AHRQ Patient Safety Network

The Collection > Critical Care Nursing

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Safety Target

•Device-related Complications (5)

•Diagnostic Errors (3)

•Identification Errors (1)

•Discontinuities, Gaps, and Hand-Off Problems (5)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (19)

•Medical Complications (19)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (2)

•Transfusion Complications (1)

•Psychological and Social Complications (2)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (3)

•Europe (10)

•North America (61)

Resource Types

•Audiovisual (1)

•Journal Article (76)

•Meeting/Conference (1)

•Newspaper/Magazine Article (1)

•Special or Theme Issue (1)

Error Types

•Epidemiology of Errors and Adverse Events (13)

•Active Errors (15)

•Latent Errors (6)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (15)

•Legal and Policy Approaches (3)

•Error Reporting and Analysis (14)

•Communication Improvement (17)

•Human Factors Engineering (18)

•Teamwork (14)

•Specialization of Care (13)

•Logistical Approaches (14)

•Culture of Safety (14)

•Technologic Approaches (9)

•Education and Training (11)

Clinical Areas
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Critical Care Nursing

Target Audience

•Health Care Providers (71)

•Health Care Executives and Administrators (75)

•Non-Health Care Professionals (22)

Setting of Care

•Hospitals (77)

•Patient Transport (1)

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COMMENTARY

On the Other Hand

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

STUDY

Changes in end-user satisfaction with computerized provider order entry over time among nurses and providers in intensive care units.

Hoonakker PL, Carayon P, Brown RL, Cartmill RS, Wetterneck TB, Walker JM. J Am Med Inform Assoc. 2013;20:252-259.

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.

STUDY

Rework and workarounds in nurse medication administration process: implications for work processes and patient safety.

Halbesleben JRB, Savage GT, Wakefield DS, Wakefield BJ. Health Care Manage Rev. 2010;35:124-133.

STUDY

Improving communication in the ICU using daily goals.

Pronovost P, Berenholtz S, Dorman T, Lipsett PA, Simmonds T, Haraden C. J Crit Care. 2003;18:71-75.

STUDY

On the ball: leadership for patient safety and learning in critical care.

Tregunno D, Jeffs L, Hall LM, Baker R, Doran D, Bassett SB. J Nurs Adm. 2009;39:334-339.

COMMENTARY

Double Dosing, by the Rules

Cohen H. AHRQ WebM&M [serial online]. February/March 2009.

STUDY

Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units.

Fuchs MA, Sexton DJ, Thornlow DK, Champagne MT. J Nurs Care Qual. 2011;26:101-109.

COMMENTARY

Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know?

Doucette E, Fazio S, LaSalle V, et al. Dynamics. 2010;21:16-19.

IMAGE/POSTER

Distributing Cognition: ICU Handoffs Conform to Grice's Maxims.

Brandwijk M, Nemeth C, O'Conner M, Kahana M, Cook RI. Departments of Pediatrics and Anesthesia and Critical Care: Chicago, IL: University of Chicago.

NEWSPAPER/MAGAZINE ARTICLE

Too many abandon the "second victims" of medical errors.

ISMP Medication Safety Alert! Acute Care Edition. July 14, 2011;16:1-3.

COMMENTARY

Where’s the Feeding Tube?

Metheny MA., Meert KL, AHRQ WebM&M [serial online]. September 2008.

COMMENTARY

Failure to rescue in neonatal care.

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

STUDY

Intensive care unit nurses' perceptions of safety after a highly specific safety intervention.

Elder NC, Brungs SM, Nagy M, Kudel I, Render ML. Qual Saf Health Care. 2008;17:25-30.

COMMENTARY

Patient safety and collaboration of the intensive care unit team.

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

STUDY

Impact of performance obstacles on intensive care nurses' workload, perceived quality and safety of care, and quality of working life.

Gurses AP, Carayon P, Wall M. Health Serv Res. 2009;44:422-443.

STUDY

The impact of the medical emergency team on the resuscitation practice of critical care nurses.

Santiano N, Young L, Baramy LS, et al; Clinical Analysis Group. BMJ Qual Saf. 2011;20:115-120.

STUDY

Recovery from medical errors: the critical care nursing safety net.

Rothschild JM, Hurley AC, Landrigan CP, et al. Jt Comm J Qual Patient Saf. 2006;32:63-72.

STUDY

Team situation awareness and the anticipation of patient progress during ICU rounds.

Reader TW, Flin R, Mearns K, Cuthbertson BH. BMJ Qual Saf. 2011;20:1035-1042.

REVIEW

Nursing resources and patient outcomes in intensive care: a systematic review of the literature.

West E, Mays N, Rafferty AM, Rowan K, Sanderson C. Int J Nurs Stud. 2007;46:993-1011.

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