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psnet.ahrq.gov/node/33805/psn-pdf
April 01, 2016 - leadership level, the patient safety level, and the GME leadership level, as well as
the residents, nurses
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psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
October 01, 2008 - 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 … identified with selected PSIs, researchers at the University of Michigan found low agreement between nurse
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psnet.ahrq.gov/web-mm/cognitive-overload-icu
June 01, 2005 - the same time, the intensivist was also managing nine other sick and complicated ICU patients, with nurses … At that moment, another nurse in the ICU approached her about a different patient who had new hypotension … traditional paper chart offered a shared information space; it allowed each member of the team (including nurses … Nurse Educ Pract. 2016;16:287-293. [go to PubMed] 25. Patel VL, Kannampallil TG, Shortliffe EH.
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psnet.ahrq.gov/issue/quality-improvement-organizations
October 19, 2022 - Multi-use Website
Quality Improvement Organizations.
Citation Text:
Quality Improvement Organizations. Medicare Quality Improvement Community; MedQIC
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psnet.ahrq.gov/issue/oregon-patient-safety-commission
June 22, 2007 - Legislation/Regulation
Oregon Patient Safety Commission.
Citation Text:
Oregon Patient Safety Commission. Oregon State Legislature. HB 2349 (2003).
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psnet.ahrq.gov/issue/socio-cultural-perspective-patient-safety
August 06, 2016 - Book/Report
A Socio-cultural Perspective on Patient Safety.
Citation Text:
A Socio-cultural Perspective on Patient Safety. Rowley E, Waring J, eds. Farnham Surrey, UK: Ashgate Publishing Limited; 2011. ISBN: 9781409408628.
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psnet.ahrq.gov/issue/robot-will-see-you-now
June 02, 2010 - Newspaper/Magazine Article
The robot will see you now.
Citation Text:
The robot will see you now. Cohn J. The Atlantic. March 2013;311:59–67.
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psnet.ahrq.gov/issue/quality-care-and-information-technology
September 27, 2017 - Special or Theme Issue
Quality of Care and Information Technology.
Citation Text:
Quality of Care and Information Technology. Suresh S, ed. Pediatr Clin North Am. 2016;63:221-388.
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psnet.ahrq.gov/issue/mgh-faces-suit-over-drug-error-killed-woman
September 18, 2013 - Newspaper/Magazine Article
MGH faces suit over drug error that killed woman.
Citation Text:
MGH faces suit over drug error that killed woman. Valencia MJ.
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psnet.ahrq.gov/issue/excellent-review-scheme-critical-incidents-insufficient-revalidation
May 18, 2022 - Commentary
Excellent review scheme for critical incidents but insufficient for revalidation.
Citation Text:
Lakhani M. Excellent review scheme for critical incidents but insufficient for revalidation. BMJ. 2005;330(7500):1143.
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psnet.ahrq.gov/issue/improving-hospital-handoffs-using-ahrqs-surveys-patient-safety-culture-hospital-survey
July 25, 2024 - Meeting/Conference Proceedings
Improving Hospital Handoffs Using AHRQ's Surveys on Patient Safety Culture Hospital Survey.
Citation Text:
Agency for Healthcare Research and Quality. Improving Hospital Handoffs Using AHRQ's Surveys on Patient Safety Culture Hospital Survey. October 30, 20…
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - the transfer of care involves standardized communication between each team's respective physician and nurse … transfer of care is done poorly, the patient still is in the hospital and is surrounded by physicians, nurses … The admitting nurse noticed that the urine culture results from his prior hospital admission indicated … This need for transitional care is evidenced by the fact that timely follow-up with a nurse or primary
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psnet.ahrq.gov/web-mm/one-dose-two-errors
September 29, 2017 - The report was received by the nurse and relayed to the covering resident. … revealed that the information about the positive yeast culture had been correctly called in to the bedside nurse … occurs when responsibility for each patient is provided by a team including one or more physicians, nurses … Multidisciplinary ICU team rounds improve care.( 12 ) Had this care model been in place, it is likely that an ICU nurse
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psnet.ahrq.gov/node/49501/psn-pdf
February 03, 2006 - opportunity for
rescue and a threat to safety.(2,3) Most health care teams now consist of far more than one nurse … Physicians often perform sign-over
separately from nurses and other specialists. … For example, a trauma nurse
asks if anyone has informed the operating room (OR) of a patient’s pending … checking” as a way to improve resilience of the health care transition.(17) In one illustrative case, a nurse
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psnet.ahrq.gov/issue/patient-safety-mindful-meaningful-and-fulfilling
October 20, 2021 - April 8, 2009
Nurses' perceptions of multidisciplinary team work in acute health-care
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psnet.ahrq.gov/node/33878/psn-pdf
April 01, 2019 - RW: Even if, for example, a nurse had committed the error?
JM: Absolutely. … If that were the case, they would want the nurse in the room too. … Normally it's the attending physician, but yes, if it
was the nurse then the nurse should be there too … she still didn't feel like this was resolved for her
because she had never seen those doctors and nurses
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psnet.ahrq.gov/issue/bringing-patient-safety-technology-bedside
May 27, 2011 - 2010
Bar-code technology for medication administration: medication errors and nurse
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psnet.ahrq.gov/issue/one-group-doctors-changes-its-ways
February 04, 2015 - Citation
Related Resources From the Same Author(s)
Healthcare Safety for Nursing … Personnel: An Organizational Guide to Achieving Results.
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psnet.ahrq.gov/issue/medication-safety-best-practices-guide-ambulatory-care-use
February 08, 2006 - Journal of the American Association of Nurse Practitioners . 2013; 25 :415-8 .
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psnet.ahrq.gov/node/866248/psn-pdf
July 10, 2024 - quality-and-safety
Primary care, like all healthcare, is increasingly shifting to team-based care with nurse