-
psnet.ahrq.gov/issue/identification-latent-safety-threats-using-high-fidelity-simulation-based-training
June 26, 2019 - simulation exercises proved valuable for identifying latent errors in the neonatal intensive care unit … May 8, 2017
Family participation during intensive care unit rounds: goals and expectations … of parents and health care providers in a tertiary pediatric intensive care unit. … January 15, 2014
The high-reliability pediatric intensive care unit. … Reducing catheter-associated bloodstream infections in the pediatric intensive care unit
-
psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit
April 08, 2011 - Study
A trigger tool to identify adverse events in the intensive care unit. … A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. … clinical events, such as chest tube insertion, code status change, or readmission to the intensive care unit … A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. … experienced while transferring the critically ill patient from the emergency department to the intensive care unit
-
psnet.ahrq.gov/issue/nicu-medication-errors-identifying-risk-profile-medication-errors-neonatal-intensive-care
September 21, 2008 - medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit … medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit … Medication errors are common in neonatal intensive care unit (NICU) settings. … medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit … automated system for real-time medication administration error detection in a neonatal intensive care unit
-
psnet.ahrq.gov/issue/opportunities-improve-diagnosis-emergency-transfers-pediatric-intensive-care-unit
June 28, 2023 - Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit … Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. … Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. … Postdischarge adverse events among neonates admitted to the neonatal intensive care unit … , 2022
Human factors analysis of latent safety threats in a pediatric critical care unit
-
psnet.ahrq.gov/issue/correlation-between-neonatal-intensive-care-unit-safety-culture-and-quality-care
November 20, 2019 - Study
The correlation between neonatal intensive care unit safety culture and quality … The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care. … The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care. … April 18, 2012
Neonatal intensive care unit safety culture varies widely. … The nurses' experience of barriers to safe practice in the neonatal intensive care unit
-
psnet.ahrq.gov/issue/effectiveness-barcode-medication-administration-system-reducing-preventable-adverse-drug
December 14, 2022 - medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit … medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit … Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit … Related Resources
Evaluating independent double checks in the pediatric intensive care unit … January 23, 2019
Medication safety in the neonatal intensive care unit: big measures
-
psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-interventions-operating-room-intensive-care-unit-handoffs
July 08, 2020 - Systematic review and meta-analysis of interventions for operating room to intensive care unit … Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs … Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs … June 17, 2015
Often overlooked problems with handoffs: from the intensive care unit to … checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit
-
psnet.ahrq.gov/issue/characterization-interventions-reduce-frequency-critical-medication-doses-missed-or-delayed
November 16, 2016 - interventions to reduce the frequency of critical medication doses missed or delayed during perioperative and unit-to-unit … interventions to reduce the frequency of critical medication doses missed or delayed during perioperative and unit-to-unit … interventions to reduce the frequency of critical medication doses missed or delayed during perioperative and unit-to-unit … Analyzing and mitigating the risks of patient harm during operating room to intensive care unit
-
psnet.ahrq.gov/issue/transforming-morbidity-and-mortality-conference-promote-safety-and-quality-picu
April 28, 2021 - introducing a structured systems-oriented morbidity and mortality conference in a pediatric intensive care unit … , 2011
Human factors analysis of latent safety threats in a pediatric critical care unit … April 24, 2018
Burnout in the neonatal intensive care unit and its relation to healthcare-associated … morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit … observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit
-
psnet.ahrq.gov/issue/discrepancy-between-emergency-department-admission-diagnosis-and-hospital-discharge-diagnosis
December 08, 2021 - and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit … and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit … and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit … Systematic review and meta-analysis of interventions for operating room to intensive care unit … communication and response to clinical deterioration to increase patient safety in the intensive care unit
-
psnet.ahrq.gov/issue/does-unit-shift-report-blackout-period-improve-patient-safety
August 04, 2021 - Commentary
Does a unit shift report "blackout" period improve patient safety? … Does a unit shift report "blackout" period improve patient safety? … Does a unit shift report "blackout" period improve patient safety?
-
psnet.ahrq.gov/issue/prospective-evaluation-multifaceted-intervention-improve-outcomes-intensive-care-promoting
August 03, 2022 - communication as well as patient engagement tools and training on patient safety in the intensive care unit … February 23, 2015
Nighttime cross-coverage is associated with decreased intensive care unit … 2011
Nurses' perceptions of error communication and reporting in the intensive care unit … Developing and testing a tool to measure nurse/physician communication in the intensive care unit … February 17, 2011
Implementing and validating a comprehensive unit-based safety program
-
psnet.ahrq.gov/issue/adverse-drug-event-rates-high-cost-and-high-use-drugs-intensive-care-unit
April 11, 2012 - Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit … Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit. … Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit. … August 30, 2017
Multiprofessional survey of protocol use in the intensive care unit. … Improving adverse drug event detection in critically ill patients through screening intensive care unit
-
psnet.ahrq.gov/issue/assessing-and-improving-safety-culture-throughout-academic-medical-centre-prospective-cohort
January 02, 2017 - Teamwork training , executive walk rounds , and establishing unit-based safety teams are all initiatives … The initiatives implemented included a comprehensive unit-based safety program ( CUSP ), specific teamwork … January 2, 2017
Impact of the Comprehensive Unit-Based Safety Program (CUSP) on safety … culture in a surgical inpatient unit. … June 16, 2011
A web-based tool for the Comprehensive Unit-based Safety Program (CUSP)
-
psnet.ahrq.gov/issue/prevalence-and-characteristics-diagnostic-error-pediatric-critical-care-multicenter-study
December 11, 2024 - This study was a retrospective record review of 882 pediatric intensive care unit (PICU) patients to … template to improve referral communication for inter-facility transfers to the pediatric intensive care unit … template to improve referral communication for inter-facility transfers to the pediatric intensive care unit … April 27, 2022
Frequency of diagnostic errors in the neonatal intensive care unit: a
-
psnet.ahrq.gov/issue/partnered-pharmacist-charting-admission-general-medical-and-emergency-short-stay-unit-cluster
July 06, 2011 - Partnered pharmacist charting on admission in the general medical and emergency short-stay unit—a … Partnered pharmacist charting on admission in the General Medical and Emergency Short-stay Unit - a cluster-randomised … patients with complex medication regimens who were admitted to a general medical or emergency short-stay unit … Partnered pharmacist charting on admission in the General Medical and Emergency Short-stay Unit - a cluster-randomised
-
psnet.ahrq.gov/issue/safe-implementation-standard-concentration-infusions-paediatric-intensive-care
June 17, 2014 - According to a retrospective study in a pediatric intensive care unit, most morphine-related medication … Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit … Improving safety throughout the medication use process in a neonatal intensive care unit … May 27, 2011
Patient misidentification in the neonatal intensive care unit: quantification … of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit
-
psnet.ahrq.gov/node/867752/psn-pdf
March 12, 2025 - Analyzing and mitigating the risks of patient harm during
operating room to intensive care unit patient … Analyzing and mitigating the risks of patient harm during
operating room to intensive care unit patient … psnet.ahrq.gov/issue/analyzing-and-mitigating-risks-patient-harm-during-operating-room-intensive-
care-unit-patient … psnet.ahrq.gov/issue/analyzing-and-mitigating-risks-patient-harm-during-operating-room-intensive-care-unit-patient … psnet.ahrq.gov/issue/analyzing-and-mitigating-risks-patient-harm-during-operating-room-intensive-care-unit-patient
-
psnet.ahrq.gov/issue/nursing-strategies-safeguard-covid-19-patients-harm-intensive-care-unit
July 31, 2013 - Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit … Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit. … Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit. … September 30, 2020
Missed nursing care in the critical care unit, before and during the … Postdischarge adverse events among neonates admitted to the neonatal intensive care unit
-
psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study
July 17, 2013 - with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit … with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit … with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit … September 25, 2013
Improving alarm performance in the medical intensive care unit using … March 1, 2011
Intensive care unit alarms—how many do we need?