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psnet.ahrq.gov/web-mm/walking-out-hospital-after-attempted-suicide
March 29, 2023 - inpatient psychiatry consultation-liaison teams routinely see patients admitted to the intensive care unit … need to be followed by the psychiatry consultation-liaison team while they are in the intensive care unit … After patients with high-risk suicide attempts are stabilized in the intensive care unit (ICU), they
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psnet.ahrq.gov/continuing-education
February 26, 2025 - and appropriate treatment for hypertensive emergencies in the emergency department and intensive care unit … In the postanesthesia care unit (PACU), the nurse called the attending physician three times to report … The patient was transferred to an intensive care unit and resuscitative efforts were initiated, but the
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psnet.ahrq.gov/web-mm/delirium-or-dementia
September 27, 2023 - Up to 25% of geriatric general ward patients and as many as 80% of intensive care unit patients experience … worsening respiratory distress and became comatose, and eventually was transferred to the intensive care unit … Delirium in the intensive care unit: occurrence and clinical course in older patients. … ventilated patients: validity and reliability of the confusion assessment method for the intensive care unit
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psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
October 30, 2019 - The only difference between the labor and delivery unit and the cardiac ICU is that our operating rooms … First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit
October 30, 2019 … for improvement that should help inform the future of patient safety in the neonatal intensive care unit … Expectations for unit safety behavior and accountability for use of standard safety tools (readback, … George, a level 3, 24-bed (48-patient capacity) unit serving southern Utah.
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psnet.ahrq.gov/glossary/handoffs-and-handovers
September 13, 2021 - In addition to handoffs between professionals working in the same clinical unit, shorter lengths of stay
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psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
December 15, 2024 - 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
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psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
March 24, 2019 - capnography Capnography should be used even when intubation takes place in the ED or the critical care unit … When patients are transported to radiology, the intensive care unit or the operating room, the ETT may … positive airway pressure in COVID-19 patients with acute respiratory distress syndrome in critical care unit … A recruitment maneuver increases oxygenation after intubation of hypoxemic intensive care unit patients
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psnet.ahrq.gov/node/46135/psn-pdf
July 11, 2017 - The participating ICUs introduced a multifaceted intervention structured around the
Comprehensive Unit-based
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psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
April 26, 2023 - 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 … 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
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - and appropriate treatment for hypertensive emergencies in the emergency department and intensive care unit … The patient was transferred to the intensive care unit (ICU) on a ventilator but remained unresponsive … In the postanesthesia care unit (PACU), the nurse called the attending physician three times to report … The patient was transferred to an intensive care unit and resuscitative efforts were initiated, but the
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psnet.ahrq.gov/node/837659/psn-pdf
July 08, 2022 - After
returning to the medical unit, flumazenil 0.2 mg was given due to somnolence, with subsequent … positive airway pressure
(BiPAP) and given a fluid bolus before being transported to the intensive care unit … completed due to persistent agitation, yet by the time the patient was evaluated
back on the medical unit
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psnet.ahrq.gov/submit-innovations-landing
February 26, 2025 - systems that are not proprietary/commercial
Implemented at a single site (e.g., patient care setting, unit
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psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
November 15, 2023 - The Commentary The case reveals a busy pediatric unit; a relatively healthy 2-month-old infant; an … month, based on an average of 10,000 monthly feeds.( 4 ) A study of a 42-bed neonatal intensive care unit … Dorothy Dougherty, RN Neonatal Intensive Care Unit Sunnybrook Health Sciences
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psnet.ahrq.gov/primer/surgical-site-infections
December 15, 2024 - The comprehensive unit-based safety program (CUSP) aims to improve patient safety outcomes and safety … Statewide collaborative to reduce surgical site infections: results of the Hawaii Surgical Unit-Based
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psnet.ahrq.gov/primer/human-factors-engineering
December 15, 2024 - Newborns in a neonatal intensive care unit are given full-dose heparin instead of low-dose flushes, leading … typical hospital may have many different models scattered around the building, sometimes even on the same unit
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psnet.ahrq.gov/node/37437/psn-pdf
June 03, 2010 - no
overall benefit of RRS on inpatient mortality, cardiac arrests, or unanticipated intensive care
unit
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psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
November 01, 2012 - The Case
A 1-month-old preterm infant in the neonatal intensive care unit (NICU) was receiving the … Practices (ISMP) reported in 2008 that at least 17 heparin errors occurred in the neonatal intensive care unit … Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit
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psnet.ahrq.gov/issue/diagnostic-excellence-icu-thinking-critically-and-masterfully
July 27, 2022 - June 30, 2010
Patient safety and collaboration of the intensive care unit team.
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psnet.ahrq.gov/issue/feeling-safe-during-inpatient-hospitalization-concept-analysis
May 20, 2020 - March 27, 2013
A relational leadership perspective on unit-level safety climate.
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psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
December 01, 2005 - similar results.( 13 ) Administrative medication errors in the operating room and intensive care unit … resolved, anesthesia was discontinued, and the patient was transported safely to the post-operative care unit … other patient information are instantly communicated from hospital information systems to the bedside unit … Medication errors at the administration stage in an intensive care unit.