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Total Results: 2,939 records

Showing results for "units".

301. Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care | PSNet
     psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
     June 01, 2003 - The standard rule of thumb is to have a nurse – patient ratio o f 1:4-5 on medical–surgical units, 1 … :3-4 on intermediate units, and 1:2 in ICUs. … systems adhere to the ANA guidelines ( 12 ) and provide the necessary financial support to staff their units … is best addressed with an internal resource pool that creates the capacity for nurses to "float" to units … March 1, 2011 Matching nurse skill with patient acuity in the intensive care units

302. An electronic health record–based real-time analytics program for patient safety surveillance and improvement. | PSNet
     psnet.ahrq.gov/issue/electronic-health-record-based-real-time-analytics-program-patient-safety-surveillance-and
     May 19, 2018 - Perspective Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units … records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units

303. The Leapfrog Hospital Survey. | PSNet
     psnet.ahrq.gov/issue/leapfrog-hospital-survey
     June 21, 2023 - computerized provider order entry evaluation, staffing of critical care physicians on intensive care units

304. Root Cause Analysis Gone Wrong | PSNet
     psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
     August 28, 2024 - As the procedure was drawing to a close, the surgeon instructed the anesthesiologist to give 3000 units … anesthesiologist reviewed the medications and realized that he had accidentally administered 30,000 units … of heparin—not 3000 units.

305. It's All in the Syringe | PSNet
     psnet.ahrq.gov/web-mm/its-all-syringe
     February 01, 2013 - In the office, his blood sugar was 335 mg/dL, so the nurse practitioner (NP) ordered 6 units of regular … As a result of the error, the patient inadvertently received 60 units of insulin rather than 6 units. … The "mL" markings on the syringe were mistaken for units.

306. Establishing a Safety Culture: Thinking Small | PSNet
     psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
     December 01, 2006 - score, we give it to them by looking at the percent of their individual patient care areas or nursing units … This lets you look at the strengths and weaknesses within the institution, but also to identify units … that are doing quite well, and away from the units that need the help the most. … In Michigan, we do coaching calls with the participating units to identify barriers to rolling out the … Through these discussions, the institutions and units help each other just as much as we help them.

307. Double Dose at Transfer | PSNet
     psnet.ahrq.gov/web-mm/double-dose-transfer
     November 01, 2012 - and ward systems were not linked, limiting tracking of medication administration in the respective units … These errors can originate from incomplete communication between the ED and other hospital units. … Medication errors in neonatal and paediatric intensive-care units. Lancet. 1989;2:374-376.

308. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867772/psn-pdf
     September 01, 2013 - enhanced protocol provides instructions for implementing universal decolonization in adult intensive care units

309. The CUSP Method | PSNet
     psnet.ahrq.gov/issue/cusp-method
     October 23, 2019 - model achieved a 40% reduction of central line–associated bloodstream infections in intensive care units

310. Partnering with families and patient advocates: another line of defense in adverse event surveillance. | PSNet
     psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-surveillance
     September 11, 2019 - utilizing this risk prevention strategy in peripheral care areas such as radiology and other testing units

311. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867701/psn-pdf
     August 01, 2017 - This toolkit was developed to help staff in intensive care units use AHRQ’s Comprehensive Unit-based

312. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. | PSNet
     psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
     January 23, 2017 - Pediatric procedural sedation is now commonly performed in the Emergency Department (ED), inpatient units … The resident physician’s assumed use of milliliter units did not align with the nurse’s assumption that … milligram units would be used. … Moreover, neither party called out the units they were using for the other to hear and acknowledge. … Closed loop communication, use of common terminology and units, standardized dosing, syringe labeling

313. Toolkit for Improving Perinatal Safety. | PSNet
     psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety
     May 01, 2017 - Communication in labor and delivery units can be challenging.

314. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-472
     February 26, 2025 - 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

315. Teamwork Training | PSNet
     psnet.ahrq.gov/primer/teamwork-training
     September 15, 2024 - TeamSTEPPS has been successfully implemented in a variety of clinical settings, including  intensive care units … variety of clinical environments, including the emergency department, operating rooms,  obstetrics units

316. Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. | PSNet
     psnet.ahrq.gov/issue/getting-closer-bulls-eye-2014-2015-targeted-medication-safety-best-practices
     July 08, 2015 - medication safety best practices that recommended strategies to augment safety, such as utilizing metric units

317. A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion | PSNet
     psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
     June 14, 2023 - Criteria for Admission to Different Inpatient Units The patient in this case was admitted to a stepdown … Stepdown units offer an intermediate level of care for patients with care needs between intensive care … the US healthcare system leads to substantial variability in the criteria for admission to stepdown units … policies for continuous infusion orders that include the following: initial starting rate, incremental units … View More See More About The Topic Hospitals Intensive Care Units

318. In Conversation With… J. Bryan Sexton, PhD, MA | PSNet
     psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
     February 26, 2025 - So we have to measure and know the resilience rates among all of our different units and labs, but we … Unlike a unit where everybody is showing up and they're firing on all pistons, on these burned out units … What we found is that if you're using data to pinpoint which units specifically are struggling with teamwork—and … within those units that are struggling, what aspects of teamwork are they struggling with—TeamSTEPPS … and celebrate the success in a big face-to-face meeting with all the executives, the sponsors of the units

319. Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans | PSNet
     psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-customized-prevention
     July 23, 2024 - A recent study in 14 medical units within three academic medical centers found that implementation of … controlled trial with a stepped wedge design. 3 The study included all adult patients in 14 medical units … Systems should be in place so that units can understand why a fall occurred and remediate the cause.

320. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72815/psn-pdf
     March 10, 2021 - bundled interventions commonly used to support handoffs between the operating room and intensive care units