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9501. Patient-Centered Medical Home (PCMH) Information Framework Technical Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/modeling-pcmh-principles-attributes-patient-experiences-technical-report.pdf
      November 01, 2014 - Prima’s nurse, Gina, advising her to make an appointment for Kyle to be seen by Dr. Prima. … Smith.) (7) • Office Nurse – Mr. … Johnson meets with nurse, who reviews form with him. (8) – Nurse enters Mr. … . (10) – Nurse asks Mr. … ER and are greeted by triage nurse. (8) – The triage nurse, referring to instructions received from

9502. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
      June 02, 2025 - HRCC elements are captured from multiple data sources within the facility’s EMR, such as nurse assessments … NCRFs; these elements are captured from multiple data sources within the facility’s EMR, such as nurse … The facility specifies whether they will use nurse documentation or another documentation source for … Nurses’ notes b. MDS assessments c. Nursing assistant documentation d. … Nurses’ notes b. Resident Care Plan c. Postfall Assessment d.

9503. Drug administration errors and their determinants in pediatric in-patients. | PSNet
      psnet.ahrq.gov/issue/drug-administration-errors-and-their-determinants-pediatric-patients
      June 29, 2011 - Inpatient pediatric nurses were directly observed for 1 year to identify errors committed while preparing … Contrary to current thought, investigators found that errors were less common when the nurses handled … found in patient rooms, adult unit-doses prepared for pediatric use, and lower educational level of the nurses … August 6, 2014 Paediatric nurses' adherence to the double-checking process during medication … View More See More About The Topic Children's Hospitals Physicians Nurses

9504. Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure. | PSNet
      psnet.ahrq.gov/issue/error-or-act-god-study-patients-and-operating-room-team-members-perceptions-error-definition
      August 10, 2011 - This study discovered both similarities and differences in the way surgeons, nurses, anesthesiologists … addition, noted differences existed between patients who supported reporting for all negative events and nurses … Related Resources From the Same Author(s) Factors influencing perioperative nurses … March 28, 2011 Not overstepping professional boundaries: the challenging role of nurses … 2010 View More See More About The Topic Operating Room Physicians Nurses

9505. Handoffs and Handovers | PSNet
      psnet.ahrq.gov/glossary/handoffs-and-handovers
      September 13, 2021 - Nurses similarly conduct a handover at the end of their shift, updating their colleagues about the status … When the outgoing nurses return for their next duty period, they will in turn receive new updates during

9506. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60600/psn-pdf
      June 17, 2020 - drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses … drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses … reasons-drug-administration-problems-and-perceived-needs-assistance- patients-family Through focus groups with patients, family caregivers, and nurses

9507. Patient Safety Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
      June 01, 2022 - on care and patient rating items that encompass key topics, including communication with doctors and nurses … Toolkit includes training tools to make care safer by improving the foundation of how physicians, nurses … Patient Safety and Quality: An Evidence-Based Handbook for Nurses is a three-volume handbook in which … nurses will find peer-reviewed discussions and reviews of issues and literature regarding patient safety … presents an examination of the state of the science behind quality and safety concepts and challenges nurses

9508. Microsoft PowerPoint - FINAL Spotlight Case_A Complicated Course-Severe Alcohol Withdrawal - SLIDES.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdf
      January 01, 2023 - variability in the criteria for admission to stepdown units, based on locally available resources (e.g., nurse … • Free text communication is a type of order that providers can use to instruct nurses about how … – It is possible that there was a staffing change and the nurse who received the free text order … did not confirm it and communicate it to other nurses … • The nurses should have alerted the physician staff about the change and more importantly, when

9509. Best Practices for Identifying and Managing Deconditioning in Nursing Home Residents (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/best-practices-managing-deconditioning.pdf
      May 01, 2022 - Canadian nurse, 101(6). 2 Talley, K. M., Wyman, J. F., Savik, K., Kane, R.

9510. Where's the Feeding Tube? | PSNet
      psnet.ahrq.gov/web-mm/wheres-feeding-tube
      September 01, 2003 - American Association of Critical-Care Nurses. Verification of feeding tube placement. … Aliso Viejo, CA: American Association of Critical-Care Nurses Practice Alert; May 2005. … Cases Check the Bags September 1, 2003 Physician and nurse … 1, 2019 WebM&M Cases Are We Pushing Graduate Nurses

9511. In Conversation With… Gregg S. Meyer, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
      June 01, 2016 - the late 1990s, if I stood up in front of a group of residents, fellows, junior physicians, or young nurse … Professional in Patient Safety—A Registered Nurse's Perspective June 1, 2016 Perspective As a registered … nurse, patient safety officer, and director of accreditation for a large health care system for many … There are several pathways available for nurses to attain certification. … We use SBAR (situation, background, assessment, recommendation) as our methodology for nurse-to-physician

9512. AHRQ’s Safety Program for Nursing Homes: On-Time Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overview.html
      November 01, 2017 - Pressure ulcer prevention in long-term-care facilities: a pilot study implementing standardized nurse

9513. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45381/psn-pdf
      July 01, 2017 - incorporating-quality-and-safety-values-clabsi-simulation-experience Simulation has been promoted as a way to teach nurses … This commentary describes the development of a program to help nurses recognize and correct weaknesses

9514. Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma. | PSNet
      psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
      August 14, 2024 - The nurse’s discharge note mentioned that the patient’s nurse practitioner was notified regarding neck … She was instructed by a triage nurse to present to the ED, where she was fast-tracked to a resuscitation … November 21, 2017 An experimental study in nurse-physician relationships. … See More About The Topic Hospitals Operating Room Health Care Providers Nurses

9515. A Lot of Pain (Medications) | PSNet
      psnet.ahrq.gov/web-mm/lot-pain-medications
      September 23, 2020 - His afternoon dose of extended-release morphine was held by the primary nurse who notified the surgical … The nurse treated his symptoms with hydromorphone 6 mg orally and 1 mg intravenously per the prescribing … The nurse, reluctant to administer this medication in light of the recent episode of somnolence, attempted … April 15, 2016 Nurses as 'second victims' to their patients' suicidal attempts: a mixed-method

9516. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
      January 01, 2024 - • The surgeon took the internal paddles and requested the circulating nurse to get ready for synchronized … – The nurse acknowledged and the patient was shocked at 10 Joules. … of pieces of equipment in the room, the defibrillator screen was visible only to the circulating nurse … with the location and the operation of the defibrillator (1) • Anesthesia clinicians and circulating nurses

9517. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/org_embrace-slides/Organizational-Embrace-of-CUSP-to-Improve-Patient-Safety-Mar-20-2012-508.ppt
      January 01, 2012 - Safety Initiatives Perinatal Patient Safety Initiative Stamp Out Sepsis campaign Hiring experienced nurses … and posting in each unit/department TM common area Some issues (process) are referred to Unit-Based Nurse … Practice Councils or the larger Nurse Practice Council for resolution. … visits Open Discussion of TM patient safety concerns Listen to all concerns Ask for solutions Charge nurse

9518. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. | PSNet
      psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
      July 19, 2023 - Patient participation during dressing changes and line flushes through return demonstration allows the nurse … Reese, BSN, RN, VABC Assistant Nurse Manager Vascular Access Team UC Davis Health sreese@ucdavis.edu … References Related Resources From the Same Author(s) Physician and nurse … The Topic Hospitals Home Care Ambulatory Clinic or Office Health Care Providers Nurses

9519. Developing Evidence- based User Centered Design and Implementation Guidelines to Improve Health Information - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs023701-ratwani-final-report-2021.pdf
      January 01, 2021 - Aim 1: A diverse team of subject matter experts including a physician, nurse, pharmacist, and human … Aim 2: A team of human factors and usability experts, with physicians, pharmacists, and nurses, reviewed … Aim 3: A diverse team of subject matter experts including a physician, nurse, pharmacist, and human … Each of the questions were reviewed by two physicians and one nurse for face validity.

9520. Primary Care Practice Facilitation Curriculum Module 5: Special Considerations When Working With Safety Net Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-5-working-with-safety-net-practices.pdf
      September 01, 2015 - For example, a depression management program involving nurse follow-up calls with patients that was … When nurses would call to follow up with patients, the patients did not understand the purpose of the … A local physician volunteered his time, and a nurse practitioner began seeing patients regularly. … The nurse practitioner continued working for 30 years with the community as the organization grew. … Because Clinica is a good place to work, many physicians, nurses and medical assistants have worked