AHRQ Patient Safety Network

The Collection > Intensive Care Units

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Safety Target

•Device-related Complications (59)

•Diagnostic Errors (14)

•Identification Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (43)

•Fatigue and Sleep Deprivation (13)

•Medication Safety (117)

•Medical Complications (93)

•Nonsurgical Procedural Complications (10)

•Surgical Complications (15)

•Transfusion Complications (2)

•Psychological and Social Complications (3)

Origin/Sponsor

•Africa (1)

•Asia (6)

•Australia and New Zealand (15)

•Central and South America (4)

Resource Types

•Clinical Guideline (1)

•Journal Article (332)

•Meeting/Conference (1)

•Newspaper/Magazine Article (20)

•Press Release/Announcement (4)

•Special or Theme Issue (4)

•Tools/Toolkit (1)

•Web Resource (1)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (128)

•Active Errors (67)

•Latent Errors (26)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (91)

•Legal and Policy Approaches (17)

•Error Reporting and Analysis (104)

•Communication Improvement (74)

•Human Factors Engineering (77)

•Teamwork (50)

•Specialization of Care (40)

•Logistical Approaches (37)

•Culture of Safety (59)

•Technologic Approaches (53)

•Education and Training (52)

Clinical Areas

•Medicine (357)

•Nursing (63)

•Pharmacy (14)

Target Audience

•Health Care Providers (262)

•Health Care Executives and Administrators (301)

•Non-Health Care Professionals (108)

•Patients (14)

Setting of Care
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Intensive Care Units

1 - 20 of 372

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STUDY

A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers.

Li P, Stelfox HT, Ghali WA. Am J Med. 2011;124:860-867.

COMMENTARY

Check the Bags.

Caldwell M, Dracup KA. AHRQ WebM&M [serial online]. September 2003.

COMMENTARY

Central Line Clot.

Randolph AG. AHRQ WebM&M [serial online]. May 2003.

STUDY

Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii.

Lin DM, Weeks K, Holzmueller CG, Pronovost PJ, Pham JC. Jt Comm J Qual Patient Saf. 2013;39:51-60.

COMMENTARY

Crushing Chest Pain: A Missed Opportunity.

Graber M. AHRQ WebM&M [serial online]. January 2004.

COMMENTARY

Code Status Confusion.

Lo B, Tulsky JA. AHRQ WebM&M [serial online]. July 2003.

STUDY

What’s past is prologue: organizational learning from a serious patient injury.

Tamuz M, Franchois KE, Thomas EJ. Safety Sci. 2011;49:75-82.

STUDY

Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.

Tamuz M, Giardina TD, Thomas EJ, Menon S, Singh H. J Hosp Med. 2011;6:448-456.

NEWSPAPER/MAGAZINE ARTICLE

Patient safety: the synergy of technology and behavior.

Yarbrough C, Rypkema S. Patient Safety & Quality Healthcare. January-February 2008;5:32-35.

STUDY

Eradicating central line–associated bloodstream infections statewide: the Hawaii experience.

Lin DM, Weeks K, Bauer L, et al. Am J Med Qual. 2012;27:124-129.

STUDY

A multifaceted program for improving quality of care in intensive care units: IATROREF study.

Garrouste-Orgeas M, Soufir L, Tabah A, et al; Outcomerea Study Group. Crit Care Med. 2012;40:468-476.

COMMENTARY

Handovers from the OR to the ICU.

Bonifacio AS, Segall N, Barbeito A, Taekman J, Schroeder R, Mark JB. Int Anesthesiol Clin. 2013;51:43-61.

STUDY

Thomas AN, Panchagnula U. Anaesthesia. 2008;63:726-733.

COMMENTARY

To Resuscitate or Not?

Wu AW, Pronovost PJ. AHRQ WebM&M [serial online]. January 2004.

STUDY

Discontinuity of chronic medications in patients discharged from the intensive care unit.

Bell CM, Rahimi-Darabad P, Orner AI. J Gen Intern Med. 2006;21:937-941.

COMMENTARY

Teamwork and team training in the ICU: where do the similarities with aviation end?

Reader TW, Cuthbertson BH. Crit Care. 2011;15:313.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

Berwick DM, Leape LL. Newsweek. October 16, 2006:70-71.

COMMENTARY

On the Other Hand

Henneman EA. AHRQ WebM&M [serial online]. May 2007.

STUDY

An observational study of changes to long-term medication after admission to an intensive care unit.

Campbell AJ, Bloomfield R, Noble DW. Anaesthesia. 2006;61:1087-1092.

STUDY

Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project.

Turner K, Frush K, Hueckel R, Relf MV, Thornlow D, Champagne MT. J Nurs Care Qual. 2013;28:257-264.

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