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  1. Volume Too Low: In and Out | PSNet

    psnet.ahrq.gov/web-mm/volume-too-low-and-out
    July 01, 2017 - His total urine output overnight as documented by the nurse was 50 mL (a low urine output given his weight … 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

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36610/psn-pdf
    January 14, 2011 - Home Healthc Nurse. 2007;25(1):59-62.

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851071/psn-pdf
    June 28, 2023 - inside-preventable-deaths-happened-within-prominent-transplant-center https://psnet.ahrq.gov/issue/utmc-nurse-tossed-out-kidney-ruined-it-national-experts-say-error-rare

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36521/psn-pdf
    January 07, 2011 - Clin Nurse Spec. 2006;20(6):298-306.

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39626/psn-pdf
    June 23, 2010 - how incorporating pharmacy technicians in medication delivery at the bedside successfully improved nurse–pharmacist

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41682/psn-pdf
    September 19, 2012 - https://psnet.ahrq.gov/issue/impact-unit-based-patient-safety-officer A unit-based nurse patient safety

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33572/psn-pdf
    September 07, 2019 - qi-initiative-implementing-patient-handoff-checklist-pediatric-hospitalist-attendings https://psnet.ahrq.gov/issue/essential-elements-nurses-have-address-promote-safe-discharge-paediatrics-systematic-review

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33566/psn-pdf
    September 07, 2019 - //psnet.ahrq.gov/curated-library/interdisciplinary-teamwork https://psnet.ahrq.gov/issue/supporting-nurses-acute-and-emergency-care-settings-speak

  9. Strategies to Improve Organizational Health Literacy. | PSNet

    psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
    August 30, 2023 - Strategies to Improve Organizational Health Literacy. Citation Text: Seidel E, Cortes T, Chong C. Strategies to Improve Organizational Health Literacy.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format:…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853250/psn-pdf
    September 06, 2023 - pattern of dismissal of patient concerns that resulted in harm and allowed fentanyl diversion by a nurse

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42850/psn-pdf
    May 21, 2019 - delivery wards appears to be suboptimal based on this survey, which found that nearly all physician, nurse

  12. Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting. | PSNet

    psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-clinical-decision-support-adverse-drug-events-long
    February 26, 2009 - Study Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting. Citation Text: Gurwitz JH, Field T, Rochon P, et al. Effect of computerized provider order entry with clinical decision support on adverse drug events …

  13. Evaluation of the association between Hospital Survey on Patient Safety Culture (HSOPS) measures and catheter-associated infections: results of two national collaboratives. | PSNet

    psnet.ahrq.gov/issue/evaluation-association-between-hospital-survey-patient-safety-culture-hsops-measures-and
    December 21, 2017 - Study Evaluation of the association between Hospital Survey on Patient Safety Culture (HSOPS) measures and catheter-associated infections: results of two national collaboratives. Citation Text: Meddings J, Reichert H, Greene T, et al. Evaluation of the association between Hospital Survey…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764406/psn-pdf
    March 02, 2022 - Patient safety assurance in the age of defensive medicine: a review. March 2, 2022 Shenoy A, Shenoy GN, Shenoy GG. Patient safety assurance in the age of defensive medicine: a review. Patient Saf Surg. 2022;16(1):10. doi:10.1186/s13037-022-00319-8. https://psnet.ahrq.gov/issue/patient-safety-assurance-age-defensiv…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46622/psn-pdf
    December 06, 2017 - White paper on recommendation for systems-based practice competency. December 6, 2017 Stalter AM, Phillips JM, Dolansky MA. QSEN Institute RN-BSN Task Force: White Paper on Recommendation for Systems-Based Practice Competency. J Nurs Care Qual. 2017;32(4):354-358. doi:10.1097/NCQ.0000000000000262. https://psnet.a…

  16. Safety-relevant mode confusions—modelling and reducing them. | PSNet

    psnet.ahrq.gov/issue/safety-relevant-mode-confusions-modelling-and-reducing-them
    April 28, 2021 - home care: a multicenter cross-sectional study about medication errors and medication management of nurses … March 24, 2021 Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49778/psn-pdf
    December 01, 2016 - The report was received by the nurse and relayed to the covering resident. … that the information about the positive yeast culture had been correctly called in to the bedside nurse … occurs when responsibility for each patient is provided by a team including one or more physicians, nurses … Multidisciplinary ICU team rounds improve care.(12) Had this care model been in place, it is likely that an ICU nurse

  18. In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety | PSNet

    psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
    August 30, 2023 - Patricia McGaffigan: I am a nurse with a diverse background that includes clinical practice in pediatric … Johnson foundation to attract, support, and strengthen a thriving and diverse nursing workforce through nurse-led … Jt Comm J Qual Patient Saf . 2021;47(11):696-703. doi:10.1016/j.jcjq.2021.08.011 American Nurses Foundation … Pulse on the Nation’s Nurses Survey Series: 2022 Workplace Survey . Accessed June 16, 2023.

  19. 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

  20. 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
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