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psnet.ahrq.gov/web-mm/case-mistaken-intubation
July 01, 2016 - Indeed, nurses and paramedics are obligated to resuscitate all patients in cardiopulmonary arrest unless … November 16, 2022
Physician and nurse well-being and preferred interventions to address
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psnet.ahrq.gov/node/49428/psn-pdf
January 01, 2004 - The nurse taking care of both patients realized the error after she went to give the other patient his … After noticing the error, the nurse called the
covering physician.
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psnet.ahrq.gov/web-mm/near-miss-bedside-medications
February 01, 2006 - An example would be if a nurse were to pick up the wrong syringe and inject the patient with atropine … For example, the nurse discharging the patient from the ED might have asked the patient to show her/him … all of the frontline health care workers involved in the incident, including the ED physician, the ED nurse … standard procedure so that at discharge, all medications are packed together under the supervision of a nurse
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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
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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
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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.
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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.…
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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.
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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.
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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…
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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.
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psnet.ahrq.gov/node/33631/psn-pdf
April 01, 2006 - health
care world in which a physician always knew which drug was best to give to her patient and a nurse … psnet.ahrq.gov//#ref9
provide preventative care (eg, immunizations), and partner with physicians and nurses
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psnet.ahrq.gov/perspective/patient-safety-home-dialysis
April 28, 2021 - extra water from the body. 2 Patients may receive dialysis at a dedicated facility under the care of a nurse … a potential error occur. 7 , 8 Training may be delivered by a multidisciplinary team, including a nurse … this at home and would much rather go somewhere with all the “experts,” with the training staff or the nurse … treatment session, an app will record the treatment, patients can provide comments on the treatment, and nurses … 8, 2024
The challenge of risk prevention in home healthcare-an interview study with nurses
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psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
January 05, 2017 - Nurse–pharmacist collaboration is another potential way to more accurately reconcile discrepancies.( … It would also have the nurse and/or pharmacist conduct patient education, preferably using the "teach … A follow-up appointment with the PCP, nurse/pharmacist home visit, and sharing of updated discharge medication … Nurse—pharmacist collaboration on medication reconciliation prevents potential harm.
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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
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psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
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 … nosocomial catheter-associated urinary tract infections through computerized feedback to physicians and a nurse-directed
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psnet.ahrq.gov/issue/cognitive-systems-engineering-health-care
October 11, 2016 - October 11, 2016
Healthcare Safety for Nursing Personnel: An Organizational Guide to
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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
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psnet.ahrq.gov/node/38719/psn-pdf
June 17, 2009 - Crit Care Nurse.
2009;29(3):66-75; quiz 76. doi:10.4037/ccn2009802.
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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