Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes … https://psnet.ahrq.gov/issue/using-ora-explore-relationship-nursing-unit-communication-patient-safety-and … https://psnet.ahrq.gov/issue/using-ora-explore-relationship-nursing-unit-communication-patient-safety-and-quality-outcomes … https://psnet.ahrq.gov/issue/using-ora-explore-relationship-nursing-unit-communication-patient-safety-and-quality-outcomes
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41280/psn-pdf
    December 31, 2014 - Intensive care unit nurses' information needs and recommendations for integrated displays to improve … Intensive care unit nurses' information needs and recommendations for integrated displays to improve … https://psnet.ahrq.gov/issue/intensive-care-unit-nurses-information-needs-and-recommendations- integrated-displays-improve … dependent on maintaining situational awareness, and this study used direct observation of intensive care unit … https://psnet.ahrq.gov/issue/intensive-care-unit-nurses-information-needs-and-recommendations-integrated-displays-improve
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46240/psn-pdf
    June 21, 2017 - Implementation of a modified bedside handoff for a postpartum unit. … Implementation of a Modified Bedside Handoff for a Postpartum Unit. … https://psnet.ahrq.gov/issue/implementation-modified-bedside-handoff-postpartum-unit Ineffective team … This commentary describes how a rural hospital's postpartum unit redesigned its handoff process to create … https://psnet.ahrq.gov/issue/implementation-modified-bedside-handoff-postpartum-unit https://psnet.ahrq.gov
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41400/psn-pdf
    January 01, 2013 - Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit … Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit … psnet.ahrq.gov/issue/conducting-efficient-proactive-risk-assessment-prior-cpoe-implementation- intensive-care-unit … psnet.ahrq.gov/issue/conducting-efficient-proactive-risk-assessment-prior-cpoe-implementation-intensive-care-unit … psnet.ahrq.gov/issue/conducting-efficient-proactive-risk-assessment-prior-cpoe-implementation-intensive-care-unit
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35344/psn-pdf
    March 11, 2011 - Creating the web-based intensive care unit safety reporting system.  … Creating the Web-based Intensive Care Unit Safety Reporting System. … https://psnet.ahrq.gov/issue/creating-web-based-intensive-care-unit-safety-reporting-system This commentary … discusses the development of an Intensive Care Unit Safety Reporting System (ICUSRS), an endeavor funded … https://psnet.ahrq.gov/issue/creating-web-based-intensive-care-unit-safety-reporting-system http://www.ahrq.gov
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37547/psn-pdf
    February 20, 2008 - Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. … Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. … https://psnet.ahrq.gov/issue/intensive-care-unit-nurses-perceptions-safety-after-highly-specific-safety … https://psnet.ahrq.gov/issue/intensive-care-unit-nurses-perceptions-safety-after-highly-specific-safety-intervention … https://psnet.ahrq.gov/issue/intensive-care-unit-nurses-perceptions-safety-after-highly-specific-safety-intervention
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39918/psn-pdf
    October 13, 2010 - Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case … Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: Business case … psnet.ahrq.gov/issue/reducing-catheter-associated-bloodstream-infections-pediatric-intensive-care- unit-business … //psnet.ahrq.gov/issue/reducing-catheter-associated-bloodstream-infections-pediatric-intensive-care-unit-business … //psnet.ahrq.gov/issue/reducing-catheter-associated-bloodstream-infections-pediatric-intensive-care-unit-business
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40454/psn-pdf
    June 01, 2012 - Influence of unit-level staffing on medication errors and falls in military hospitals. … Influence of unit-level staffing on medication errors and falls in military hospitals. … https://psnet.ahrq.gov/issue/influence-unit-level-staffing-medication-errors-and-falls-military-hospitals … The authors advocate for greater study of organizational factors, particularly at the unit level, to … https://psnet.ahrq.gov/issue/influence-unit-level-staffing-medication-errors-and-falls-military-hospitals

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