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Total Results: 2,939 records

Showing results for "units".

  1. Shaping systems for better behavioral choices: lessons learned from a fatal medication error. | PSNet

    psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
    February 12, 2020 - 16, 2019 Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units … April 6, 2011 Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units

  2. Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staff. | PSNet

    psnet.ahrq.gov/issue/facilitators-and-barriers-care-transitions-comparing-perspectives-hospital-and-community
    July 21, 2021 - 2021 Nurses' perceptions and demands regarding COVID-19 care delivery in critical care units … records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units

  3. Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. | PSNet

    psnet.ahrq.gov/issue/does-root-cause-analysis-improve-patient-safety-systematic-review-department-veterans-affairs
    March 24, 2021 - analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units … September 23, 2020 A follow-up report on preventing suicide: focus on medical/surgical units

  4. Association of a Safety Program for Improving Antibiotic Use with antibiotic use and hospital-onset Clostridioides difficile infection rates among US hospitals | PSNet

    psnet.ahrq.gov/issue/association-safety-program-improving-antibiotic-use-antibiotic-use-and-hospital-onset
    July 20, 2022 - Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units … Methicillin-resistant Staphylococcus aureus central line–associated bloodstream infections in US intensive care units

  5. Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks. | PSNet

    psnet.ahrq.gov/issue/implementation-and-facilitation-post-resuscitation-debriefing-comparative-crossover-study-two
    March 23, 2022 - overnight physician staffing: a cross-sectional survey of Canadian adult and pediatric intensive care units … July 23, 2010 View More See More About The Topic Intensive Care Units

  6. Use of heuristics during the clinical decision process from family care physicians in real conditions. | PSNet

    psnet.ahrq.gov/issue/use-heuristics-during-clinical-decision-process-family-care-physicians-real-conditions
    March 09, 2022 - 2022 Nurses' perceptions and demands regarding COVID-19 care delivery in critical care units … December 2, 2020 Clinically significant medication errors in surgical units detected

  7. Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study. | PSNet

    psnet.ahrq.gov/issue/effectiveness-barcode-medication-administration-system-reducing-preventable-adverse-drug
    December 14, 2022 - December 1, 2010 Prevalence of adverse events in pediatric intensive care units in the … September 1, 2008 View More See More About The Topic Intensive Care Units

  8. The effect of virtual nursing and missed nursing care. | PSNet

    psnet.ahrq.gov/issue/effect-virtual-nursing-and-missed-nursing-care
    December 01, 2021 - Perspective Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units … 23, 2019 The content and context of change of shift report on medical and surgical units

  9. The nurse's experience of decision-making processes in missed nursing care: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/nurses-experience-decision-making-processes-missed-nursing-care-qualitative-study
    May 11, 2022 - , 2021 The economic burden of nurse-sensitive adverse events in 22 medical-surgical units … Create Customized Prevention Plans May 31, 2023 Floating to intensive care units

  10. Parent perceptions of children's hospital safety climate. | PSNet

    psnet.ahrq.gov/issue/parent-perceptions-childrens-hospital-safety-climate
    December 22, 2018 - September 13, 2023 Medication safety in two intensive care units of a community teaching … complexity of medication safety using a human factors approach: an observational study in two intensive care units

  11. Coronavirus disease 2019 (COVID-19) pandemic, central-line-associated bloodstream infection (CLABSI), and catheter-associated urinary tract infection (CAUTI): the urgent need to refocus on hardwiring prevention efforts. | PSNet

    psnet.ahrq.gov/issue/coronavirus-disease-2019-covid-19-pandemic-central-line-associated-bloodstream-infection
    June 22, 2022 - June 21, 2023 AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI … 2020 View More See More About The Topic Hospitals Intensive Care Units

  12. Association between unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure survivors: a multicenter prospective cohort study. | PSNet

    psnet.ahrq.gov/issue/association-between-unmet-nonmedication-needs-after-hospital-discharge-and-readmission-or
    September 23, 2020 - November 10, 2021 Adverse events in intensive care and continuing care units during bed-bath … January 15, 2009 View More See More About The Topic Intensive Care Units

  13. Prescribing errors in post-COVID-19 patients: prevalence, severity, and risk factors in patients visiting a post-COVID-19 outpatient clinic. | PSNet

    psnet.ahrq.gov/issue/prescribing-errors-post-covid-19-patients-prevalence-severity-and-risk-factors-patients
    June 29, 2022 - Supervision, interprofessional collaboration, and patient safety in intensive care units … February 4, 2009 View More See More About The Topic Intensive Care Units

  14. The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality. | PSNet

    psnet.ahrq.gov/issue/intensive-care-unit-patient-safety-and-agency-healthcare-research-and-quality
    May 20, 2009 - Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units … April 22, 2009 View More See More About The Topic Intensive Care Units

  15. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event | PSNet

    psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
    July 01, 2017 - Utilization Survey (NBCUS), 11,349,000 (95% confidence interval, 10,592,000–11,747,000) red blood cell units … -2008). 4 This risk estimate is almost certainly too high because over 100 million red blood cell units … Others have estimated that 1 in every 19,000 units of red blood cells is transfused to the wrong patient … each year, 1 in 76,000 transfusions results in an acute hemolytic reaction, and 1 in 1.8 million units … Although un-crossmatched group O units are the safest product to transfuse in emergent cases such as

  16. Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections. | PSNet

    psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-reduce-nicu-line-associated-bloodstream
    April 24, 2018 - pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal intensive care units … May 19, 2010 View More See More About The Topic Intensive Care Units

  17. Missed Nursing Care | PSNet

    psnet.ahrq.gov/primer/missed-nursing-care
    September 15, 2024 - Evaluation of organizational nurse staffing plans should include not just the average needs of nursing units … Challenges April 24, 2024 Exploring safety culture within inpatient mental health units … November 29, 2023 Healthcare-associated infections in adult intensive care units: a multisource

  18. Five Medication Safety Tips for Older Adults. | PSNet

    psnet.ahrq.gov/issue/five-medication-safety-tips-older-adults
    April 23, 2012 - February 17, 2021 Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units

  19. Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical Deterioration | PSNet

    psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
    October 30, 2024 - identify patients who are high risk for clinical deterioration in medical, surgical, and telemetry units … Problem Addressed The AAM program was designed to identify patients on general hospital units who are … data, KPNC found that mortality rates for patients transferred from medical, surgical, and telemetry units … Perspective Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units

  20. Transfusion Overload | PSNet

    psnet.ahrq.gov/web-mm/transfusion-overload
    September 23, 2020 - evaluation, and the oncologist requested the patient be admitted to the hospital and transfused with 2 units … He knew about her heart failure and stated that diuretics should be given between each of the units. … fatal consequences.( 7,8 ) For unknown reasons in the past, physicians had been taught to give 2 units … liberal transfusion strategy.( 11 ) Using a restrictive transfusion strategy saved an average of 1.19 units
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