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9681. Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly
      January 01, 2023 - communicating key health information and alerts to outpatient primary care physicians and visiting nurses

9682. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851870/psn-pdf
      July 31, 2023 - Regina Hoffman: I am a registered nurse. … After nursing school, I worked as a staff nurse in a hospital, then as a director of nursing in a long-term … For example, for nurses, safety training should start from the first day of nursing school and last

9683. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-dailycare-slides.pptx
      January 01, 2017 - Factors influencing nurse sedation practices with mechanically ventilated patients: a U.S. national survey … Epicenters’ Wake Up and Breathe Collaborative10 Included opt-out protocol for paired daily SATs and SBTs Registered … nurses and respiratory therapists initiate SATs/SBTs rather than doctors Automatic for all patients … Factors influencing nurse sedation practices with mechanically ventilated patients: a U.S. national survey

9684. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits - Transfer Note and Intake Note (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.pdf
      June 02, 2025 - (Within 24 Hours of Transfer)  Primary Physician  Covering Physician  Consulting Physician  Nurse

9685. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-I-SOPS-ASC-DatabaseReport.pdf
      December 01, 2021 - Anesthesiologist 614 7% Doctor/Physician (excluding Anesthesiologists) or Surgeon 1,821 21% Certified Registered … Nurse Anesthetist (CRNA) 278 3% Physician Assistant or Nurse Practitioner 103 1% Management 658 8% … Nurse Anesthetists (CRNAs) had the lowest (83 percent) … after procedures, team members discussed any concerns for patient recovery” (92 percent); Certified Registered … Nurse Anesthetists had the lowest (66 percent).

9686. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications | PSNet
      psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
      February 01, 2004 - protocol, the positive laboratory result was sent through the electronic medical record (EMR) to a nurse … No one answered, and the nurse called again on each of the next 4 days, but there continued to be no … The following day, a different OB/GYN clinic nurse tried to call the patient with the ultrasound results

9687. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49717/psn-pdf
      September 01, 2014 - 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

9688. Literature Collection | The Academy
      integrationacademy.ahrq.gov/products/literature-collection
      January 01, 2025 - want to do": Implementation and evaluation of a telehealth opioid use disorder clinical placement for nurse … want to do": Implementation and evaluation of a telehealth opioid use disorder clinical placement for nurse … want to do": Implementation and evaluation of a telehealth opioid use disorder clinical placement for nurse

9689. 029-Ss-Review-Ssi-Prevention-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/029-ss-review-ssi-prevention-fg.docx
      April 01, 2025 - The pre-op nurse asked if he completed his surgery prep. Mr. … Because he did not receive a mupirocin dose this morning, the pre-op nurse administers an additional … Who is the best person to deliver the education—the office manager, a medical assistant, a nurse, or

9690. Quality Measures for Colonoscopy (pdf file)
      digital.ahrq.gov/sites/default/files/docs/resource/Logan_QMforColonoscopy_Narrative_v4.pdf
      December 12, 2008 - there was residual sedation from a prior procedure, or where anesthesia was general or managed by a nurse … documentation of general anesthesia (Level of sedation = "general anesthesia" ) or that an anesthesiologist or nurse … anesthetist managed the case (Managed by = "Nurse Anesthetist" or "Anesthesiologist") it is assumed

9691. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49479/psn-pdf
      April 01, 2005 - The Commentary While it is tempting to blame the physician for a lack of vigilance or the nurse for … if-then rule, stating “if a hypoglycemic is on the medication list, then glucose checks must be on the nurses

9692. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2025 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/nursing-home/2025-nursing-home-database-report-pt1.pdf
      January 01, 2025 - Administrator/Manager 440 11% Administrative Support Staff 329 8% Direct Care Staff 501 13% Licensed Nurse

9693. Types and patterns of safety concerns in home care: staff perspectives. | PSNet
      psnet.ahrq.gov/issue/types-and-patterns-safety-concerns-home-care-staff-perspectives
      November 23, 2016 - April 17, 2011 Nurses' perception of shift handovers in Europe - results from the European … Nurses' Early Exit Study.

9694. A lethal hidden curriculum—death of a medical student from opioid use disorder. | PSNet
      psnet.ahrq.gov/issue/lethal-hidden-curriculum-death-medical-student-opioid-use-disorder
      October 19, 2022 - January 5, 2017 The perceptions of nurses towards barriers to the safe administration … October 6, 2016 Quality and safety education for nurses: a nursing leadership skills

9695. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44396/psn-pdf
      January 22, 2016 - suggests this method (conducting handoffs at the patient's bedside, instead of in a conference room or nurses

9696. CLABSI Investigation: Walk the Process (Slide Presentation) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest-slides/slides.html
      October 01, 2014 - within 72 hours of being placed in the ED ICU spread use of bundle to the ED Checklist used but nurses … documenting noncompliance instead of stopping procedure: Nurses must be empowered to stop the procedure … Nurses did not feel they had leadership support to stop the procedure: Leadership gave nurses … % of nurses that are comfortable stopping procedure? Did they stop it when necessary? 

9697. Patient Experience Measures from the CAHPS® Child Hospital Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/child_hcaps_measures_909.pdf
      May 11, 2016 - Topic: Communication with Parent • Communication between you and your child’s nurses (composite of … Topic: Communication with Parent Communication Between You and Your Child’s Nurses The survey asked … Q15 Nurses explained things to parent in a way that was easy to understand Q16 Nurses treated parent … Q8 Nurses listened carefully to child Response Options • Never • Sometimes • Usually • Always … Q9 Nurses explained things to child in a way that was easy to understand Q10 Nurses encouraged child

9698. Improving Healthcare Safety by Enhancing Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
      April 30, 2025 - This publication has been well received by state policymakers and building-based school nurses. … Nurse leaders were critical to improvement and varied in their skills, suggesting that nurse leader … CDS use was affected by both nurse and patient characteristics. … executive summary of the report was published within the March 2005 issue of AJN, which went to 344,000 registered … nurse subscribers.

9699. Health IT Hazard Manager Beta-Test Appendix F: “Other (specify)” Entries (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/AppendixF_HIT_Hazard_Manager_Beta_Test.pdf
      June 16, 2021 - Nurse manager 1 “Who discovered the hazard?” Anesthesia 1 “Who discovered the hazard?”

9700. Sampleransferandintakenotes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/sampleransferandintakenotes.pdf
      June 02, 2025 - (Within 24 Hours of Transfer)  Primary Physician  Covering Physician  Consulting Physician  Nurse