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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
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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.
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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
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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
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psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
March 01, 2015 - Based on the availability of local resources, a Basic Life Support Unit was dispatched. … placement of a device to assist her heart function and a prolonged stay in the cardiac intensive care unit … Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit
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psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
December 18, 2024 - There must be champions helping nurses understand and implement the evidence, identify unit-specific … In our clinical trial, we found that when patients on a nursing unit did not know their risk factors … Because of the Magnet Program, many hospitals have unit-based councils. … It is good to have nurses who have experience and are well-respected on the unit serve as champions. … We did a case control study and found the most common reason patients on the intervention unit fell in
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psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
December 18, 2024 - One study examined the association between nursing unit safety culture, quality of care, nurse staffing … There must be champions helping nurses understand and implement the evidence, identify unit-specific … In our clinical trial, we found that when patients on a nursing unit did not know their risk factors … Because of the Magnet Program, many hospitals have unit-based councils. … It is good to have nurses who have experience and are well-respected on the unit serve as champions.
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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
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psnet.ahrq.gov/node/867986/psn-pdf
March 24, 2025 - If they
are in an emergency department, an inpatient unit, or, of course, a behavioral health unit, … high risk, safety
precautions need to be maintained, and they need to be admitted to a psychiatric unit … Edwin Boudreaux: In a medical unit, most beds or rooms have a lot of items that are unsafe for a person … Those are the
precautions you would take if a person were highly suicidal in a medical unit; do your … of the safety plan so that it's not just a piece of
paper or an exercise they did in the inpatient unit
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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
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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
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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
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psnet.ahrq.gov/issue/eliminating-catheter-associated-urinary-tract-infections
July 17, 2013 - This toolkit reveals how to apply strategies from the Comprehensive Unit-based Safety Program to drive
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psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
February 19, 2020 - She was placed on a mechanical ventilator and admitted to the intensive care unit. … The patient in this case was in an intensive care unit (ICU) at the time of the event. … Eliminating catheter-related bloodstream infections in the intensive care unit. … Unit-level time trends in inpatient fall rates of US hospitals. Med Care. 2012;50:801-807. … A retrospective analysis of determinants of self-extubation in a tertiary care intensive care unit.
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psnet.ahrq.gov/node/33559/psn-pdf
December 15, 2024 - their existing medications at times of
transitions in care—upon hospital admission, transfer from one unit … hospital admission, in-hospital transitions of care (such as
transfer into or out of the intensive care unit
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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.
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psnet.ahrq.gov/issue/economic-evaluation-quality-improvement-interventions-prevent-catheter-associated-urinary
January 25, 2017 - Systematic review and meta-analysis of interventions for operating room to intensive care unit … , 2022
Reducing three infections across cardiac surgery programs: a multisite cross-unit
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psnet.ahrq.gov/issue/ahrq-safety-program-mrsa-prevention
December 24, 2008 - surgical services, and long-term care facilities across the United States, building on the Comprehensive Unit-based
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psnet.ahrq.gov/node/867759/psn-pdf
March 12, 2025 - psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-interventions-operating-room-intensive-care-unit-handoffs
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psnet.ahrq.gov/node/33572/psn-pdf
December 15, 2024 - implemented to
reduce the risk of central line-associated bloodstream infections (CLABSI) in intensive care unit … implementation of a checklist
requires extensive preparatory work to maximize safety culture in the unit