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  1. Lessons from the Covid War: An Investigative Report. | PSNet

    psnet.ahrq.gov/issue/lessons-covid-war-investigative-report
    March 09, 2022 - Book/Report Lessons from the Covid War: An Investigative Report. Citation Text: Lessons from the Covid War: An Investigative Report. Covid Crisis Group. New York: Public Affairs; 2023. ISBN‏: ‎9781541703803. Copy Citation Save Save to your library Print …

  2. Effective Board Governance of Safe Care: A (Theoretically Underpinned) Cross-sectioned Examination of the Breadth and Depth of Relationships through National Quantitative Surveys and In-depth Qualitative Case Studies. | PSNet

    psnet.ahrq.gov/issue/effective-board-governance-safe-care-theoretically-underpinned-cross-sectioned-examination
    March 14, 2018 - Book/Report Effective Board Governance of Safe Care: A (Theoretically Underpinned) Cross-sectioned Examination of the Breadth and Depth of Relationships through National Quantitative Surveys and In-depth Qualitative Case Studies. Citation Text: Effective Board Governance of Safe Care: A …

  3. Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. | PSNet

    psnet.ahrq.gov/issue/can-positivity-promote-safety-psychological-capital-development-combats-cynicism-and-unsafe
    June 09, 2011 - Study Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. Citation Text: Stratman JL, Youssef-Morgan CM. Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. Safety Sci. 2019;116:13-25. d…

  4. Human factors engineering: its place and potential in OR safety. | PSNet

    psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety
    May 24, 2017 - Commentary Human factors engineering: its place and potential in OR safety. Citation Text: Criscitelli T. Human factors engineering: its place and potential in OR safety. AORN J. 2015;101(5):571-3. doi:10.1016/j.aorn.2015.02.013. Copy Citation Format: DOI Google Scholar Pub…

  5. Delayed Recognition of a Positive Blood Culture | PSNet

    psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
    January 29, 2020 - laboratory was aware of the microbiology result and, per its protocol, had notified the patient's bedside nurse … this case, the reporting of the positive result from the microbiology laboratory was appropriate as nurses … First, the nurse who received the initial notification from the microbiology laboratory may not have

  6. Medication Safety Events Related to Diagnostic Imaging | PSNet

    psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
    January 26, 2022 - The patient was unable to tolerate the scan due to back pain, so the acute care nurse was instructed … Nurses are at the forefront of patient care in the acute care hospital setting and play a critical role … More About The Topic Hospitals Ambulatory Clinic or Office Anesthesiology Radiology Nurse

  7. Diagnosing a Missed Diagnosis | PSNet

    psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
    October 26, 2022 - The bedside nurse told the physician that the patient seemed to be going to the bathroom frequently; … That evening, the nurse found the patient to be comatose and minimally responsive. … tendency of a diagnostic label to become propagated by multiple intermediaries (patients, physicians, nurses

  8. The Case of Mistaken Intubation | PSNet

    psnet.ahrq.gov/web-mm/case-mistaken-intubation
    July 01, 2016 - Indeed, nurses and paramedics are obligated to resuscitate all patients in cardiopulmonary arrest unless … November 16, 2022 Physician and nurse well-being and preferred interventions to address

  9. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/865308
    January 01, 2024 - This study used semi-structured interviews with nurses to explore their experiences with organizational … Technology https://psnet.ahrq.gov/issue/nurses-experiences-organizational-learning https://psnet.ahrq.gov … Nurses' experiences of organizational learning. Lyman B, Biddulph ME, Hopper VG, et al. … This study used semi-structured interviews with nurses to explore their experiences with organizational … https://psnet.ahrq.gov/issue/nurses-experiences-organizational-learning https://psnet.ahrq.gov/issue/

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39601/psn-pdf
    June 16, 2010 - impact-computerized-orders-pediatric-continuous-drug-infusions-detecting- infusion-pump This study discovered that computerized provider order entry saved nurses

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46922/psn-pdf
    January 01, 2019 - messaging, which replaced one-way paging, and improved closed-loop communication between providers and nurses

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39767/psn-pdf
    August 18, 2010 - associated with improved perception of safety culture on adult general medical wards, particularly among nurses

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60893/psn-pdf
    January 01, 2021 - psnet.ahrq.gov/issue/responding-clinicians-who-fail-follow-patient-safety-practices-perceptions-physicians-nurses

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43361/psn-pdf
    July 16, 2014 - avoidable-death-three-year-old-child-sepsis https://psnet.ahrq.gov/issue/safety-telephone-triage-general-practitioner-cooperatives-do-triage-nurses-correctly-estimate

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47297/psn-pdf
    October 31, 2018 - This human factors engineering approach enabled nurses in simulations to more accurately interpret and

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38104/psn-pdf
    February 18, 2011 - patient-reported-receipt-medication-instructions-warfarin-associated-reduced- risk-serious Patients who received specific instructions (from physicians, nurses

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60913/psn-pdf
    September 16, 2020 - All three types of triggers were significantly related to disruptive behavior among nurses; intrapersonal

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866195/psn-pdf
    June 26, 2024 - describes seven studies concerning people’s estimates of learning from previous failures (e.g., percent of nurses

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865681/psn-pdf
    April 24, 2024 - investigating-improvement-five-strategies-ensure-national-patient-safety-investigations https://psnet.ahrq.gov/issue/minnesota-lets-nurses-practice-while-disciplinary-investigations-drag-patients-keep-getting

  20. Healthcare 411: Making hospital discharges safer for seniors. | PSNet

    psnet.ahrq.gov/issue/healthcare-411-making-hospital-discharges-safer-seniors
    February 24, 2021 - Multifaceted initiative to reduce "alarm fatigue" on cardiac unit reduces alarms and increases nurse … June 1, 2022 Patient Safety and Quality: An Evidence-Based Handbook for Nurses. … Electronic communication of medication information between nurses in home health care and general practitioners
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