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psnet.ahrq.gov/issue/improving-resident-handoffs-children-transitioning-intensive-care-unit
January 12, 2022 - Improving resident handoffs for children transitioning from the intensive care unit … Improving resident handoffs for children transitioning from the intensive care unit. … augment the quality of handoffs for patients being transferred from the pediatric intensive care unit … Improving resident handoffs for children transitioning from the intensive care unit. … April 26, 2023
Frequency of diagnostic errors in the neonatal intensive care unit
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psnet.ahrq.gov/issue/hidden-health-it-hazards-qualitative-analysis-clinically-meaningful-documentation
January 15, 2020 - of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit … of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit … transfer notes and handoff documents for 50 patients transferred from a pediatric ICU to a medical unit … of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit … of parents and health care providers in a tertiary pediatric intensive care unit.
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www.ahrq.gov/hai/tools/mvp/modules/vae/objective-outcome-tool.html
January 01, 2017 - Month ___________
Please record the following occurrences for all patients in your unit … typically is collected on a monthly basis for patients receiving mechanical ventilation within the unit … Each patient on mechanical ventilation in this unit during the month will be counted only once each month … Each episode of mechanical ventilation in this unit during the month will be counted once. … A death is counted whether or not the patient was housed in the unit at the time of death.
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psnet.ahrq.gov/issue/operating-room-intensive-care-unit-handoffs-and-risks-patient-harm
October 05, 2022 - Study
Operating room to intensive care unit handoffs and the risks of patient harm … Operating room to intensive care unit handoffs and the risks of patient harm. … failure mode and effect analysis to study handoffs between the operating room and the intensive care unit … Operating room to intensive care unit handoffs and the risks of patient harm. … and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit
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psnet.ahrq.gov/issue/validity-unplanned-admission-intensive-care-unit-measure-patient-safety-surgical-patients
May 26, 2021 - Study
Validity of unplanned admission to an intensive care unit as a measure of patient … Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical … to identify 200 patients who experienced an unplanned postoperative admission to an intensive care unit … Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical … September 12, 2016
Factors associated with post-intensive care unit adverse events: a
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psnet.ahrq.gov/issue/computerized-provider-order-entry-implementation-no-association-increased-mortality-rates
November 16, 2022 - provider order entry implementation: no association with increased mortality rates in an intensive care unit … provider order entry implementation: no association with increased mortality rates in an intensive care unit … of a computerized provider order entry (CPOE) system in a tertiary care pediatric intensive care unit … of clinically meaningful documentation discrepancies at transfer out of the pediatric 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-accuracy-handoff-implementing-electronic-health-record-generated-tool-improvement
January 01, 2022 - electronic health record-generated tool: an improvement project in an academic neonatal intensive care unit … electronic health record-generated tool: an improvement project in an academic neonatal intensive care unit … This article describes the impact of unit-wide implementation of a new handoff tool using electronic … health record (EHR) auto-populated fields for pertinent neonatal intensive care unit (NICU) patient … Validation of the second victim experience and support tool-revised in the neonatal intensive care unit
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psnet.ahrq.gov/issue/changes-perceptions-antibiotic-stewardship-among-neonatal-intensive-care-unit-providers-over
September 29, 2021 - Changes in perceptions of antibiotic stewardship among neonatal intensive care unit … Changes in perceptions of antibiotic stewardship among neonatal intensive care unit providers over the … This study describes neonatal intensive care unit (NICU) prescriber perceptions of antibiotic stewardship … Changes in perceptions of antibiotic stewardship among neonatal intensive care unit providers over the … June 19, 2019
Safety II behavior in a pediatric intensive care unit.
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psnet.ahrq.gov/issue/diagnostic-error-critically-ill-defining-problem-and-exploring-next-steps-advance-intensive
January 24, 2024 - 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 … Error in the Critically III: Defining the Problem and Exploring Next Steps to Advance Intensive Care Unit … From the Same Author(s)
Factors influencing diagnostic accuracy among intensive care unit
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/quarterlysum.html
November 01, 2017 - Sample Quarterly Summary of Falls Risk Factors by Unit
On-Time Quarterly Summary of Falls Risk Factors … by Unit
Nursing Unit: ________________________________________________________________
Date: ___ … 5
7
7
2
0
6
6
% (of monthly total falls)
36
50
50
14
0
43
43
Unit … 0
1
% (of monthly total falls)
7
0
0
21
0
36
14
14
0
7
0
7
Unit … Sample Quarterly Summary of Falls Risk Factors by Unit (continued)
New Contributing Risk
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psnet.ahrq.gov/issue/accuracy-and-safety-medication-histories-obtained-time-intensive-care-unit-admission
October 20, 2021 - Accuracy and safety of medication histories obtained at the time of intensive care unit … Accuracy and safety of medication histories obtained at the time of intensive care unit admission of … When patients are admitted to the intensive care unit, medication histories can be obtained from alternate … Accuracy and safety of medication histories obtained at the time of intensive care unit admission of … Validation of the second victim experience and support tool-revised in the neonatal intensive care unit
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psnet.ahrq.gov/issue/implementation-modified-bedside-handoff-postpartum-unit
November 16, 2022 - Commentary
Implementation of a modified bedside handoff for a postpartum unit. … Implementation of a Modified Bedside Handoff for a Postpartum Unit. … This commentary describes how a rural hospital's postpartum unit redesigned its handoff process to … Implementation of a Modified Bedside Handoff for a Postpartum Unit. … December 19, 2018
A relational leadership perspective on unit-level safety climate.
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psnet.ahrq.gov/issue/successful-implementation-unit-based-quality-nurse-reduce-central-line-associated-bloodstream
September 23, 2020 - Study
Successful implementation of a unit-based quality nurse to reduce central line-associated … Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream … a surgical intensive care unit (ICU) at an academic medical center. … Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream … February 3, 2016
Implementation of a surgical comprehensive unit-based safety program
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psnet.ahrq.gov/issue/burnout-neonatal-intensive-care-unit-and-its-relation-healthcare-associated-infections
November 20, 2019 - Study
Burnout in the neonatal intensive care unit and its relation to healthcare-associated … Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections. … Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections. … November 20, 2019
The correlation between neonatal intensive care unit safety culture … Reducing catheter-associated bloodstream infections in the pediatric intensive care unit
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psnet.ahrq.gov/issue/communication-patterns-during-routine-patient-care-pediatric-intensive-care-unit-behavioral
October 05, 2022 - Communication patterns during routine patient care in a pediatric intensive care unit … Communication patterns during routine patient care in a pediatric intensive care unit: the behavioral … study found that participation in a one-day simulation team training for pediatric intensive care unit … Communication patterns during routine patient care in a pediatric intensive care unit: the behavioral … Validation of the second victim experience and support tool-revised in the neonatal intensive care unit
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psnet.ahrq.gov/issue/perceptions-rounding-checklists-intensive-care-unit-qualitative-study
July 21, 2021 - Study
Perceptions of rounding checklists in the intensive care unit: a qualitative … Perceptions of rounding checklists in the intensive care unit: a qualitative study. … This qualitative study employed direct observation of intensive care unit rounds and interviews with … Perceptions of rounding checklists in the intensive care unit: a qualitative study. … Related Resources From the Same Author(s)
Psychological safety in intensive care unit
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psnet.ahrq.gov/issue/family-participation-during-intensive-care-unit-rounds-goals-and-expectations-parents-and
June 12, 2019 - Study
Family participation during intensive care unit rounds: goals and expectations … of parents and health care providers in a tertiary pediatric intensive care unit. … Family participation during intensive care unit rounds: goals and expectations of parents and health … care providers in a tertiary pediatric intensive care unit. … care providers in a tertiary pediatric intensive care unit.
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psnet.ahrq.gov/issue/non-technical-skills-intensive-care-unit
April 18, 2011 - Review
Non-technical skills in the intensive care unit. … Non-technical skills in the intensive care unit. Br J Anaesth. 2006;96(5):551-9. … Non-technical skills in the intensive care unit. Br J Anaesth. 2006;96(5):551-9. … March 28, 2012
How safe is my intensive care unit? … December 6, 2010
Quality and safety in the intensive care unit.
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psnet.ahrq.gov/issue/impact-unit-based-patient-safety-officer
September 19, 2012 - Study
Impact of the unit-based patient safety officer. … Impact of the unit-based patient safety officer. … A unit-based nurse patient safety officer was implemented on a surgical unit at an academic medical center … Impact of the unit-based patient safety officer. … April 17, 2013
Evaluation of a nurse-led safety program in a critical care unit.
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psnet.ahrq.gov/issue/crew-resource-management-intensive-care-unit-prospective-3-year-cohort-study
August 10, 2022 - Study
Crew resource management in the intensive care unit: a prospective 3-year cohort … Crew Resource Management in the Intensive Care Unit: a prospective 3-year cohort study. … Following crew resource management training for intensive care unit staff and implementation of a … Crew Resource Management in the Intensive Care Unit: a prospective 3-year cohort study. … professionals at intensive care unit discharge.