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8701. When doctors get the wrong patient. | PSNet
      psnet.ahrq.gov/issue/when-doctors-get-wrong-patient
      December 14, 2016 - May 21, 2013 UTMC nurse tossed out kidney, ruined it.

8702. Calculating the cost of medication errors: a systematic review of approaches and cost variables. | PSNet
      psnet.ahrq.gov/issue/calculating-cost-medication-errors-systematic-review-approaches-and-cost-variables
      November 06, 2024 - View More See More About The Topic Hospitals Hospital Medicine Nurse

8703. Hospitals Can Take Key Steps to Improve Safe Use of Digital Systems. | PSNet
      psnet.ahrq.gov/issue/hospitals-can-take-key-steps-improve-safe-use-digital-systems
      April 01, 2020 - Topic Hospitals Quality and Safety Professionals Information Professionals Medicine Nurse

8704. National Patient Safety Board Act of 2022. | PSNet
      psnet.ahrq.gov/issue/national-patient-safety-board-act-2022
      July 20, 2022 - January 15, 2025 Nurse Staffing Standards for Hospital Patient Safety and Quality Care

8705. Lay use of lasers fueling complications. | PSNet
      psnet.ahrq.gov/issue/lay-use-lasers-fueling-complications
      June 28, 2006 - Copy Citation Related Resources From the Same Author(s) Nurse error spotlights

8706. Patients should know who's operating, surgeons say. | PSNet
      psnet.ahrq.gov/issue/patients-should-know-whos-operating-surgeons-say
      May 15, 2024 - June 1, 2022 Nurse Vaught sentenced for deadly medical error.

8707. At Walgreens, complaints of medication errors go missing. | PSNet
      psnet.ahrq.gov/issue/walgreens-complaints-medication-errors-go-missing
      February 19, 2020 - February 27, 2013 Whistle-blowing nurse is acquitted in Texas.

8708. 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…

8709. 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…

8710. Remembering to learn: the overlooked role of remembrance in safety improvement. | PSNet
      psnet.ahrq.gov/issue/remembering-learn-overlooked-role-remembrance-safety-improvement
      February 28, 2024 - Commentary Remembering to learn: the overlooked role of remembrance in safety improvement. Citation Text: Macrae C. Remembering to learn: the overlooked role of remembrance in safety improvement. BMJ Qual Saf. 2017;26(8):678-682. doi:10.1136/bmjqs-2016-005547. Copy Citation Format:…

8711. 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…

8712. 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. …

8713. 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…

8714. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49723/psn-pdf
      January 01, 2015 - monitoring of all of the women in labor was displayed centrally on a large 40-inch monitor at the nurses … Two nurses at the nursing station were assigned to watch the monitor at the time of the concerning abnormalities … Previously when FHR tracings occurred only at the bedside, a nurse or physician would have to visit

8715. Do cell phones belong in the operating room? | PSNet
      psnet.ahrq.gov/issue/do-cell-phones-belong-operating-room
      September 01, 2016 - August 21, 2013 UTMC nurse tossed out kidney, ruined it.

8716. The Richard and Hinda Rosenthal Lecture 2011: New Frontiers in Patient Safety. | PSNet
      psnet.ahrq.gov/issue/richard-and-hinda-rosenthal-lecture-2011-new-frontiers-patient-safety
      July 27, 2011 - May 22, 2019 When a nurse is prosecuted for a fatal medical mistake, does it make medicine

8717. How-to Guide: Multidisciplinary Rounds. | PSNet
      psnet.ahrq.gov/issue/how-guide-multidisciplinary-rounds
      July 12, 2017 - September 30, 2015 Unit-based care teams and the frequency and quality of physician–nurse

8718. Handoff communication before and after I-PASS implementation in nursing. | PSNet
      psnet.ahrq.gov/did-you-know/handoff-communication-and-after-i-pass-implementation-nursing
      January 01, 2017 - Handoff communication before and after I-PASS implementation in nursing. More Share Facebook Twitter Linkedin Email Print Source: Starmer AJ, Schnock KO, Lyons A, et al. Effects of the I-PASS nursing handoff bundle…

8719. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36268/psn-pdf
      May 04, 2015 - Focus on Patient Safety. May 4, 2015 Annu Rev Nurs Res. 2006;24:1-331. https://psnet.ahrq.gov/issue/focus-patient-safety This volume includes research and reviews related to patient safety standards and practices in nursing. https://psnet.ahrq.gov/issue/focus-patient-safety https://psnet.ahrq.gov/primer/nursi…

8720. One Dose, Fifty Pills | PSNet
      psnet.ahrq.gov/web-mm/one-dose-fifty-pills
      January 13, 2021 - physicians might well have heeded the warning of the pharmacist or taken the advice of experienced nurses … legal obligation” to report minor patient issues to a physician, or focused on reducing “unnecessary” nurse … In our program, having a senior nurse and chief resident occasionally monitor “calls” has improved the … quality of nurse-resident communication.