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  1. ISQua 2013: Edinburgh Recorded Sessions. | PSNet

    psnet.ahrq.gov/issue/isqua-2013-edinburgh-recorded-sessions
    November 02, 2011 - November 18, 2020 Care quality, patient safety, and nurse outcomes at hospitals serving

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50843/psn-pdf
    January 29, 2020 - Unfortunately, the free-text comment was missed both by the pharmacist and the ICU nurse, resulting … was primarily related to a breakdown in communication among the nephrologist, intensivist, bedside nurse … with free-text instructions, but these instructions were missed by the pharmacist and the bedside nurse … the loop by clarifying the recommendation with the nephrologist and, subsequently, with the bedside nurse

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49686/psn-pdf
    May 01, 2013 - Although the vascular access nurse disagreed and advised that the port should be used for vascular access … In return, it appears that the vascular access nurse did not have the necessary tools to engage the … leadership skills such as conflict resolution might have listened more carefully to the vascular access nurse … A nurse versed in communicating safety concerns may have conveyed a more effective message.

  4. Request for Information Regarding the Impact of Ageism in Healthcare. | PSNet

    psnet.ahrq.gov/issue/request-information-regarding-impact-ageism-healthcare
    January 15, 2025 - Press Release/Announcement Request for Information Regarding the Impact of Ageism in Healthcare. Citation Text: Request for Information Regarding the Impact of Ageism in Healthcare. Agency for Healthcare Quality and Research. Fed Register. December 27, 2024. 89:105605-105606. Copy Cita…

  5. Achieving a successful patient safety program with implementation of a harm reduction strategy. | PSNet

    psnet.ahrq.gov/issue/achieving-successful-patient-safety-program-implementation-harm-reduction-strategy
    February 22, 2023 - May 1, 2019 Design of an evidence-based "second victim" curriculum for nurse anesthetists

  6. Microsoft PowerPoint - FINAL Dec Spotlight_Code Status vs Care Status.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-12/final_dec_spotlight_code_status_vs_care_status.pdf
    January 01, 2020 - Research shows that when a patient has a DNR order, not only do the attitudes of their physicians and nurses … change, but actual care deteriorates as well (nurses call doctors less often, care is escalated less … Chronic hospital nurse understaffing meets COVID-19: an observational study.

  7. Silent Pain in the Neck | PSNet

    psnet.ahrq.gov/web-mm/silent-pain-neck
    August 19, 2020 - The nurse notified the covering physician, who asked about stridor or other respiratory symptoms. … The nurse contacted the in-house intensivist, who evaluated the patient and once again found no evidence … April 1, 2019 Can your nurses stop a surgeon?

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836839/psn-pdf
    March 31, 2022 - dataset derived from the Hospital Survey on Patient Safety Culture™ (SOPS®)5  provided evidence that nurse … There is some evidence of an inverse correlation between psychological safety and nurse burnout,6  and … Curbing nurses’ burnout during COVID-19: the roles of servant leadership and psychological safety.

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33723/psn-pdf
    December 01, 2011 - wristbands does not in itself prevent falls.(22) Even the basics of fall prevention, such as keeping nurse … 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.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840166/psn-pdf
    November 16, 2022 - Polypharmacy. November 16, 2022 Schneider E, Koretz BK, eds. Clin Geriatr Med. 2022;38(4):621-732. https://psnet.ahrq.gov/issue/polypharmacy-0 Polypharmacy is a known contributor to medication complexity and error. This special issue examines the impact unnecessary medications have in a variety of care environment…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41578/psn-pdf
    October 09, 2013 - Improving Patient Safety in Long-Term Care Facilities: Training Modules. October 9, 2013 Taylor SL, Saliba D. Rockville, MD: Agency for Healthcare Research and Quality; July 2012. AHRQ Publication No. 12-0001. https://psnet.ahrq.gov/issue/improving-patient-safety-long-term-care-facilities-training-modules This se…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40755/psn-pdf
    March 02, 2012 - fall-prevention-hospitals-integrative-review Analyzing literature on fall prevention, this review provides evidence to guide nurse

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49556/psn-pdf
    March 01, 2008 - Therefore, the nurse gave the medication to the patient when he returned to the intensive care unit … If a hold order does not provide specific restarting parameters, the nurse or pharmacist should clarify … These types of orders transfer the responsibility of determining the patients' medications to nurses

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36516/psn-pdf
    January 07, 2011 - researchers used observational methods to identify types of medication errors and found few errors in the nurse

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38719/psn-pdf
    June 17, 2009 - Crit Care Nurse. 2009;29(3):66-75; quiz 76. doi:10.4037/ccn2009802.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42756/psn-pdf
    November 20, 2013 - https://psnet.ahrq.gov/issue/removing-me-md Recounting what one medical student learned by shadowing a nurse

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37645/psn-pdf
    March 26, 2008 - discusses how one hospital implemented a rapid response team consisting of a hospitalist, advance practice nurse

  18. The Magnetic Deflection | PSNet

    psnet.ahrq.gov/web-mm/magnetic-deflection
    November 18, 2016 - The MRI staff informed the bedside nurse that the patient could be brought down for the study. … Nevertheless, the physician told the nurse that the study was urgent and the patient should be taken … The nurse decided to check the patient's blood pressure one more time before leaving her and found that … Essentially functioning as a "red rule," similar to how operating room nurses ensure that all are properly

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41422/psn-pdf
    June 06, 2012 - Clin Nurse Spec. 2012;26(3):169-76. doi:10.1097/NUR.0b013e3182503fbe.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36428/psn-pdf
    December 22, 2010 - medical-errors-where-are-we-now The authors discuss the Patient Safety and Quality Improvement Act of 2005 and the role nurse
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