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9821. Quick Tips—When Getting A Prescription. | PSNet
      psnet.ahrq.gov/issue/quick-tips-when-getting-prescription
      December 24, 2008 - This Web site suggests questions that all patients should ask a physician, nurse, and/or pharmacist when

9822. Four patients say Cedars-Sinai did not tell them they had received a radiation overdose. | PSNet
      psnet.ahrq.gov/issue/four-patients-say-cedars-sinai-did-not-tell-them-they-had-received-radiation-overdose
      November 11, 2015 - August 21, 2007 View More Related Resources When a nurse is prosecuted

9823. Action needed to prevent dangerous heparin-insulin confusion. | PSNet
      psnet.ahrq.gov/issue/action-needed-prevent-dangerous-heparin-insulin-confusion
      May 07, 2018 - More About The Topic Hospitals Health Care Providers Quality and Safety Professionals Nurse

9824. Plan aims to cut hospital deaths. | PSNet
      psnet.ahrq.gov/issue/plan-aims-cut-hospital-deaths
      August 28, 2019 - Perspective Equity in Patient Safety March 27, 2024 When a nurse

9825. Safety shortcomings spotted in Sunrise catheter case. | PSNet
      psnet.ahrq.gov/issue/safety-shortcomings-spotted-sunrise-catheter-case
      September 01, 2011 - May 19, 2010 Nurse accidentally kills premature son of swine flu victim in Spain.

9826. Pulse oximeters for medical purposes - non-clinical and clinical performance testing, labeling, and premarket submission recommendations. | PSNet
      psnet.ahrq.gov/issue/pulse-oximeters-medical-purposes-non-clinical-and-clinical-performance-testing-labeling-and
      January 22, 2025 - 5, 2013 View More See More About The Topic Hospitals Medicine Nurse

9827. A Lot of Pain (Medications) | PSNet
      psnet.ahrq.gov/web-mm/lot-pain-medications
      September 23, 2020 - His afternoon dose of extended-release morphine was held by the primary nurse who notified the surgical … The nurse treated his symptoms with hydromorphone 6 mg orally and 1 mg intravenously per the prescribing … The nurse, reluctant to administer this medication in light of the recent episode of somnolence, attempted … April 15, 2016 Nurses as 'second victims' to their patients' suicidal attempts: a mixed-method

9828. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
      January 01, 2024 - • The surgeon took the internal paddles and requested the circulating nurse to get ready for synchronized … – The nurse acknowledged and the patient was shocked at 10 Joules. … of pieces of equipment in the room, the defibrillator screen was visible only to the circulating nurse … with the location and the operation of the defibrillator (1) • Anesthesia clinicians and circulating nurses

9829. A Double “Never Event”: Wrong Patient and Wrong Side. | PSNet
      psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
      August 20, 2018 - The time out was done with the two residents and the bedside nurse and did not include verification of … The nurse questioned why an ankle aspiration procedure was being done on a patient who had wounds on … View More See More About The Topic Hospitals Medicine Orthopedic Surgery Nurse

9830. Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. | PSNet
      psnet.ahrq.gov/issue/improved-policies-and-oversight-needed-reviewing-and-reporting-providers-quality-and-safety
      November 22, 2017 - Book/Report Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. Citation Text: Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. Washington, DC: United States Government …

9831. How communication "failed" or "saved the day": counterfactual accounts of medical errors. | PSNet
      psnet.ahrq.gov/issue/how-communication-failed-or-saved-day-counterfactual-accounts-medical-errors
      September 21, 2022 - Study How communication "failed" or "saved the day": counterfactual accounts of medical errors. Citation Text: Street RL, Petrocelli JV, Amroze A, et al. How Communication “Failed” or “Saved the Day”: Counterfactual Accounts of Medical Errors. J Patient Exp. 2020;7(6):1247-1254. doi:10.1…

9832. Agency Information Collection Activities: Proposed Collection; Comment Request, "Hospital Survey on Patient Safety Culture Comparative Database.'' | PSNet
      psnet.ahrq.gov/issue/agency-information-collection-activities-proposed-collection-comment-request-hospital-survey
      December 21, 2022 - Press Release/Announcement Agency Information Collection Activities: Proposed Collection; Comment Request, "Hospital Survey on Patient Safety Culture Comparative Database.'' Citation Text: Agency Information Collection Activities: Proposed Collection; Comment Request, "Hospital Survey on…

9833. Error-avoidance recommendations for tubing misconnections when using luer-tip connectors: a statement by the USP Safe Medication Use Expert Committee. | PSNet
      psnet.ahrq.gov/issue/error-avoidance-recommendations-tubing-misconnections-when-using-luer-tip-connectors
      November 21, 2018 - Commentary Error-avoidance recommendations for tubing misconnections when using luer-tip connectors: a statement by the USP Safe Medication Use Expert Committee. Citation Text: Simmons D, Phillips MS, Grissinger M, et al. Error-avoidance recommendations for tubing misconnections when usi…

9834. Making Health Care Safer in Ambulatory Care Settings and Long-term Care Facilities (R18). | PSNet
      psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care-facilities-r18-0
      January 11, 2023 - Grant Announcement Making Health Care Safer in Ambulatory Care Settings and Long-term Care Facilities (R18). Citation Text: Making Health Care Safer in Ambulatory Care Settings and Long-term Care Facilities (R18). Rockville, MD: Agency for Healthcare Research and Quality; September 9, 20…

9835. Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. | PSNet
      psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-efforts-assess-progress-and-reduce-risk
      May 16, 2018 - Book/Report Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. Citation Text: Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. Washington, DC: United States Gov…

9836. Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. | PSNet
      psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and-questionable-prescribing
      October 29, 2008 - Book/Report Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. Citation Text: Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. Office of the Inspector General. Washington, DC: US Department of Health and Human Services…

9837. Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education. | PSNet
      psnet.ahrq.gov/issue/prevention-fall-related-injuries-long-term-care-randomized-controlled-trial-staff-education
      February 17, 2011 - Study Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education. Citation Text: Ray WA, Taylor JA, Brown AK, et al. Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education. Arch Intern Med. 20…

9838. Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Hospital Initiatives to Reduce Certain Infections. | PSNet
      psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-overview-state-reporting-programs-and-individual
      June 07, 2008 - Book/Report Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Hospital Initiatives to Reduce Certain Infections. Citation Text: Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Ho…

9839. Development and expression of a high-reliability organization. | PSNet
      psnet.ahrq.gov/issue/development-and-expression-high-reliability-organization
      November 03, 2021 - Commentary Development and expression of a high-reliability organization. Citation Text: Phillips RA, Schwartz RL, Sostman HD, et al. Development and expression of a high-reliability organization. NEJM Catal Innov Care Deliv. 2021;2(12). doi:10.1056/cat.21.0314. Copy Citation Forma…

9840. Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections. | PSNet
      psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-leadership-needed-hhs-prioritize-prevention
      October 15, 2008 - Book/Report Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections. Citation Text: Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices a…