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psnet.ahrq.gov/perspective/burnout-among-health-professionals-and-its-effect-patient-safety
December 22, 2018 - and physicians on 54 ICU teams from 48 different hospitals, evaluated the effect of individual and unit-level … Importantly, the study controlled for unit workload and workload predictability. … When measured at the unit level, emotional exhaustion (a component of the overall burnout score) was
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psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety
May 01, 2017 - This AHRQ-funded program draws from comprehensive unit-based safety program principles to reduce
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psnet.ahrq.gov/primer/teamwork-training
September 15, 2024 - training may depend on baseline perceptions of safety culture and readiness for change within a given unit … Successful organizational approaches to improving safety, such as the Comprehensive Unit-Based Safety
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psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
December 20, 2023 - A microsystem refers to a small, functional unit within a healthcare organization in which patient care … is delivered. 11 This unit can be a specific department, a clinical team, or even a single healthcare … chain problem by sending discharge prescriptions to an outside pharmacy for delivery to the inpatient unit
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - The patient spent the next 3 days in the intensive care unit (ICU). … errors is high because medical device technology continually evolves and because nurses move from one unit … National survey of central venous catheter flushing in the intensive care unit. … Human factors analysis of latent safety threats in a pediatric critical care unit … An analysis of near misses identified by anesthesia providers in the intensive care unit
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psnet.ahrq.gov/node/867700/psn-pdf
March 01, 2023 - Designed to be used alongside the Comprehensive Unit-based Safety Program (CUSP) toolkit, this AHRQ
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psnet.ahrq.gov/web-mm/40-k
January 12, 2011 - The unit nurse contacted the physician, who was engaged in a sterile procedure in the cardiac catheterization … laboratory (cath lab) and gave a verbal order, which was relayed to the unit nurse via the procedure … The unit nurse (whose past clinical experience was in neonatal intensive care) wrote the order as "Give … However, the unit nurse had already obtained vitamin K on override from the Pyxis MedStation® (an automated
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psnet.ahrq.gov/issue/toolkit-preventing-clabsi-and-cauti-icus
December 24, 2008 - Developed by AHRQ, this customizable, educational toolkit uses the Comprehensive Unit-based Safety Program
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psnet.ahrq.gov/node/33567/psn-pdf
June 15, 2024 - to adverse clinical events in settings ranging from the emergency department to
the intensive care unit … HATRICC) prospective cohort
study to improve communication between operating room and intensive care unit
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psnet.ahrq.gov/issue/toolkit-improve-safety-ambulatory-surgery-centers
May 01, 2015 - This toolkit draws from AHRQ's Comprehensive Unit-based Safety Program to help ambulatory surgical
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psnet.ahrq.gov/node/73416/psn-pdf
June 23, 2021 - observational-study-postoperative-handoff-standardization-failures
Standardized handoff protocols from the operating room to the intensive care unit
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psnet.ahrq.gov/node/838133/psn-pdf
January 01, 2023 - leadership-style-and-patient-safety-implications-nurse-managers
https://psnet.ahrq.gov/issue/do-leadership-style-unit-climate-and-safety-climate-contribute-safe-medication-practices
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psnet.ahrq.gov/primer/checklists
September 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
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psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety
January 09, 2024 - Reducing three infections across cardiac surgery programs: a multisite cross-unit
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psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
January 29, 2021 - Intensive care unit staff frequently must provide care for several patients at the same time, which leads … may occur in a patient with low blood pressure in the emergency department or in the critical care unit … Infusion systems in the intensive care unit are often complex and an explanation of how the lines are … Inexperienced staff need adequate supervision especially in high-stake environments such as the critical care unit … Intentional intra-arterial injection of midazolam in a patient with status epilepticus in the Intensive Care Unit
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psnet.ahrq.gov/node/867702/psn-pdf
September 01, 2021 - Based on principles and methods from the Comprehensive Unit-
based Safety Program (CUSP), the toolkit
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psnet.ahrq.gov/node/851189/psn-pdf
July 05, 2023 - Omissions, mortality, and length of intensive care unit (ICU) stay were reported in a 2019 study.
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psnet.ahrq.gov/node/837138/psn-pdf
May 18, 2022 - reports findings from a 14-site multidisciplinary collaborative evaluating pediatric
intensive care unit
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psnet.ahrq.gov/web-mm/dont-push
March 02, 2011 - In the cardiac intensive care unit, she required placement of a transvenous pacemaker. … Practice parameters for intravenous analgesia and sedation for adult patients in the intensive care unit … Rapid tranquilization of the agitated intensive care unit patients. … Trends in central line–associated bloodstream infections in a trauma-surgical intensive care unit
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psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
August 01, 2012 - did find the lowest scores in areas of the survey that reflect staffing issues and transition between unit … What we'd really like to do is look at the patient safety culture of a particular unit and the outcomes … RW : Brian Sexton's work shows that the differences in culture from unit to unit in hospitals are greater … Is your sense that there are a lot of differences unit to unit in nursing homes as well? … There may be directors of each unit, but compared with the hospital setting, there is not a hierarchy