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psnet.ahrq.gov/issue/adverse-events-neonatal-intensive-care-unit-development-testing-and-findings-nicu-focused
April 11, 2011 - Study
Adverse events in the neonatal intensive care unit: development, testing, and … Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused … This AHRQ–funded study used methodology similar to a prior study in adult intensive care unit patients … to develop a chart-based set of triggers for error identification in the neonatal intensive care unit … August 28, 2019
Intralipid medication errors in the neonatal intensive care unit.
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psnet.ahrq.gov/issue/patient-safety-intensive-care-unit
February 28, 2018 - Book/Report
Patient Safety in the Intensive Care Unit. … Citation Text:
Patient Safety in the Intensive Care Unit. … Cite
Citation
Citation Text:
Patient Safety in the Intensive Care Unit … March 21, 2012
Intensive care unit readmissions in U.S. hospitals: patient characteristics
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psnet.ahrq.gov/issue/interdisciplinary-communication-intensive-care-unit
April 18, 2011 - Study
Interdisciplinary communication in the intensive care unit. … Interdisciplinary communication in the intensive care unit. Br J Anaesth. 2007;98(3):347-52. … Interdisciplinary communication in the intensive care unit. Br J Anaesth. 2007;98(3):347-52. … April 18, 2011
Developing a team performance framework for the intensive care unit. … December 1, 2011
Communication skills and error in the intensive care unit.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/engage/engageexecnotes.docx
June 02, 2025 - These meetings are a great opportunity to share unit-level data and discuss team-wide unit improvement … unit physicians to join their CUSP teams. … Adaptive work requires unit-wide cultural adjustments. … Unit team members should work together to create new policies for solving unit-wide problems. … While unit teams and unit-level managers can easily meet to discuss potential threats to safety, without
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/assessment.docx
May 01, 2017 - HRQ Safety Program for Perinatal Care: Labor and Delivery Unit Staff Safety Assessment
AHRQ Safety Program … for Perinatal Care
Labor and Delivery Unit Staff Safety Assessment
Purpose: To tap into the knowledge … experiences of labor and delivery (L&D) providers and other clinical and nonclinical staff (e.g., health unit … coordinators and environmental services personnel) to find out what risks are present on your unit that … Submit your completed safety assessment form in the location designated by the unit safety coordinator
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www.ahrq.gov/news/newsroom/case-studies/201413.html
August 01, 2014 - Search All Impact Case Studies
August 2014
One year after implementing AHRQ's Comprehensive Unit-based … tract infections (CAUTIs) and ventilator-associated pneumonia (VAP)—in the neuroscience intensive care unit … Meanwhile, UWHC had only two VAP infections on its 24-bed neuroscience unit between November 2011 and … Similar efforts were conducted on the VAP unit. … Initially, UWHC introduced CUSP to the trauma unit and the medical/surgical and neuroscience intensive
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psnet.ahrq.gov/issue/high-reliability-pediatric-intensive-care-unit
July 16, 2014 - Review
The high-reliability pediatric intensive care unit. … The high-reliability pediatric intensive care unit. … The high-reliability pediatric intensive care unit. … February 13, 2019
Making care better in 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/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
June 02, 2025 - In this unit, we work together as an effective team.
A8. … During busy times, staff in this unit help each other.
A9. … In this unit, we have enough staff to handle the workload.
A3. … We are informed about errors that happen in this unit.
C2. … How would you rate your unit/work area on patient safety?
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psnet.ahrq.gov/issue/multiprofessional-survey-protocol-use-intensive-care-unit
August 30, 2017 - Study
Multiprofessional survey of protocol use in the intensive care unit. … Multiprofessional survey of protocol use in the intensive care unit. … barriers and facilitators to implementing protocols for improving patient safety in the intensive care unit … Multiprofessional survey of protocol use in the intensive care unit. … Improving adverse drug event detection in critically ill patients through screening intensive care unit
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www.ahrq.gov/sites/default/files/2024-09/park-report.pdf
January 01, 2024 - and unit levels. … unit patient turnover. … unit patient turnover. … Unit type was another important characteristic affecting unit-level patient
turnover rates. … unit.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-database-report-appendix.pdf
January 01, 2024 - hospital
units, No specific unit
Medical/Surgical Units
2 Combined Medical/Surgical
Unit
3 … Medical Unit (Nonsurgical)
4 Surgical Unit
Patient Care Units
5 Cardiology
6 Emergency Department … Unit/Work Area – 2024 SOPS Hospital 2.0 Database (Page 1 of 2)
Unit/Work Area
Unit/Work Area Patient … Unit/Work Area – 2024 SOPS Hospital 2.0 Database (Page 2 of 2)
Unit/Work Area (Patient Care Units) … Tenure in Current Unit/Work Area – 2024 SOPS Hospital 2.0 Database
Tenure in Current Unit/Work Area
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation_slides.pptx
June 02, 2025 - What role will the Unit Team and Wound Care Team play?
What role will the Unit Champions play? … Members of the Unit Team
Hospital staff members whose work brings them to the unit or includes interacting … Ensuring care is performed and documented.
14
Unit Team
The Unit Team works collaboratively with the … Within the unit (among nurses, nurse assistants, physicians, and patients and their families)
Among unit … Have the Implementation Team report to the unit what it did with the information the unit provided.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
June 02, 2025 - In an example from a CUSP team working on an obstetrics unit, hierarchy issues plagued the unit, disrupting … the abilities of the unit nurses and doctors to work together effectively. … on their unit. … ASK:
· What issues did the team experience in its unit? … · How did the team implement independent checks in its unit?
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psnet.ahrq.gov/issue/intensive-care-unit-patient-safety-and-agency-healthcare-research-and-quality
May 20, 2009 - Commentary
The intensive care unit, patient safety, and the Agency for Healthcare … The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality. … focus on sleep deprivation, incident reporting, and staffing to reduce error in the intensive care unit … The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality. … May 27, 2011
Creating the web-based intensive care unit safety reporting system.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-fac-guide.html
July 01, 2023 - Care will depend on the L&D unit team. … Having a strong unit team in place will help your unit reduce clinical errors, improve patient outcomes … Emphasizing unit team members' involvement in improving the L&D unit lends not only to the success of … They work closely within their unit to inspire, motivate, and engage administrators, unit staff, and … staff and support unit-based initiatives by ensuring close working relationships among unit team members
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psnet.ahrq.gov/issue/high-alert-medications-pediatric-intensive-care-unit
December 16, 2015 - Study
High-alert medications in the pediatric intensive care unit. … High-alert medications in the pediatric intensive care unit. … list of high-alert medications (drugs associated with adverse events) for pediatric intensive care unit … High-alert medications in the pediatric intensive care unit. … medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
January 01, 2021 - What is your primary unit or work area in this hospital?
Select ONE answer. … Multiple Units, No specific unit
1 Many different hospital units,
No specific unit
Medical/Surgical … Units
2 Combined Medical/Surgical
Unit
3 Medical Unit (Non-Surgical)
4 Surgical Unit … How would you rate your unit/work area on patient safety? … In this hospital, how long have you worked in your current unit/work area?
a.
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psnet.ahrq.gov/issue/clinical-information-transfer-and-medication-reconciliation-patients-transferred-pediatric
September 28, 2010 - information transfer and medication reconciliation in patients transferred from the pediatric intensive care unit … Information Transfer and Medication Reconciliation in Patients Transferred from the Pediatric Intensive Care Unit … Handoff tool improves transitions from the operating room to the neonatal intensive care unit … 2023
Standardization of pediatric noncardiac operating room to intensive care unit … 2019
Improving resident handoffs for children transitioning from the intensive care unit
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psnet.ahrq.gov/issue/direct-observation-approach-detecting-medication-errors-and-adverse-drug-events-pediatric
June 28, 2010 - observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit … observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit … adverse drug events and near misses by using trained observers to monitor pediatric intensive care unit … From the Same Author(s)
Medication errors and adverse drug events in an 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/nurses-perceptions-subspecialization-pediatric-cardiac-intensive-care-unit-quality-and
April 16, 2018 - Study
Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit … Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient … Creation of a dedicated pediatric cardiac surgery unit was felt to have clinical benefits, but many nurses … Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient … and cardiothoracic postoperative care unit.