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psnet.ahrq.gov/issue/statewide-perinatal-quality-improvement-teamwork-and-communication-activities-oklahoma-and
October 19, 2022 - Maternal Health (AIM) patient safety bundles and use of teamwork and communication tools in obstetric units … Findings suggest that adoption of initiative components varies across obstetric units; the majority of … units had standardized processes for serious events (obstetric hemorrhage, massive transfusion, severe … hypertension) but fewer units offered regular training on effective teamwork and communication for … in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units
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psnet.ahrq.gov/issue/comparing-nicu-teamwork-and-safety-climate-across-two-commonly-used-survey-instruments
November 20, 2019 - Investigators assessed safety culture and teamwork in 44 neonatal intensive care units using two different … February 6, 2019
Exposure to Leadership WalkRounds in neonatal intensive care units is … June 12, 2013
Perceptions of safety culture vary across the intensive care units of a … June 16, 2011
Risk management, or just a different risk: a national survey of newborn units … August 10, 2010
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Intensive Care Units
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psnet.ahrq.gov/node/43222/psn-pdf
February 13, 2019 - Exposure to Leadership WalkRounds in neonatal
intensive care units is associated with a better patient … Exposure to Leadership WalkRounds in neonatal intensive care
units is associated with a better patient … https://psnet.ahrq.gov/issue/exposure-leadership-walkrounds-neonatal-intensive-care-units-associated- … Leadership WalkRounds, in which senior leadership visits directly with frontline staff on their clinical units … Conducted in
44 neonatal intensive care units, this cross-sectional study found that units who received
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psnet.ahrq.gov/node/860717/psn-pdf
January 17, 2024 - A combined assessment tool of teamwork,
communication, and workload in hospital procedural
units. … A combined assessment tool of teamwork, communication, and workload in
hospital procedural units. … psnet.ahrq.gov/issue/combined-assessment-tool-teamwork-communication-and-workload-hospital-
procedural-units … Researchers applied the toolkit in 14 units across three hospitals with positive feedback from unit … psnet.ahrq.gov/issue/combined-assessment-tool-teamwork-communication-and-workload-hospital-procedural-units
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psnet.ahrq.gov/issue/human-factors-engineering-conceptual-framework-nursing-workload-and-patient-safety-intensive
March 11, 2020 - human factors engineering conceptual framework of nursing workload and patient safety in intensive care units … human factors engineering conceptual framework of nursing workload and patient safety in intensive care units … human factors engineering conceptual framework of nursing workload and patient safety in intensive care units … January 7, 2011
Matching nurse skill with patient acuity in the intensive care units: … February 25, 2009
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Intensive Care Units
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psnet.ahrq.gov/issue/ahrq-safety-program-intensive-care-units-preventing-clabsi-and-cauti-final-report
April 06, 2022 - Book/Report
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI … Citation Text:
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report … Cite
Citation
Citation Text:
AHRQ Safety Program for Intensive Care Units … checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units … May 25, 2011
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Intensive Care Units
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psnet.ahrq.gov/issue/medication-errors-intensive-care-units-umbrella-review-control-measures
February 09, 2022 - Review
Medication errors in intensive care units: an umbrella review of control measures … Medication errors in intensive care units: an umbrella review of control measures. … Medication errors in intensive care units: an umbrella review of control measures. … structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units … January 5, 2012
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Intensive Care Units
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psnet.ahrq.gov/issue/adverse-events-intensive-care-and-continuing-care-units-during-bed-bath-procedures
March 05, 2025 - Study
Adverse events in intensive care and continuing care units during bed-bath … Adverse events in intensive care and continuing care units during bed-bath procedures: the prospective … Adverse events in intensive care and continuing care units during bed-bath procedures: the prospective … 2020
Clinical predictors for unsafe direct discharge home patients from intensive care units … 2010
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Researchers
Intensive Care Units
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psnet.ahrq.gov/issue/clinical-predictors-unsafe-direct-discharge-home-patients-intensive-care-units
January 12, 2011 - Clinical predictors for unsafe direct discharge home patients from intensive care units … Clinical predictors for unsafe direct discharge home patients from intensive care units. … Clinical predictors for unsafe direct discharge home patients from intensive care units. … Learning from patient safety incidents involving acutely sick adults in hospital assessment units … structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units
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psnet.ahrq.gov/issue/factors-affecting-delivery-safe-care-midwifery-units
November 11, 2020 - Book/Report
Factors Affecting the Delivery of Safe Care in Midwifery Units. … Citation Text:
Factors Affecting the Delivery of Safe Care in Midwifery Units. … Citation
Citation Text:
Factors Affecting the Delivery of Safe Care in Midwifery Units
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psnet.ahrq.gov/issue/handoff-communication-between-hospital-and-outpatient-dialysis-units-patient-discharge
August 20, 2018 - Study
Handoff communication between hospital and outpatient dialysis units at patient … Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative … In this study, communication between inpatient and outpatient dialysis units at discharge was highly … Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative
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psnet.ahrq.gov/node/50708/psn-pdf
December 04, 2019 - Identifying medication errors in neonatal intensive care
units: a two-center study
December 4, 2019 … Identifying medication errors in neonatal intensive care units: a
two-center study. … https://psnet.ahrq.gov/issue/identifying-medication-errors-neonatal-intensive-care-units-two-center-study … Medication errors are thought to be common in neonatal intensive care units (NICUs). … https://psnet.ahrq.gov/issue/identifying-medication-errors-neonatal-intensive-care-units-two-center-study
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psnet.ahrq.gov/issue/comparing-rates-adverse-events-and-medical-errors-inpatient-psychiatric-units-veterans-health
January 30, 2019 - Study
Comparing rates of adverse events and medical errors on inpatient psychiatric units … Comparing Rates of Adverse Events and Medical Errors on Inpatient Psychiatric Units at Veterans Health … Comparing Rates of Adverse Events and Medical Errors on Inpatient Psychiatric Units at Veterans Health … Predictors of adverse events and medical errors among adult inpatients of psychiatric units … January 30, 2019
Adverse events in Veterans Affairs inpatient psychiatric units: staff
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psnet.ahrq.gov/issue/statewide-nicu-central-line-associated-bloodstream-infection-rates-decline-after-bundles-and
September 23, 2020 - The near-elimination of catheter-related bloodstream infections (CRBSI) in adult intensive care units … In this study conducted at all 18 neonatal intensive care units (NICUs) in New York State, use of checklists … checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units … May 25, 2011
The ability of intensive care units to maintain zero central line–associated … October 13, 2010
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Intensive Care Units
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psnet.ahrq.gov/issue/teamwork-inpatient-medical-units-assessing-attitudes-and-barriers
June 11, 2010 - Study
Teamwork on inpatient medical units: assessing attitudes and barriers. … Teamwork on inpatient medical units: assessing attitudes and barriers. … Teamwork on inpatient medical units: assessing attitudes and barriers. … Perspective
Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units
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psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units
February 03, 2011 - Classic
Medication errors in neonatal and paediatric intensive-care units … Medication errors in neonatal and paediatric intensive-care units. Lancet. 1989;2(8659):374-6. … Medication errors in neonatal and paediatric intensive-care units. Lancet. 1989;2(8659):374-6. … June 21, 2006
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Intensive Care Units
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psnet.ahrq.gov/node/74060/psn-pdf
November 10, 2021 - Clinically significant medication errors in surgical units
detected by clinical pharmacist: a real-life … Clinically significant medication errors in surgical units detected by
clinical pharmacist: a real? … https://psnet.ahrq.gov/issue/clinically-significant-medication-errors-surgical-units-detected-clinical … This observational study found that 20% of patients presenting to
surgical units at one French hospital … https://psnet.ahrq.gov/issue/clinically-significant-medication-errors-surgical-units-detected-clinical-pharmacist-real
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psnet.ahrq.gov/node/47992/psn-pdf
January 01, 2020 - Understanding the heterogeneity of labor and delivery
units: using design thinking methodology to assess … Understanding the Heterogeneity of Labor and Delivery
Units: Using Design Thinking Methodology to Assess … https://psnet.ahrq.gov/issue/understanding-heterogeneity-labor-and-delivery-units-using-design-thinking … methodology-assess
This direct observation study examined maternal and neonatal care at 10 labor and delivery units … https://psnet.ahrq.gov/issue/understanding-heterogeneity-labor-and-delivery-units-using-design-thinking-methodology-assess
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psnet.ahrq.gov/node/50620/psn-pdf
November 06, 2019 - Comparing rates of adverse events and medical errors on
inpatient psychiatric units at Veterans Health … Comparing Rates of Adverse Events and Medical Errors on
Inpatient Psychiatric Units at Veterans Health … https://psnet.ahrq.gov/issue/comparing-rates-adverse-events-and-medical-errors-inpatient-psychiatric-
units-veterans-health … https://psnet.ahrq.gov/issue/comparing-rates-adverse-events-and-medical-errors-inpatient-psychiatric-units-veterans-health … https://psnet.ahrq.gov/issue/adverse-events-veterans-affairs-inpatient-psychiatric-units-staff-perspectives-contributing
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psnet.ahrq.gov/node/840487/psn-pdf
November 30, 2022 - 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. … psnet.ahrq.gov/issue/interprofessional-team-collaboration-and-work-environment-health-68-us-
intensive-care-units … therapists, and rehabilitation
therapists) assessed teamwork and collaboration across 68 intensive care units … psnet.ahrq.gov/issue/interprofessional-team-collaboration-and-work-environment-health-68-us-intensive-care-units