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9941. Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds. | PSNet
      psnet.ahrq.gov/issue/bar-code-medication-administration-technology-characterization-high-alert-medication-triggers
      April 24, 2018 - However, nurses and pharmacists both engaged in a variety of workarounds that may have compromised … September 1, 2016 Nurses' satisfaction with medication administration point-of-care technology … March 18, 2010 Impact of barcode medication administration technology on how nurses spend … January 7, 2009 View More See More About The Topic General Hospitals Nurses … Nurse Managers Quality and Safety Professionals Information Professionals View More

9942. Making It Work Tip Sheet: Overcoming the Just in Case Mindset (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/just-in-case-mindset.pdf
      April 01, 2022 - • Lack of nurse and physician champions to help educate or overcome fears related to appropriate … determine if use is appropriate—especially in units with a high turnover rate or increased use of travel nurses … We have heard from some physicians and nurses that they need the catheter just in case the patient goes … Worksheet: CAUTI • Learn From Defects Tool Worksheet: CLABSI • Making It Work Tip Sheet – Empowering Nurses … To Implement Nurse-Driven Protocols for Reducing CAUTI in the ICU Setting References 1.

9943. Making It Work Tip Sheet: Overcoming the Just in Case Mindset (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/just-in-case-mindset.pdf
      April 01, 2022 - • Lack of nurse and physician champions to help educate or overcome fears related to appropriate … determine if use is appropriate—especially in units with a high turnover rate or increased use of travel nurses … We have heard from some physicians and nurses that they need the catheter just in case the patient goes … Worksheet: CAUTI • Learn From Defects Tool Worksheet: CLABSI • Making It Work Tip Sheet – Empowering Nurses … To Implement Nurse-Driven Protocols for Reducing CAUTI in the ICU Setting References 1.

9944. SOPS Workplace Safety Pilot Study Report (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/workplace_safety_pilotstudyreport.pdf
      November 01, 2021 - Staff Position Hospital Staff Position Respondents Number Percent Nursing Advanced Practice Nurse … (NP, CRNA, CNS, CNM) 53 1% Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN) 116 2% … Patient Care Aide, Nursing Assistant 459 7% Registered Nurse (RN) 1,848 26% Nursing Subtotal 2,476 … investigated, staff who were expected to engage in moving, transferring, or lifting patients, such as registered … nurses; patient care aides, hospital aides, and nursing assistants; physical, occupational, or speech

9945. SOPS Workplace Safety Pilot Study Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/workplace_safety_pilotstudyreport.pdf
      November 01, 2021 - Staff Position Hospital Staff Position Respondents Number Percent Nursing Advanced Practice Nurse … (NP, CRNA, CNS, CNM) 53 1% Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN) 116 2% … Patient Care Aide, Nursing Assistant 459 7% Registered Nurse (RN) 1,848 26% Nursing Subtotal 2,476 … investigated, staff who were expected to engage in moving, transferring, or lifting patients, such as registered … nurses; patient care aides, hospital aides, and nursing assistants; physical, occupational, or speech

9946. Toolkit 2. Common Suspected Infections: Communication and Decisionmaking for Four Infections | Agency for Healthcare Research and Quality
      pcmh.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit2-communications-and-decisionmaking.html
      November 01, 2016 - The toolkit is intended to help prescribing clinicians and nurses work together to determine when antibiotics … These champions can be the director of nursing, assistant director of nursing, administrator, charge nurses … The Medical Care Referral form facilitates communication between nurses and clinicians when a resident … Nurses should be trained on how to complete the form, and prescribing clinicians should be familiarized … Nurses should be trained to use the pocket cards whenever an infection is suspected.

9947. Toolkit 2. Common Suspected Infections: Communication and Decisionmaking for Four Infections | Agency for Healthcare Research and Quality
      pbrn.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit2-communications-and-decisionmaking.html
      November 01, 2016 - The toolkit is intended to help prescribing clinicians and nurses work together to determine when antibiotics … These champions can be the director of nursing, assistant director of nursing, administrator, charge nurses … The Medical Care Referral form facilitates communication between nurses and clinicians when a resident … Nurses should be trained on how to complete the form, and prescribing clinicians should be familiarized … Nurses should be trained to use the pocket cards whenever an infection is suspected.

9948. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37246/psn-pdf
      December 16, 2011 - Nurses' experiences of drug administration errors. December 16, 2011 Schelbred A-B, Nord R. … Nurses' experiences of drug administration errors. J Adv Nurs. 2007;60(3):317-24. … https://psnet.ahrq.gov/issue/nurses-experiences-drug-administration-errors This qualitative study describes … the experiences of nurses who committed serious medication errors and highlights the need for strategies … https://psnet.ahrq.gov/issue/nurses-experiences-drug-administration-errors https://psnet.ahrq.gov/issue

9949. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39306/psn-pdf
      February 17, 2010 - Detection of patient risk by nurses: a theoretical framework. … Detection of patient risk by nurses: a theoretical framework. … https://psnet.ahrq.gov/issue/detection-patient-risk-nurses-theoretical-framework This article outlines … https://psnet.ahrq.gov/issue/detection-patient-risk-nurses-theoretical-framework https://psnet.ahrq.gov … /issue/nurses-role-detecting-deterioration-ward-patients-systematic-literature-review

9950. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38002/psn-pdf
      August 20, 2008 - Communicative competence of international nurses and patient safety and quality of care. … Communicative Competence of International Nurses and Patient Safety and Quality of Care. … https://psnet.ahrq.gov/issue/communicative-competence-international-nurses-and-patient-safety-and- quality-care … https://psnet.ahrq.gov/issue/communicative-competence-international-nurses-and-patient-safety-and-quality-care … https://psnet.ahrq.gov/issue/communicative-competence-international-nurses-and-patient-safety-and-quality-care

9951. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=128
      January 01, 2024 - Numerous studies have identified a relationship between nurse staffing and adverse patient outcomes in … However, little is known about the impact of labor and delivery (L&D) nurse staffing and adverse birth … In this study the investigators examined nurse staffing patterns on the likelihood of cesarean sections … Identifying optimal labor and delivery nurse staffing: the case of cesarean births and nursing hours. … Keywords: Provider: Nurse, Provider, Workforce, Labor and Delivery, Pregnancy, Quality of Care, Risk

9952. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/impguide.html
      December 01, 2014 - Nurse Manager: Nancy. QI Coordinator/MDS Nurse: Annie. … Nurse Manager: Nancy. QI Coordinator/MDS Nurse: Annie. … team agreed to pilot the Nutrition Risk Report on Nancy's unit during a 5-minute staff huddle with the nurse … Team leadership (i.e., the Program Champion/Administrator, DON, Nurse Manager, and Dietitian) all appear … But she could have done more to address some of the logistical concerns raised by the Nurse Manager (

9953. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36515/psn-pdf
      May 27, 2011 - Nurses' perceptions of causes of medication errors and barriers to reporting. … Nurses' perceptions of causes of medication errors and barriers to reporting. … https://psnet.ahrq.gov/issue/nurses-perceptions-causes-medication-errors-and-barriers-reporting In this … study, nurses at a Veterans Affairs hospital were surveyed regarding their experiences with medication … https://psnet.ahrq.gov/issue/nurses-perceptions-causes-medication-errors-and-barriers-reporting https

9954. Two-Day Training Content | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/team/teach/two-day.html
      February 01, 2024 - The nurse (Amy). The physician was not involved at all. The Coordinating Team? … The med tech and the nurse never followed up with one another to share information. … Because the nurse was not aware of the med tech’s observations and concerns, the physician was never … Conducted a huddle with the team before registered nurse shift change Briefed team about concerns and … himself as current situational team leader Verbalized the current plan of care How did the nurses

9955. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37076/psn-pdf
      October 03, 2011 - Nurses' perception of error reporting and patient safety culture in Korea. … Nurses' Perception of Error Reporting and Patient Safety Culture in Korea. … https://psnet.ahrq.gov/issue/nurses-perception-error-reporting-and-patient-safety-culture-korea The … study surveyed nurses at eight Korean teaching hospitals and found that nurses had a low opinion of … https://psnet.ahrq.gov/issue/nurses-perception-error-reporting-and-patient-safety-culture-korea https

9956. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72580/psn-pdf
      December 16, 2020 - Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional study. … Nurses’ perceptions of open disclosure processes in cancer care: a cross-sectional study. … https://psnet.ahrq.gov/issue/nurses-perceptions-open-disclosure-processes-cancer-care-cross-sectional … This survey of nurses working in oncology settings explored their perspectives about the accuracy of … https://psnet.ahrq.gov/issue/nurses-perceptions-open-disclosure-processes-cancer-care-cross-sectional-study

9957. Ten years later, alarm fatigue is still a safety concern. | PSNet
      psnet.ahrq.gov/issue/ten-years-later-alarm-fatigue-still-safety-concern
      October 25, 2023 - April 24, 2018 Promoting patient and nurse safety: testing a behavioural health intervention … March 23, 2022 Impact of alarm fatigue on the work of nurses in an intensive care environment … February 3, 2021 Lessons learned from medical malpractice claims involving critical care nurses

9958. Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations. | PSNet
      psnet.ahrq.gov/issue/advancing-interprofessional-patient-safety-education-medical-nursing-and-pharmacy-learners
      May 18, 2022 - October 19, 2022 The working hours of hospital staff nurses and patient safety. … 2010 Development of a patient safety web-based education curriculum for physicians, nurses … View More See More About The Topic Hospitals Educators Medicine Nurse

9959. Patient participation in patient safety still missing: patient safety experts' views. | PSNet
      psnet.ahrq.gov/issue/patient-participation-patient-safety-still-missing-patient-safety-experts-views
      February 13, 2019 - April 8, 2020 Interventions to support nurses as second victims of patient safety incidents … : a qualitative study of nurse managers' perceptions. … February 7, 2024 Specialized nurses' role in ensuring patient safety within the context

9960. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36958/psn-pdf
      September 12, 2011 - Sleepy nurses: are we willing to accept the challenge today? … Sleepy nurses: are we willing to accept the challenge today? Nurs Adm Q. 2007;31(2):146-151. … https://psnet.ahrq.gov/issue/sleepy-nurses-are-we-willing-accept-challenge-today The authors discuss … deprivation in nursing staff along with its effect on medical error and the personal health and safety of nurses … https://psnet.ahrq.gov/issue/sleepy-nurses-are-we-willing-accept-challenge-today