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psnet.ahrq.gov/issue/team-situation-awareness-and-anticipation-patient-progress-during-icu-rounds
May 06, 2009 - This study assessed situational awareness of intensive care unit teams through direct observation of … May 6, 2009
Communication skills and error in the intensive care unit. … March 24, 2011
Interdisciplinary communication in the intensive care unit. … December 16, 2009
Non-technical skills in the intensive care unit. … January 19, 2011
Quality and safety in the intensive care unit.
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psnet.ahrq.gov/issue/observational-study-postoperative-handoff-standardization-failures
March 10, 2021 - Standardized handoff protocols from the operating room to the intensive care unit have improved patient … Systematic review and meta-analysis of interventions for operating room to intensive care unit … Analyzing and mitigating the risks of patient harm during operating room to intensive care unit … checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit
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psnet.ahrq.gov/issue/healthcare-associated-infections-adult-intensive-care-units-multisource-study-examining
June 28, 2023 - associated with nurses' safety attitudes and other quality and safety metrics in the intensive care unit … September 28, 2022
Missed nursing care in the critical care unit, before and during the … Association of nurse workload with missed nursing care in the neonatal intensive care unit … The nurses' experience of barriers to safe practice in the neonatal intensive care unit
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psnet.ahrq.gov/issue/improving-patient-safety-handover-intensive-care-unit-general-ward-systematic-review
June 12, 2008 - Review
Improving patient safety in handover from intensive care unit to general ward … Improving Patient Safety in Handover From Intensive Care Unit to General Ward: A Systematic Review. … Improving Patient Safety in Handover From Intensive Care Unit to General Ward: A Systematic Review. … and general ward professionals at intensive care unit discharge. … April 22, 2015
Often overlooked problems with handoffs: from the intensive care unit
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psnet.ahrq.gov/issue/association-diagnostic-stewardship-blood-cultures-critically-ill-children-culture-rates
October 19, 2022 - reports findings from a 14-site multidisciplinary collaborative evaluating pediatric intensive care unit … , 2023
Human factors analysis of latent safety threats in a pediatric critical care unit … 2022
Implementing a robust process improvement program in the neonatal intensive care unit … Reducing catheter-associated bloodstream infections in the pediatric intensive care unit
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psnet.ahrq.gov/issue/real-time-patient-safety-audits-improving-safety-every-day
April 14, 2021 - evaluated the feasibility of using a safety auditing checklist during daily work in an intensive care unit … April 14, 2021
Patient misidentification in the neonatal intensive care unit: quantification … September 27, 2016
Nighttime cross-coverage is associated with decreased intensive care unit … of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit
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psnet.ahrq.gov/issue/diagnostic-uncertainty-among-critically-ill-children-admitted-picu-multicenter-study
June 14, 2023 - This study reports that diagnostic uncertainty in the pediatric intensive care unit (PICU) was associated … template to improve referral communication for inter-facility transfers to the pediatric intensive care unit … template to improve referral communication for inter-facility transfers to the pediatric intensive care unit … April 27, 2022
Frequency of diagnostic errors in the neonatal intensive care unit: a
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psnet.ahrq.gov/issue/ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent
January 22, 2020 - been widely publicized, equally important components of the intervention included the comprehensive unit-based … December 9, 2020
Diagnostic errors in the intensive care unit: a systematic review of … 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/issue/medication-related-interventions-improve-medication-safety-and-patient-outcomes-transition
October 27, 2021 - Patients transferring from the intensive care unit (ICU) to the hospital ward may experience medication … Systematic review and meta-analysis of interventions for operating room to intensive care unit … Resources
Medication reconciliation for patients after their discharge from intensive care unit … An observational study of changes to long-term medication after admission to an intensive care unit
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psnet.ahrq.gov/issue/validation-second-victim-experience-and-support-tool-revised-neonatal-intensive-care-unit
September 24, 2017 - Validation of the second victim experience and support tool-revised in the neonatal intensive care unit … Validation of the second victim experience and support tool-revised in the neonatal intensive care unit … Validation of the second victim experience and support tool-revised in the neonatal intensive care unit … Postdischarge adverse events among neonates admitted to the neonatal intensive care unit … Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit
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psnet.ahrq.gov/issue/clinical-practice-guideline-safe-medication-use-icu
February 19, 2014 - Patients in the intensive care unit (ICU) may be particularly vulnerable to medication errors due to … laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit … April 24, 2018
Multiprofessional survey of protocol use in the intensive care unit. … automated surveillance system using trigger alerts to prevent adverse drug events in the intensive care unit … 2010
Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit
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psnet.ahrq.gov/node/46123/psn-pdf
January 01, 2020 - Improving patient safety in handover from intensive care
unit to general ward: a systematic review. … Improving Patient Safety in Handover From Intensive Care Unit to General Ward: A
Systematic Review. … https://psnet.ahrq.gov/issue/improving-patient-safety-handover-intensive-care-unit-general-ward-
systematic-review … https://psnet.ahrq.gov/issue/improving-patient-safety-handover-intensive-care-unit-general-ward-systematic-review … handoffs-and-signouts
https://psnet.ahrq.gov/issue/look-nature-and-causes-human-errors-intensive-care-unit
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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - Because of her history of CHF, she was admitted to a unit with telemetry monitoring. … When the patient arrived on the telemetry unit, the nurse performed a full evaluation. … He tried to call back the unit and no one answered. … The remote telemetry monitoring technician's phone call to the unit went unanswered. … telemetry box would provide essential information on the unit.
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psnet.ahrq.gov/node/48078/psn-pdf
August 14, 2019 - Prompting rounding teams to address a daily best
practice checklist in a pediatric intensive care unit … Prompting rounding teams to address a daily best practice checklist in a
pediatric intensive care unit … psnet.ahrq.gov/issue/prompting-rounding-teams-address-daily-best-practice-checklist-pediatric-
intensive-care-unit … In a single institution's pediatric intensive
care unit, a quality champion who prompted teams to discuss … psnet.ahrq.gov/issue/prompting-rounding-teams-address-daily-best-practice-checklist-pediatric-intensive-care-unit
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psnet.ahrq.gov/issue/missed-nursing-care-critical-care-unit-and-during-covid-19-pandemic-comparative-cross
July 21, 2021 - Study
Missed nursing care in the critical care unit, before and during the COVID- … Missed nursing care in the critical care unit, before and during the COVID-19 pandemic: A comparative … Missed nursing care in the critical care unit, before and during the COVID-19 pandemic: A comparative … 2022
Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit
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psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and-institutional-learning
November 16, 2022 - This commentary discusses the development and implementation of the SWARM tool—a unit-based mechanism … to rapidly analyze problems and develop solutions—in a pediatric intensive care unit . … July 6, 2011
Non-technical skills in the intensive care unit.
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psnet.ahrq.gov/issue/reducing-catheter-associated-bloodstream-infections-pediatric-intensive-care-unit-business
November 23, 2016 - Reducing catheter-associated bloodstream infections in the pediatric intensive care unit … Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: Business case … Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: Business case … Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit … Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit
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psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care
August 12, 2015 - electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit … Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric Intensive Care Unit … Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric Intensive Care Unit … of parents and health care providers in a tertiary pediatric intensive care unit. … 23, 2016
Implementation of the Josie King Care Journal in a pediatric intensive care unit
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psnet.ahrq.gov/issue/association-between-surgeon-stress-and-major-surgical-complications
November 29, 2023 - There was no association with intensive care unit stay or mortality. … September 12, 2016
Impact of adverse events on outcomes in intensive care unit patients … April 14, 2011
Selected medical errors in the intensive care unit: results of the IATROREF
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psnet.ahrq.gov/innovation/implementing-watcher-program-improve-timeliness-recognition-deterioration-hospitalized
June 30, 2021 - of, and response to, clinical deterioration and resulting emergency transfers to the intensive care unit … This intervention was piloted on the Infant-Toddler unit and was expanded across all other medical-surgical … units, as well as hematology-oncology and intermediate care unit (IMU) areas. … 2021
Implementing a robust process improvement program in the neonatal intensive care unit