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8541. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose | PSNet
      psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
      March 15, 2023 - This order, representing about 12 mg/kg, was filled by pharmacy staff and administered by a nurse who … A few minutes later, the supervising senior pediatric nurse discovered that the ED intake technician … Pharmacy staff subsequently dispensed this dose, and it was administered by a nurse who was new to the … “hole” in this case was limited oversight by the attending physician and the supervising pediatric nurse … More See More About The Topic Emergency Departments Health Care Providers Nurses

8542. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-276
      January 29, 2021 - Errors caught before reaching the patient were primarily attributed to information review by nurses, … Nurses are often responsible for medication administration at the bedside.  … readiness, recognition, response, and reporting and systems-learning steps to aid birthing facility nurses

8543. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-334
      March 31, 2022 - Medication reconciliation at hospital discharge: a qualitative exploration of acute care nurses … Focus groups of hospital nurses were conducted to elicit their perspectives on their role in medication … Three themes emerged: nurses' role involves chasing, checking, and educating; burden of undertaking medication

8544. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73200/psn-pdf
      April 28, 2021 - #13 Education is one of the most important means through which to empower physicians, trainees, and nurses … Educating trainees, nurses, and physicians regarding criteria for DKA and HHS, and management of type … These teams should include physicians, dieticians, pharmacists, nurses, and advanced practice providers

8545. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33822/psn-pdf
      January 01, 2017 - Rick engaged all of his people, literally everybody—the people who cleaned the rooms, clinicians, nurses … The nurses themselves discovered that, because they had all gone to different nursing schools and thought … patient because you didn't use the mechanical lift or there wasn't one available, they put you at the nurses

8546. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60172/psn-pdf
      March 01, 2021 - also 33 “near misses” in which incorrectly placed orders were caught, questioned, and corrected by nurses … In 2016, a survey of 503 nurses, physicians, IT practitioners, and CFOs/financial operations experts … The team consisted of physicians, nurses, administrative leaders, quality and patient safety staff,

8547. Oral medications inadvertently given via the intravenous route. | PSNet
      psnet.ahrq.gov/issue/oral-medications-inadvertently-given-intravenous-route
      December 19, 2016 - January 16, 2013 A performance improvement plan to increase nurse adherence to use of … View More See More About The Topic Hospitals Health Care Providers Nurse

8548. Developing an adverse event reporting system using administrative data. | PSNet
      psnet.ahrq.gov/issue/developing-adverse-event-reporting-system-using-administrative-data
      September 23, 2009 - March 12, 2011 Nurse burnout and patient safety outcomes: nurse safety perception versus

8549. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40541/psn-pdf
      July 22, 2011 - Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes. July 22, 2011 Lapane KL, Hughes C, Daiello LA, et al. Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to p…

8550. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34894/psn-pdf
      July 10, 2008 - Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. July 10, 2008 Lau DT, Kasper JD, Potter DEB, et al. Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. A…

8551. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73618/psn-pdf
      August 17, 2021 - New Horizons in Patient Safety. Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing. August 17, 2021 Hannawa AF, Wendt AL, Day LJ. Berlin, GER: Walter De Gruyter; 2018. ISBN: 9783110453041. https://psnet.ahrq.gov/issue/new-horizons-patient-safety-safe-communication-evidence-based-co…

8552. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33584/psn-pdf
      March 15, 2025 - For example, if a patient on a medical ward begins to deteriorate, the bedside nurse will need to communicate … Situation-Background-Assessment-Recommendation (SBAR) approach is widely used to facilitate communication between nurses

8553. Interprofessional learning for medication safety. | PSNet
      psnet.ahrq.gov/issue/interprofessional-learning-medication-safety
      September 23, 2020 - Commentary Interprofessional learning for medication safety. Citation Text: Hardisty J, Scott L, Chandler S, et al. Interprofessional learning for medication safety. Clin Teach. 2014;11(4):290-6. doi:10.1111/tct.12148. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

8554. Interprofessional Approaches to Patient Safety. | PSNet
      psnet.ahrq.gov/issue/interprofessional-approaches-patient-safety
      October 15, 2008 - August 22, 2007 Positive Working Relationships Matter for Better Nurse and Patient Outcomes

8555. Toolkit To Improve Safety for Mechanically Ventilated Patients. | PSNet
      psnet.ahrq.gov/issue/toolkit-improve-safety-mechanically-ventilated-patients
      October 01, 2024 - September 1, 2013 Evaluation of an evidence-based, nurse-driven checklist to prevent

8556. Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes. | PSNet
      psnet.ahrq.gov/issue/reporting-and-using-near-miss-events-improve-patient-safety-diverse-primary-care-practices
      June 22, 2011 - November 16, 2022 Physician and nurse well-being and preferred interventions to address

8557. When disasters strike the emergency department: a case series and narrative review. | PSNet
      psnet.ahrq.gov/issue/when-disasters-strike-emergency-department-case-series-and-narrative-review
      September 30, 2020 - December 16, 2020 Care quality, patient safety, and nurse outcomes at hospitals serving

8558. Talking about falls: a qualitative exploration of spoken communication of patients' fall risks in hospitals and implications for multifactorial approaches to fall prevention. | PSNet
      psnet.ahrq.gov/issue/talking-about-falls-qualitative-exploration-spoken-communication-patients-fall-risks
      July 20, 2022 - View More See More About The Topic Hospitals Geriatrics Orthopedic Surgery Nurse

8559. Sitters as a patient safety strategy to reduce hospital falls: a systematic review. | PSNet
      psnet.ahrq.gov/issue/sitters-patient-safety-strategy-reduce-hospital-falls-systematic-review
      March 08, 2023 - March 10, 2021 Nurse–patient ratios as a patient safety strategy: a systematic review

8560. Workarounds in electronic health record systems and the revised Sociotechnical Electronic Health Record Workaround Analysis Framework: scoping review. | PSNet
      psnet.ahrq.gov/issue/workarounds-electronic-health-record-systems-and-revised-sociotechnical-electronic-health
      October 05, 2022 - December 22, 2021 Nurse workarounds in the electronic health record: an integrative review