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6461. Patient Safety Amid Nursing Workforce Challenges | PSNet
      psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
      April 24, 2024 - job openings for RNs than for any other profession in the United States. 4 The demand for nurses is increasing

6462. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression | PSNet
      psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
      May 26, 2021 - monitoring. 13 While recommendations related to monitoring for patients receiving PCA may vary, increasing

6463. In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges | PSNet
      psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
      April 24, 2024 - job openings for RNs than for any other profession in the United States. 4 The demand for nurses is increasing

6464. Connecting emergency department patients to primary care. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/use-hit-increase-primary-care-access-medicaid-patients/citation/connecting
      January 01, 2023 - Connecting emergency department patients to primary care. Citation Wexler R, Hefner JL, Sieck C, et al. Connecting emergency department patients to primary care. J Am Board Fam Med 2015;28(6):722-32. PMID: 26546647. Link https://www.ncbi.nlm.nih.gov/pubmed/26546647 Principal Investigator…

6465. Breast Imaging for Women with Personal History of Breast Cancer.docx (pdf file)
      cds.ahrq.gov/sites/default/files/cds/artifact/632326/Flowchart_Wernli_new.pdf
      April 03, 2024 - Breast Imaging for Women with Personal History of Breast Cancer.docx …

6466. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36443/psn-pdf
      January 07, 2011 - View from the cockpit: what the airline industry can teach us about patient safety. January 7, 2011 Doucette JN. View from the cockpit: what the airline industry can teach us about patient safety. Nursing (Brux). 2006;36(11):50-53. https://psnet.ahrq.gov/issue/view-cockpit-what-airline-industry-can-teach-us-about-…

6467. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43044/psn-pdf
      March 19, 2014 - Improvement of Pennsylvania healthcare consumers' awareness of patient safety. March 19, 2014 Munn J. PA-PSRS Patient Saf Advis. March 2014;11:23-29. https://psnet.ahrq.gov/issue/improvement-pennsylvania-healthcare-consumers-awareness-patient-safety Patients are increasingly being asked to assume a role in ensurin…

6468. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43094/psn-pdf
      May 28, 2015 - Implementing human factors in clinical practice. May 28, 2015 Timmons S, Baxendale B, Buttery A, et al. Implementing human factors in clinical practice. Emerg Med J. 2015;32(5):368-72. doi:10.1136/emermed-2013-203203. https://psnet.ahrq.gov/issue/implementing-human-factors-clinical-practice Human factors approache…

6469. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43492/psn-pdf
      September 03, 2014 - Rethinking hospital restraints. September 3, 2014 Parikh R. The Atlantic. August 18, 2014. https://psnet.ahrq.gov/issue/rethinking-hospital-restraints The inappropriate use of physical restraints on patients is considered a sentinel event. Although restraints may be used to protect patients from harm, this magazin…

6470. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39660/psn-pdf
      September 24, 2016 - The impact of interruptions on clinical task completion. September 24, 2016 Westbrook JI, Coiera E, Dunsmuir WTM, et al. The impact of interruptions on clinical task completion. Qual Saf Health Care. 2010;19(4):284-9. doi:10.1136/qshc.2009.039255. https://psnet.ahrq.gov/issue/impact-interruptions-clinical-task-comp…

6471. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41374/psn-pdf
      September 24, 2016 - Interruptions and miscommunications in surgery: an observational study. September 24, 2016 Gillespie BM, Chaboyer W, Fairweather N. Interruptions and miscommunications in surgery: an observational study. AORN J. 2012;95(5):576-90. doi:10.1016/j.aorn.2012.02.012. https://psnet.ahrq.gov/issue/interruptions-and-misco…

6472. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35250/psn-pdf
      February 24, 2011 - The outcomes card: development of a systems-based practice educational tool. February 24, 2011 Tomolo A, Caron A, Perz ML, et al. The outcomes card. J Gen Intern Med. 2005;20(8). doi:10.1111/j.1525- 1497.2005.0168.x. https://psnet.ahrq.gov/issue/outcomes-card-development-systems-based-practice-educational-tool Th…

6473. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48031/psn-pdf
      May 22, 2019 - In harm's way. May 22, 2019 Donaldson LJ, Lemer C, Titcombe J. In harm's way. BMJ. 2019;365:l2037. doi:10.1136/bmj.l2037. https://psnet.ahrq.gov/issue/harms-way This commentary recommends that health care structure the work environment to address conditions that allow for failure. The authors discuss how increased…

6474. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37177/psn-pdf
      October 06, 2011 - Failure to weigh patients in hospital: a medication safety risk. October 6, 2011 Hilmer SN, Rangiah C, Bajorek B, et al. Failure to weigh patients in hospital: a medication safety risk. Intern Med J. 2007;37(9):647-50. https://psnet.ahrq.gov/issue/failure-weigh-patients-hospital-medication-safety-risk Patients in…

6475. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36039/psn-pdf
      March 02, 2011 - The effects of on-duty napping on intern sleep time and fatigue. March 2, 2011 Arora V, Dunphy C, Chang VY, et al. The effects of on-duty napping on intern sleep time and fatigue. Ann Intern Med. 2006;144(11):792-8. https://psnet.ahrq.gov/issue/effects-duty-napping-intern-sleep-time-and-fatigue The investigators …

6476. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41995/psn-pdf
      September 24, 2016 - Momentary interruptions can derail the train of thought. September 24, 2016 Altmann EM, Trafton G, Hambrick DZ. Momentary interruptions can derail the train of thought. J Exp Psychol Gen. 2014;143(1):215-26. doi:10.1037/a0030986. https://psnet.ahrq.gov/issue/momentary-interruptions-can-derail-train-thought In this…

6477. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36939/psn-pdf
      September 09, 2011 - Internal reporting system to improve a pharmacy's medication distribution process. September 9, 2011 Rickrode GA, Williams-Lowe ME, Rippe JL, et al. Internal reporting system to improve a pharmacy's medication distribution process. Am J Health Syst Pharm. 2007;64(11):1197-202. https://psnet.ahrq.gov/issue/internal…

6478. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37877/psn-pdf
      July 02, 2008 - Patient safety and job-related stress: a focus group study. July 2, 2008 Berland A, Natvig GK, Gundersen D. Patient safety and job-related stress: A focus group study. Intensive and Critical Care Nursing. 2007;24(2). doi:10.1016/j.iccn.2007.11.001. https://psnet.ahrq.gov/issue/patient-safety-and-job-related-stress-…

6479. Utsasd1997 2009Forposting Cd (pdf file)
      hcup-us.ahrq.gov/db/state/sasddist/UTSASD1997_2009forposting_CD.pdf
      February 28, 2018 - HCUP was recently notified by the Partner from Utah that one hospital system (consisting of three hospitals) was underreporting their ambulatory surgery (AS) records prior to 2010. An exact estimate of the number of missing records is not available, but we do know that the number of AS records in these three hospit…

6480. 48. 10 Key Guideline Recommendations (Numbers 4 and 5) | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide48.html
      October 01, 2014 - 48. 10 Key Guideline Recommendations (Numbers 4 and 5) Treating Tobacco Use and Dependence: 2008 Update Overview Text version of slide presentation. Brief tobacco dependence treatment is effective. Clinicians should offer every patient who uses tobacco at least the brief treatments shown to be effective…