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8581. Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look. | PSNet
      psnet.ahrq.gov/issue/medicare-part-d-beneficiaries-serious-risk-opioid-misuse-or-overdose-closer-look
      August 09, 2017 - Book/Report Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look. Citation Text: Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look. HHS OIG Data Brief. Washington DC; Office of the Inspector General: May 4, 2020…

8582. Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23-27, 2020. | PSNet
      psnet.ahrq.gov/issue/hospital-experiences-responding-covid-19-pandemic-results-national-pulse-survey-march-23-27
      December 23, 2020 - Book/Report Classic Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23-27, 2020. Citation Text: Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23-27, 2020. Was…

8583. Early warnings, weak signals and learning from healthcare disasters. | PSNet
      psnet.ahrq.gov/issue/early-warnings-weak-signals-and-learning-healthcare-disasters
      February 28, 2024 - Commentary Early warnings, weak signals and learning from healthcare disasters. Citation Text: Macrae C. Early warnings, weak signals and learning from healthcare disasters. BMJ Qual Saf. 2014;23(6):440-5. doi:10.1136/bmjqs-2013-002685. Copy Citation Format: DOI Google Scho…

8584. Learning from patient safety incidents: creating participative risk regulation in healthcare. | PSNet
      psnet.ahrq.gov/issue/learning-patient-safety-incidents-creating-participative-risk-regulation-healthcare
      February 28, 2024 - Commentary Learning from patient safety incidents: creating participative risk regulation in healthcare. Citation Text: Macrae C. Learning from patient safety incidents: Creating participative risk regulation in healthcare. Health Risk Soc. 2008;10(1). doi:10.1080/13698570701782452. …

8585. Patients went into the hospital for care. After testing positive there for Covid, some never came out. | PSNet
      psnet.ahrq.gov/issue/patients-went-hospital-care-after-testing-positive-there-covid-some-never-came-out
      January 26, 2022 - Newspaper/Magazine Article Patients went into the hospital for care. After testing positive there for Covid, some never came out. Citation Text: Patients went into the hospital for care. After testing positive there for Covid, some never came out. Jewett C. Kaiser Health News. November 4…

8586. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865656/psn-pdf
      April 24, 2024 - Due to the urgency of the situation, the primary nurse overrode the automated dispensing unit and mistakenly … The primary nurse discovered the medication error, reported it to the medical team, and flumazenil was … medication orders spoken aloud or via telephone by a provider to another healthcare provider (typically a nurse … Mitigation Strategies for Recipients of Verbal Orders Readback and confirmation should be performed by the nurse … For example, a nurse may anticipate delayed or https://psnet.ahrq.gov//#8 https://psnet.ahrq.gov//#6

8587. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851099/psn-pdf
      June 28, 2023 - The assigned nurse left the bedside momentarily to attend to other orders. … Fifteen minutes later, the patient’s nurse identified the misconnection, returned the vancomycin drip … a vein rather than in an artery.5 Erroneous and unintentional direct injection into an artery by a nurse … This information should be clearly communicated to the bedside nurse as well. … Impact of nurse staffing on patient and nurse workforce outcomes in acute care settings in low- and

8588. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49844/psn-pdf
      October 01, 2018 - The ICU nurse placed the patient on a cardiac monitor and immediately noticed a sine wave—a dangerous … It turned out that the dialysis nurse had been told to start dialysis after the patient was physically … psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references providers, the deployment of pool nurses

8589. Managing the Risks of Organizational Accidents. | PSNet
      psnet.ahrq.gov/issue/managing-risks-organizational-accidents
      May 13, 2011 - July 22, 2019 Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving

8590. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35071/psn-pdf
      November 04, 2015 - https://psnet.ahrq.gov/issue/implementation-cpoe-and-medication-errors In this editorial, a nurse informaticist

8591. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36389/psn-pdf
      February 18, 2019 - Journal of the American Association of Nurse Practitioners. 2013;25(8):415-8. doi:10.1111/1745- 7599.12021

8592. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33594/psn-pdf
      November 18, 2021 - The case of Nurse JA (see box below) will be used throughout this primer to illustrate implementation … Nurse JA is the clinical nurse supervisor on a trauma unit. … Recent literature suggests the utility of a charge nurse or shift leader simply ‘checking in’ on the

8593. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33752/psn-pdf
      August 01, 2013 - burnout-and-satisfaction-work-life-balance-among-us-physicians-relative-general-us-population https://psnet.ahrq.gov/issue/hospital-nurse-staffing-and-patient-mortality-nurse-burnout-and-job-dissatisfaction … nurses meet the criteria for severe emotional exhaustion or burnout. … face-to-face meeting with all the executives, the sponsors of the units, physician champions, the nurse … in the hallway getting a cup of coffee between some of the sessions, I was literally attacked by a nurse … I'll go back to that hallway interaction with that nurse as something that really changed the course

8594. Crisis in the Lakeshore Hospital ER. | PSNet
      psnet.ahrq.gov/issue/crisis-lakeshore-hospital-er
      March 15, 2022 - Factors contributing to the deaths discussed include nurse shortages , inconsistent oversight, and poor

8595. Staying safe while getting well. | PSNet
      psnet.ahrq.gov/issue/staying-safe-while-getting-well
      February 05, 2014 - 3, 2008 View More See More About The Topic Hospitals Medicine Nurse

8596. Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. | PSNet
      psnet.ahrq.gov/issue/unlocking-solutions-imaging-working-together-learn-failings-nhs
      October 07, 2020 - Care Executives and Administrators Quality and Safety Professionals Medicine Radiology Nurse

8597. Removing the "me" from "MD." | PSNet
      psnet.ahrq.gov/issue/removing-me-md
      July 18, 2016 - Recounting what one medical student learned by shadowing a nurse, this commentary emphasizes the importance

8598. ‘Fear of falling’: how hospitals do even more harm by keeping patients in bed. | PSNet
      psnet.ahrq.gov/issue/fear-falling-how-hospitals-do-even-more-harm-keeping-patients-bed
      October 26, 2011 - View More See More About The Topic Hospitals Quality and Safety Professionals Nurse

8599. Toolkit for Preventing CLABSI and CAUTI in ICUs. | PSNet
      psnet.ahrq.gov/issue/toolkit-preventing-clabsi-and-cauti-icus
      December 24, 2008 - October 18, 2011 Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired

8600. The safety culture in a children's hospital. | PSNet
      psnet.ahrq.gov/issue/safety-culture-childrens-hospital
      October 06, 2011 - October 21, 2020 Techniques to improve patient safety in hospitals: what nurse administrators