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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33579/psn-pdf
    September 15, 2024 - Computer monitors in the operating room had been placed in such a way that viewing them forced nurses

  2. Accountability in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/accountability-patient-safety
    January 01, 2018 - A recent survey of physicians, nurses, medical students, and hospital patients found that both health

  3. Measurement of Patient Safety | PSNet

    psnet.ahrq.gov/primer/measurement-patient-safety
    September 15, 2024 - Capture a non-representative fraction of adverse events (in hospitals, most reports are submitted by nurses

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60167/psn-pdf
    April 12, 2024 - for staff as well as outline processes to improve the discharge process and reduce readmissions.9 Nurses

  5. Unintended Consequences of CPOE | PSNet

    psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
    September 01, 2004 - system, they would have shown a more complex process in which a provider enters an order, and then the nurses … For example, given an incompletely specified order, an expert nurse might recognize the issue and know … medication administration systems has similarly been noted to disrupt existing patterns of physician–nurse–pharmacy

  6. Human Factors Engineering Can Teach You How to Be Surprised Again | PSNet

    psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
    November 01, 2006 - In the central line case, perhaps you thought that the nurse should have warned the physician before … I know that nurses have a horrible time keeping track of that. … We need to have that in a hospital, where nurses can critique physicians and even surgeons—and where

  7. In Conversation With...Donald A. Norman, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
    November 01, 2006 - I know that nurses have a horrible time keeping track of that. … We need to have that in a hospital, where nurses can critique physicians and even surgeons—and where … In the central line case, perhaps you thought that the nurse should have warned the physician before

  8. In Conversation With… Wanda Pratt, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-wanda-pratt-phd
    November 01, 2017 - systems that were designed to have taken what was already designed for a clinician's interface, for nurses … solved by different companies—that the company that built an electronic health record for doctors and nurses … But are there other more subtle differences in how you design for a patient than for a nurse or a doctor

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50614/psn-pdf
    October 30, 2019 - Insertion was quickly moving to nurse-led teams, but I didn't see any substantive research from inserters … disciplines such as radiology, cancer, infectious diseases, pharmacy, surgeons, and vascular access nurses … But to get there, we need to truly empower and enable vascular access teams and nurses.

  10. The Role of Patient-facing Technologies to Empower Patients and Improve Safety | PSNet

    psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety
    November 01, 2017 - systems that were designed to have taken what was already designed for a clinician's interface, for nurses … solved by different companies—that the company that built an electronic health record for doctors and nurses … But are there other more subtle differences in how you design for a patient than for a nurse or a doctor

  11. Sent home to die. | PSNet

    psnet.ahrq.gov/issue/sent-home-die
    April 22, 2020 - Newspaper/Magazine Article Sent home to die. Citation Text: Waldman A, Kaplan J. Sent home to die. ProPublica. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save S…

  12. Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. | PSNet

    psnet.ahrq.gov/issue/overview-environmental-scan-primary-care-based-effort-reduce-readmissions
    November 01, 2016 - Book/Report Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. Citation Text: Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research…

  13. Promoting Safety and Quality Through Human Resource Practices: Executive Summary. | PSNet

    psnet.ahrq.gov/issue/promoting-safety-and-quality-through-human-resource-practices-executive-summary
    September 14, 2011 - Book/Report Promoting Safety and Quality Through Human Resource Practices: Executive Summary. Citation Text: Promoting Safety and Quality Through Human Resource Practices: Executive Summary. McAlearney AS, Song P, Garman A, McHugh M, Caputo N. Rockville, MD: Agency for Healthcare Researc…

  14. Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. | PSNet

    psnet.ahrq.gov/issue/preventable-tragedies-superbugs-and-how-ineffective-monitoring-medical-device-safety-fails
    May 18, 2011 - Book/Report Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. Citation Text: Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. Murray P. Washington, DC; Senate Health, Education,…

  15. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-ambulatory-surgery-centers-resource-list-users-ahrq-ambulatory
    May 11, 2016 - Book/Report Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. Citation Text: Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Su…

  16. Focus on Computerized Provider Order Entry. | PSNet

    psnet.ahrq.gov/issue/focus-computerized-provider-order-entry
    March 11, 2020 - Special or Theme Issue Focus on Computerized Provider Order Entry. Citation Text: Focus on Computerized Provider Order Entry. J Am Med Inform Assoc. 2007 Jan-Feb;14(1):25-75 Copy Citation Save Save to your library Print Download PDF Share …

  17. Common Formats for Patient Safety Data Collection: Diagnostic Safety 0.1. | PSNet

    psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-diagnostic-safety-01
    May 19, 2021 - Press Release/Announcement Common Formats for Patient Safety Data Collection: Diagnostic Safety 0.1. Citation Text: Common Formats for Patient Safety Data Collection: Diagnostic Safety 0.1. The Agency for Healthcare Research and Quality. Fed Register. 2021;86(103): 29263-29264. Copy …

  18. Restoring trust in VA health care. | PSNet

    psnet.ahrq.gov/issue/restoring-trust-va-health-care
    June 21, 2016 - Commentary Restoring trust in VA health care. Citation Text: Kizer KW, Jha AK. Restoring trust in VA health care. N Engl J Med. 2014;371(4):295-297. doi:10.1056/NEJMp1406852. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  19. Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors. | PSNet

    psnet.ahrq.gov/issue/corporate-responsibility-and-health-care-quality-resource-health-care-boards-directors
    October 29, 2008 - Book/Report Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors. Citation Text: Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors. Callender AN, Hastings DA, Hemsley MC, et al. Washington DC: …

  20. Assessment of the National Patient Safety Initiative: Context and Baseline Evaluation Report 1. | PSNet

    psnet.ahrq.gov/issue/assessment-national-patient-safety-initiative-context-and-baseline-evaluation-report-1
    May 21, 2014 - Book/Report Assessment of the National Patient Safety Initiative: Context and Baseline Evaluation Report 1. Citation Text: Assessment of the National Patient Safety Initiative: Context and Baseline Evaluation Report 1. Santa Monica, CA: RAND Corporation; 2005. ISBN 0833037870. Copy …
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