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psnet.ahrq.gov/issue/heparin-sodium-injection-10000-unitsml-and-hep-lock-10-unitsml-medication-errors
February 17, 2021 - Press Release/Announcement
Heparin sodium injection 10,000 units/mL, and HEP-LOCK … U/P 10 units/mL medication errors. … Citation Text:
Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors … Cite
Citation
Citation Text:
Heparin sodium injection 10,000 units … /mL, and HEP-LOCK U/P 10 units/mL medication errors.
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psnet.ahrq.gov/issue/implementation-standardized-dosing-units-iv-medications
May 11, 2014 - Study
Implementation of standardized dosing units for I.V. medications. … Implementation of standardized dosing units for i.v. medications. … of an electronic health record system at an academic medical center revealed that multiple dosing units … Implementation of standardized dosing units for i.v. medications.
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psnet.ahrq.gov/issue/interprofessional-team-collaboration-and-work-environment-health-68-us-intensive-care-units
November 10, 2021 - Interprofessional team collaboration and work environment health in 68 US intensive care units … Interprofessional team collaboration and work environment health in 68 US intensive care units. … Interprofessional team collaboration and work environment health in 68 US intensive care units. … s)
Supervision, interprofessional collaboration, and patient safety in intensive care units … May 1, 2013
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Intensive Care Units
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psnet.ahrq.gov/issue/predictors-adverse-events-and-medical-errors-among-adult-inpatients-psychiatric-units-acute
November 06, 2019 - Predictors of adverse events and medical errors among adult inpatients of psychiatric units … Predictors of Adverse Events and Medical Errors Among Adult Inpatients of Psychiatric Units of Acute … In this study involving 4371 patients admitted to 14 inpatient psychiatric units at acute care general … Predictors of Adverse Events and Medical Errors Among Adult Inpatients of Psychiatric Units of Acute … November 6, 2019
Adverse events in Veterans Affairs inpatient psychiatric units: staff
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psnet.ahrq.gov/issue/supervision-interprofessional-collaboration-and-patient-safety-intensive-care-units-during
June 02, 2021 - Supervision, interprofessional collaboration, and patient safety in intensive care units … Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID … COVID-19 pandemic forced the redeployment of non-intensive care certified staff into intensive care units … Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID … April 22, 2020
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Intensive Care Units
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psnet.ahrq.gov/issue/adverse-drug-event-reporting-intensive-care-units-survey-current-practices
December 16, 2020 - Study
Adverse drug event reporting in intensive care units: a survey of current practices … Adverse drug event reporting in intensive care units: a survey of current practices. … Adverse drug event reporting in intensive care units: a survey of current practices. … March 6, 2013
Review of patient safety incidents reported from critical care units in … January 16, 2008
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Intensive Care Units
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psnet.ahrq.gov/issue/human-factors-and-ergonomics-improve-performance-intensive-care-units-during-covid-19
December 23, 2020 - Commentary
Human factors and ergonomics to improve performance in intensive care units … Human factors and ergonomics to improve performance in intensive care units during the COVID-19 pandemic … The COVID-19 pandemic has accelerated the adoption of HF in intensive care units across the globe. … Adoption of these HF concepts by leadership and staff can improve patient safety in intensive care units … Human factors and ergonomics to improve performance in intensive care units during the COVID-19 pandemic
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psnet.ahrq.gov/issue/nurses-perceptions-patient-safety-climate-intensive-care-units-cross-sectional-study
April 14, 2021 - Study
Nurses' perceptions of patient safety climate in intensive care units: a cross-sectional … Nurses' perceptions of patient safety climate in intensive care units: a cross-sectional study. … This survey of nurses in 10 Norwegian intensive care units found that most had a more positive perception … Nurses' perceptions of patient safety climate in intensive care units: a cross-sectional study. … May 21, 2009
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Intensive Care Units
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psnet.ahrq.gov/issue/attitude-everything-impact-workload-safety-climate-and-safety-tools-medical-errors-study
March 11, 2020 - The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care units … The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care units … as well, although these effects were mitigated in units with a stronger culture of safety . … : how patient engagement and safety climate jointly affect error occurrence in hospital units. … January 5, 2012
Errors in administration of parenteral drugs in intensive care units:
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psnet.ahrq.gov/issue/follow-report-preventing-suicide-focus-medicalsurgical-units-and-emergency-department
March 25, 2025 - Event Alerts
A follow-up report on preventing suicide: focus on medical/surgical units … Citation Text:
A follow-up report on preventing suicide: focus on medical/surgical units and the emergency … While specialized psychiatric units are designed and staffed to minimize suicide risk, emergency departments … Citation
Citation Text:
A follow-up report on preventing suicide: focus on medical/surgical units … December 23, 2016
Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals
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psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health-care
January 08, 2025 - incident reporting and learning guidelines implemented by health care professionals in specialized care units … incident reporting and learning guidelines implemented by health care professionals in specialized care units … This review identified strategies for PSIRL implementation in specialized care units. … only 13 studies were identified, suggesting more research is needed into PSIRL in specialized care units … incident reporting and learning guidelines implemented by health care professionals in specialized care units
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psnet.ahrq.gov/issue/understanding-informal-aspects-medication-processes-maintain-patient-safety-hospitals
March 06, 2024 - processes to maintain patient safety in hospitals: a sociotechnical ethnographic study in paediatric units … processes to maintain patient safety in hospitals: a sociotechnical ethnographic study in paediatric units … This qualitative study found that medication safety practices in pediatric inpatient units are often … processes to maintain patient safety in hospitals: a sociotechnical ethnographic study in paediatric units … 2024
Exploring the human factors of prescribing errors in paediatric intensive care units
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psnet.ahrq.gov/issue/costs-intravenous-adverse-drug-events-academic-and-nonacademic-intensive-care-units
August 11, 2021 - Costs of intravenous adverse drug events in academic and nonacademic intensive care units … Costs of intravenous adverse drug events in academic and nonacademic intensive care units. … Investigators conducted chart reviews for more than 4600 patients in 5 different intensive care units … Costs of intravenous adverse drug events in academic and nonacademic intensive care units. … September 30, 2010
Adverse drug event reporting in intensive care units: a survey of
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psnet.ahrq.gov/issue/multifaceted-intervention-improve-patient-safety-incident-reporting-intensive-care-units
January 18, 2023 - Multifaceted intervention to improve patient safety incident reporting in intensive care units … Multifaceted intervention to improve patient safety incident reporting in intensive care units. … quality improvement (QI) project aimed to increase near miss and error reporting within 9 intensive care units … Multifaceted intervention to improve patient safety incident reporting in intensive care units. … A combined assessment tool of teamwork, communication, and workload in hospital procedural units
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psnet.ahrq.gov/issue/epidemiology-patterns-care-and-mortality-patients-acute-respiratory-distress-syndrome
August 04, 2021 - patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units … Patterns of Care, and Mortality for Patients With Acute Respiratory Distress Syndrome in Intensive Care Units … that acute respiratory distress syndrome remains under-recognized and under-treated in intensive care units … Patterns of Care, and Mortality for Patients With Acute Respiratory Distress Syndrome in Intensive Care Units … August 25, 2010
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Intensive Care Units
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psnet.ahrq.gov/issue/perceptions-safety-culture-vary-across-intensive-care-units-single-institution
June 27, 2011 - Classic
Perceptions of safety culture vary across the intensive care units … Perceptions of safety culture vary across the intensive care units of a single institution. … The perception of safety culture varied widely across units and across all domains of the survey. … Perceptions of safety culture vary across the intensive care units of a single institution. … May 11, 2011
Improving patient safety in intensive care units in Michigan.
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psnet.ahrq.gov/issue/effects-multimodal-program-including-simulation-job-strain-among-nurses-working-intensive
November 29, 2023 - Effects of a multimodal program including simulation on job strain among nurses working in intensive care units … Effects of a Multimodal Program Including Simulation on Job Strain Among Nurses Working in Intensive Care Units … In this multicenter, randomized trial involving nurses from eight intensive care units in France, researchers … Effects of a Multimodal Program Including Simulation on Job Strain Among Nurses Working in Intensive Care Units … May 25, 2010
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Intensive Care Units
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psnet.ahrq.gov/issue/assessing-and-improving-safety-climate-large-cohort-intensive-care-units
September 20, 2011 - Study
Assessing and improving safety climate in a large cohort of intensive care units … Assessing and improving safety climate in a large cohort of intensive care units. … Assessing and improving safety climate in a large cohort of intensive care units. … September 20, 2011
Improving patient safety in intensive care units in Michigan. … July 6, 2011
Improving patient safety in intensive care units in Michigan.
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psnet.ahrq.gov/issue/clinically-significant-medication-errors-surgical-units-detected-clinical-pharmacist-real
October 20, 2021 - Study
Clinically significant medication errors in surgical units detected by clinical … Clinically significant medication errors in surgical units detected by clinical pharmacist: a real‐life … This observational study found that 20% of patients presenting to surgical units at one French hospital … Clinically significant medication errors in surgical units detected by clinical pharmacist: a real‐life … structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units
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psnet.ahrq.gov/issue/use-temporary-nurses-and-nurse-and-patient-safety-outcomes-acute-care-hospital-units
March 24, 2021 - Use of temporary nurses and nurse and patient safety outcomes in acute care hospital units … Use of temporary nurses and nurse and patient safety outcomes in acute care hospital units. … This study, based on a database of 286 nursing units, also found that patient safety outcomes were not … Use of temporary nurses and nurse and patient safety outcomes in acute care hospital units. … An examination of technical efficiency, quality, and patient safety in acute care nursing units