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psnet.ahrq.gov/node/865656/psn-pdf
April 24, 2024 - Due
to the urgency of the situation, the primary nurse overrode the automated dispensing unit and mistakenly
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psnet.ahrq.gov/node/33668/psn-pdf
May 01, 2008 - next big things will be looking at smart monitoring in patients who are not in
the intensive care unit
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psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
April 09, 2014 - smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
January 01, 2024 - A computed tomography (CT) scan was performed in the ED, and she was admitted to the intensive care unit
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psnet.ahrq.gov/node/49729/psn-pdf
April 01, 2015 - transient ischemic attack and possible gastrointestinal bleeding, and she
was admitted to a telemetry unit
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psnet.ahrq.gov/web-mm/lost-transition
November 17, 2010 - The critical result was received by the ED unit secretary.
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psnet.ahrq.gov/web-mm/blind-spot
July 30, 2020 - Blindness in the intensive care unit: possible role for vasopressors?
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psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it
May 01, 2018 - While other strategies, such as the use of unit dosing, barcode scanning during medication administration
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psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
April 30, 2014 - Effectiveness of a multidisciplinary chest pain unit for the assessment of coronary syndromes and risk
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - in a patient taking digoxin), and significant patient events such as arrival to the intensive care unit
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psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
February 01, 2023 - Effects of electrolyte replacement protocol implementation in a medical intensive care unit.
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psnet.ahrq.gov/node/49852/psn-pdf
February 01, 2019 - shock, the accepting physician booked a general ward bed for the
patient rather than an intensive care unit
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psnet.ahrq.gov/node/49651/psn-pdf
May 01, 2012 - The Case
A 70-year-old woman was admitted to the intensive care unit (ICU) with acute change in mental
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psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
October 30, 2024 - Indicators of intensive care unit capacity strain: a systematic review. Crit Care. 2018;22(1):86.
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psnet.ahrq.gov/Information/Panel
January 01, 2012 - patient safety science programs on surgical patient safety, infusion safety, clinical alarms safety, unit-based
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psnet.ahrq.gov/web-mm/peripheral-iv-too-long
September 15, 2011 - May 22, 2019
Investigating the impact of intensive care unit interruptions on patient
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psnet.ahrq.gov/node/72689/psn-pdf
January 29, 2021 - Theirs was a three-phase intervention that
implemented a team training program, unit-based safety teams
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psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
January 01, 2020 - • Additionally, a standardized PCA handoff tool from the PACU
to the surgical unit might have alerted
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psnet.ahrq.gov/issue/engagement-leadership-quality-improvement-initiatives-executive-quality-improvement-survey
October 04, 2006 - Study
Engagement of leadership in quality improvement initiatives: executive quality improvement survey results.
Citation Text:
Engagement of leadership in quality improvement initiatives: executive quality improvement survey results. Vaughn T, Koepke M, Kroch E, et al. J Patient Saf…
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psnet.ahrq.gov/issue/using-automated-risk-assessment-report-identify-patients-risk-clinical-deterioration
February 15, 2017 - Commentary
Using an automated risk assessment report to identify patients at risk for clinical deterioration.
Citation Text:
Whittington J, White R, Haig KM, et al. Using an automated risk assessment report to identify patients at risk for clinical deterioration. Jt Comm J Qual Patient S…