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  1. Case 4. Suntown Hospital | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case4.html
    November 01, 2014 - satisfaction: one with inpatients using the CAHPS ® Hospital Survey, v one in the long-term care unit … For issues and processes that are smaller in scope, involve only one department or unit, and are more … many staff and, according to one interviewee, is very popular with nurses and in the long-term care unit … Long-Term Care and Acute Care Unit This project was implemented in both the long-term care and acute … These environmental process improvements were implemented not only in the LTC unit, but also in acute

  2. Hospital Inpatient Utilization Related to Opioid Overuse Among Adults, 1993-2012 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb177-Hospitalizations-for-Opioid-Overuse.pdf
    August 01, 2014 - record for that stay will be included in the Nationwide Inpatient Sample (NIS). 11 Unit … of analysis The unit of analysis is the hospital discharge (i.e., the hospital stay), not a person … Introduction Definitions Types of hospitals included in HCUP Unit of analysis Payer Region About

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47481/psn-pdf
    January 23, 2019 - Implementation of a second victim program in the neonatal intensive care unit: an interim analysis of … Implementation of a second victim program in the neonatal intensive care unit: An interim analysis of … https://psnet.ahrq.gov/issue/implementation-second-victim-program-neonatal-intensive-care-unit-interim … https://psnet.ahrq.gov/issue/implementation-second-victim-program-neonatal-intensive-care-unit-interim-analysis-employee … https://psnet.ahrq.gov/issue/implementation-second-victim-program-neonatal-intensive-care-unit-interim-analysis-employee

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45903/psn-pdf
    June 21, 2017 - Association between state medical malpractice environment and postoperative outcomes in the United States. June 21, 2017 Minami CA, Sheils CR, Pavey E, et al. Association Between State Medical Malpractice Environment and Postoperative Outcomes in the United States. J Am Coll Surg. 2017;224(3):310-318.e2. doi:10.1…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43762/psn-pdf
    November 21, 2017 - Implementation of crew resource management: a qualitative study in 3 intensive care units. November 21, 2017 Kemper PF, van Dyck C, Wagner C, et al. Implementation of Crew Resource Management: A Qualitative Study in 3 Intensive Care Units. J Patient Saf. 2017;13(4):223-231. doi:10.1097/PTS.0000000000000145. https:…

  6. Final Progress Report: Labor and Delivery Nurse Staffing: A Patient Safety Intervention (pdf file)

    www.ahrq.gov/sites/default/files/2024-10/wilson-report.pdf
    January 01, 2024 - It is not known to what extent (if any) L&D staffing influences newborn intensive care unit (NICU) admissions … One PSI is Newborn Intensive Care Unit (NICU) admission or neonatal transfer in low-risk primiparous … In 2011-2012, this staffing model was tested in a large-volume labor and delivery unit with over 8,000 … Predicting nurse staffing needs for a labor and birth unit in a large volume perinatal service.

  7. Masks-Surveillance-2-Appendix-Table-A-3 (xls file)

    effectivehealthcare.ahrq.gov/sites/default/files/masks-surveillance-2-appendix-table-a-3.xlsx
    March 23, 2020 - articles/PMC3322898/ Retrospective cohort March 8 to 16, 2003 Canada (Toronto) 1 hospital critical care unit … Nurses in a critical care unit that cared for SARS patients 43 41 100% 100% nurse SARS-1 18.6% (8/50

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38756/psn-pdf
    January 20, 2010 - At VA hospital, a rogue cancer unit. January 20, 2010 Bogdanich W. … https://psnet.ahrq.gov/issue/va-hospital-rogue-cancer-unit Flawed safety standards, including a lack … of peer review and oversight, led to a series of errors in a cancer unit at a Philadelphia Veterans … https://psnet.ahrq.gov/issue/va-hospital-rogue-cancer-unit

  9. Healthcare Cost and Utilization Project (HCUP) KID Notes

    hcup-us.ahrq.gov/db/vars/asource/kidnote.jsp
    September 01, 2008 - Transferred from on-site rehabilitation unit to chronic unit (beginning 7/05) 23 Transferred … chronic unit to acute care unit (beginning 7/05) 27 Transferred from on-site psychiatric unit … to acute care unit (beginning 7/05) 28 Transferred from on-site sub-acute unit to acute care … unit (Valid through 6/05) 21 Transferred from on-site rehabilitation unit to acute care unit … sub-acute unit to acute care unit (beginning 7/05) 42 Admit from rehab.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42519/psn-pdf
    December 06, 2013 - Is hand hygiene before putting on nonsterile gloves in the intensive care unit a waste of health care … Is hand hygiene before putting on nonsterile gloves in the intensive care unit a waste of health care … https://psnet.ahrq.gov/issue/hand-hygiene-putting-nonsterile-gloves-intensive-care-unit-waste-health-care … https://psnet.ahrq.gov/issue/hand-hygiene-putting-nonsterile-gloves-intensive-care-unit-waste-health-care-worker-time … https://psnet.ahrq.gov/issue/hand-hygiene-putting-nonsterile-gloves-intensive-care-unit-waste-health-care-worker-time

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47445/psn-pdf
    October 24, 2018 - 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. … national-study-distribution-causes-and-consequences-voluntarily-reported-medication-errors https://psnet.ahrq.gov/issue/diagnostic-errors-intensive-care-unit-systematic-review-autopsy-studies … https://psnet.ahrq.gov/issue/impact-adverse-events-outcomes-intensive-care-unit-patients https://psnet.ahrq.gov

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35600/psn-pdf
    June 21, 2010 - Improving nursing unit teamwork. June 21, 2010 Kalisch BJ, Begeny SM. … Improving nursing unit teamwork. J Nurs Adm. 2005;35(12):550-556. … https://psnet.ahrq.gov/issue/improving-nursing-unit-teamwork The authors share several strategies for … https://psnet.ahrq.gov/issue/improving-nursing-unit-teamwork

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36171/psn-pdf
    September 29, 2010 - Quality and safety in the intensive care unit. September 29, 2010 Stockwell DC, Slonim A. … Quality and safety in the intensive care unit. J Intensive Care Med. 2006;21(4):199-210. … https://psnet.ahrq.gov/issue/quality-and-safety-intensive-care-unit The authors provide background on … https://psnet.ahrq.gov/issue/quality-and-safety-intensive-care-unit

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42515/psn-pdf
    October 24, 2013 - Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. … Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. … https://psnet.ahrq.gov/issue/using-four-phased-unit-based-patient-safety-walkrounds-uncover-correctable … https://psnet.ahrq.gov/issue/using-four-phased-unit-based-patient-safety-walkrounds-uncover-correctable-system-flaws … https://psnet.ahrq.gov/issue/using-four-phased-unit-based-patient-safety-walkrounds-uncover-correctable-system-flaws

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49711/psn-pdf
    June 01, 2014 - Describe an off-unit policy and "hall pass" system used for patients allowed to leave their unit. … patients authorized to leave the unit. … A unit log is maintained with the time the patient obtained the pass and time of return to the unit. … What happens if patients do not comply with the off-unit policies? … UNC Health Care Policy: Elopement/patients off the Unit. July 2013. Policy No. NURS-559. 10.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36672/psn-pdf
    April 18, 2011 - Interdisciplinary communication in the intensive care unit. … Interdisciplinary communication in the intensive care unit. Br J Anaesth. 2007;98(3):347-52. … https://psnet.ahrq.gov/issue/interdisciplinary-communication-intensive-care-unit The researchers surveyed … https://psnet.ahrq.gov/issue/interdisciplinary-communication-intensive-care-unit

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34656/psn-pdf
    May 27, 2011 - A look into the nature and causes of human errors in the intensive care unit. … A look into the nature and causes of human errors in the intensive care unit. … https://psnet.ahrq.gov/issue/look-nature-and-causes-human-errors-intensive-care-unit This study investigates … the nature of human errors in the intensive care unit (ICU), adopting approaches developed by human … https://psnet.ahrq.gov/issue/look-nature-and-causes-human-errors-intensive-care-unit https://psnet.ahrq.gov

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39174/psn-pdf
    December 16, 2009 - Involvement of parents in critical incidents in a neonatal- paediatric intensive care unit. … Involvement of parents in critical incidents in a neonatal-paediatric intensive care unit. … https://psnet.ahrq.gov/issue/involvement-parents-critical-incidents-neonatal-paediatric-intensive-care-unit … year period in which parents were directly involved in adverse events in a pediatric intensive care unit … https://psnet.ahrq.gov/issue/involvement-parents-critical-incidents-neonatal-paediatric-intensive-care-unit

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43193/psn-pdf
    June 17, 2014 - Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of … Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of … https://psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit- … https://psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure … https://psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure

  20. Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. | PSNet

    psnet.ahrq.gov/issue/risk-management-or-just-different-risk-national-survey-newborn-units-following-patient-safety
    April 12, 2011 - Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit … Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit … September 6, 2016 Adverse drug events in a paediatric intensive care unit: a prospective … June 9, 2011 Adverse events in the neonatal intensive care unit: development, testing … The nurses' experience of barriers to safe practice in the neonatal intensive care unit
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