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  1. 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.

  2. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-337
    April 27, 2022 - Newspaper/Magazine Article Nurses: Guilty verdict for dosing mistake could cost lives … The recent conviction of a nurse involved in the death of a patient has raised concerns that clinicians

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49621/psn-pdf
    March 01, 2011 - His total urine output overnight as documented by the nurse was 50 mL (a low urine output given his … The night nurse communicated the minimal intake of fluids and poor urine output to the day nurse at the … The day nurse, busy caring for other patients, failed to appreciate the significance of the low intake … His aunt assumed this was due to the viral infection, and the child was not evaluated by the nurse during … No pediatric provider, physician, pharmacist, or nurse can rely on an intuitive sense or prior experience

  4. Implementing a Fall Prevention Program | PSNet

    psnet.ahrq.gov/perspective/implementing-fall-prevention-program
    November 29, 2023 - wristbands does not in itself prevent falls.( 22 ) Even the basics of fall prevention, such as keeping nurse … Bring together the range of health care staff who can contribute to fall prevention, including doctors, nurses … Nurse staffing and patient falls on acute care hospital units. Nurs Outlook. 2004;52:53-59.

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33910/psn-pdf
    May 01, 2016 - quick-tips-when-getting-prescription This Web site suggests questions that all patients should ask a physician, nurse

  6. NPSD Data Spotlight, Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency, 2021. | PSNet

    psnet.ahrq.gov/issue/npsd-data-spotlight-patient-safety-and-covid-19-qualitative-analysis-concerns-during-public
    February 15, 2023 - Book/Report NPSD Data Spotlight, Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency, 2021. Citation Text: NPSD Data Spotlight, Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency, 2021. Rockvil…

  7. Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. | PSNet

    psnet.ahrq.gov/issue/investigating-improvement-five-strategies-ensure-national-patient-safety-investigations
    February 28, 2024 - Commentary Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. Citation Text: Macrae C. Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. J R Soc Med.…

  8. The problem with incident reporting. | PSNet

    psnet.ahrq.gov/issue/problem-incident-reporting
    February 28, 2024 - Commentary The problem with incident reporting. Citation Text: Macrae C. The problem with incident reporting. BMJ Qual Saf. 2016;25(2):71-75. doi:10.1136/bmjqs-2015-004732. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  9. Drive to Deprescribe. | PSNet

    psnet.ahrq.gov/issue/drive-deprescribe
    August 19, 2020 - Multi-use Website Drive to Deprescribe. Citation Text: Drive to Deprescribe. The Society for Post-Acute and Long-Term Care Medicine. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  10. Can we import improvements from industry to healthcare? | PSNet

    psnet.ahrq.gov/issue/can-we-import-improvements-industry-healthcare
    October 30, 2010 - Commentary Can we import improvements from industry to healthcare? Citation Text: Macrae C, Stewart K. Can we import improvements from industry to healthcare? BMJ. 2019;364:l1039. doi:10.1136/bmj.l1039. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

  11. Governing the safety of artificial intelligence in healthcare. | PSNet

    psnet.ahrq.gov/issue/governing-safety-artificial-intelligence-healthcare
    February 28, 2024 - Review Emerging Classic Governing the safety of artificial intelligence in healthcare. Citation Text: Macrae C. Governing the safety of artificial intelligence in healthcare. BMJ Qual Saf. 2019;28(6):495-498. doi:10.1136/bmjqs-2019-009484. Copy Citation Fo…

  12. Medication error identification rates by pharmacy, medical, and nursing students. | PSNet

    psnet.ahrq.gov/issue/medication-error-identification-rates-pharmacy-medical-and-nursing-students
    June 02, 2021 - Study Medication error identification rates by pharmacy, medical, and nursing students. Citation Text: Warholak TL, Queiruga C, Roush R, et al. Medication error identification rates by pharmacy, medical, and nursing students. Am J Pharm Educ. 2011;75(2):24. Copy Citation Format: …

  13. The Forgotten Turn | PSNet

    psnet.ahrq.gov/web-mm/forgotten-turn
    August 01, 2018 - The day nurse found the patient to be confused but oriented, pleasant, and clinically stable; the patient … The nurse began his admission assessment but was interrupted multiple times because of acute issues with … In mid-afternoon, the nurse and patient care assistant came to turn and bathe the patient, and discovered … Empowerment of the bedside nurse as the focal point for protecting patients along with strong support … Susan Barbour, RN, MS, FNP Clinical Nurse Specialist University of California San Francisco Medical

  14. Sick and Pregnant | PSNet

    psnet.ahrq.gov/web-mm/sick-and-pregnant
    August 25, 2021 - The admitting nurse received a report from the ED nurse, but again, the patient's pregnancy status was … First, if the ED nurse and physician had simply stated the pregnancy status as part of the transfer of … Third, the nurse administering the medication could have verified the patient's pregnancy by asking the … Take-Home Points All health care providers (physicians, pharmacists, nurses, dentists, etc.) should

  15. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
    January 01, 2022 - yet seen the CXR – The attending physician left the PACU without communicating with the bedside nurse … – The patient informed the nurse that the attending physician had no concerns. … • While preparing the patient for discharge, the nurse paged the fellow requesting discharge orders … • The bedside nurse presumed the CXR was read as normal after hearing from the patient that the attending … as transfers of patients between procedure suites and post-care units, subsequent handoffs between nurses

  16. Baby's death spotlights safety risks linked to computerized systems. | PSNet

    psnet.ahrq.gov/issue/babys-death-spotlights-safety-risks-linked-computerized-systems
    December 05, 2018 - August 9, 2017 Unit-based care teams and the frequency and quality of physician–nurse

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39355/psn-pdf
    June 27, 2011 - Adverse events experienced by homecare patients: a scoping review of the literature. June 27, 2011 Masotti P, McColl MA, Green M. Adverse events experienced by homecare patients: a scoping review of the literature. Int J Health Care Qual. 2010;22(2):115-125. doi:10.1093/intqhc/mzq003. https://psnet.ahrq.gov/issue/…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37867/psn-pdf
    June 25, 2008 - materials for hospital units interested in adopting the transforming care at the bedside (TCAB) model of nurse-initiated

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33607/psn-pdf
    September 27, 2022 - mistreatment than male physicians.6,7   Multiple studies have also reported high prevalence of burnout among nurses … psnet.ahrq.gov//#4 https://psnet.ahrq.gov//#5 https://psnet.ahrq.gov//#6 https://psnet.ahrq.gov/issue/hospital-nurse-staffing-and-patient-mortality-nurse-burnout-and-job-dissatisfaction … utilizing-a-systems-and-design-thinking-approach-for-improving-well-being-within-health-professions-education-and-health-care/ https://psnet.ahrq.gov//#11 https://psnet.ahrq.gov/issue/increased-risk-burnout-physicians-and-nurses-involved-patient-safety-incident

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33676/psn-pdf
    November 01, 2008 - the University of Michigan did not yet have CPOE (we do now), so we used a written reminder where a nurse … Others have also studied the urinary catheter reminder using a nurse-based reminder system, specifically … For example, would intermittent catheterization, either done by a patient, a nurse, or a nursing aide
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