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341. Multifactorial Medication Mishap | PSNet
     psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
     September 01, 2016 - The patient experienced nausea with pills but told the bedside nurse he had taken liquid opioids in the … The nurse informed the physician that the patient was having significant pain, and liquid opioids had … Shortly thereafter, the nurse went to the bedside to administer the drug to the patient for his ongoing … A covering nurse checked on the patient and found him unconscious—a code blue was called. … If a pharmacist or nurse has concerns about the appropriateness of a medication order, he should feel

342. Exploring mediating effects between nursing leadership and patient safety from a person-centred perspective: a literature review. | PSNet
     psnet.ahrq.gov/issue/exploring-mediating-effects-between-nursing-leadership-and-patient-safety-person-centred
     October 08, 2016 - The authors conclude that mangers should emphasize workplace empowerment, leader-nurse relationship … August 5, 2020 Relationships between comprehensive characteristics of nurse work schedules … June 12, 2019 Senior charge nurses' leadership behaviours in relation to hospital ward … Hospitals Health Care Executives and Administrators Facility and Group Administrators Nurse

343. Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study. | PSNet
     psnet.ahrq.gov/issue/effectiveness-do-not-interrupt-bundled-intervention-reduce-interruptions-during-medication
     August 26, 2020 - This randomized controlled trial had nurses on four hospital wards wear "do not interrupt" vests during … wards that did not have nurses wear vests. … Although the intervention reduced non–medication-related interruptions, nurses reported that the vests … September 26, 2016 Nurse interruptions pre- and post-implementation of a point-of-care … Facility and Group Administrators Nurse Managers Nurse Care View More

344. The interrelationship of isolation precautions and adverse events in an acute care facility. | PSNet
     psnet.ahrq.gov/issue/interrelationship-isolation-precautions-and-adverse-events-acute-care-facility
     September 24, 2010 - Call-shift fatigue and use of countermeasures and avoidance strategies by certified registered … nurse anesthetists: a national survey. … November 9, 2015 Impact of workplace mistreatment on patient safety risk and nurse-assessed

345. An invisible disability: communication, patient safety and dual sensory impairment in older persons. | PSNet
     psnet.ahrq.gov/issue/invisible-disability-communication-patient-safety-and-dual-sensory-impairment-older-persons
     July 01, 2019 - Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023 Registered … nurses' efforts to ensure safety for home-dwelling older patients. … July 8, 2020 Nurses' communication of safety events to nursing home residents and families … April 16, 2018 View More See More About The Topic Geriatrics Nurse

346. The Role of Undergraduate Nursing Education in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
     November 27, 2023 - Occupational Outlook Handbook: Registered Nurses . U.S. Bureau of Labor Statistics; 2022. … I am a nurse practitioner by education. … We have a certifying arm, the Commission on Nurse Certification, which offers the clinical nurse leader … We believe this is critical for creating a more practice-ready nurse. … Our goal is to prepare a more practice-ready nurse.

347. In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
     November 27, 2023 - I am a nurse practitioner by education. … We have a certifying arm, the Commission on Nurse Certification, which offers the clinical nurse leader … We believe this is critical for creating a more practice-ready nurse. … Our goal is to prepare a more practice-ready nurse. … Occupational Outlook Handbook: Registered Nurses . U.S. Bureau of Labor Statistics; 2022.

348. The contribution of staffing to medication administration errors: a text mining analysis of incident report data. | PSNet
     psnet.ahrq.gov/issue/contribution-staffing-medication-administration-errors-text-mining-analysis-incident-report
     December 21, 2022 - December 16, 2020 Risk of medication errors and nurses' quality of sleep: a national … August 26, 2020 Nurse health, work environment, presenteeism and patient safety. … February 27, 2019 The use of "lives saved" measures in nurse staffing and patient safety … August 29, 2012 View More See More About The Topic Hospitals Nurse … Managers Information Professionals Medicine Nurse Care View More

349. Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements. | PSNet
     psnet.ahrq.gov/issue/compliance-who-surgical-safety-checklist-deviations-and-possible-improvements
     September 29, 2017 - Differences in medication knowledge and risk of errors between graduating nursing students and working registered … nurses: comparative study. … June 17, 2014 Registered nurses' efforts to ensure safety for home-dwelling older patients … February 22, 2023 Patient involvement for improved patient safety: a qualitative study of nurses … 31, 2017 View More Related Resources The role of an assistant nurse

350. Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. | PSNet
     psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
     July 07, 2021 - handover from one nursing shift to the next requires complete and accurate communication between nurses … December 8, 2021 Estimating the economic cost of nurse sensitive adverse events amongst … December 19, 2014 Nurses discuss bedside handover and using written handover sheets. … October 27, 2010 View More See More About The Topic Hospitals Nurse … Managers Quality and Safety Professionals Nurse Care Discontinuities, Gaps, and Hand-Off Problems

351. Exploring care left undone in pediatric nursing. | PSNet
     psnet.ahrq.gov/issue/exploring-care-left-undone-pediatric-nursing
     October 25, 2017 - In this study, more than 2,200 pediatric nurses were asked about care tasks left undone in their most … April 3, 2024 Work environment and operational failures associated with nurse outcomes … delivery models on quality and safety outcomes of care: A cross‐sectional survey study of medical‐surgical nurses … November 6, 2019 Association of nurse workload with missed nursing care in the neonatal … January 27, 2019 The relationship between inpatient cardiac surgery mortality and nurse

352. Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies. | PSNet
     psnet.ahrq.gov/issue/failure-rescue-deteriorating-patients-systematic-review-root-causes-and-improvement
     January 18, 2013 - and interventions which can be implemented during each timepoint are discussed, including increased nurse … end-of-rotation transitions of care among ICU patients December 4, 2019 Physician and nurse … Safety in Acute Hospital Care Units April 26, 2023 Exploration of ward-based nurses … See More About The Topic Hospitals Quality and Safety Professionals Hospital Medicine Nurse

353. Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology. | PSNet
     psnet.ahrq.gov/issue/eliciting-functional-processes-apologizing-errors-health-care-developing-explanatory-model
     February 01, 2023 - Citation Related Resources From the Same Author(s) Untenable expectations: nurses … February 1, 2023 Nurse leader attitudes and beliefs regarding medical errors. … March 6, 2024 Nurse leader perspectives and experiences on caregiver support following … March 12, 2025 Operational failures detected by frontline acute care nurses. … January 8, 2015 Nurse staffing and inpatient mortality in the English National Health

354. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60977/psn-pdf
     January 08, 2020 - Topamax™ had been accidentally selected by a nurse and pended to the physician who then prescribed the … SLICE 1: The Nurse Pending the Wrong Medication  The first failure in this case occurred when the nurse … quickly, the numerous competing responsibilities of nurses in ambulatory care, the lack of familiarity … Including the indication in the order forces nurses and other healthcare team members to check that … Nurse education in practice. 2019 May;37:109-14.  6. The Joint Commission.

355. Development and psychometric testing of a tool to measure missed nursing care. | PSNet
     psnet.ahrq.gov/issue/development-and-psychometric-testing-tool-measure-missed-nursing-care
     August 20, 2018 - January 12, 2022 Nurses' perceptions and demands regarding COVID-19 care delivery in … March 20, 2019 Association of nurse workload with missed nursing care in the neonatal … October 17, 2018 Nurse staffing levels and patient-reported missed nursing care. … October 28, 2009 View More See More About The Topic General Hospitals Nurses … Nurse Managers Critical Care Internal Medicine View More

356. Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Virginia. | PSNet
     psnet.ahrq.gov/issue/care-and-oversight-deficiencies-related-multiple-homicides-louis-johnson-va-medical-center
     February 10, 2021 - February 10, 2021 Evaluation of Registered Nurse Competency Processes in Veterans Health … See More About The Topic Hospitals Health Care Executives and Administrators Medicine Nurse

357. Perceptions of institutional support for “second victims” are associated with safety culture and workforce well-being. | PSNet
     psnet.ahrq.gov/issue/perceptions-institutional-support-second-victims-are-associated-safety-culture-and-workforce
     February 01, 2023 - Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses … January 11, 2023 The combined effect of psychological and social capital in registered … nurses experiencing second victimization: a structural equation model. … Patient safety culture and the second victim phenomenon: connecting culture to staff distress in nurses … View More See More About The Topic Quality and Safety Professionals Medicine Nurse

358. Innovations | PSNet
     psnet.ahrq.gov/innovations
     February 26, 2025 - Logistical Approaches (5) Laboratory Result Tracking Improvement (1) Nurse … Surgery (1) Orthopedic Surgery (1) Otolaryngology (1) Nurse … NAPA employs anesthesiologists, certified registered nurse anesthetists, and certified anesthesiologist … of a system that uses customized electronic health record (EHR) alert settings and a team of remote nurses … When the remote nurses, or Central Alerts Team (CAT), receive an alert, they assess the patient’s information

359. Patient safety when receiving telephone advice in primary care - a Swedish qualitative interview study. | PSNet
     psnet.ahrq.gov/issue/patient-safety-when-receiving-telephone-advice-primary-care-swedish-qualitative-interview
     October 13, 2021 - This Swedish study evaluated district nurses’ experiences and perceptions of patient safety at a national … nurse advice triage call center. … Interviews with nurses resulted in an overall theme of “being able to make the right decision ” based … Download Citation Related Resources From the Same Author(s) Acute care nurses … About The Topic Home Care Ambulatory Clinic or Office Policy Makers Primary Care Nurse

360. The coronavirus and the risks to the elderly in long-term care. | PSNet
     psnet.ahrq.gov/issue/coronavirus-and-risks-elderly-long-term-care
     July 15, 2020 - June 2, 2021 Registered nurses' judgments of the classification and risk level of patient … See More About The Topic Long-Term Care Policy Makers Geriatrics Public Health Nurse