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9321. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73924/psn-pdf
      October 06, 2021 - Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement and regulation in three healthcare settings. October 6, 2021 Weenink J-W, Wallenburg I, Leistikow I, et al. Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement and…

9322. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837959/psn-pdf
      August 31, 2022 - A list of common products containing latex should be readily available for physicians, nurses, and technicians … Because medical, surgical, and nursing personnel will know whether there is a functional disadvantage … Prevalence of latex allergy in operating room nurses. 

9323. Poorly Advanced Directives | PSNet
      psnet.ahrq.gov/web-mm/poorly-advanced-directives
      August 01, 2018 - He saw a primary care physician, received home nurse visits, and had recently been referred to a geriatrician … (In some states, nurse practitioners and physician's assistants may sign the POLST form; other states

9324. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837417/psn-pdf
      June 15, 2022 - /issue/successful-anesthesia-patient-safety-officer https://psnet.ahrq.gov/issue/no-harm-found-when-nurse-anesthetists-work-without-supervision-physicians

9325. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844049/psn-pdf
      February 08, 2023 - A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. February 8, 2023 St Clair B, Jorgensen M, Nguyen A, et al. A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. Gerontol Geriatr Med. 2022;8:23337214221144192. doi:10.1…

9326. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44884/psn-pdf
      February 17, 2016 - Changes in default alarm settings and standard in-service are insufficient to improve alarm fatigue in an intensive care unit: a pilot project. February 17, 2016 Sowan AK, Gomez TM, Tarriela AF, et al. Changes in Default Alarm Settings and Standard In-Service are Insufficient to Improve Alarm Fatigue in an Intensi…

9327. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73062/psn-pdf
      January 01, 2022 - Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. March 25, 2021 Booth JP, Kennerly-Shah JM, Hartman AD. Description of the role of pharmacist independent double checks during cognitive order verification of outpatient …

9328. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865665/psn-pdf
      April 24, 2024 - Unveiling the hidden struggle of healthcare students as second victims through a systematic review. April 24, 2024 Mira JJ, Matarredona V, Tella S, et al. Unveiling the hidden struggle of healthcare students as second victims through a systematic review. BMC Med Educ. 2024;24(1):378. doi:10.1186/s12909-024-05336-y.…

9329. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45105/psn-pdf
      May 11, 2016 - Medicines management, medication errors and adverse medication events in older people referred to a community nursing service: a retrospective observational study. May 11, 2016 Elliott RA, Lee CY, Beanland C, et al. Medicines Management, Medication Errors and Adverse Medication Events in Older People Referred to …

9330. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846751/psn-pdf
      March 29, 2023 - High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review. March 29, 2023 El Hussein MT, Hirst SP. High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review. J Nurs Reg. 2023;13(4):54-65. doi:10.1016/s2155-8256(23)00028-5. https://psnet.ahrq.gov…

9331. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60757/psn-pdf
      August 05, 2020 - Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology. August 5, 2020 Lindblad M, Unbeck M, Nilsson L, et al. Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology. BMC Health Serv Res. 2020;20(1):289. doi:10.1186/s12913-020-05139-z…

9332. To Resuscitate or Not? | PSNet
      psnet.ahrq.gov/web-mm/resuscitate-or-not
      November 01, 2011 - 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.

9333. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73581/psn-pdf
      January 01, 2022 - a classification system to organize, prioritize, and discriminate alarm sounds in order to reduce nurse

9334. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45104/psn-pdf
      June 08, 2016 - psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue/effect-safe-zone-nurse-interruptions-distractions-and-medication-administration-errors

9335. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43634/psn-pdf
      November 05, 2014 - safety-numbers-lack-evidence-indicate-number-physicians-needed-provide-safe-acute-medical https://psnet.ahrq.gov/issue/nurse-staffing-and-inpatient-hospital-mortality

9336. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41643/psn-pdf
      September 05, 2012 - issue/patient-safety-leadership-walkrounds https://psnet.ahrq.gov/issue/effect-executive-walk-rounds-nurse-safety-climate-attitudes-randomized-trial-clinical-units

9337. Active Error (or Active Failure) | PSNet
      psnet.ahrq.gov/glossary/active-error-or-active-failure
      September 13, 2021 - orthopedist operating on the wrong leg) or figuratively be administering any kind of therapy (e.g., a nurse

9338. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867534/psn-pdf
      March 10, 2025 - psnet.ahrq.gov/issue/why-engineers-are-working-build-better-pulse-oximeters https://psnet.ahrq.gov/issue/does-nurse-use-standardized-flowsheet-document-communication-advanced-providers-provide

9339. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34673/psn-pdf
      December 23, 2008 - Medication errors were identified by self-report, nurse chart review, and medication sheet review.

9340. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60349/psn-pdf
      May 20, 2020 - issues with health care personnel communication, fatigue, or response (e.g., doctor was slow to arrive, nurse