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9041. Creating a culture of safety around bar-code medication administration: an evidence-based evaluation framework. | PSNet
      psnet.ahrq.gov/issue/creating-culture-safety-around-bar-code-medication-administration-evidence-based-evaluation
      July 14, 2010 - This commentary discusses an evaluation process that engages hospital leaders and frontline nurses

9042. Hospice diagnosis: polypharmacy—a teachable moment. | PSNet
      psnet.ahrq.gov/issue/hospice-diagnosis-polypharmacy-teachable-moment
      April 24, 2018 - January 7, 2015 Challenges in posthospital care: nurses as coaches for medication management

9043. A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit. | PSNet
      psnet.ahrq.gov/issue/5-year-analysis-rapid-response-system-activation-hospital-haemodialysis-unit
      March 24, 2011 - The impact of the medical emergency team on the resuscitation practice of critical care nurses

9044. Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. | PSNet
      psnet.ahrq.gov/issue/comparison-clinical-diagnosis-and-subsequent-autopsy-findings-medical-malpractice
      February 21, 2015 - April 15, 2020 Floating to intensive care units: nurses' messages for instant action

9045. Managing alarm systems for quality and safety in the hospital setting. | PSNet
      psnet.ahrq.gov/issue/managing-alarm-systems-quality-and-safety-hospital-setting
      August 13, 2014 - September 21, 2016 Increased risk of burnout for physicians and nurses involved in a

9046. Teaching medication reconciliation through simulation: a patient safety initiative for second year medical students. | PSNet
      psnet.ahrq.gov/issue/teaching-medication-reconciliation-through-simulation-patient-safety-initiative-second-year
      May 04, 2010 - December 18, 2013 Defining the critical role of nurses in diagnostic error prevention

9047. Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative. | PSNet
      psnet.ahrq.gov/issue/nonpunitive-medication-error-reporting-3-year-findings-one-hospitals-primum-non-nocere
      September 23, 2020 - February 10, 2021 Predictors of nursing home nurses' willingness to report medication

9048. Improving incident reporting among physician trainees. | PSNet
      psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-trainees
      October 08, 2016 - provider: American medical students' attitudes toward reporting risky behaviors committed by doctors, nurses

9049. Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. | PSNet
      psnet.ahrq.gov/issue/optimizing-smart-pump-technology-increasing-critical-safety-alerts-and-reducing-clinically
      February 12, 2014 - Nurses, organizations work to address alarm fatigue.

9050. A randomized trial of nighttime physician staffing in an intensive care unit. | PSNet
      psnet.ahrq.gov/issue/randomized-trial-nighttime-physician-staffing-intensive-care-unit
      September 23, 2020 - 12-hour shifts on cognition, sleepiness, and domains of nursing performance in day and night shift nurses

9051. From harm to hope and purposeful action: what could we do after Francis? | PSNet
      psnet.ahrq.gov/issue/harm-hope-and-purposeful-action-what-could-we-do-after-francis
      August 01, 2016 - 12-hour shifts on cognition, sleepiness, and domains of nursing performance in day and night shift nurses

9052. From the flight deck to the bedside: core aviation concepts applied to acute care physical therapist practice and education. | PSNet
      psnet.ahrq.gov/issue/flight-deck-bedside-core-aviation-concepts-applied-acute-care-physical-therapist-practice-and
      December 14, 2022 - November 19, 2014 Re-finding the 'human side' of human factors in nursing: helping student nurses

9053. Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. | PSNet
      psnet.ahrq.gov/issue/drug-related-harms-hospitalized-medicare-beneficiaries-results-healthcare-cost-and
      September 15, 2011 - October 26, 2010 Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses.

9054. The Feasibility of Determining the Effectiveness and Cost-effectiveness of Medication Organisation Devices Compared with Usual Care for Older People in a Community Setting: Systematic Review, Stakeholder Focus Groups and Feasibility RCT. | PSNet
      psnet.ahrq.gov/issue/feasibility-determining-effectiveness-and-cost-effectiveness-medication-organisation-devices
      November 14, 2011 - View More See More About The Topic Ambulatory Care Physicians Nurses

9055. Variations by state in physician disciplinary actions by US medical licensure boards. | PSNet
      psnet.ahrq.gov/issue/variations-state-physician-disciplinary-actions-us-medical-licensure-boards
      March 12, 2025 - October 19, 2022 Evidence that nurses need to participate in diagnosis: lessons from

9056. Building a Patient Safety Toolkit for use in general practice. | PSNet
      psnet.ahrq.gov/issue/patient-safety-toolkit-general-practice
      April 25, 2018 - View More See More About The Topic Ambulatory Clinic or Office Physicians Nurses

9057. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience | PSNet
      psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
      July 20, 2010 - Physicians, nurses, and other providers who care for patients at Duke are hard-working, intelligent, … As Duke physicians, nurses, and hospital leaders tried to find meaningful lessons in the aftermath of … Physicians and nurses now have more potent medications to administer to patients, more complex and technologically … group endorsed the formation of a Patient Safety Council, an interdisciplinary group of physicians, nurses

9058. Patient safety and quality improvement: medical errors and adverse events. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-medical-errors-and-adverse-events
      October 18, 2006 - December 13, 2023 Nurses' harm prevention practices during admission of an older person … March 13, 2013 Nurse–pharmacist collaboration on medication reconciliation prevents potential

9059. Critical Order Set Change and Critical Limb Ischemia | PSNet
      psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
      July 02, 2019 - The bedside nurse and the pharmacist noticed the low dose, but they assumed that the resident had purposefully … accomplished through numerous meetings of standing interdisciplinary committees composed of providers, nurses

9060. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844049/psn-pdf
      February 08, 2023 - A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. February 8, 2023 St Clair B, Jorgensen M, Nguyen A, et al. A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. Gerontol Geriatr Med. 2022;8:23337214221144192. doi:10.1…