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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/literacy/about_the_health_literacy_item_set_for_hospitals_911.pdf
October 01, 2015 - address the following six topic areas:
• Information about medications
• Communication between nurses … H-HL3 Nurses hard to understand because of the way they spoke patient’s
language
H-HL4 Nurses used … medical words patient did not understand
H-HL5 Nurses talked too fast
H-HL6 Nurses interrupted … patient
H-HL7 Nurses answered all questions to patient’s satisfaction
H-HL8 Nurses used condescending … , sarcastic, or rude tone or manner with patient
H-HL9 Nurses cared about patient as a person
Topic
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psnet.ahrq.gov/issue/challenge-competency-assessment-late-career-practitioner
July 15, 2020 - January 29, 2018
New graduate registered nurses: Risk mitigation strategies to ensure
-
psnet.ahrq.gov/issue/tragedy-advocacy
October 05, 2016 - July 25, 2018
New graduate registered nurses: Risk mitigation strategies to ensure safety
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psnet.ahrq.gov/issue/where-should-patient-safety-be-installed
October 05, 2022 - May 11, 2022
New graduate registered nurses: Risk mitigation strategies to ensure safety
-
www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/covid19-vaccine-confidence-learning-guide-leadership.pdf
June 30, 2021 - Recommendation: Staff Educator,
Infection Preventionist or Nurse Leader.
-
www.ahrq.gov/hai/tools/cauti-hospitals/toolkit-resources.html
February 01, 2023 - the ICU Setting
This four-module narrated presentation is designed for intensive care unit (ICU) nurses … Microsoft PowerPoint (1.3 MB) ( HTML Version ) | Facilitator Notes ( Word , 2 MB)
Emergency Nurses … CAUTI
Accessible version ( PDF , 2.3 MB)
This online learning module developed by the Emergency Nurses
-
www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - registered nurse anesthetists, surgeons, and environmental services personnel). … Due to the busy emergency room, the triage nurse does not notice that her cane was left behind. … On the way out of the ICU, the nurse handed over the chart with the Kardex stamp plate. … In fact, he was also the relative of one of the ICU nurses. … We’re nurses. We’re doctors. We’re highly educated, and sometimes feel insulted by the tools.
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.338_slideshow.ppt
January 01, 2015 - heart monitoring of all of the women in labor was displayed centrally on a large 40-inch monitor at the nurses … Two nurses at the nursing station were assigned to watch the monitor at the time of the concerning abnormalities … When asked about the incident, the nurses both replied that they "just didn't see the bad tracings" and … Rationale for central monitoring is that it facilitates monitoring of all patients at once
Previously, a nurse
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015284-reiling-final-report-2008.pdf
January 01, 2008 - This information was gathered from the staff (nurses, unit clerks,
physicians) of St. … Observers--registered nurses and pharmacy technicians--were
taught to observe the preparation and administration … This was done through written and focus surveys of employees (unit clerks, nurses,
physicians) of the … Clancy
at the Nurse Alliance of Service Employees
International Union (SEIU) Networking Conference … Patient safety and
quality: an evidence-based handbook for nurses.
-
www.ahrq.gov/sites/default/files/2024-07/jerant-report.pdf
January 01, 2024 - The nurse also obtained informed consent,
administered the baseline study questionnaire, and implemented … The study nurse
audited the fidelity of the peers’ delivery of the intervention quarterly and provided … These participants were initially visited in their home by the
study nurse, as with intervention participants … The effect of automated calls with telephone nurse
follow-up on patient-centered outcomes of diabetes … Do automated calls with nurse follow-up
improve self-care and glycemic control among vulnerable patients
-
psnet.ahrq.gov/issue/spike-people-dying-home-suggests-coronavirus-deaths-houston-may-be-higher-reported
January 30, 2019 - September 16, 2020
Nurses and doctors sick with COVID feel pressured to get back to work
-
psnet.ahrq.gov/node/867089/psn-pdf
November 06, 2024 - Focused team engagements to enhance interprofessional
collaboration and safety behaviors among novice nurses … Focused team engagements to enhance interprofessional collaboration
and safety behaviors among novice nurses
-
psnet.ahrq.gov/node/40539/psn-pdf
June 22, 2011 - two assisted living facilities in this study found that the
overall error rate was similar between nurses … and non-nurses, but less trained staff from either discipline
had markedly higher error rates.
-
psnet.ahrq.gov/node/39252/psn-pdf
August 08, 2010 - medication-dispensing-errors-and-potential-adverse-drug-events-and-after-implementing-bar
https://psnet.ahrq.gov/issue/empowering-frontline-nurses-structured-intervention-enables-nurses-improve-medication
-
psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - well as doses of
hydrocodone with acetaminophen several times.
8
Case #2 Details (3)
• When the nurse … PATIENT SAFETY:
STANDARDIZED SEDATION
ASSESSMENT
14
Standardized Sedation Assessment (1)
• Nurses … Sedation Scale (POSS) is an evidenced based,
validated opioid assessment tool that can be used by nurses … – Additional strategies that may be employed by nurses to aid in short-term
pain relief include mindfulness … Take-Home Points (1)
32
• Implementing standardized sedation assessments, such as POSS,
aids nurses
-
psnet.ahrq.gov/issue/medication-errors-chemotherapy-incidence-types-and-involvement-patients-prevention-review
February 01, 2011 - July 1, 2010
Oncology nurses' perceptions about involving patients in the prevention … Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses … September 7, 2016
Oncology nurses' beliefs and attitudes towards the double-check of … July 1, 2010
Oncology nurses' perceptions about involving patients in the prevention
-
psnet.ahrq.gov/issue/barriers-and-facilitators-chemotherapy-patients-engagement-medical-error-prevention
November 02, 2010 - July 1, 2010
Oncology nurses' perceptions about involving patients in the prevention … Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses … September 7, 2016
Oncology nurses' beliefs and attitudes towards the double-check of … May 25, 2010
Oncology nurses' perceptions about involving patients in the prevention
-
psnet.ahrq.gov/issue/hospital-discharge-its-one-most-dangerous-periods-patients
June 01, 2016 - Reporting on a fatal medication error that was missed by a patient's pharmacist and home health nurses
-
psnet.ahrq.gov/issue/concept-analysis-wrong-site-surgery
June 11, 2014 - This concept analysis found limited evidence regarding the role of nurses in wrong-site surgery and recommends … that future research focus on theoretical frameworks around how preoperative nurses can help avert these … March 11, 2015
Priority patient safety issues identified by perioperative nurses.
-
psnet.ahrq.gov/issue/prevention-medical-accidents-caused-defective-surgical-instruments
July 31, 2019 - July 31, 2019
Why do nurses miss nursing care? A qualitative meta-synthesis. … January 9, 2013
Causes of near misses: perceptions of perioperative nurses. … 2008
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Operating Room
Physicians
Nurses