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8741. 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…

8742. 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. …

8743. 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…

8744. 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…

8745. 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:…

8746. 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…

8747. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40468/psn-pdf
      May 26, 2011 - newspaper article reports on efforts to reduce errors in emergency medicine, including improving physician–nurse

8748. Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy | PSNet
      psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
      July 01, 2008 - Late on day 2 of the admission, it was discovered that the admitting nurse and resident in the pediatric … An experienced pediatric nurse, clinician, or medical assistant may also recognize when a weight seems

8749. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866578/psn-pdf
      August 28, 2024 - Late on day 2 of the admission, it was discovered that the admitting nurse and resident in the pediatric … An experienced pediatric nurse, clinician, or medical assistant may also recognize when a weight seems

8750. Developing and implementing a standardized process for Global Trigger Tool application across a large health system. | PSNet
      psnet.ahrq.gov/issue/developing-and-implementing-standardized-process-global-trigger-tool-application-across-large
      July 18, 2017 - September 23, 2020 Physician and nurse well-being and preferred interventions to address … June 18, 2014 Electronic error-reporting systems: a case study into the impact on nurse

8751. Rates of medication errors among depressed and burnt out residents: prospective cohort study. | PSNet
      psnet.ahrq.gov/issue/rates-medication-errors-among-depressed-and-burnt-out-residents-prospective-cohort-study
      April 11, 2011 - March 13, 2019 Unit-based care teams and the frequency and quality of physician–nurse … June 29, 2022 View More Related Resources Resident and nurse perspectives

8752. Emerging trends in perinatal quality and risk with recommendations for patient safety. | PSNet
      psnet.ahrq.gov/issue/emerging-trends-perinatal-quality-and-risk-recommendations-patient-safety
      October 19, 2022 - April 12, 2023 Nurse-physician communication during labor and birth: implications for

8753. Impact of drug shortages on U.S. health systems. | PSNet
      psnet.ahrq.gov/issue/impact-drug-shortages-us-health-systems
      September 02, 2016 - November 29, 2023 Physician and nurse well-being and preferred interventions to address

8754. Quality: performance improvement, teamwork, information technology and protocols. | PSNet
      psnet.ahrq.gov/issue/quality-performance-improvement-teamwork-information-technology-and-protocols
      November 03, 2015 - December 15, 2021 Physician and nurse well-being and preferred interventions to address

8755. Mastering improvement science skills in the new era of quality and safety: the Veterans Affairs National Quality Scholars Program. | PSNet
      psnet.ahrq.gov/issue/mastering-improvement-science-skills-new-era-quality-and-safety-veterans-affairs-national
      December 12, 2012 - June 26, 2019 Wake-up call: night shifts adversely affect nurse health and retention,

8756. Using care bundles to reduce in-hospital mortality: quantitative survey. | PSNet
      psnet.ahrq.gov/issue/using-care-bundles-reduce-hospital-mortality-quantitative-survey
      April 25, 2018 - December 11, 2024 An evaluation of a collaborative, safety focused, nurse–pharmacist

8757. Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. | PSNet
      psnet.ahrq.gov/issue/failure-follow-medication-changes-made-hospital-discharge-associated-adverse-events-30-days
      October 16, 2019 - February 9, 2022 Effects of nurse-to-patient ratio legislation on nurse staffing and

8758. A case study on the safety impact of implementing smart patient-controlled analgesic pumps at a tertiary care academic medical center. | PSNet
      psnet.ahrq.gov/issue/case-study-safety-impact-implementing-smart-patient-controlled-analgesic-pumps-tertiary-care
      August 31, 2016 - June 12, 2013 Smart pumps: implications for nurse leaders.

8759. Measuring perinatal patient safety: review of current methods. | PSNet
      psnet.ahrq.gov/issue/measuring-perinatal-patient-safety-review-current-methods
      October 19, 2022 - April 12, 2023 Nurse-physician communication during labor and birth: implications for

8760. Advocate Health Care: a systemwide approach to quality and safety. | PSNet
      psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety
      July 19, 2023 - Download Citation Related Resources From the Same Author(s) Physician and nurse