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psnet.ahrq.gov/issue/developing-standard-handoff-process-operating-room-icu-transitions-multidisciplinary
February 06, 2019 - structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units … February 15, 2023
Medication errors in intensive care units: an umbrella review of control … structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units … September 1, 2006
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Intensive Care Units
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psnet.ahrq.gov/issue/icu-attending-handoff-practices-results-national-survey-academic-intensivists
February 06, 2019 - structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units … Related Resources
Learning from non-routine events and teamwork in intensive care units … Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units … April 22, 2009
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Intensive Care Units
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psnet.ahrq.gov/issue/victims-severe-intimate-partner-violence-are-left-without-advocacy-intervention-primary-care
October 21, 2020 - Related Resources From the Same Author(s)
Seven features of safety in maternity units … June 15, 2022
Adverse events in intensive care and continuing care units during bed-bath … 2021
Nurses' perceptions and demands regarding COVID-19 care delivery in critical care units … analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units
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psnet.ahrq.gov/issue/perceptions-risk-patient-safety-pediatric-icu-study-american-pediatric-intensivists
August 28, 2017 - This survey of critical care physicians describes patient safety risks in pediatric intensive care units … overnight physician staffing: a cross-sectional survey of Canadian adult and pediatric intensive care units … January 4, 2010
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Intensive Care Units
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psnet.ahrq.gov/issue/medical-team-training-applying-crew-resource-management-veterans-health-administration
April 30, 2014 - These included programs tailored for operating rooms, intensive care units, and general wards, and focused … CRM programs are being implemented at the VA and elsewhere, a recent randomized trial in obstetrics units … January 19, 2011
Improving safety culture on adult medical units through multidisciplinary
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psnet.ahrq.gov/issue/effects-learning-climate-and-registered-nurse-staffing-medication-errors
February 15, 2011 - Nursing units with a negative learning climate reported more medication errors if they were also staffed … February 15, 2011
Quality and strength of patient safety climate on medical–surgical units … An examination of technical efficiency, quality, and patient safety in acute care nursing units
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psnet.ahrq.gov/web-mm/failure-rescue-mother
September 23, 2020 - She received 4 units of packed red blood cells and 2 doses of iron injections, and she was discharged … Additionally, the need for 5 units of blood during the antepartum period is uncommon, which should have … The patient in this case received several units of packed RBCs during the antepartum period and at the … In these women, a type-specific crossmatch of at least 2–6 units packed RBCs is strongly recommended … Recognition and Prevention Transfusion of 5 units of blood in the antepartum period.
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psnet.ahrq.gov/issue/transform-patient-safety-project-microsystem-approach-improving-outcomes-inpatient-units
February 10, 2012 - The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units … The TRANSFORM Patient Safety Project: a microsystem approach to improving outcomes on inpatient units … The TRANSFORM Patient Safety Project: a microsystem approach to improving outcomes on inpatient units
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psnet.ahrq.gov/issue/pictograms-units-and-dosing-tools-and-parent-medication-errors-randomized-study
December 14, 2016 - Study
Pictograms, units and dosing tools, and parent medication errors: a randomized … Pictograms, Units and Dosing Tools, and Parent Medication Errors: A Randomized Study. … Pictograms, Units and Dosing Tools, and Parent Medication Errors: A Randomized Study.
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psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients-prospective-multicenter
June 29, 2009 - January 2, 2017
Improving patient safety in intensive care units in Michigan. … Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units … An ethnographic study of health information technology use in three intensive care units … Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units … April 22, 2009
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Intensive Care Units
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psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-and-team-intervention-prevention-serious-medication
February 10, 2011 - report their groundbreaking before-and-after trial of computerized physician order entry (CPOE) in six units … ADEs) and potential ADEs and for assessing their severity in two intensive care and four general care units … adverse drug events in hospitalized patients: a comparative study of intensive care and general care units
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psnet.ahrq.gov/issue/business-case-quality-economic-analysis-michigan-keystone-patient-safety-program-icus
September 20, 2011 - Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units … March 21, 2012
Improving patient safety in intensive care units in Michigan. … Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units … checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units … April 1, 2009
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Intensive Care Units
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psnet.ahrq.gov/print/pdf/node/866100
August 30, 2023 - https://psnet.ahrq.gov/issue/pay-practices-and-safety-organizing-evidence-hospital-nursing-units
https … Linking patient safety climate with missed nursing care in labor and delivery units: findings from the … All Library Content
Pay practices and safety organizing: evidence from hospital nursing units. … https://psnet.ahrq.gov/issue/linking-patient-safety-climate-missed-nursing-care-labor-and-delivery-units-findings-laborrns … Linking patient safety climate with missed nursing care in labor and delivery units: findings from the
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psnet.ahrq.gov/issue/integrating-cusp-and-trip-improve-patient-safety
June 16, 2011 - Related Resources From the Same Author(s)
Improving patient safety in intensive care units … 15, 2014
Assessing and improving safety climate in a large cohort of intensive care units … Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units … 16, 2011
Assessing and improving safety climate in a large cohort of intensive care units
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psnet.ahrq.gov/issue/reducing-rate-catheter-associated-bloodstream-infections-surgical-intensive-care-unit-using
November 16, 2022 - Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units … checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units … April 1, 2009
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Intensive Care Units
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psnet.ahrq.gov/issue/clinical-case-electronic-health-record-drug-alert-fatigue-consequences-patient-outcome
August 02, 2023 - Perspective
Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units … 2016
Defining the incidence of cardiorespiratory instability in patients in step-down units … February 15, 2011
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Intensive Care Units
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psnet.ahrq.gov/issue/patient-suicide-locked-mental-health-unit-west-palm-beach-va-medical-center-florida
January 24, 2024 - ineffective rounding policy, and lack of leadership knowledge of safety practices in mental health units … analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units
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psnet.ahrq.gov/issue/influence-organizational-climate-and-clinician-morale-seclusion-and-physical-restraint-use
August 21, 2018 - organizational climate and clinician morale on seclusion and physical restraint use in inpatient psychiatric units … organizational climate and clinician morale on seclusion and physical restraint use in inpatient psychiatric units … organizational climate and clinician morale on seclusion and physical restraint use in inpatient psychiatric units
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psnet.ahrq.gov/issue/improving-patient-safety-icu-prospective-identification-missing-safety-barriers-using-bow-tie
February 14, 2024 - drug events caused by three high-risk drug-drug interactions in patients admitted to intensive care units … May 15, 2013
Assessing system failures in operating rooms and intensive care units. … March 21, 2009
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Intensive Care Units
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psnet.ahrq.gov/issue/using-learning-system-approach-improve-safety-prone-position-ventilation-patients
January 10, 2024 - March 15, 2023
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI … Supervision, interprofessional collaboration, and patient safety in intensive care units … March 17, 2021
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Intensive Care Units