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7741. Does the Leapfrog program help identify high-quality hospitals? | PSNet
      psnet.ahrq.gov/issue/does-leapfrog-program-help-identify-high-quality-hospitals
      February 10, 2015 - February 1, 2013 A clinical nurse specialist intervention to facilitate safe transfer

7742. The 80-hour duty week: rationale, early attitudes, and future questions. | PSNet
      psnet.ahrq.gov/issue/80-hour-duty-week-rationale-early-attitudes-and-future-questions
      September 28, 2010 - December 8, 2021 Nurse sensemaking for responding to patient and family safety concerns

7743. Color coded medication safety system reduces community pediatric emergency nursing medication errors. | PSNet
      psnet.ahrq.gov/issue/color-coded-medication-safety-system-reduces-community-pediatric-emergency-nursing-medication
      April 05, 2023 - April 5, 2023 Physician and nurse well-being and preferred interventions to address burnout

7744. Impact of hospital accreditation on quality improvement in healthcare: a systematic review. | PSNet
      psnet.ahrq.gov/issue/impact-hospital-accreditation-quality-improvement-healthcare-systematic-review
      September 23, 2020 - View More See More About The Topic Hospitals Hospital Medicine Nurse

7745. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39125/psn-pdf
      September 27, 2017 - Nurse and nurse assistant perceptions of missed nursing care: what does it tell us about teamwork? … Nurse and nurse assistant perceptions of missed nursing care: what does it tell us about teamwork? … https://psnet.ahrq.gov/issue/nurse-and-nurse-assistant-perceptions-missed-nursing-care-what-does-it-tell … - us-about-teamwork Suboptimal teamwork between nurses and nursing assistants was a major contributor … https://psnet.ahrq.gov/issue/nurse-and-nurse-assistant-perceptions-missed-nursing-care-what-does-it-tell-us-about-teamwork

7746. Chapter 4. Assessing Surgeon Acceptance of Risk Adjustment Models | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssi4.html
      April 01, 2018 - The originally proposed approach for Chapter 4 was to solicit input from surgeons and IP nurses … Identify nurses to participate in focus groups and in-depth discussion Two focus groups were conducted … Five infection control nurses in addition to the facilitator and an observing notetaker participated … Eight infection control nurses in addition to the facilitator participated in the second focus group … Compile Results of Focus Groups to Make Recommendations of Surgeon, Nurse Perspectives on Risk-adjustment

7747. Puh-Factraining-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
      June 02, 2025 - The core team should minimally include clinical leadership (DON or assistant DON [ADON]), nurse managers … Do you rely on verbal reports from nurses’ aides? … Include nurse aide input to select the meeting time that is least disruptive to their daily routine …  How will a timeline for changes and followup with CNAs and nurses be determined? … If so, the Facilitator may need to engage the nurse educator and the champion to establish a process

7748. Right Regimen, Wrong Cancer: Patient Catches Medical Error | PSNet
      psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
      August 01, 2006 - In the morning his bedside nurse for the day came in and stated that she would be giving him his fourth … Oncology team members of various specialties and professions (including physicians, nurses, pharmacists … 3%, 2% of which had the potential to cause harm.( 4 ) About half were intercepted by pharmacists and nurses … other safety checks that existed (including the presence of a chemotherapy pharmacist and chemotherapy nurse … oncologist, the inpatient attending (who co-signed the incorrect order set), the inpatient chemotherapy nurse

7749. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33754/psn-pdf
      September 01, 2013 - Nurses find them typically unjust. So justice depends on where you sit in the hierarchy. … In multiple countries I've seen in health care systems that nurses now are able to threaten doctors … there is a particular decision to be made about a surgeon, I would certainly have an operating theater nurse … #.UQwojFpEN40 Every nurse I've talked to can point to all the system contributions and say all these … So what do you do with the surgeon who says I don't believe in the checklist, or the nurse or the doctor

7750. Hidden Mystery | PSNet
      psnet.ahrq.gov/web-mm/hidden-mystery
      December 01, 2011 - Cases Spinal Epidural Abscess August 8, 2019 Effects of nurse-to-patient … ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: a prospective … August 4, 2021 Physician and nurse well-being and preferred interventions to address … More See More About The Topic Hospitals Clinical Technologists Physicians Nurses

7751. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49810/psn-pdf
      November 01, 2017 - On the night shift, the bedside nurse went to see the patient at 3:00 AM to administer the next scheduled … The patient appeared to be sleeping but woke up when the nurse came in the room. … The nurse administered the scheduled dose of intravenous hydromorphone. … insufficiency.( 10,11) In palliative care, it is crucial that patient rounds be done with physicians and nurses

7752. Standard Deviations | PSNet
      psnet.ahrq.gov/web-mm/standard-deviations
      January 01, 2006 - Physicians and nurses may be confused and deeply troubled when clinical, ethical, and legal standards … August 17, 2022 Nurse bias and nursing care disparities related to patient characteristics … November 5, 2014 Nurse judgements of hospitalized patients' safety concerns are affected … by patient, nurse and event characteristics: a factorial survey experiment.

7753. AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/thomas1-report.pdf
      January 01, 2024 - . 4 times daily at 5- to 7-hr intervals; measurement made by physician, corroborated by attending nurse … The broadcasts from the tilt sensors were received by several tablet PCs placed near the nurse stations … bed-angle intervals generally occurred between periods of rapid bed-angle change when, for example, a nurse … Nurse-reported HOBAs are generally not a reliable or precise measure of the actual bed angles, particularly … Patient to nurse ratio and risk of ventilator-associated pneumonia in critically ill patients.

7754. Final Progress Report: Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration in Outpatients (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/weinger-france-report.pdf
      January 01, 2024 - We partnered with surgeons, oncologists, nurses, staff, and adult patients with head or neck, lung, … practitioners, and nurses working in the clinics caring for patients with head or neck, lung, esophageal … practitioners, and a nurse who regularly perform outpatient oncology care. … , and cooperation.68 Results – Part 3: Usability of the risk communication system Physicians and nurses … quickly scan their patient panel and identify patients who needed care (e.g., phone call from a nurse

7755. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39996/psn-pdf
      November 17, 2010 - Nurses' medication work: what do nurses know? November 17, 2010 Folkmann L, Rankin J. … Nurses' medication work: what do nurses know? … https://psnet.ahrq.gov/issue/nurses-medication-work-what-do-nurses-know This review discusses nursing … https://psnet.ahrq.gov/issue/nurses-medication-work-what-do-nurses-know

7756. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42511/psn-pdf
      February 06, 2014 - Ending disruptive behavior: staff nurse recommendations to nurse educators. … Ending disruptive behavior: staff nurse recommendations to nurse educators. … https://psnet.ahrq.gov/issue/ending-disruptive-behavior-staff-nurse-recommendations-nurse-educators … This study interviewed staff nurses about disruptive behaviors in hospital settings with the goal of … https://psnet.ahrq.gov/issue/ending-disruptive-behavior-staff-nurse-recommendations-nurse-educators https

7757. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37863/psn-pdf
      June 25, 2008 - The effect of nurse staffing patterns on medical errors and nurse burnout.  … The effect of nurse staffing patterns on medical errors and nurse burnout. … https://psnet.ahrq.gov/issue/effect-nurse-staffing-patterns-medical-errors-and-nurse-burnout This review … describes how work factors for nurses, such as staffing, overtime, and fatigue, affect patient outcomes … https://psnet.ahrq.gov/issue/effect-nurse-staffing-patterns-medical-errors-and-nurse-burnout

7758. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35436/psn-pdf
      September 15, 2009 - Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction. … Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction. … Clin Nurse Spec. 2005;19(5):241-254. … Investigators analyzed more than 2700 surgical patients along with 140 staff nurses before discovering … https://psnet.ahrq.gov/issue/hospital-nurse-staffing-and-patient-mortality-nurse-burnout-and-job-dissatisfaction

7759. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42696/psn-pdf
      March 21, 2017 - Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication … Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication … https://psnet.ahrq.gov/issue/evaluation-problem-specific-sbar-tool-improve-after-hours-nurse-physician … For this simulation study, 20 nurse–physician pairs were enrolled and the nurse in each pair was randomized … https://psnet.ahrq.gov/issue/keeping-patients-safe-transforming-work-environment-nurses

7760. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36929/psn-pdf
      September 09, 2011 - Nurse working conditions and patient safety outcomes. … Nurse Working Conditions and Patient Safety Outcomes. … https://psnet.ahrq.gov/issue/nurse-working-conditions-and-patient-safety-outcomes This study examined … the relationship between nurse staffing and hospital characteristics and specific patient safety measures … /issue/working-hours-hospital-staff-nurses-and-patient-safety https://psnet.ahrq.gov/issue/hospital-nurse-staffing-and-patient-mortality-nurse-burnout-and-job-dissatisfaction