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9921. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
      January 01, 2020 - desaturation compared with intermittent nursing spot-checks – Deaths most frequently occur overnight when nurse … Avoiding Adverse Events Secondary to Opioid-Induced Respiratory Depression: Implications for Nurse Executives

9922. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-343
      May 16, 2022 - Based on focus groups and interviews with nurses, advanced practice providers, and physicians, this study … Newspaper/Magazine Article Nurse Vaught sentenced for deadly medical error. … This article summarizes reaction to the sentencing of a nurse in a high-profile medication error case

9923. The safety of inpatient pediatrics: preventing medical errors and injuries among hospitalized children. | PSNet
      psnet.ahrq.gov/issue/safety-inpatient-pediatrics-preventing-medical-errors-and-injuries-among-hospitalized
      November 16, 2022 - November 3, 2010 Unit-based care teams and the frequency and quality of physician–nurse

9924. Identifying Adverse Events Not Present on Admission: Can We Do It? | PSNet
      psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
      October 01, 2008 - identified with selected PSIs, researchers at the University of Michigan found low agreement between nurse … 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

9925. Preventing Workplace Violence. | PSNet
      psnet.ahrq.gov/issue/preventing-workplace-violence
      July 25, 2023 - June 24, 2015 Communication for Nurses: How to Prevent Harmful Events and Promote Patient

9926. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866343/psn-pdf
      December 31, 2024 - Was the overnight nursing supervisor or the charge nurse on the receiving unit empowered to raise questions … weight-stigma-and-barriers-effective-obesity-care https://psnet.ahrq.gov/issue/assertive-communication-training-nurses-speak-cases-medical-errors-systematic-review-and-meta

9927. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-276
      January 29, 2021 - Errors caught before reaching the patient were primarily attributed to information review by nurses, … Nurses are often responsible for medication administration at the bedside.  … readiness, recognition, response, and reporting and systems-learning steps to aid birthing facility nurses

9928. Part 2 of the 9th Annual Communication, Apology, and Resolution (CARe) Forum. | PSNet
      psnet.ahrq.gov/issue/part-2-9th-annual-communication-apology-and-resolution-care-forum
      June 19, 2019 - Meeting/Conference Proceedings Part 2 of the 9th Annual Communication, Apology, and Resolution (CARe) Forum. Citation Text: Betsy Lehman Center for Patient Safety. June 2, 2022. Copy Citation Save Save to your library Print Share Facebook Tw…

9929. Managing the Risks of Organizational Accidents. | PSNet
      psnet.ahrq.gov/issue/managing-risks-organizational-accidents
      May 13, 2011 - July 22, 2019 Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving

9930. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40412/psn-pdf
      March 23, 2012 - methicillin-resistant-staphylococcus-aureus-central-line-associated-bloodstream-infections-us https://psnet.ahrq.gov/perspective/connies-story-nurses-personal-experience-mrsa

9931. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47835/psn-pdf
      April 24, 2019 - This study examined the impact of a team of surgical quality officers and perioperative nurses tasked

9932. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44958/psn-pdf
      March 09, 2016 - Components included convening a leadership committee for performance improvement, educating bedside nurses

9933. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40565/psn-pdf
      June 29, 2011 - Investigators found that physicians were responsible for 24% of errors while nurses were responsible

9934. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38585/psn-pdf
      April 30, 2014 - primer/culture-safety https://psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ

9935. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42333/psn-pdf
      June 05, 2013 - has-improved-hand-hygiene-compliance-reduced-risk-hospital-acquired- infections-among Hand hygiene rates remain disappointingly low among physicians and nurses

9936. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74050/psn-pdf
      November 10, 2021 - The authors identify several ways that nurses may help mitigate  health disparity- related adverse treatment

9937. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45302/psn-pdf
      November 28, 2016 - teach error disclosure and prevention to interprofessional clinician learners, including physicians, nurses

9938. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47104/psn-pdf
      December 04, 2018 - Attending physicians, residents, physician assistants, nurses, technicians, and security officers participated

9939. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49852/psn-pdf
      February 01, 2019 - The bedside nurse realized that norepinephrine was infusing through a peripheral IV. … distinct across hospitals (1,20), including the type of personnel used to staff the center (i.e., nurses … i.e., critical care training); the roles different personnel have during the transfer process (i.e., nurse

9940. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-454
      September 25, 2024 - This study describes post-anesthesia care unit (PACU) nurses' experience with the Green Cross method, … Nurses reported more openness and transparency after implementation of the Green Cross method; however … In many clinical areas such as primary care, advanced practice providers (APP), including nurse practitioners