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9361. Lessons from the Covid War: An Investigative Report. | PSNet
      psnet.ahrq.gov/issue/lessons-covid-war-investigative-report
      March 09, 2022 - Book/Report Lessons from the Covid War: An Investigative Report. Citation Text: Lessons from the Covid War: An Investigative Report. Covid Crisis Group. New York: Public Affairs; 2023. ISBN‏: ‎9781541703803. Copy Citation Save Save to your library Print …

9362. Human factors engineering: its place and potential in OR safety. | PSNet
      psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety
      May 24, 2017 - Commentary Human factors engineering: its place and potential in OR safety. Citation Text: Criscitelli T. Human factors engineering: its place and potential in OR safety. AORN J. 2015;101(5):571-3. doi:10.1016/j.aorn.2015.02.013. Copy Citation Format: DOI Google Scholar Pub…

9363. Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records. | PSNet
      psnet.ahrq.gov/issue/concordance-urgent-referral-guidelines-patients-presenting-any-six-alarm-features-possible
      February 17, 2021 - February 17, 2021 Nurse staffing, nursing assistants and hospital mortality: retrospective

9364. Communication between primary and secondary care: deficits and danger. | PSNet
      psnet.ahrq.gov/issue/communication-between-primary-and-secondary-care-deficits-and-danger
      September 23, 2020 - December 21, 2017 Post-operative mortality, missed care and nurse staffing in nine countries

9365. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49833/psn-pdf
      June 01, 2018 - After the thrombolytic was administered, the patient's nurse noticed multiple patches on the patient's … The nurse asked a pharmacy technician to perform medication reconciliation, which revealed that the … The nurse alerted the physician, who realized that the opioid overdose probably explained the patient's … In thinking about this case, the communication among the nurse, ED physician, and the neurologist as

9366. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49728/psn-pdf
      March 01, 2015 - While the medication mix-up was not identified by the dispensing pharmacist, the nurse responsible for … While comparing the medication order to the delivered medication, the nurse discovered that the incorrect … administration.( 3) If the order had been entered correctly, a BCMA alert likely would have signaled a nurse … the packaged dose will confirm the order as correct when it is not—perhaps even falsely reassuring a nurse

9367. Personal Health Literacy | PSNet
      psnet.ahrq.gov/primer/personal-health-literacy
      October 31, 2023 - Patient Safety Primers Simulation Training March 1, 2023 Nurse

9368. In Conversation With... Joel Willis, DO, PA, MA, MPhiL and Neal Sikka, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
      May 14, 2020 - protocols maybe you will have the ED resident, the ED attending, neurology resident, and the stroke nurse … Staying in communication with your patients and tapping into your medical assistants and nurses for follow-up … variety of healthcare services, including those provided by professionals other than physicians, such as nurses … This may require additional communication and outreach to the patient by nurses or medical assistants

9369. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840174/psn-pdf
      August 28, 2024 - use of the cardiopulmonary bypass machine, it is of utmost importance for physicians, perfusionists, nurses … harm, health care organizations should employ a trained response team who can support physicians, nurses

9370. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841305/psn-pdf
      January 27, 2023 - In a simulation scenario with real people, in their real roles, such as doctors, nurses, and pharmacists … The efforts of doctors, nurses, and others who interacted directly with patients have been heroic.

9371. Airway Obstruction during Anterior Cervical Spine Surgery | PSNet
      psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
      January 29, 2021 - is essential Good communication among the surgeon, the anesthesia team, the scrub and circulating nurses … Examining the views of operating room nurses and physicians on the relationship between professional

9372. Missed CANDOR Implementation Opportunities. | PSNet
      psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
      November 11, 2020 - use of the cardiopulmonary bypass machine, it is of utmost importance for physicians, perfusionists, nurses … unexpected harm, health care organizations should employ a trained response team who can support physicians, nurses

9373. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836942/psn-pdf
      April 27, 2022 - Nanji et al noted no difference in error rates between residents, physician staff, and nurse anesthetists … medication safeguards that make institutional sense; for example, checking by multiple physicians or nurses

9374. Identifying Adverse Events Not Present on Admission: Can We Do It? | PSNet
      psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
      October 01, 2008 - identified with selected PSIs, researchers at the University of Michigan found low agreement between nurse … quality revolution over the past 10 years is that trying to educate each of the 1000 physicians or 5000 nurses … stops that are built into electronic health records or involves a newly hired, present-on-admission nurse … Trying to get every doctor or nurse to remember to do these five things to prevent catheter-associated … there was precisely no incentive for medical schools, nursing schools, individual doctors, individual nurses

9375. Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool. | PSNet
      psnet.ahrq.gov/issue/enhancing-teamwork-communication-and-patient-safety-responsiveness-paediatric-intensive-care
      March 10, 2021 - March 24, 2021 Promoting patient and nurse safety: testing a behavioural health intervention

9376. A comparative effectiveness analysis of the implementation of surgical safety checklists in a tertiary care hospital. | PSNet
      psnet.ahrq.gov/issue/comparative-effectiveness-analysis-implementation-surgical-safety-checklists-tertiary-care
      December 20, 2023 - Retained Surgical Items: The RSI Bundle May 29, 2024 The role of an assistant nurse

9377. Patient-related factors associated with an increased risk of being a reported case of preventable harm in first-line health care: a case-control study | PSNet
      psnet.ahrq.gov/issue/patient-related-factors-associated-increased-risk-being-reported-case-preventable-harm-first
      October 09, 2019 - February 3, 2021 Care quality, patient safety, and nurse outcomes at hospitals serving

9378. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44117/psn-pdf
      December 04, 2016 - The authors found a decrease in hospital-acquired complications, better nurse perceptions of safety

9379. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47151/psn-pdf
      July 11, 2018 - frequency-intravenous-medication-administration-errors-related-smart-infusion-pumps https://psnet.ahrq.gov/issue/impact-traditional-and-smart-pump-infusion-technology-nurse-medication-administration

9380. Affordable Health Care for Floridians Act. | PSNet
      psnet.ahrq.gov/issue/affordable-health-care-floridians-act
      January 15, 2025 - January 15, 2025 Nurse Staffing Standards for Hospital Patient Safety and Quality Care