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8521. Global Report on Infection Prevention and Control: Executive Summary. | PSNet
      psnet.ahrq.gov/issue/global-report-infection-prevention-and-control-executive-summary
      March 09, 2022 - Book/Report Global Report on Infection Prevention and Control: Executive Summary. Citation Text: Global Report on Infection Prevention and Control: Executive Summary. Geneva, Switzerland; World Health Organization; May 5, 2022. Copy Citation Save Save to your li…

8522. Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop. | PSNet
      psnet.ahrq.gov/issue/crisis-standards-care-ten-years-successes-and-challenges-proceedings-workshop
      September 12, 2018 - Book/Report Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop. Citation Text: Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop. National Academies of Sciences, Engineering, and Medicine. Washington, DC; The …

8523. Agency information collection activities: Nursing Home Survey on Patient Safety Culture Database; comment request. | PSNet
      psnet.ahrq.gov/issue/agency-information-collection-activities-nursing-home-survey-patient-safety-culture-database
      June 16, 2021 - Press Release/Announcement Agency information collection activities: Nursing Home Survey on Patient Safety Culture Database; comment request. Citation Text: Agency information collection activities: Nursing Home Survey on Patient Safety Culture Database; comment request. Agency for Healt…

8524. Creating safe spaces in organizations to talk about safety. | PSNet
      psnet.ahrq.gov/issue/creating-safe-spaces-organizations-talk-about-safety
      March 18, 2019 - Study Creating safe spaces in organizations to talk about safety. Citation Text: Morath J, Leary M. Creating safe spaces in organizations to talk about safety. Nurs Econ. 2004;22(6):344-51, 354. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

8525. Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. | PSNet
      psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be-strengthened
      September 28, 2010 - Government Resource Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. Citation Text: Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. Washington DC; Government Accountability Office; June 2006. Report no GAO-06-416.…

8526. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45387/psn-pdf
      August 15, 2016 - Preventing medication errors. August 15, 2016 Stefanacci RG, Riddle A. Preventing medication errors. Geriatr Nurs. 2016;37(4):307-10. doi:10.1016/j.gerinurse.2016.06.005. https://psnet.ahrq.gov/issue/preventing-medication-errors Nursing home patients are particularly vulnerable to medication errors. This commentar…

8527. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45077/psn-pdf
      May 11, 2016 - Quality of Care and Information Technology. May 11, 2016 Suresh S, ed. Pediatr Clin North Am. 2016;63:221-388. https://psnet.ahrq.gov/issue/quality-care-and-information-technology Utilizing informatics has shown promise for enhancing quality and patient safety, but this has also introduced unintended consequences.…

8528. Is that solution for IV or irrigation?: Fluid administration errors in the operating room. | PSNet
      psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-errors-operating-room
      January 29, 2021 - When the nurse went to connect the irrigation solution to the patient’s urinary catheter, it was found … When the nurse went to retrieve the solution, it was missing from the warmer. … intravenously. 2  A dose of 160mg gentamicin is commonly administered intravenously by anesthesiologists or nurse … WebM&M Cases The Need to Eat December 18, 2019 A nurse-led … View More See More About The Topic Operating Room Physicians Nurses

8529. Missing ECG and Missed Diagnosis Lead to Dangerous Delay | PSNet
      psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
      March 01, 2015 - Instead, the nurse answering the radio should have acted on the information provided by EMS personnel … necessary to activate a Code STEMI and to prepare the catheterization laboratory for the patient, the nurse … trained paramedics, with or without the assistance of computer interpretation.( 3 ) In this case, the nurse … been better communication between EMS personnel and the ED team on initial radio contact, between the nurse … American College of Emergency Physicians; Emergency Nurses Association; National Association of EMS Physicians

8530. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840172/psn-pdf
      November 16, 2022 - Afterwards, the mobility evaluation is communicated to the bedside nurse and documented in the nursing

8531. In Conversation with…Peter J. Pronovost, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
      June 01, 2005 - think the data are as important as in an academic medical center, we have learned that doctors and nurses … institutions where the patient safety officer described wonderful programs, and none of the doctors or nurses … systems to support their work, but the work itself has to live in the hearts and minds of our doctors and nurses … RW: In terms of big buckets—informatics, culture change, hiring more nurses, standard procedures—how … January 19, 2012 A clinical nurse specialist intervention to facilitate safe transfer

8532. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia | PSNet
      psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
      August 29, 2021 - Pharmacists (ASHP), the Anesthesia Patient Safety Foundation (APSF), and the Association of periOperative Registered … Nurses (AORN). 5-7 The Institute for Safe Medication Practices (ISMP) recently received a grant from … APSF Newsletter2010; 25: 1–8 Association of periOperative Registered Nurses.

8533. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45409/psn-pdf
      May 17, 2021 - ISMP List of High-Alert Medications in Long-Term Care (LTC) Settings. May 17, 2021 Horsham, PA: Institute of Safe Medication Practices; 2021 https://psnet.ahrq.gov/issue/ismp-list-high-alert-medications-long-term-care-ltc-settings Long-term care patients often have concurrent conditions that increase their risk of…

8534. AI in Health: Huge Potential, Huge Risks. | PSNet
      psnet.ahrq.gov/issue/ai-health-huge-potential-huge-risks
      October 11, 2023 - March 6, 2024 After his wife died, he joined nurses to push for new staffing rules in … June 5, 2024 British nurse was found guilty of killing seven babies. … April 17, 2024 Nurse Staffing Standards for Hospital Patient Safety and Quality Care

8535. Economic evaluation of healthcare safety: which attributes of safety do healthcare professionals consider most important in resource allocation decisions? | PSNet
      psnet.ahrq.gov/issue/economic-evaluation-healthcare-safety-which-attributes-safety-do-healthcare-professionals
      July 01, 2012 - March 6, 2005 Intensive care unit nurses' perceptions of safety after a highly specific … The use of medical emergency teams in medical and surgical patients: impact of patient, nurse … September 6, 2023 Nurse staffing and inpatient mortality in the English National Health

8536. Nursing and physician attire as possible source of nosocomial infections. | PSNet
      psnet.ahrq.gov/issue/nursing-and-physician-attire-possible-source-nosocomial-infections
      July 01, 2016 - Study Nursing and physician attire as possible source of nosocomial infections. Citation Text: Wiener-Well Y, Galuty M, Rudensky B, et al. Nursing and physician attire as possible source of nosocomial infections. Am J Infect Control. 2011;39(7):555-9. doi:10.1016/j.ajic.2010.12.016. …

8537. Patient handoffs. | PSNet
      psnet.ahrq.gov/issue/patient-handoffs-0
      November 23, 2024 - Quality April 26, 2023 Listening and question-asking behaviors in resident and nurse … More See More About The Topic Hospitals Health Care Providers Medicine Nurse

8538. Risky business: James Bagian—NASA astronaut turned patient safety expert—on being wrong. | PSNet
      psnet.ahrq.gov/issue/risky-business-james-bagian-nasa-astronaut-turned-patient-safety-expert-being-wrong
      March 17, 2010 - December 12, 2018 Whistle-blowing nurse is acquitted in Texas. … September 12, 2012 Whistle-blowing nurse is acquitted in Texas.

8539. Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
      January 01, 2023 - standard protocol for procedural sedation, the ED resident physician then called out to the scribing nurse … The nurse repeated “10 of propofol given. … • Nurses learn the “Five Rights of Medication Administration”25 but some experts propose that all … administered to the patient.”31 • In two randomized controlled simulation studies, medical staff (nurses … Likelihood of reporting medication errors in hospitalized children: a survey of nurses and physicians

8540. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49862/psn-pdf
      May 01, 2019 - The MRI staff informed the bedside nurse that the patient could be brought down for the study. … Nevertheless, the physician told the nurse that the study was urgent and the patient should be taken … The nurse decided to check the patient's blood pressure one more time before leaving her and found that … Essentially functioning as a "red rule," similar to how operating room nurses ensure that all are properly