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psnet.ahrq.gov/node/72672/psn-pdf
January 27, 2021 - psnet.ahrq.gov/issue/use-simulation-measure-effects-just-time-information-prevent-nursing-
medication-errors
Nurses
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psnet.ahrq.gov/node/44886/psn-pdf
September 27, 2016 - How can nurses help prevent patient harm?
September 27, 2016
Barras MA, Hughes D, Ullner M. … How can
nurses help prevent patient harm? … https://psnet.ahrq.gov/issue/direct-oral-anticoagulants-new-drugs-practical-problems-how-can-nurses-help … https://psnet.ahrq.gov/issue/direct-oral-anticoagulants-new-drugs-practical-problems-how-can-nurses-help-prevent-patient … https://psnet.ahrq.gov/issue/direct-oral-anticoagulants-new-drugs-practical-problems-how-can-nurses-help-prevent-patient
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psnet.ahrq.gov/node/47124/psn-pdf
June 27, 2018 - The authors suggest that nursing education should
better prepare nurses to handle unanticipated outcomes
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psnet.ahrq.gov/node/41298/psn-pdf
November 27, 2012 - nursing home management,
who tend to have more positive perceptions of safety culture than frontline nurses
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digital.ahrq.gov/ahrq-funded-projects/development-dashboards-provide-feedback-home-care-nurses/citation/reinterpreting
January 01, 2023 - Dowding, Dawn
Project Name
Development of Dashboards to Provide Feedback to Home Care Nurses
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meps.ahrq.gov/data_stats/nhc/new-fac.pdf
September 30, 1997 - /Nurse Supervisor/Charge Nurse
04 = Nurse, Floor/Shift
05 = Social Worker/Case Worker/Activities Coordinator … 11 = MDS Coordinator/Nurse
12 = Case Mix Coordinator/Nurse
13 = Care Plan Coordinator/Nurse
14 = Quality … *CTRL/E OK*
FA85PRE
Next, we need some information about the nursing personnel in {FACILITY/[READ FACILITIES … FA85PRE
Next, we need some information about the nursing personnel in {FACILITY} during the second full … /Nurse Supervisor/Charge Nurse
4 = Nurse, Floor/Shift
5 = Social Worker/Caseworker/Activities Coordinator
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www.ahrq.gov/sites/default/files/2024-01/pliego-report.pdf
January 01, 2024 - Consequently, we expanded our training to all floor nurses who respond to Code Blues and
incorporated … To facilitate the complete training of all participants, RRTs, CBTs, and floor nurses, we altered
the … it promoted interdisciplinary communication among unit nurses and
staff utilizing the RRT … Impact on Simulation-Based Training Interventions at the Hospital
° General Nurse Orientation: 4 weeks … into GNO, medical & surgical nurses attend a 4-hour
Dr.
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www.ahrq.gov/news/newsletters/e-newsletter/967.html
July 01, 2025 - AHRQ in the Professional Literature The effect of registered nurse staffing and skill mix on length of
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psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
October 19, 2022 - Defibrillation pads were placed on the patient, but when the nurse tried to connect the pads to the defibrillation … high-use areas) equipment checklist should be completed by a member of the resuscitation team or assigned nurse … important process, CPR committee members and physician champions for resuscitation care should partner with nurse
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www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
December 01, 2017 - Provide protected time for nurse to address defects and communicate solutions. … Image: Two examples shared with the following column headings: Nurse, Anesthesiologist, Equipment, Comment … Slide 38: Examples of Defects Addressed
Postings
Problem
Circulating nurse and scrub technician
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psnet.ahrq.gov/node/49540/psn-pdf
August 21, 2007 - Defibrillation pads were placed on the patient, but when the nurse tried to connect the pads to the … high-use areas) equipment checklist should be completed by a member of the resuscitation team or
assigned nurse … process, CPR committee members and physician
champions for resuscitation care should partner with nurse
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.332_slideshow.ppt
September 01, 2014 - His afternoon dose of extended-release morphine was held by the primary nurse who notified the surgical … The nurse treated symptoms with hydromorphone 6 mg orally and 1 mg intravenously per the prescribing … The nurse, reluctant to administer this medication in light of the patient's somnolence, attempted to
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psnet.ahrq.gov/sites/default/files/2024-03/delayed_diagnosis_and_treatment_of_sle.pdf
January 01, 2024 - • The nurse practitioner managing the patient was uncertain as to whether
the psychosis was due to … recommended
initiation of an antipsychotic medication.
5
Case Details (2)
• On hospital day 7, the nurse … As SLE is highly heritable, once the family history of SLE was ascertained, the
nurse practitioner appropriately
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psnet.ahrq.gov/web-mm/complaints-safety-surveillance
May 05, 2021 - He decided to increase her 1 mg dose of Dilaudid to 4 mg and asked the nurse to administer another dose … The nurse thought it unusual to increase the pain medication so much, but she remembered that this hospitalist … About 10 minutes later, the nurse returned to check on the patient and found her to be unresponsive and
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psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
February 21, 2024 - The bedside nurse paged the intern night float, who was cross-covering this patient, to come to the bedside … When the intern asked the nurse to page them, the rapid response team finally arrived. … response team had huddled to discuss the patient's care when the intern was first contacted by the bedside nurse
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-systems.html
May 01, 2024 - Identify Health Clinics at High-Risk for Clinician Burnout
P14: Is Telehealth Effective for Providing Nurse-Led … S7: Identifying How to Improve Health Outcomes for Children in Foster Care
S8: Understanding How Nurse … at Pittsburgh; School of Medicine, Pediatrics Tests a transitional care model, TeleRecovery, where a nurse
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/027-cusp-program-sustainability-fg.docx
April 01, 2025 - The provider champion in surgical services could include surgeons, anesthesiologists, nurse practitioners … This person is at the heart of operations and is often a nurse, technician, or another role who is willing … The Director/Manager of Perioperative Services, who is often a Nurse Manager, plays an essential role
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
March 12, 2008 - in the United States.2 Orders are entered into the pharmacy system and linked to the
ADM, where a nurse … Override Function
The override function allows a nurse to remove a medication from the machine before … subsequent adverse drug reaction (ADR);
indication for medication administered; and
whether the nurse
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-slides.pptx
April 01, 2022 - infection (CAUTI) CAD being >1.0:
CLABSI CAD = 12, CAUTI CAD = 6
ICU CUSP Team
Co-team leaders: clinical nurse … specialist and ICU nurse manager
Physician champion: unit Medical Director Dr. … Commitment to teamwork among all team members
Effective communication among team members
Number of nurses
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-implement.html
November 01, 2017 - – What will resonate with nurses (e.g., comfort in speaking up)? … one-on-one conversations to share results with key players (administrator, medical director, manager, charge nurse … , quality improvement nurse).