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psnet.ahrq.gov/node/61043/psn-pdf
October 21, 2020 - Clinical predictors for unsafe direct discharge home
patients from intensive care units. … Clinical predictors for unsafe direct discharge home patients from
intensive care units. … https://psnet.ahrq.gov/issue/clinical-predictors-unsafe-direct-discharge-home-patients-intensive-care-units … https://psnet.ahrq.gov/issue/clinical-predictors-unsafe-direct-discharge-home-patients-intensive-care-units
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn17.pdf
June 21, 2014 - Ordering Provider O NPI
12 Date/Time of Order O YYYYMMDDHHMMSS
13 Strength R
14 Strength Units … RxNorm
20 Drug Name R text
21 Give Amount Minimum R
22 Give Amount Maximum C
23 Give Units … E.g., "500" (for 500MG).
14 Strength Units
The unit of measure for the strength. … Units
UNITS/HR Units/hour
UNITS/KG Units/kilogram
UNITS/KG/HR Units/kilogram/hr
UNITS/MIN … The unit of measure in each case (e.g., mg or tablets) will be defined in the "Give
units" (see #22)
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psnet.ahrq.gov/node/38487/psn-pdf
March 18, 2009 - Competence and certification of registered nurses and
safety of patients in intensive care units. … Competence and certification of registered nurses and safety of patients
in intensive care units. … psnet.ahrq.gov/issue/competence-and-certification-registered-nurses-and-safety-patients-intensive-
care-units … Intensive care units with a higher proportion of certified registered nurses had lower rates of certain … psnet.ahrq.gov/issue/competence-and-certification-registered-nurses-and-safety-patients-intensive-care-units
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psnet.ahrq.gov/issue/improving-teamwork-general-medical-units-when-teams-do-not-work-face-face
June 12, 2013 - Study
Improving teamwork on general medical units: when teams do not work face-to-face … Improving teamwork on general medical units: when teams do not work face-to-face. … Improving teamwork on general medical units: when teams do not work face-to-face. … 12, 2013
An evaluation of shared mental models and mutual trust on general medical units … , 2013
Assessment of teamwork during structured interdisciplinary rounds on medical units
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psnet.ahrq.gov/issue/which-aspects-safety-culture-predict-incident-reporting-behavior-neonatal-intensive-care
June 15, 2011 - Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units … Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? … Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? … Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units … April 6, 2011
View More
See More About The Topic
Intensive Care Units
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psnet.ahrq.gov/issue/safety-organizing-scale-development-and-validation-behavioral-measure-safety-culture-hospital
December 16, 2011 - Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units … Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units … Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units … organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units … April 18, 2013
Pay practices and safety organizing: evidence from hospital nursing units
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psnet.ahrq.gov/issue/impact-safety-organizing-trusted-leadership-and-care-pathways-reported-medication-errors
January 18, 2011 - organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units … organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units … organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units … Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units … April 18, 2013
Pay practices and safety organizing: evidence from hospital nursing units
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/twomorees-slides/Two-More-Es-and-How-to-Spread-Dec-13-2011-508.ppt
January 01, 2011 - ( Pass it on to other units, Identify and address your next challenge)
*
Endure—Plan for Sustainability … “Sustaining Reductions in Catheter-Related Bloodstream Infections in Michigan Intensive Care Units” British … Expand—Spread the Intervention
Why think about expanding to other units? … new ideas and methods or may change your perceptions of your own implementation when you see other units … years to come
Work with your executive partner and unit heads to expand the intervention into other units
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digital.ahrq.gov/sites/default/files/docs/resource/Dataform_3_Medication_Error_and_Near_Miss_Classification_Form.pdf
June 16, 2021 - 1.10 Illegible strength or strength units
1.11 Illegible date
1.12 Illegible weight or weight … Dose error
2.01 Overdose
2.02 Underdose
2.03 Dose omitted (from order/when dispensed)
2.04 Dose units … to be dispensed omitted
8.02 Amount to be dispensed incorrect
8.03 Amount to be dispensed without units … 8.04 Amount to be dispensed units incorrect
9. … Weight Error
10.01 Weight omitted
10.02 Weight wrong
10.03 Weight units missing
11.
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psnet.ahrq.gov/node/851647/psn-pdf
July 26, 2023 - 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
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psnet.ahrq.gov/node/43762/psn-pdf
November 21, 2017 - Implementation of crew resource management: a
qualitative study in 3 intensive care units. … Implementation of Crew Resource Management: A Qualitative
Study in 3 Intensive Care Units. … //psnet.ahrq.gov/issue/implementation-crew-resource-management-qualitative-study-3-intensive-care-
units … implementation, and impact of a crew resource management training program at three Dutch
intensive care units … https://psnet.ahrq.gov/issue/implementation-crew-resource-management-qualitative-study-3-intensive-care-units
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psnet.ahrq.gov/node/41344/psn-pdf
June 15, 2012 - Review of patient safety incidents reported from critical
care units in North-West England in 2009 and … Review of patient safety incidents reported from critical care units in North-West
England in 2009 and … https://psnet.ahrq.gov/issue/review-patient-safety-incidents-reported-critical-care-units-north-west-england … 2010
Pressure ulcers were the most common voluntarily reported patient safety issue in intensive care units … https://psnet.ahrq.gov/issue/review-patient-safety-incidents-reported-critical-care-units-north-west-england
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psnet.ahrq.gov/node/46396/psn-pdf
August 15, 2018 - An ethnographic study of health information technology
use in three intensive care units. … An Ethnographic Study of Health Information Technology Use in
Three Intensive Care Units. … ://psnet.ahrq.gov/issue/ethnographic-study-health-information-technology-use-three-intensive-care-
units … use on relationships among clinicians over a year-long period across three academic intensive
care units … In the two units with higher health IT use, clinicians were more likely to work in an isolated
manner
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www.ahrq.gov/hai/cusp/modules/spread/notes.html
December 01, 2012 - Observable: If units can see results, they will be more open to the process. … Selecting similar units or areas in which to spread the process is often a successful strategy. … determine which units can first put the new process in place without altering it too much. … Units that are outliers—those units that will need to alter the steps of the process significantly—should … , consideration of variability across units, and identification of units that can easily adopt the process
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psnet.ahrq.gov/node/38060/psn-pdf
April 11, 2011 - Iatrogenesis in neonatal intensive care units:
observational and interventional, prospective, multicenter … Iatrogenesis in neonatal intensive care units:
observational and interventional, prospective, multicenter … https://psnet.ahrq.gov/issue/iatrogenesis-neonatal-intensive-care-units-observational-and-interventional … -
prospective
This prospective study examined the rate of iatrogenesis in neonatal intensive care units … https://psnet.ahrq.gov/issue/iatrogenesis-neonatal-intensive-care-units-observational-and-interventional-prospective
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psnet.ahrq.gov/node/42003/psn-pdf
May 10, 2013 - The effects of computerized provider order entry
implementation on communication in intensive care units … The effects of Computerized Provider Order Entry
implementation on communication in Intensive Care Units … psnet.ahrq.gov/issue/effects-computerized-provider-order-entry-implementation-communication-
intensive-care-units … In this cross-sectional study, implementing CPOE in intensive care units
had a short-term negative effect … psnet.ahrq.gov/issue/effects-computerized-provider-order-entry-implementation-communication-intensive-care-units
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psnet.ahrq.gov/node/42069/psn-pdf
February 27, 2013 - Nurses' perceptions of patient safety climate in intensive
care units: a cross-sectional study. … Nurses' perceptions of patient safety climate in intensive care units:
a cross-sectional study. … https://psnet.ahrq.gov/issue/nurses-perceptions-patient-safety-climate-intensive-care-units-cross-sectional … -
study
This survey of nurses in 10 Norwegian intensive care units found that most had a more positive … https://psnet.ahrq.gov/issue/nurses-perceptions-patient-safety-climate-intensive-care-units-cross-sectional-study
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psnet.ahrq.gov/node/39635/psn-pdf
January 03, 2017 - Patient safety climate in hospitals: act locally on variation
across units. … Patient safety climate in hospitals: act locally on variation across
units. … prior research, this study revealed that perception of safety culture
varied widely across clinical units … https://psnet.ahrq.gov/issue/patient-safety-climate-hospitals-act-locally-variation-across-units
https … ://psnet.ahrq.gov/issue/perceptions-safety-culture-vary-across-intensive-care-units-single-institution
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psnet.ahrq.gov/node/41632/psn-pdf
January 01, 2013 - Variation in safety culture dimensions within and between
US and Swiss Hospital units: an exploratory … Variation in safety culture dimensions within and
between US and Swiss Hospital Units: an exploratory … psnet.ahrq.gov/issue/variation-safety-culture-dimensions-within-and-between-us-and-swiss-hospital-
units … //psnet.ahrq.gov/issue/variation-safety-culture-dimensions-within-and-between-us-and-swiss-hospital-units … //psnet.ahrq.gov/issue/variation-safety-culture-dimensions-within-and-between-us-and-swiss-hospital-units
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psnet.ahrq.gov/node/39145/psn-pdf
December 02, 2009 - Review of patient safety incidents submitted from critical
care units in England & Wales to the UK National … Review of patient safety incidents submitted from Critical Care
Units in England & Wales to the UK National … https://psnet.ahrq.gov/issue/review-patient-safety-incidents-submitted-critical-care-units-england-wales-uk … revealed
that medication errors were the most common type of safety problem reported in critical care units … https://psnet.ahrq.gov/issue/review-patient-safety-incidents-submitted-critical-care-units-england-wales-uk-national