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psnet.ahrq.gov/issue/optimizing-post-acute-care-patient-safety-scoping-review-multifactorial-fall-prevention
January 12, 2022 - December 8, 2021
Disclosing and reporting practice errors by nurses in residential long-term
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2016/nhsurv16-pt1.pdf
January 01, 2016 - ○ Licensed Nurse (20 percent).
○ Support Staff (18 percent). … ○ Licensed Nurse (20 percent).
○ Support Staff (18 percent). … Characteristics Database Respondents
Job Title Number Percent
Nursing Assistant/Aide 3,784 35%
Licensed Nurse
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digital.ahrq.gov/sites/default/files/docs/page/Idaho_Grannis.ppt
January 01, 2004 - fields evaluated on this particular form: weight (lb/oz), height (in), and head circumference (cm)
Nurses … contained:
795 digits (4 and 5)
435 distinct numbers (45)
795 total digits:
689 digits entered by nurses … Accuracies at Various Confidence Levels
Non Review (>95%) Review
(5 – 95%) Overall
Nurses … Accuracies at Various Confidence Levels
Non Review (>95%) Review
(5 – 95%) Overall
Nurses … Errors
Nurses: 42/689
(6%)
Physicians: 12/106
(15%)
More on Error Rate
Neither informed
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-implementation-ig.pdf
June 02, 2025 - Quality Assessment and Assurance
[QAA] Coordinator) [Beth]
Director of Nursing (DON) [Mary]
Nurse … Manager Unit A [Jill]
Nurse Manager Unit B [Frank]
Minimum Data Set (MDS) Coordinator [Caroline
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-tool.docx
January 01, 2017 - Staffing (registered nurse, physical therapist, respiratory therapist) unavailable throughout the day … Staffing (registered nurse, physical therapist, respiratory therapist) unavailable throughout the day
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www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-tool.html
January 01, 2017 - Staffing (registered nurse, physical therapist, respiratory therapist) unavailable throughout the day … Staffing (registered nurse, physical therapist, respiratory therapist) unavailable throughout the day
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ludwick.pdf
June 21, 2004 - _____________
Anesthesia Provider: ____________________________________________________________
Registered … Nurse: ______________________________________________________________
Addressograph
Revised: 21 … Head, NHCP, for
providing clinical oversight; LCDR Patricia Corley, Department of Surgical
Services Nurse
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/functional-specs.html
December 01, 2017 - Nurse documentation of wound assessments each week. … , other staff nurses, MDS nurses, i wound nurses, and staff educators; quality improvement staff; dietitians … Physicians, nurse practitioners, and physician assistants may also access the reports. … Last Seen Date
PCP
Nurse or Physician Notes
Date the primary care provider (M.D., D.O.) or … physician assistant (PA) or nurse practitioner (NP) last saw the resident.
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www.ahrq.gov/news/newsroom/case-studies/201701.html
March 01, 2017 - "AHRQ's CAUTI tools provided nurses at Meadowlands with the right information at the right time," said … Fifty nurses from Meadowland’s intensive care and medical/surgical units participated in a mandatory … Using the toolkit via mobile technology allowed nurses to earn reward points, acquire best-practice information
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psnet.ahrq.gov/node/45947/psn-pdf
July 11, 2017 - association between depression
and patient safety perceptions: a cross-sectional study in
hospital nurses … association between depression and patient
safety perceptions: a cross-sectional study in hospital nurses … In keeping with prior research, this study involving 323
nurses suggests that burnout and depression
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psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
February 01, 2014 - For example, a physician or nurse might go to a quiet space to review orders or complete other high-risk … Going blank: factors contributing to interruptions to nurses' work and related outcomes. … Crit Care Nurse. 2010;30:21-29. [go to PubMed]
14. Federwisch A. … Enrico Coiera : Interruptions happen every day to every clinician, nurse, and doctor. … I've heard about nurses wearing signs that basically say, "Leave me alone.
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psnet.ahrq.gov/issue/utilizing-quality-improvement-methods-prevent-falls-and-injury-falls-enhancing-resident
September 01, 2021 - February 1, 2012
Nurses' perceptions of safety culture in long-term care settings. … View More
See More About The Topic
Hospitals
Long-Term Care
Nurses
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs021008-sockolow-final-report-2014.pdf
January 01, 2014 - assessed using observation (described
above), interview, and a 21-item survey instrument, the EHR Nurse … These interviews further explored survey
responses and issues raised in studies of nurse use of EHRs … (the majority of the clinicians were
nurses). … All clinicians who provided patient care and documented in the EHR were invited to
complete the EHR Nurse … Evaluating
the Impact of Electronic Health Records on Nurse Clinical
Process at Two Community Health
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psnet.ahrq.gov/node/33697/psn-pdf
June 01, 2010 - Inadequate staffing with nurses,
physicians, and consultants; problems with teamwork; and inadequate … because of the
resources needed for newly admitted patients and lack of familiarity of ED nurses with … (i) Nurse and physician
staffing should build in adequate buffers for high-volume periods, so that delays … Additional providers, training, and nurses all cost money. … Rotating shift work, sleep, and accidents related to sleepiness in
hospital nurses.
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psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
November 16, 2022 - The people in the system are physicians, nurses, patients, and care partners. … The core team that participated in the design process included an ED physician, an ED nurse, sometimes … we called on other ED physicians and nurses, people from IT [information technology], our family care … wants to go really quickly; the patient and the care partners want to leave the ED, and physicians and nurses … And then, we supported the nurse when they do their follow-up call about 24 hours later.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/pt-experience-measures.pdf
March 20, 2017 - Topic: Communication with Parent
• Communication between you and your child’s nurses (composite of … Q14 Nurses listened carefully to parent
Q15 Nurses explained things to parent in a way that was easy … to
understand
Q16 Nurses treated parent with courtesy and respect
Response Options
• Never
• … Q8 Nurses listened carefully to child
Q9 Nurses explained things to child in a way that was easy to … understand
Q10 Nurses encouraged child to ask questions
Response Options
• Never
• Sometimes
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/measures-child-hcahps-909.pdf
March 20, 2017 - Topic: Communication with Parent
• Communication between you and your child’s nurses (composite of … Q14 Nurses listened carefully to parent
Q15 Nurses explained things to parent in a way that was easy … to
understand
Q16 Nurses treated parent with courtesy and respect
Response Options
• Never
• … Q8 Nurses listened carefully to child
Q9 Nurses explained things to child in a way that was easy to … understand
Q10 Nurses encouraged child to ask questions
Response Options
• Never
• Sometimes
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www.ahrq.gov/patient-safety/about/chesapeake-regional-healthcare.html
February 01, 2024 - event documentation and was reviewed daily by Risk Management, the Nursing Quality Specialist, and the Nurse
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psnet.ahrq.gov/issue/nursing-homes-64-day-covid-siege-theyre-all-going-die
September 15, 2021 - December 16, 2020
Nurses and doctors sick with COVID feel pressured to get back to work
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psnet.ahrq.gov/node/837894/psn-pdf
August 24, 2022 - identifying-boundary-spanning-reporter-roles-patient-safety-events
Research has shown wide variation in error reporting by profession, with nurses … physicians and technicians are more likely to report errors
from across departmental boundaries , while nurses … identifying-boundary-spanning-reporter-roles-patient-safety-events
https://psnet.ahrq.gov/issue/barriers-incident-reporting-among-nurses-qualitative-systematic-review