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9841. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44328/psn-pdf
      August 22, 2015 - accidents-and-incidents-related-intravenous-drug-administration-pre-post-study-following https://psnet.ahrq.gov/issue/impact-traditional-and-smart-pump-infusion-technology-nurse-medication-administration

9842. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47000/psn-pdf
      May 09, 2018 - broken-hospital-windows-debating-theory-spreading-disorder-and-its-application-healthcare https://psnet.ahrq.gov/issue/sources-and-magnitude-error-preparing-morphine-infusions-nurse-patient-controlled-analgesia

9843. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72834/psn-pdf
      March 10, 2021 - Similarly, nurses and providers may use secure text messaging to communicate, but research has highlighted … differences-between-methods-detecting-medication-errors-secondary-analysis-medication https://psnet.ahrq.gov/issue/evidence-nurses-need-participate-diagnosis-lessons-malpractice-claims

9844. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866104/psn-pdf
      June 12, 2024 - when-agency-fails-analysis-association-between-hospital-agency-staffing-and-quality-outcomes https://psnet.ahrq.gov/issue/chronic-hospital-nurse-understaffing-meets-covid

9845. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47787/psn-pdf
      February 20, 2019 - surgical-skill-and-complication-rates-after-bariatric-surgery https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/issue/nurse-staffing-and-inpatient-hospital-mortality

9846. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37997/psn-pdf
      June 16, 2011 - revealing-and-resolving-patient-safety-defects-impact-leadership-walkrounds-frontline https://psnet.ahrq.gov/issue/effect-executive-walk-rounds-nurse-safety-climate-attitudes-randomized-trial-clinical-units

9847. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866310/psn-pdf
      July 17, 2024 - (Patients were triaged and treated based on standard-of-care nurse triage.)

9848. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40925/psn-pdf
      December 07, 2011 - In this study, a nurse practitioner (NP) was assigned to a resident inpatient medical team at a tertiary

9849. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47098/psn-pdf
      August 15, 2018 - psnet.ahrq.gov/issue/detection-missed-injuries-pediatric-trauma-center-addition-acute-care-pediatric-nurse

9850. The Safety Challenges of Supervision and Night Coverage in Academic Residency | PSNet
      psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
      February 21, 2024 - The bedside nurse paged the intern night float, who was cross-covering this patient, to come to the bedside … When the intern asked the nurse to page them, the rapid response team finally arrived. … response team had huddled to discuss the patient's care when the intern was first contacted by the bedside nurse

9851. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49719/psn-pdf
      September 01, 2014 - When the attending anesthesiologist took over the case at the end of the certified registered nurse … Commentary https://psnet.ahrq.gov/web-mm/no-bp-during-nibp In the presented case, the certified registered … nurse anesthetist (CRNA) neglected to cycle the noninvasive blood pressure (NIBP) cuff for more than

9852. 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

9853. Implementing a Patient Safety Program at a Large National Health System | PSNet
      psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
      January 01, 2008 - Finally, we convened an OB Summit that brought together at least one obstetrician and one nurse from … I won't tell you that there weren't a few doctors here and there who didn't want a nurse assisting in … Initially people were skeptical, but when you start addressing problems that really bother the doctors and nurses … My experience was that I would get calls from physicians or nurses who say, "This isn't right."

9854. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33571/psn-pdf
      September 07, 2019 - from the frontline personnel directly involved in an event or the actions leading up to it (e.g., the nurse … incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement https://psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ

9855. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected | PSNet
      psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
      September 25, 2024 - September 25, 2024 Hospital nurses' perceptions of human factors contributing to nursing … July 7, 2021 Registered nurses' and medical doctors' experiences of patient safety in

9856. Adenocarcinoma in situ of the uterine cervix: screening and diagnostic errors in Papanicolaou smears. | PSNet
      psnet.ahrq.gov/issue/adenocarcinoma-situ-uterine-cervix-screening-and-diagnostic-errors-papanicolaou-smears
      July 06, 2011 - October 28, 2015 Nurses' use of computerized clinical guidelines to improve patient safety … Synergy for patient safety and quality: academic and service partnerships to promote effective nurse

9857. Thin Air | PSNet
      psnet.ahrq.gov/web-mm/thin-air
      March 01, 2006 - example, I recently asked for an E-cylinder of oxygen to transport a critically ill patient, and the nurse … The nurse had inadvertently brought a CO2 cylinder (gray in color) instead of an oxygen cylinder. … September 18, 2019 Inappropriate trust in technology: implications for critical care nurses … View More See More About The Topic Hospitals Physicians Nurses

9858. 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.

9859. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.122_slideshow.ppt
      April 01, 2006 - counter-productive Current surgical procedures require complex teamwork among anesthesiologists, nurses

9860. Diffusion of Responsibility Leads to Danger | PSNet
      psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
      November 08, 2013 - The ICU nurse placed the patient on a cardiac monitor and immediately noticed a sine wave—a dangerous … It turned out that the dialysis nurse had been told to start dialysis after the patient was physically … positively impact throughput metrics.( 8 ) In addition to the primary providers, the deployment of pool nurses