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psnet.ahrq.gov/issue/impact-safety-organizing-trusted-leadership-and-care-pathways-reported-medication-errors
January 18, 2011 - Investigators surveyed nurses and nurse managers and linked their responses to reported medication errors … When safety climate is not enough: examining the moderating effects of psychosocial hazards on nurse … August 28, 2019
Tragedy into policy: a quantitative study of nurses' attitudes toward … April 29, 2009
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See More About The Topic
Hospitals
Nurses … Health Care Executives and Administrators
Nurse Managers
Organizational Behaviorists
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-6k.pdf
August 01, 2017 - Health Plan Offers Nurse Advice Line
in Spanish
Health plans can also take steps to ensure
that their … care organization, developed and
aggressively marketed a 24-hour bilingual
(English and Spanish) nurse … Eight bilingual registered nurses staff the
line, which replaced a traditional advice
line where nurses … After Molina introduced its bilingual
nurse advice line, calls from Spanish-
speaking members increased … Source: AHRQ Health Care Innovations
Exchange. 24-Hour, Bilingual Nurse Line
Provides Advice and Interpreter
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psnet.ahrq.gov/issue/nursing-management-medication-errors
November 02, 2022 - This qualitative study conducted in-depth interviews with seven nurses involved in medication errors … April 16, 2018
The effectiveness of nurse education and training for clinical alarm response … September 21, 2011
Barriers to nurses' reporting of medication administration errors … January 12, 2011
Interactive effects of nurse-experienced time pressure and burnout on … Nurse Managers
Nurse Care
Medication Errors/Preventable Adverse Drug Events
View More
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www.ahrq.gov/research/findings/final-reports/ptflow/section5.html
July 01, 2018 - For example, nurses spent a lot of time searching for equipment and supplies. … ED nurse managers, charge nurses, and staff nurses spent more time planning and implementing strategies … An additional 160 hours (4 hours each for 40 nurses) were spent on the initial training of staff nurses … The team consisted of three physicians, two nurses, two nurse practitioners, a technician, a registration … Also, two nurses attended a train-the-trainer triage course ($16,850).
Large expenditures.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-pilot-study-report.pdf
April 01, 2021 - Other clinical staff or clinical support staff 186 24%
Administrative or clerical staff 192 25%
Registered … nurse (RN), licensed vocational nurse (LVN), licensed practical
nurse (LPN)
120 16%
Physician ( … M.D. or D.O.) 85 11%
Management 74 10%
Physician assistant, nurse practitioner, clinical nurse specialist … , nurse
midwife, advanced practice nurse, and other etc.
66 9%
Other position 46 6%
Total 769 100% … When these items were further
investigated, most providers (e.g., physicians, physician assistants, nurse
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psnet.ahrq.gov/issue/full-disclosure-adverse-events-patients-and-families-icu-wouldnt-you-want-know
May 26, 2021 - This article reports how nurses followed Canadian Disclosure Guidelines in disclosing sentinel events … December 12, 2012
Nurse working conditions and patient safety outcomes. … The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse … October 26, 2011
Worries and concerns experienced by nurse specialists during inter-hospital … Nurse Managers
Quality and Safety Professionals
Organizational Behaviorists
View More
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psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement
February 10, 2011 - Quality assurance administrators, nurse leaders in quality, and staff nurses all agreed that each ADE … December 23, 2008
Physician and nurse well-being and preferred interventions to address … : examining predictors of nurses' willingness to report medication errors. … January 13, 2010
Nurse reports of adverse events during sedation procedures at a pediatric … July 22, 2009
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See More About The Topic
Nurses
Nurse Managers
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-100813.ppt
January 01, 2013 - The perceptions of nurses (the orange line) are less positive than non-nurses (the blue line) especially … Non-Nurse Template
Your Unit's Nurse Results (n= )
Your Unit's Non-Nurse Results (n= )
HSOPS Composite … composite positive results from Nurses to Non-Nurses in your unit, enter the "Composite Scores " from … Non-Nurse Template
Your Unit's Nurse Results (n= )
Your Unit's Non-Nurse Results (n= )
HSOPS Composite … composite positive results from Nurses to Non-Nurses in your unit, enter the "Composite Scores " from
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psnet.ahrq.gov/node/46307/psn-pdf
August 20, 2018 - Post-operative mortality, missed care and nurse staffing
in nine countries: a cross-sectional study. … Post-operative mortality, missed care and nurse staffing in nine
countries: A cross-sectional study. … between nurse-
to-patient ratios and patient outcomes. … 400,000 surgical patients from
300 hospitals in 9 countries as well as survey responses from 26,516 nurses … https://psnet.ahrq.gov/primer/missed-nursing-care
https://psnet.ahrq.gov/issue/hospital-nurse-staffing-and-patient-mortality-nurse-burnout-and-job-dissatisfaction
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psnet.ahrq.gov/issue/relationship-adverse-events-and-support-rn-burnout
February 08, 2023 - Nurses involved in medical errors are often considered second victims due to the emotional harms they … This study found that nurses who participated in preventable adverse events had higher levels of burnout … December 7, 2022
Nurse burnout predicts self-reported medication administration errors … September 27, 2016
Speaking up: factors and issues in nurses advocating for patients … January 18, 2011
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See More About The Topic
Hospitals
Nurses
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psnet.ahrq.gov/web-mm/raise-bar
May 29, 2024 - Without alerting the nurse, the patient tried to get up to use the restroom, but—because his leg was … After hearing the fall, the nurse came quickly to evaluate and, given complaints of acute neck pain, … Nurse Knowledge and Competency Nurses in the perianesthesia areas are responsible for ensuring patient … Nurses' involvement in delivery of regional nerve blocks is dependent on Nurse Practice Act stipulations … American Society of PeriAnesthesia Nurses.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-091013.ppt
January 01, 2010 - John Hospital and Medical Center
Lisa Wolf, PhD, RN, CEN, FAEN
Emergency Nurses Association (ENA) … clarity regarding the acceptable indications for urinary catheter use will help both physicians and nurses … Engage nurses (significant role in UC use).
Engage physicians (significant role in UC use). … Nurses?
Physicians?
Hospitalists?
Intensivists?
Patients? … Saves time for the bedside nurse.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-facilitators-guide.docx
September 01, 2015 - Preventing CAUTI in the ICU Setting” is a four-module program designed for intensive care unit, or ICU, nurses … Are nurses reluctant to remove urinary catheters even when the patient no longer meets criteria for a … Nurses and physicians can also work together to develop ICU-specific indications for catheter use. … nurse. … Nurses are busy, and for many nurses, removing a catheter is a change in practice. Clearly, Ms.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-080814.pptx
January 01, 2013 - Intensivists
Nurse Manager
MD Director
Nurses
ICU BUS
The ICU Culture
13
How important is reduction … Medical Director
Nurse Manager
Nurses
Intensivists
Others
In any clinical area you will find that … Nurse Med calls back to the ED 20 minutes later and asks for Nurse ED. … The Nurse manager does not “want to make waves” and has not made the nurses accountable for following … What about the nurse manager?
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/3_barbara_burke.pdf
June 09, 2012 - of urgency that enabled us to advance our
coaching model
42
Inpatient Coaching
• Nurse … observations and facilitates improvement workgroups
43
Inpatient Coaching
• Targeted formalized Nurse … 90
Quarter 1
(n = 317)
Quarter 2
(n = 330)
Quarter 3
(n = 324)
Quarter 4
(n = 391)
Impact of Nurse … Leader Rounding on Two Priorities
Nurse Leader Rounding
Staff Helped with Pain
Nurses Listened Carefully … Child HCAHPS
Inpatient Coaching
Inpatient Coaching - Slide 2
Monthly Report - Example
Impact of Nurse
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psnet.ahrq.gov/issue/safe-practice-recommendations-use-copy-forward-nursing-flow-sheets-hospital-settings
May 18, 2022 - Although most attention has focused on copying and pasting by physicians, nurses may use this function … Nurse worry predicts inpatient deterioration within 24 hours. … December 14, 2016
The effect of hospital electronic health record adoption on nurse-assessed … January 7, 2011
Using a computerized sign-out system to improve physician–nurse communication … Nurse Managers
Information Professionals
Nurse Care
View More
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psnet.ahrq.gov/node/49503/psn-pdf
February 01, 2006 - The nurse then selects the correct drug from
the drawer. … Hospitals should also replace upper levels of nurse managers so nurses have the
support they need. … Establish nurse-to-patient ratios that are realistic
and safe, while allowing nurses the ability to … Nurses need more nurse managers and other support staff in light of the heavy patient care needs
and … Hospitals should scale back the workload of their staff nurses to achieve safe nurse-to-patient ratios
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digital.ahrq.gov/ahrq-funded-projects/nursing-home-information-technology-it-optimal-medication-and-care-delivery/annual-summary/2008
January 01, 2008 - focusing implementation in one or more areas: 1) certified nursing assistant (CNA) daily documentation; 2) registered … nurse (RN)/clinical team care delivery and planning activities; and 3) medication administration. … Nursing Feedback: Over 125 nurses provided feedback indicating improvement from baseline to 12 months … these to CNAs, and taking minimal effort to assemble resident summaries for the Minimum Data Set (MDS) nurse … per resident by dietary staff to 40 percent, dietary staff participation in care planning meetings, nurses
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psnet.ahrq.gov/issue/keeping-patients-safe-healthcare-organizations-structuration-theory-safety-culture
September 04, 2010 - September 27, 2016
Detection of patient risk by nurses: a theoretical framework. … June 20, 2011
It's always something: hospital nurses managing risk. … by patient, nurse and event characteristics: a factorial survey experiment. … December 1, 2010
Nurses' role in medication safety. … January 23, 2008
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See More About The Topic
Nurses
Nurse Managers
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psnet.ahrq.gov/issue/barriers-incident-reporting-behavior-among-nursing-staff-study-based-theory-planned-behavior
February 27, 2019 - July 16, 2015
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Related Resources
Nurses' and patients' … August 17, 2018
A national study links nurses' physical and mental health to medical … July 10, 2017
Operational failures detected by frontline acute care nurses. … September 14, 2011
Nurse burnout and patient safety outcomes: nurse safety perception … Nurse Managers
Nurse Care
Psychological and Social Complications
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