-
psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
September 01, 2008 - Drug libraries may be unit specific, with unique rules for individual clinical areas such as pediatrics … 11 ) An obstacle to universal dissemination of BCMA is the lag in availability of bar-coded single-unit … which requires some institutions to repackage and bar code those drugs not yet available in the single-unit … With this technology, the nurse will not have to hunt around the unit looking for the paper medication … So when we rolled out barcode technology, we decided to not roll it out on the oncology unit, in order
-
psnet.ahrq.gov/node/867701/psn-pdf
August 01, 2017 - This toolkit was
developed to help staff in intensive care units use AHRQ’s Comprehensive Unit-based
-
psnet.ahrq.gov/node/41861/psn-pdf
September 27, 2017 - according to this retrospective analysis of patients admitted to a Taiwanese surgical intensive care unit
-
psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
November 16, 2022 - Creating psychological safety 3 is one component of the Comprehensive Unit-based Safety Program (CUSP … Another study of hospital intensive care unit (ICU) team members reported that psychological safety was … provided evidence that nurse managers are strongly influential for establishing environments that foster unit … Psychological safety in intensive care unit rounding teams.
-
psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
February 26, 2025 - It is highly variable depending upon the unit or medical office building in which you work. … When you assess with a good metric that a unit that has no burnout, well then they are ready to work … If you're a resilient unit you're going to bounce and not break. … Unlike a unit where everybody is showing up and they're firing on all pistons, on these burned out units … People might say, "Teamwork's no good in this unit." What does that mean?
-
psnet.ahrq.gov/web-mm/check-wristband
August 03, 2009 - was reported to AHRQ WebM&M by this circulating nurse, who noted, “I went to the surgical day care unit … I had to take the patient off the OR table and return her to the surgical day care unit.” … Here, it would have been useful for the RN, the nurse anesthetist, and the unit clerk to meet and work … out a unit reminder system.
-
psnet.ahrq.gov/web-mm/pca-overdose
April 01, 2017 - She remained alert and oriented and, while in the post-anesthesia care unit (PACU), she began receiving … nursing staff called a “code” and the patient was resuscitated and transferred to the intensive care unit … Thrombosis
June 28, 2023
Interdisciplinary communication in the intensive care unit
-
psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
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
-
psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
March 25, 2025 - If they are in an emergency department, an inpatient unit, or, of course, a behavioral health unit, it … 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 … Most often, when a person dies or gets seriously injured in a unit, they use something that is available … Those are the precautions you would take if a person were highly suicidal in a medical unit; do your
-
psnet.ahrq.gov/perspective/suicide-prevention
March 24, 2025 - and Suicide Deaths Subsequent to Discharge From an Emergency Department or an Inpatient Psychiatry Unit … If they are in an emergency department, an inpatient unit, or, of course, a behavioral health unit, it … 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
-
psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
August 02, 2015 - meningococcemia, the attending started antibiotic therapy and transferred the patient to the intensive care unit … resulted in the ordering of empiric broad-spectrum antibiotics and admission to an intermediate care unit … It applies anytime an attending is not physically present in a patient care unit to personally evaluate … November 14, 2018
A randomized trial of nighttime physician staffing in an intensive care unit
-
psnet.ahrq.gov/node/33588/psn-pdf
March 15, 2025 - Adverse Event
A survey of 898 clinicians at the University of Missouri found that clinicians wanted a unit … The first tier of support consists of unit- or department-based event recognition and support by colleagues
-
psnet.ahrq.gov/web-mm/back-basics
July 13, 2010 - infusions can be used safely throughout the hospital (i.e., they do not require admission to a step-down unit … or intensive care unit) when the system of care allows for adequate training and supervision of those … Implementation of a safe and effective insulin infusion protocol in a medical intensive care unit.
-
psnet.ahrq.gov/node/33578/psn-pdf
September 15, 2024 - Newborns in a neonatal intensive care unit are given
full-dose heparin instead of low-dose flushes, … hospital may have many different models scattered around the building, sometimes even on the
same unit
-
psnet.ahrq.gov/web-mm/intubation-mishap
April 26, 2023 - communication
Case & Commentary
A 17-month-old female infant in the pediatric intensive care unit … How to investigate and analyse clinical incidents: clinical risk unit and association of litigation and … A look into the nature and causes of human errors in the intensive care unit. … Nursing shortage has led to higher turnover with younger/less experienced nurses or those unfamiliar with unit … Administrative and management support
Orientation and training of nurses on high-risk unit
-
psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
April 26, 2023 - On a typical general care unit, patient vital signs are assessed intermittently every 4–8 hours. … In contrast, patients on a general care unit are considered lower acuity. … It may be helpful to remind clinicians that the status quo in a general unit is intermittent vital signs … That is very different than in the ICU [intensive care unit] or in the operating room, where it’s one … We had to decide where to put the unit, where the supplies would go, how it would be configured, and
-
psnet.ahrq.gov/primer/medication-reconciliation
March 15, 2025 - 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
-
psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
June 15, 2024 - H is transferred to a critical care unit and his home medications, such as gabapentin for neuropathy … H is transferred again the medical/surgical unit. Mr. … Barriers to discharge in an acute care medical teaching unit: a qualitative analysis of health providers
-
psnet.ahrq.gov/node/47282/psn-pdf
August 08, 2018 - educational
initiatives, and a whiteboard system to enhance the reliability of insulin therapy in the unit
-
psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - The patient was admitted to the Labor and Delivery unit and confirmed to have a full-term singleton fetus … Each labor unit should have supplies to treat hemorrhage that are easily accessible and findable. … July 16, 2018
Medication errors in a neonatal intensive care unit. … 2008
Educational strategy to reduce medication errors in a neonatal intensive care unit