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psnet.ahrq.gov/issue/medicare-fines-high-hospital-readmissions-drop-nearly-2300-facilities-are-still-penalized
February 16, 2022 - Newspaper/Magazine Article
Medicare fines for high hospital readmissions drop, but nearly 2,300 facilities are still penalized.
Citation Text:
Medicare fines for high hospital readmissions drop, but nearly 2,300 facilities are still penalized. Rau J. Kaiser Health News. November 1,…
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psnet.ahrq.gov/issue/half-hospitals-conn-del-hit-medicares-safety-penalties
December 12, 2018 - Newspaper/Magazine Article
Half of hospitals in Conn., Del. hit by Medicare's safety penalties.
Citation Text:
Half of hospitals in Conn., Del. hit by Medicare's safety penalties. Rau J. Kaiser Health News. January 5, 2018.
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psnet.ahrq.gov/issue/during-flight-emergencies-sometimes-airlines-medical-kits-fall-short
January 25, 2023 - Newspaper/Magazine Article
During in-flight emergencies, sometimes airlines’ medical kits fall short.
Citation Text:
During in-flight emergencies, sometimes airlines’ medical kits fall short. Ramachandran V. Kaiser Health News. January 6, 2023.
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psnet.ahrq.gov/web-mm/hard-swallow
April 26, 2023 - The nurses noted that the patient, whose speech was normal before surgery, now had slurred speech and … consultation), and red flag signals of newly posted critical information (eg, the notes sometimes left by nurses … Also, in combination with these methods, nurses (and sometimes other medical care providers) may use … In this case, liability could be attributed to the physicians, the speech therapist, and the nurses caring … Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nurses
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psnet.ahrq.gov/primer/reporting-patient-safety-events
March 30, 2022 - from the frontline personnel directly involved in an event or the actions leading up to it (e.g., the nurse … Investigating Patient Safety Events
March 30, 2022
Predictors of nursing home nurses
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psnet.ahrq.gov/node/33778/psn-pdf
March 01, 2015 - Nurses, pharmacists, and other health professionals and administrators
have often showed greater engagement … studies have found that interruptions increase the chances of
medication administration errors by nurses … psnet.ahrq.gov/issue/detection-missed-injuries-pediatric-trauma-center-addition-acute-care-pediatric-nurse
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psnet.ahrq.gov/node/39265/psn-pdf
February 03, 2010 - alarm-algorithms-critical-care-monitoring
https://psnet.ahrq.gov/issue/keeping-patients-safe-transforming-work-environment-nurses
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psnet.ahrq.gov/node/39505/psn-pdf
November 26, 2014 - teaching-unit
This study found that implementation of structured interdisciplinary rounds improved nurses
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psnet.ahrq.gov/node/42012/psn-pdf
February 06, 2013 - quality-outpatient-clinical-notes-stakeholder-definition-derived-through-
qualitative-research
Clinicians, nurses
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psnet.ahrq.gov/node/42016/psn-pdf
February 06, 2013 - psnet.ahrq.gov/issue/safety-home-care-use-internet-video-calls-double-check-interventions
Home care nurses
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psnet.ahrq.gov/node/73343/psn-pdf
June 02, 2021 - Hospital surveys by the Centers for Medicare and
Medicaid Services: an analysis of more than 34,000
deficiencies.
June 2, 2021
Antognini JF. Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more
than 34,000 deficiencies. J Patient Saf. 2021;17(4):e274-e279. doi:10.1097/pts.0000000…
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psnet.ahrq.gov/node/74273/psn-pdf
January 19, 2022 - Community Living Centers: VA Needs to Strengthen Its
Approach for Addressing Resident Complaints.
January 19, 2022
Washington, DC: United States Government Accountability Office; November 30, 2021. Publication GAO-
22-105142.
https://psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-ad…
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psnet.ahrq.gov/periodic-issue/periodic-issue-286
April 28, 2021 - Study
Communication on safe caregiving between community nurse case managers and family … Clear communication between patients, family caregivers, and nurses is crucial to improve patient safety … around communication of safe family caregiving: communication-related aspects, professional skills of nurse … information about medications) and negative (distraction from core clinical tasks) consequences of nurses
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psnet.ahrq.gov/node/73971/psn-pdf
October 13, 2021 - https://psnet.ahrq.gov/primer/alert-fatigue
https://psnet.ahrq.gov/issue/impact-alarm-fatigue-work-nurses-intensive-care-environment-systematic-review
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psnet.ahrq.gov/node/39586/psn-pdf
January 09, 2011 - study found that organizations that prioritized teamwork—specifically by using morning huddles
among nurses—reported
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psnet.ahrq.gov/node/42089/psn-pdf
March 06, 2013 - organizational-culture-important-context-addressing-and-improving-hospital-
community-patient
Focus groups of patients, hospital physicians, outpatient physicians, and nurses
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psnet.ahrq.gov/node/44991/psn-pdf
April 20, 2016 - for Safe Medication Practices
recommend that hospital insulin administration be double-checked by nurses
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psnet.ahrq.gov/node/39201/psn-pdf
January 16, 2010 - training intervention based on aviation crew resource management principles improved safety
culture among nurses
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psnet.ahrq.gov/node/45586/psn-pdf
November 02, 2016 - commentary discusses antimicrobial stewardship teams, their impact in
the surgical setting, and the role of nurses
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psnet.ahrq.gov/node/47387/psn-pdf
September 12, 2018 - This commentary reviews factors that contribute to poor communication
behaviors among perioperative nurses