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psnet.ahrq.gov/issue/situation-awareness-and-mitigation-risk-associated-patient-deterioration-meta-narrative
December 08, 2021 - December 8, 2021
New graduate registered nurses: Risk mitigation strategies to ensure … July 7, 2021
Cognitive and implicit biases in nurses' judgment and decision-making: a … July 13, 2022
Relationship between nurse burnout, patient and organizational outcomes … August 26, 2020
Nurse workarounds in the electronic health record: an integrative review … 2020
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Researchers
Hospitals
Nurse
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psnet.ahrq.gov/issue/effect-barcode-technology-medication-preparation-safety-quasi-experimental-study
December 01, 2021 - sought to assess the influence of BCMA on the rate of medication preparation errors and time spent by registered … nurses on medication preparation tasks. … inefficiencies with the use of medication administration technology from the perspective of practicing nurses … September 1, 2016
The impact of traditional and smart pump infusion technology on nurse … View More
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Hospitals
Quality and Safety Professionals
Nurse
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psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
July 08, 2022 - noted for both patients and nurses, including lower mortality rates. 10 In this case, the ICU nurse … Multiple studies have shown that inadequate nurse staffing, particularly shortages of registered nurses … Cognitive and implicit biases in nurses’ judgment and decision-making: a scoping review. … Safety implications of different forms of understaffing among nurses during the Covid‐19 pandemic. … Using system dynamics modelling to show the effect of nurse workload on nurses’ health and quality of
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psnet.ahrq.gov/issue/nurse-prescribing-reflections-safety-practice
June 21, 2017 - Study
Nurse prescribing: reflections on safety in practice. … This qualitative study describes the views of nurses who engage in non-doctor prescribing and highlights … 14, 2017
Performance-based payment incentives increase burden and blame for hospital nurses … January 20, 2010
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Nurses
Nurse Managers … Organizational Behaviorists
Nurse Care
Pharmacy
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts2.html
December 01, 2017 - ___ Admitting nurse
_X_ Nursing assistant
___ Wound/skin care nurse
___ Nurse manager
___ Nursing … ___ Unit nurse
_X_ Nursing assistant
___ Wound care nurse
___ Other (specify): ________________ … nurse. … Conducting an accurate skin assessment
Nurses
b. … Effective positioning
Nurses
d. Effective positioning
CNAs
e.
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psnet.ahrq.gov/web-mm/danger-disruption
July 29, 2020 - Nurse–Physician Communication and Disruptive Behavior Nurse–physician collaboration and communication … Not nurses. … The nurse could do two things: alert the nurse manager immediately or speak directly with the physician … Critical care nurses' work environments 2008: a follow-up report. Crit Care Nurse. 2009;29:93-102. … Nurse-physician relationships in hospitals: 20,000 nurses tell their story.
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psnet.ahrq.gov/node/47059/psn-pdf
May 16, 2018 - Participating in a multisite study exploring operational
failures encountered by frontline nurses: lessons … Participating in a Multisite Study Exploring Operational Failures
Encountered by Frontline Nurses: Lessons … psnet.ahrq.gov/issue/participating-multisite-study-exploring-operational-failures-encountered-
frontline-nurses … They suggest that nurse
executives interested in participating in a collaborative study review the related … reducing-adverse-drug-events-lessons-breakthrough-series-collaborative
https://psnet.ahrq.gov/issue/factors-contributing-registered-nurse-medication-administration-error-narrative-review
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_7.pdf
October 01, 2016 - ;
RN=registered nurse; ER=emergency room; LPN=licensed practical nurse; Rx=prescriptions; EKG=electrocardiogram … Each core team at the Center City Clinic consists of a team medical doctor (MD), a shared BHC,
a registered … nurse (RN), two licensed practical nurses (LPNs), a part-time case worker, and one
patient-services … With an experienced nurse onsite, Dr. … ; RN=registered nurse; MA=medical assistant; EKG=electrocardiogram; HbA1C=hemoglobin A1C; CHCs=community
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docx
June 02, 2025 - Nursing Assistant A: I think it would work well for the nurse managers or charge nurses to meet with … Facilitator: Some nursing homes have nursing assistants and charge nurses or nurse managers meet weekly … Would nurse shift report be the best way to share the reports with the charge nurses on the different … Miranda [Nurse Manager A] had said she wanted to meet with the nurses to determine the best process for … Nurse managers or charge nurses
Nurse managers or charge nurses typically lead the meeting.
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6f-ondemand.html
April 01, 2023 - around-the-clock staffed by registered nurses (RNs) who assist members who have questions or need advice … , training in active listening and motivational interviewing may help nurses make meaningful connections … If members or nurses consistently have difficulty with specific questions, the clinical team should take … Minimize stress on practitioners: Studies suggest that advice line nurses may be prone to significant … Stress in telephone helpline nurses is associated with failures of concentration, attention and memory
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
June 02, 2025 - Several nurses had input on the design of it. … Rehab
X X
Nurse Shift
Change Report
Nurses meet at change of shift to
review resident clinical … managers or charge
nurses
Nurse managers or charge
nurses typically lead the
meeting. … DON, nursing supervisors,
nurse managers or charge
nurses, MDS nurse, QI
nurse, infection control … Practitioner; (MDS) Minimum Data Set; (QI) Quality
Improvement; (MD/APRN) Medical Doctor/Advanced Practice Registered
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psnet.ahrq.gov/issue/when-5-rights-go-wrong-medication-errors-nursing-perspective
June 27, 2018 - This survey study found that 78% of nurses admitted to making a medication error, which they attributed … September 12, 2012
Devastatingly human: an analysis of registered nurses' medication … February 15, 2011
Physician and nurse well-being and preferred interventions to address … July 8, 2009
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Nurses
Nurse Managers … Quality and Safety Professionals
Nurse Care
Medication Errors/Preventable Adverse Drug Events
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hcup-us.ahrq.gov/reports/methods/2008_02.pdf
January 01, 2008 - nurses per 1000 inpatient days % of population diagnosed with diabetes
Nursing FTEs per 1000 inpatient … Association)
• Laws/regulations prohibiting mandatory overtime by nurses as of year end 2003, e.g. … , nurses
cannot be disciplined for not working overtime and cannot be required to work more than a … Magnet Hospitals by the Commission on
Magnet Recognition Program of the American Nurses Credentialing … Center (Sources:
analysis of information from American Nurses Credentialing Center; analysis of HCUP
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psnet.ahrq.gov/issue/perceptions-patient-safety-culture-among-physicians-and-rns-perioperative-area
November 03, 2010 - Resources From the Same Author(s)
Structural empowerment and patient safety culture among registered … nurses working in adult critical care units. … June 20, 2011
Causes of near misses: perceptions of perioperative nurses. … June 8, 2011
Positive Working Relationships Matter for Better Nurse and Patient Outcomes … Nurse Managers
Surgery
Nurse Care
View More
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www.ahrq.gov/sites/default/files/2024-09/kutney-lee-report.pdf
January 01, 2024 - In both 1998-1999 and 2006, nurses completed a self-administered paper
survey mailed to their homes … A single item on the nurse
survey that asked about the degree to which nurses were satisfied with their … Nurses were asked to report the number of patients cared for on their last shift on
the survey. … Nurse education. On the survey, nurses were asked to report the highest degree earned in
nursing. … nurses’ responses for each subscale.
5
Then, hospital nurse practice environments were categorized
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psnet.ahrq.gov/issue/development-self-report-instrument-measure-patient-safety-attitudes-skills-and-knowledge
April 10, 2013 - October 31, 2018
Effects of individual nurse and hospital characteristics on patient … October 10, 2018
Impact of high-reliability education on adverse event reporting by registered … nurses. … November 3, 2010
An educational intervention to enhance nurse leaders' perceptions of … Managers
Educators
Nurse Care
Culture of Safety
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psnet.ahrq.gov/node/43329/psn-pdf
July 09, 2014 - Journal of emergency
nursing: JEN : official publication of the Emergency Department Nurses Association … facilitating-safe-transition-pediatric-emergency-department-home-post-
discharge-phone-call
In this study, nurses … , physicians, and caregivers reported that a telephone call from a registered nurse after
discharge … determined that post-discharge telephone calls did not
decrease return visits because the telephone nurse
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psnet.ahrq.gov/issue/how-and-when-organization-identification-promotes-safety-voice-among-healthcare-professionals
September 15, 2021 - December 15, 2021
'Doing the best we can': Registered nurses' experiences and perceptions … September 7, 2022
Nurse work environment and its impact on reasons for missed care, safety … May 5, 2021
Estimating the economic cost of nurse sensitive adverse events amongst patients … June 16, 2021
The association between nurse staffing and omissions in nursing care: a
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psnet.ahrq.gov/issue/patient-perception-fall-risk-and-fall-risk-screening-scores
December 07, 2022 - Same Author(s)
How does workplace violence-reporting culture affect workplace violence, nurse … December 7, 2022
Nurse burnout syndrome and work environment impact patient safety grade … August 25, 2021
Registered nurses' judgments of the classification and risk level of … October 19, 2011
Nurse sensemaking for responding to patient and family safety concerns
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psnet.ahrq.gov/node/47058/psn-pdf
August 20, 2018 - The first U.S. study on nurses' evidence-based practice
competencies indicates major deficits that threaten … In this study, researchers
sought to assess nurse competency throughout the United States across 13 … nurses. … In general, nurses reported a lack of competency across all 24 domains, but younger
nurses and those … quality-and-safety-nursing-competency-approach-improving-outcomes-second-edition
https://psnet.ahrq.gov/issue/evaluation-registered-nurse-competency-processes-veterans-health-administration-facilities