AHRQ Patient Safety Network

The Collection > Intensive Care Units

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Safety Target

•Device-related Complications (56)

•Diagnostic Errors (10)

•Identification Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (36)

•Fatigue and Sleep Deprivation (13)

•Medication Safety (109)

•Medical Complications (77)

•Nonsurgical Procedural Complications (7)

•Surgical Complications (12)

•Transfusion Complications (2)

•Psychological and Social Complications (2)

Origin/Sponsor

•Africa (1)

•Asia (7)

•Australia and New Zealand (6)

•Central and South America (3)

Resource Types

•Clinical Guideline (1)

•Journal Article (290)

•Meeting/Conference (1)

•Newspaper/Magazine Article (20)

•Press Release/Announcement (2)

•Special or Theme Issue (4)

•Tools/Toolkit (1)

•Web Resource (1)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (112)

•Active Errors (51)

•Latent Errors (19)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (80)

•Legal and Policy Approaches (15)

•Error Reporting and Analysis (90)

•Communication Improvement (60)

•Human Factors Engineering (63)

•Teamwork (38)

•Specialization of Care (31)

•Logistical Approaches (38)

•Culture of Safety (59)

•Technologic Approaches (55)

•Education and Training (50)

Clinical Areas

•Medicine (307)

•Nursing (63)

•Pharmacy (12)

Target Audience

•Health Care Providers (224)

•Health Care Executives and Administrators (263)

•Non-Health Care Professionals (85)

•Patients (15)

Setting of Care
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Intensive Care Units

1 - 20 of 328

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STUDY

Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units.

Larson EL, Cimiotti J, Haas J, et al. Arch Pediatr Adolesc Med. 2005;159:377-383.

STUDY

The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand.

Jirapaet V, Jirapaet K, Sopajaree C. J Obstet Gynecol Neonatal Nurs. 2006;35:746-754.

COMMENTARY

Safety in the NICU: preventing medication errors with computerized provider order entry.

Donze A, Wolf M. Nurs Womens Health. 2007;11:612-617.

COMMENTARY

Improving safety throughout the medication use process in a neonatal intensive care unit.

Asdigha MN. Hosp Pharm. 2006;41:1067-1075.

COMMENTARY

Patient safety and collaboration of the intensive care unit team.

Despins LA. Crit Care Nurse. April 2009;29:85-91.

STUDY

Strategies used by critical care nurses to identify, interrupt, and correct medical errors.

Henneman EA, Gawlinski A, Blank FS, Henneman PL, Jordan D, McKenzie JB. Am J Crit Care. 2010;19:500-509.

COMMENTARY

Preventing sentinel events caused by family members.

Wall Y, Kautz DD. Dimens Crit Care Nurs. 2011;30:25-27.

MEETING/CONFERENCE PROCEEDINGS

Safety in the NICU: preventing medical errors.

Stokowski LA. Highlights of the National Association of Neonatal Nurses 22nd Annual Conference [Medscape.com]. March 8, 2007.

COMMENTARY

Unreported errors in the intensive care unit: a case study of the way we work.

Henneman EA. Crit Care Nurse. 2007;27:27-34.

COMMENTARY

Failure to rescue in neonatal care.

Gephart SM, McGrath JM, Effken JA. J Perinat Neonatal Nurs. 2011;25:275-282.

STUDY

Clinical alarms: improving efficiency and effectiveness.

Phillips J, Barnsteiner JH. Crit Care Nurs Q. 2005;28:317-323.

STUDY

Frequency and type of errors and near errors reported by critical care nurses.

Balas MC, Scott LD, Rogers AE. Can J Nurs Res. 2006;38:24-41.

STUDY

Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses.

Maiden J, Georges JM, Connelly CD. Dimens Crit Care Nurs. 2011;30:339-345.

STUDY

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.

STUDY

Errors in drug computations during newborn intensive care.

Perlstein PH, Callison C, White M, Barnes B, Edwards NK. Am J Dis Child. 1979;133:376-379.

STUDY

The effect of workload on infection risk in critically ill patients.

Hugonnet S, Chevrolet JC, Pittet D. Crit Care Med. 2007;35:76-81.

STUDY

Adverse drug events in a paediatric intensive care unit: a prospective cohort.

Silva DCB, Araujo OR, Arduini RG, Alonso CFR, Shibata ARO, Troster EJ. BMJ Open. 2013;3:ee001868.

STUDY

Role of registered nurses in error prevention, discovery and correction.

Rogers AE, Dean GE, Hwang WT, Scott LD. Qual Saf Health Care. 2008;17:117-121.

REVIEW

Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensive care unit.

Riker RR, Fraser GL. Pharmacotherapy. 2005;25:8S-18S.

STUDY

Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit.

Del Beccaro MA, Jeffries HE, Eisenberg MA, Harry ED. Pediatrics. 2006;118:290-295.

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