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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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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/index.html
July 01, 2023 - for Perinatal Care (SPPC) in order to improve the patient safety culture of labor and delivery (L&D) units … The toolkit helps L&D units improve patient safety, team communication, and quality of care for mothers … Safety
Perinatal Safety Strategies
In Situ Simulation
Success Stories of Five Labor and Delivery Units … Perinatal Care: Experiences From the Frontline" describes the implementation experiences of five L&D units … toolkit was developed as part of a national implementation project to improve patient safety in L&D units
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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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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp5.html
January 01, 2013 - than 25; n=3 units). … Finally, units were categorized as having a baseline rate of zero (n=293 units) or a baseline rate greater … than zero (n=681 units), and the final model was restricted to only units with a baseline rate greater … Characteristics of included units can be found in Table 15 .
Figure 17. … system had a higher rate than units in hospitals associated with a system.
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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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See More About The Topic
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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See More About The Topic
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
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psnet.ahrq.gov/node/74054/psn-pdf
November 10, 2021 - Supervision, interprofessional collaboration, and patient
safety in intensive care units during the … Supervision, interprofessional collaboration, and patient safety
in intensive care units during the … psnet.ahrq.gov/issue/supervision-interprofessional-collaboration-and-patient-safety-intensive-care-
units-during … COVID-19 pandemic forced the redeployment of non-intensive care
certified staff into intensive care units … /psnet.ahrq.gov/issue/supervision-interprofessional-collaboration-and-patient-safety-intensive-care-units-during
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/org_embrace-slides/Organizational-Embrace-of-CUSP-to-Improve-Patient-Safety-Mar-20-2012-508.ppt
January 01, 2012 - SICU and ICU/CCU
Lower perception of safety scores
Pharmacy, Gen Surg, OR, Medicine, PCU, ER
Paired Units … IMC/CIC and HRP/L&D
Recent significant events
Interventional Radiology
Inpatient units without CUSP … a System” video at orientation and on HCH intranet
*
CUSP Teams
11 CUSP Teams representing
14 units … per month “secret shopper” from each patient safety leader for three months
CLABSI — Critical care units … CAUTI — Med/surg units
CLABSI/VAP/CAUTI defects tool — ICUs
*
Protected Time for PSL
Budgeted
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psnet.ahrq.gov/node/863758/psn-pdf
March 06, 2024 - Medication safety gaps in English pediatric inpatient
units: an exploration using work domain analysis … Medication safety gaps in English pediatric inpatient units: an
exploration using work domain analysis … https://psnet.ahrq.gov/issue/medication-safety-gaps-english-pediatric-inpatient-units-exploration-using … https://psnet.ahrq.gov/issue/medication-safety-gaps-english-pediatric-inpatient-units-exploration-using-work-domain … https://psnet.ahrq.gov/issue/medication-safety-gaps-english-pediatric-inpatient-units-exploration-using-work-domain
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psnet.ahrq.gov/issue/linking-patient-safety-climate-missed-nursing-care-labor-and-delivery-units-findings-laborrns
January 19, 2022 - Study
Linking patient safety climate with missed nursing care in labor and delivery units … Linking patient safety climate with missed nursing care in labor and delivery units: findings from the … Linking patient safety climate with missed nursing care in labor and delivery units: findings from the … July 26, 2023
Three missed critical nursing care processes on labor and delivery units … January 19, 2022
Seven features of safety in maternity units: a framework based on multisite
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psnet.ahrq.gov/issue/how-does-environment-influence-consumers-perceptions-safety-acute-mental-health-units
December 16, 2020 - How does the environment influence consumers' perceptions of safety in acute mental health units … How does the environment influence consumers' perceptions of safety in acute mental health units? … How does the environment influence consumers' perceptions of safety in acute mental health units? … Author(s)
Nurses' influence on consumers' experience of safety in acute mental health units … November 5, 2008
Healthcare-associated infections in adult intensive care units: a multisource
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hcup-us.ahrq.gov/reports/SASpecUnitManuscriptHCUP083010.pdf
August 31, 2010 - units, and 23% were treated in psychiatric units. … without specialty units. … or
psychiatric units. … units (64%). … , or detoxification units.
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psnet.ahrq.gov/node/61044/psn-pdf
January 01, 2021 - Seven features of safety in maternity units: a framework
based on multisite ethnography and stakeholder … Seven features of safety in maternity units: a framework based on
multisite ethnography and stakeholder … https://psnet.ahrq.gov/issue/seven-features-safety-maternity-units-framework-based-multisite-ethnography … generate a new plain language
framework identifying safe behaviors and practices in inpatient maternity units … https://psnet.ahrq.gov/issue/seven-features-safety-maternity-units-framework-based-multisite-ethnography-and-stakeholder
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psnet.ahrq.gov/node/73633/psn-pdf
August 25, 2021 - Learning from patient safety incidents involving acutely
sick adults in hospital assessment units in … Learning from patient safety incidents involving acutely sick adults
in hospital assessment units in … psnet.ahrq.gov/issue/learning-patient-safety-incidents-involving-acutely-sick-adults-hospital-
assessment-units … characterize the
most frequently reported incidents resulting in severe harm or death in acute medical units … psnet.ahrq.gov/issue/learning-patient-safety-incidents-involving-acutely-sick-adults-hospital-assessment-units