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psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
August 02, 2015 - She was given a transfusion of two units of packed red blood cells but not evaluated by a provider. … related to the availability of resources and staffing, the safety-related behaviors of the clinical units … Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units … March 21, 2009
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Intensive Care Units
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psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes
March 15, 2022 - 16, 2019
Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units
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psnet.ahrq.gov/issue/fatality-involving-vinblastine-overdose-result-complex-medical-error
January 25, 2023 - January 26, 2022
Human factors and ergonomics to improve performance in intensive care units
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psnet.ahrq.gov/issue/doctors-turned-my-sister-away-less-two-years-later-she-died-cervical-cancer
September 09, 2020 - September 9, 2020
Seven features of safety in maternity units: a framework based on multisite
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psnet.ahrq.gov/issue/understanding-and-improving-diagnostic-safety-ambulatory-care
August 17, 2022 - August 9, 2023
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
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psnet.ahrq.gov/issue/risks-related-patient-bed-safety
July 19, 2023 - Supervision, interprofessional collaboration, and patient safety in intensive care units
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psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
January 12, 2011 - Procedure-based units such as the operating room or the GI suite are easily compared to aviation. … These units can make use of many CRM concepts such as "pre-flight" briefings, checklists, and structured … In these types of units, practicing the pre-procedure processes in a simulated environment might be helpful
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psnet.ahrq.gov/web-mm/too-tight-control
March 20, 2013 - The patient eventually required 8 units of regular insulin per hour to maintain a fingerstick glucose … Association of outcomes with organizational characteristics of neonatal intensive care units. … View More
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Hospitals
Intensive Care Units
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psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
September 22, 2010 - Broad-spectrum empiric coverage benefits patients in intensive care units who are critically ill with … Infection control in intensive care units and prevention of ventilator-associated pneumonia. … 2010
Patient safety event reporting in critical care: a study of three intensive care units
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psnet.ahrq.gov/issue/perfect-possible
March 06, 2005 - 2006
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Hospitals
Intensive Care Units
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psnet.ahrq.gov/submit-your-toolkit-landing
This toolkit was developed to help staff in intensive care units use AHRQ’s Comprehensive...
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psnet.ahrq.gov/issue/infection-control-intensive-care-unit
May 27, 2011 - March 4, 2009
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Intensive Care Units
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psnet.ahrq.gov/issue/smart-pumps-practice-survey-results-reveal-widespread-use-optimization-challenging
December 27, 2018 - 24, 2018
Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units
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psnet.ahrq.gov/issue/role-apology-laws-medical-malpractice
July 29, 2020 - Supervision, interprofessional collaboration, and patient safety in intensive care units
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psnet.ahrq.gov/issue/fall-prevention-hospitals-integrative-review
November 03, 2021 - records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units
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psnet.ahrq.gov/issue/using-ventilator-splitters-during-covid-19-pandemic-letter-health-care-providers
June 02, 2021 - April 22, 2020
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Intensive Care Units
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psnet.ahrq.gov/issue/malnutrition-hospitalized-adults-systematic-review
December 21, 2022 - July 7, 2021
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
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psnet.ahrq.gov/issue/missed-nursing-care-concept-analysis
January 19, 2022 - 2022
Linking patient safety climate with missed nursing care in labor and delivery units
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psnet.ahrq.gov/issue/smart-pumps-advanced-capabilities-and-continuous-quality-improvement
December 10, 2014 - Perspective
Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units
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psnet.ahrq.gov/issue/communicating-critical-test-results
May 24, 2006 - adverse drug events in hospitalized patients: a comparative study of intensive care and general care units