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Showing results for "unit".

421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47481/psn-pdf
     January 23, 2019 - Implementation of a second victim program in the neonatal intensive care unit: an interim analysis of … Implementation of a second victim program in the neonatal intensive care unit: An interim analysis of … https://psnet.ahrq.gov/issue/implementation-second-victim-program-neonatal-intensive-care-unit-interim … https://psnet.ahrq.gov/issue/implementation-second-victim-program-neonatal-intensive-care-unit-interim-analysis-employee … https://psnet.ahrq.gov/issue/implementation-second-victim-program-neonatal-intensive-care-unit-interim-analysis-employee

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38756/psn-pdf
     January 20, 2010 - At VA hospital, a rogue cancer unit. January 20, 2010 Bogdanich W. … https://psnet.ahrq.gov/issue/va-hospital-rogue-cancer-unit Flawed safety standards, including a lack … of peer review and oversight, led to a series of errors in a cancer unit at a Philadelphia Veterans … https://psnet.ahrq.gov/issue/va-hospital-rogue-cancer-unit

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42519/psn-pdf
     December 06, 2013 - Is hand hygiene before putting on nonsterile gloves in the intensive care unit a waste of health care … Is hand hygiene before putting on nonsterile gloves in the intensive care unit a waste of health care … https://psnet.ahrq.gov/issue/hand-hygiene-putting-nonsterile-gloves-intensive-care-unit-waste-health-care … https://psnet.ahrq.gov/issue/hand-hygiene-putting-nonsterile-gloves-intensive-care-unit-waste-health-care-worker-time … https://psnet.ahrq.gov/issue/hand-hygiene-putting-nonsterile-gloves-intensive-care-unit-waste-health-care-worker-time

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47445/psn-pdf
     October 24, 2018 - error in the critically ill: defining the problem and exploring next steps to advance intensive care unit … Error in the Critically III: Defining the Problem and Exploring Next Steps to Advance Intensive Care Unit … This commentary recommends areas for research to reduce diagnostic error in the intensive care unit. … national-study-distribution-causes-and-consequences-voluntarily-reported-medication-errors https://psnet.ahrq.gov/issue/diagnostic-errors-intensive-care-unit-systematic-review-autopsy-studies … https://psnet.ahrq.gov/issue/impact-adverse-events-outcomes-intensive-care-unit-patients https://psnet.ahrq.gov

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35600/psn-pdf
     June 21, 2010 - Improving nursing unit teamwork. June 21, 2010 Kalisch BJ, Begeny SM. … Improving nursing unit teamwork. J Nurs Adm. 2005;35(12):550-556. … https://psnet.ahrq.gov/issue/improving-nursing-unit-teamwork The authors share several strategies for … https://psnet.ahrq.gov/issue/improving-nursing-unit-teamwork

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36171/psn-pdf
     September 29, 2010 - Quality and safety in the intensive care unit. September 29, 2010 Stockwell DC, Slonim A. … Quality and safety in the intensive care unit. J Intensive Care Med. 2006;21(4):199-210. … https://psnet.ahrq.gov/issue/quality-and-safety-intensive-care-unit The authors provide background on … https://psnet.ahrq.gov/issue/quality-and-safety-intensive-care-unit

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42515/psn-pdf
     October 24, 2013 - Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. … Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. … https://psnet.ahrq.gov/issue/using-four-phased-unit-based-patient-safety-walkrounds-uncover-correctable … https://psnet.ahrq.gov/issue/using-four-phased-unit-based-patient-safety-walkrounds-uncover-correctable-system-flaws … https://psnet.ahrq.gov/issue/using-four-phased-unit-based-patient-safety-walkrounds-uncover-correctable-system-flaws

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49711/psn-pdf
     June 01, 2014 - Describe an off-unit policy and "hall pass" system used for patients allowed to leave their unit. … patients authorized to leave the unit. … A unit log is maintained with the time the patient obtained the pass and time of return to the unit. … What happens if patients do not comply with the off-unit policies? … UNC Health Care Policy: Elopement/patients off the Unit. July 2013. Policy No. NURS-559. 10.

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36672/psn-pdf
     April 18, 2011 - Interdisciplinary communication in the intensive care unit. … Interdisciplinary communication in the intensive care unit. Br J Anaesth. 2007;98(3):347-52. … https://psnet.ahrq.gov/issue/interdisciplinary-communication-intensive-care-unit The researchers surveyed … https://psnet.ahrq.gov/issue/interdisciplinary-communication-intensive-care-unit

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34656/psn-pdf
     May 27, 2011 - A look into the nature and causes of human errors in the intensive care unit. … A look into the nature and causes of human errors in the intensive care unit. … https://psnet.ahrq.gov/issue/look-nature-and-causes-human-errors-intensive-care-unit This study investigates … the nature of human errors in the intensive care unit (ICU), adopting approaches developed by human … https://psnet.ahrq.gov/issue/look-nature-and-causes-human-errors-intensive-care-unit https://psnet.ahrq.gov

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39174/psn-pdf
     December 16, 2009 - Involvement of parents in critical incidents in a neonatal- paediatric intensive care unit. … Involvement of parents in critical incidents in a neonatal-paediatric intensive care unit. … https://psnet.ahrq.gov/issue/involvement-parents-critical-incidents-neonatal-paediatric-intensive-care-unit … year period in which parents were directly involved in adverse events in a pediatric intensive care unit … https://psnet.ahrq.gov/issue/involvement-parents-critical-incidents-neonatal-paediatric-intensive-care-unit

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43193/psn-pdf
     June 17, 2014 - Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of … Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of … https://psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit- … https://psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure … https://psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure

433. Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. | PSNet
     psnet.ahrq.gov/issue/risk-management-or-just-different-risk-national-survey-newborn-units-following-patient-safety
     April 12, 2011 - Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit … Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit … September 6, 2016 Adverse drug events in a paediatric intensive care unit: a prospective … June 9, 2011 Adverse events in the neonatal intensive care unit: development, testing … The nurses' experience of barriers to safe practice in the neonatal intensive care unit

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38629/psn-pdf
     May 20, 2009 - Medication errors in an intensive care unit. May 20, 2009 Bohomol E, Ramos LH, D'Innocenzo M. … Medication errors in an intensive care unit. … https://psnet.ahrq.gov/issue/medication-errors-intensive-care-unit Pharmacy problems, including lack … https://psnet.ahrq.gov/issue/medication-errors-intensive-care-unit

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41572/psn-pdf
     October 29, 2012 - Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. … Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. … https://psnet.ahrq.gov/issue/diagnostic-errors-intensive-care-unit-systematic-review-autopsy-studies … estimate the incidence of diagnostic errors contributing to death (class I errors) in intensive care unit … https://psnet.ahrq.gov/issue/diagnostic-errors-intensive-care-unit-systematic-review-autopsy-studies

436. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42289/psn-pdf
     May 22, 2013 - The high-reliability pediatric intensive care unit. … The high-reliability pediatric intensive care unit. … https://psnet.ahrq.gov/issue/high-reliability-pediatric-intensive-care-unit This review describes how … https://psnet.ahrq.gov/issue/high-reliability-pediatric-intensive-care-unit https://psnet.ahrq.gov/issue

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42721/psn-pdf
     December 12, 2014 - Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited … Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited … psnet.ahrq.gov/issue/infusional-chemotherapy-and-medication-errors-tertiary-care-pediatric-cancer- unit-resource … //psnet.ahrq.gov/issue/infusional-chemotherapy-and-medication-errors-tertiary-care-pediatric-cancer-unit-resource … //psnet.ahrq.gov/issue/infusional-chemotherapy-and-medication-errors-tertiary-care-pediatric-cancer-unit-resource

438. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36308/psn-pdf
     January 05, 2017 - A trigger tool to identify adverse events in the intensive care unit.  … A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. … https://psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit This study describes … clinical events, such as chest tube insertion, code status change, or readmission to the intensive care unit … https://psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit https://psnet.ahrq.gov

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39793/psn-pdf
     August 25, 2010 - Infection Control in the Intensive Care Unit. August 25, 2010 Crit Care Med. 2010;38:S265-S404. …   https://psnet.ahrq.gov/issue/infection-control-intensive-care-unit Articles in this special … issue describe strategies to reduce infections in the intensive care unit, including human factors design … https://psnet.ahrq.gov/issue/infection-control-intensive-care-unit https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-patient-safety

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35527/psn-pdf
     June 29, 2011 - Patient-reported service quality on a medicine unit. … Patient-reported service quality on a medicine unit. Int J Qual Health Care. 2006;18(2):95-101. … https://psnet.ahrq.gov/issue/patient-reported-service-quality-medicine-unit The investigators interviewed … https://psnet.ahrq.gov/issue/patient-reported-service-quality-medicine-unit