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psnet.ahrq.gov/node/45887/psn-pdf
August 15, 2018 - Association of changing hospital readmission rates with
mortality rates after hospital discharge.
August 15, 2018
Dharmarajan K, Wang Y, Lin Z, et al. Association of Changing Hospital Readmission Rates With Mortality
Rates After Hospital Discharge. JAMA. 2017;318(3):270-278. doi:10.1001/jama.2017.8444.
https://psn…
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psnet.ahrq.gov/issue/quality-and-safety
January 08, 2020 - Multi-use Website
Quality and Safety.
Citation Text:
Quality and Safety. Florida Hospital Association.
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psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
January 01, 2008 - Finally, we convened an OB Summit that brought together at least one obstetrician and one nurse from … I won't tell you that there weren't a few doctors here and there who didn't want a nurse assisting in … Initially people were skeptical, but when you start addressing problems that really bother the doctors and nurses … My experience was that I would get calls from physicians or nurses who say, "This isn't right."
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psnet.ahrq.gov/primer/culture-safety
September 15, 2024 - In prior surveys, nurses have consistently complained of the lack of a blame-free environment, and
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psnet.ahrq.gov/primer/personal-health-literacy
October 31, 2023 - Patient Safety Primers
Simulation Training
March 1, 2023
Nurse
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psnet.ahrq.gov/issue/adenocarcinoma-situ-uterine-cervix-screening-and-diagnostic-errors-papanicolaou-smears
July 06, 2011 - October 28, 2015
Nurses' use of computerized clinical guidelines to improve patient safety … Synergy for patient safety and quality: academic and service partnerships to promote effective nurse
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psnet.ahrq.gov/web-mm/thin-air
March 01, 2006 - example, I recently asked for an E-cylinder of oxygen to transport a critically ill patient, and the nurse … The nurse had inadvertently brought a CO2 cylinder (gray in color) instead of an oxygen cylinder. … September 18, 2019
Inappropriate trust in technology: implications for critical care nurses … View More
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Hospitals
Physicians
Nurses
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psnet.ahrq.gov/issue/one-size-fits-all-mixed-methods-evaluation-impact-100-single-room-accommodation-staff-and
July 01, 2016 - November 16, 2022
Nurses' shift length and overtime working in 12 European countries:
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - Similarly, nurses
and providers may use secure text messaging to communicate, but research has highlighted … differences-between-methods-detecting-medication-errors-secondary-analysis-medication
https://psnet.ahrq.gov/issue/evidence-nurses-need-participate-diagnosis-lessons-malpractice-claims
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psnet.ahrq.gov/web-mm/poorly-advanced-directives
August 01, 2018 - He saw a primary care physician, received home nurse visits, and had recently been referred to a geriatrician … (In some states, nurse practitioners and physician's assistants may sign the POLST form; other states
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psnet.ahrq.gov/periodic-issue/periodic-issue-446
May 29, 2024 - describes seven studies concerning people’s estimates of learning from previous failures (e.g., percent of nurses … Review
The role of pediatric nurses during preventable adverse event disclosure … This scoping review identified a significant gap in the literature examining the role of pediatric nurses
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psnet.ahrq.gov/issue/creative-license-ahrq-struggles-flat-funding-levels-agency-has-been-forced-use-novel
June 01, 2011 - May 10, 2023
Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act
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psnet.ahrq.gov/sites/default/files/2020-04/spotlight-slides-wright-schiff.pdf
January 01, 2020 - The
discharging nurse reviewed the full medication
list (13 medications) with the patient and his
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psnet.ahrq.gov/innovation/generalizability-medication-administration-discrepancy-detection-system-quantitative
November 04, 2020 - orders, order modifications, medication administration records (MARs), and free-text physician-to-nurse
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psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
October 01, 2008 - quality revolution over the past 10 years is that trying to educate each of the 1000 physicians or 5000 nurses … stops that are built into electronic health records or involves a newly hired, present-on-admission nurse … Trying to get every doctor or nurse to remember to do these five things to prevent catheter-associated … there was precisely no incentive for medical schools, nursing schools, individual doctors, individual nurses … identified with selected PSIs, researchers at the University of Michigan found low agreement between nurse
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psnet.ahrq.gov/web-mm/compare-and-contrast
July 16, 2019 - September 1, 2016
Workplace verbal abuse, nurse-reported quality of care, and patient … safety outcomes among early-career hospital nurses. … August 19, 2020
Psychological safety, communication openness, nurse job outcomes, and … patient safety in hospital nurses.
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psnet.ahrq.gov/web-mm/cognitive-overload-icu
June 01, 2005 - the same time, the intensivist was also managing nine other sick and complicated ICU patients, with nurses … At that moment, another nurse in the ICU approached her about a different patient who had new hypotension … traditional paper chart offered a shared information space; it allowed each member of the team (including nurses … Nurse Educ Pract. 2016;16:287-293. [go to PubMed] 25. Patel VL, Kannampallil TG, Shortliffe EH.
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psnet.ahrq.gov/issue/toolkit-improving-surgical-care-and-recovery
September 18, 2024 - Toolkit
Toolkit for Improving Surgical Care and Recovery.
Citation Text:
Agency for Healthcare Research and Quality. Toolkit for Improving Surgical Care and Recovery. June 2023.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…
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psnet.ahrq.gov/issue/sentinel-event-alert-67-preserving-patient-safety-after-cyberattack
March 13, 2024 - Sentinel Event Alerts
Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack.
Citation Text:
Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. Jt Comm J Qual Patient Saf. 2023;49(12):724-729. doi:10.1016/j.jcjq.2023.07.006.
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psnet.ahrq.gov/issue/clinical-handover-critical-communications
February 18, 2015 - Special or Theme Issue
Clinical Handover: Critical Communications.
Citation Text:
Clinical Handover: Critical Communications. Med J Aust. 2009;190(s11):s108-s157.
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