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9741. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations | PSNet
      psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
      September 27, 2023 - The triage nurse documented pain intensity 8 of 10, blood pressure 150-160 mm Hg systolic, and heart … A nurse documented his pain going from 8 to 10 before the morphine, then back to 8 afterwards.

9742. In Conversation With… Timothy B. McDonald, MD, JD | PSNet
      psnet.ahrq.gov/perspective/conversation-timothy-b-mcdonald-md-jd
      February 26, 2025 - The doctors, nurses, students, and residents went through hell, and we spent hundreds of thousands of … RW : One issue that comes up around the reporting system as a verb is the long tradition of nurses tending … saw an article out of Hopkins about a general overview of what good peer support could do for both nurses … assessment has allowed us to measure the communication skills of about 1400 doctors, resident physicians, nurses

9743. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33666/psn-pdf
      October 01, 2008 - psnet.ahrq.gov//#ref14 https://psnet.ahrq.gov//#ref15 https://psnet.ahrq.gov/perspective/connies-story-nurses-personal-experience-mrsa … We must involve patients (and their families) in this process so doctors and nurses expect to be challenged … Northwestern Memorial HospitalChicago, Illinois References https://psnet.ahrq.gov/perspective/connies-story-nurses-personal-experience-mrsa

9744. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33581/psn-pdf
      December 15, 2024 - In hospitals or long-term care settings, this is generally the responsibility of nurses or other trained … administration to ensure medications are given to the correct patient Minimize interruptions to allow nurses

9745. Back to Basics | PSNet
      psnet.ahrq.gov/web-mm/back-basics
      July 13, 2010 - All providers (e.g., nurses, physicians, and clinical pharmacists) who care for diabetic patients need … Many efforts to improve glycemic control focus on either nurses or physicians when in reality, a patient

9746. Sent home to die. | PSNet
      psnet.ahrq.gov/issue/sent-home-die
      April 22, 2020 - Newspaper/Magazine Article Sent home to die. Citation Text: Waldman A, Kaplan J. Sent home to die. ProPublica. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save S…

9747. Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. | PSNet
      psnet.ahrq.gov/issue/overview-environmental-scan-primary-care-based-effort-reduce-readmissions
      November 01, 2016 - Book/Report Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. Citation Text: Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research…

9748. Promoting Safety and Quality Through Human Resource Practices: Executive Summary. | PSNet
      psnet.ahrq.gov/issue/promoting-safety-and-quality-through-human-resource-practices-executive-summary
      September 14, 2011 - Book/Report Promoting Safety and Quality Through Human Resource Practices: Executive Summary. Citation Text: Promoting Safety and Quality Through Human Resource Practices: Executive Summary. McAlearney AS, Song P, Garman A, McHugh M, Caputo N. Rockville, MD: Agency for Healthcare Researc…

9749. Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. | PSNet
      psnet.ahrq.gov/issue/preventable-tragedies-superbugs-and-how-ineffective-monitoring-medical-device-safety-fails
      May 18, 2011 - Book/Report Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. Citation Text: Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. Murray P. Washington, DC; Senate Health, Education,…

9750. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-ambulatory-surgery-centers-resource-list-users-ahrq-ambulatory
      May 11, 2016 - Book/Report Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. Citation Text: Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Su…

9751. Focus on Computerized Provider Order Entry. | PSNet
      psnet.ahrq.gov/issue/focus-computerized-provider-order-entry
      March 11, 2020 - Special or Theme Issue Focus on Computerized Provider Order Entry. Citation Text: Focus on Computerized Provider Order Entry. J Am Med Inform Assoc. 2007 Jan-Feb;14(1):25-75 Copy Citation Save Save to your library Print Download PDF Share …

9752. Common Formats for Patient Safety Data Collection: Diagnostic Safety 0.1. | PSNet
      psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-diagnostic-safety-01
      May 19, 2021 - Press Release/Announcement Common Formats for Patient Safety Data Collection: Diagnostic Safety 0.1. Citation Text: Common Formats for Patient Safety Data Collection: Diagnostic Safety 0.1. The Agency for Healthcare Research and Quality. Fed Register. 2021;86(103): 29263-29264. Copy …

9753. Restoring trust in VA health care. | PSNet
      psnet.ahrq.gov/issue/restoring-trust-va-health-care
      June 21, 2016 - Commentary Restoring trust in VA health care. Citation Text: Kizer KW, Jha AK. Restoring trust in VA health care. N Engl J Med. 2014;371(4):295-297. doi:10.1056/NEJMp1406852. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

9754. Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors. | PSNet
      psnet.ahrq.gov/issue/corporate-responsibility-and-health-care-quality-resource-health-care-boards-directors
      October 29, 2008 - Book/Report Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors. Citation Text: Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors. Callender AN, Hastings DA, Hemsley MC, et al. Washington DC: …

9755. Assessment of the National Patient Safety Initiative: Context and Baseline Evaluation Report 1. | PSNet
      psnet.ahrq.gov/issue/assessment-national-patient-safety-initiative-context-and-baseline-evaluation-report-1
      May 21, 2014 - Book/Report Assessment of the National Patient Safety Initiative: Context and Baseline Evaluation Report 1. Citation Text: Assessment of the National Patient Safety Initiative: Context and Baseline Evaluation Report 1. Santa Monica, CA: RAND Corporation; 2005. ISBN 0833037870. Copy …

9756. VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities. | PSNet
      psnet.ahrq.gov/issue/va-patient-safety-program-cultural-perspective-four-medical-facilities
      October 26, 2022 - Book/Report VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities. Citation Text: VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities. General Accounting Office. Washington, DC: Government Printing Office; 2004. Report no. GAO-05-83. …

9757. Results of our survey on drug storage, stability, compatibility, and beyond use dating. | PSNet
      psnet.ahrq.gov/issue/results-our-survey-drug-storage-stability-compatibility-and-beyond-use-dating
      February 13, 2019 - Newspaper/Magazine Article Results of our survey on drug storage, stability, compatibility, and beyond use dating. Citation Text: Results of our survey on drug storage, stability, compatibility, and beyond use dating. ISMP Medication Safety Alert! Acute care edition. March 22, 2012;17:1-…

9758. "It's not our ass": medical resident sense-making regarding lawsuits. | PSNet
      psnet.ahrq.gov/issue/its-not-our-ass-medical-resident-sense-making-regarding-lawsuits
      December 02, 2015 - Study "It's not our ass": medical resident sense-making regarding lawsuits. Citation Text: Noland CM, Carl WJ. "It's not our ass": medical resident sense-making regarding lawsuits. Health Commun. 2006;20(1):81-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

9759. Enhancing Surgical Team Communication: SOPS and TeamSTEPPS in Action. | PSNet
      psnet.ahrq.gov/issue/enhancing-surgical-team-communication-sops-and-teamstepps-action
      August 01, 2012 - Meeting/Conference Proceedings Enhancing Surgical Team Communication: SOPS and TeamSTEPPS in Action. Citation Text: Enhancing Surgical Team Communication: SOPS and TeamSTEPPS in Action. Agency for Healthcare Research and Quality. July 25, 2024. Copy Citation Save …

9760. Preventing falls and fall-related injuries in health care facilities. | PSNet
      psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
      December 23, 2016 - Sentinel Event Alerts Preventing falls and fall-related injuries in health care facilities. Citation Text: Preventing falls and fall-related injuries in health care facilities. Sentinel Event Alert. September 28, 2015;(55):1-5. Copy Citation Save Save to your li…