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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43313/psn-pdf
    April 22, 2015 - stress-ward-evidence-safety-tipping-points-hospitals Many studies have pointed to a relationship between nurse … frontline clinical staff are overworked and thus error-prone, consistent with prior studies on patient-to-nurse … A previous AHRQ WebM&M commentary discusses nurse staffing ratios, including challenges related to costs … issue/tipping-point-relationship-between-volume-and-patient-harm https://psnet.ahrq.gov/issue/hospital-nurse-staffing-and-patient-mortality-nurse-burnout-and-job-dissatisfaction … https://psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care

  2. Overcoming barriers to patient safety. | PSNet

    psnet.ahrq.gov/issue/overcoming-barriers-patient-safety
    September 24, 2016 - January 23, 2012 Nurse staffing levels and patient-reported missed nursing care. … January 18, 2011 Nurse and nurse assistant perceptions of missed nursing care: what does

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60745/psn-pdf
    October 01, 2020 - Pharmacists (ASHP), the Anesthesia Patient Safety Foundation (APSF), and the Association of periOperative Registered … Nurses (AORN).5-7 The Institute for Safe Medication Practices (ISMP) recently received a grant from … Association of periOperative Registered Nurses.

  4. Is the "Surgical Personality" a Threat to Patient Safety? | PSNet

    psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
    February 24, 2021 - He was tyrannical in the demands that he made upon residents, nurses, and, to be fair, himself. … Surgical procedures now require complex teamwork among radiologists, anesthesiologists, nurses, and a … July 10, 2019 Operating room teamwork among physicians and nurses: teamwork in the eye

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33729/psn-pdf
    May 01, 2012 - the fact that occurrence reports are voluntary, time intensive, far more likely to be completed by nurses … adverse events using a combination of "voluntary and verbally solicited reports from house officers, nurses … The gap between nurses and residents in a community hospital's error reporting system.

  6. III. Hotline Implementation and Refinement | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/hotline/implement3.html
    May 01, 2016 - and carrying out an outreach and marketing plan for notifying organizational leadership, physicians, nurses … decided to extend the “human touch” outreach to consumers, with the following efforts: Case managers, nurses … Nurses began to include the hotline information in discharge discussions.

  7. Central Venous Catheter Maintenance Facilitator Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-maintenance-notes.docx
    April 01, 2022 - Dunn’s acuity has decreased, the nurses have been assigned to care for other patients at the same time … The physicians and nurses in the ICU realize that her central venous catheter could have been removed … For short-term central venous catheters, unless soiled, damp, or loose, both the CDC and Infusion Nurses

  8. Final Progress Report: Risk Models To Improve Long-Term Care Medication Safety (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
    January 01, 2024 - Charge nurses, staff nurses, and certified medication aides (CMAs) participated in the NF model-building … LTC nurses, aides, and caregivers often administer the same drugs to the same patients for years. … being received (fax, telephone, verbal, brought in by resident, and written orders) and processed by nurses … When administering meds to an unfamiliar resident, nurses or medication staff will perform an extra step … In both NFs and CBCs, about half the nurses and caregivers (46.5% NF; 50.6% CBC) who take telephone

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41126/psn-pdf
    February 01, 2013 - The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication … The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication … /psnet.ahrq.gov/issue/amelie-project-failure-mode-effects-and-criticality-analysis-model-evaluate- nurse-medication … ://psnet.ahrq.gov/issue/amelie-project-failure-mode-effects-and-criticality-analysis-model-evaluate-nurse-medication … ://psnet.ahrq.gov/issue/amelie-project-failure-mode-effects-and-criticality-analysis-model-evaluate-nurse-medication

  10. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-ig.pdf
    June 02, 2025 - Manager A [Miranda]  Nurse Manager B [Sally]  The Rehab Director [Anne]  Nursing Assistant A … Before the Change Team meeting, the Facilitator and Program Champion requested that the nurse managers … Nursing Homes: On-Time Falls Prevention 4 On-Time Falls Prevention: Implementation The two nurse … In addition, the nurse managers were asked to be sure to obtain input from all shifts. … Manager from each unit [Miranda, Nurse Manager A, and Sally, Nurse Manager B],  Rehab Director

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49531/psn-pdf
    March 01, 2007 - later, when removing another vial of ceftriaxone from the automated dispensing cabinet (Pyxis), the nurse … In the medicine administration area, the nurse found a partially empty vial of parenteral cefazolin, … Retrieving medications is something nurses do many times during a shift, and, most of the time, it goes … , especially when the nurse involved in this event is probably the least likely person to repeat the … Even if a formal incident report was not completed, the physicians and nurses in the unit could have

  12. Primary Care Practice Facilitation Curriculum Module 4: An Introduction to Practice Organization and Management (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-4-practice-management.pdf
    September 01, 2015 - These individuals may be community health workers or nurses outside of the practice or a member of the … Other clinical staff includes registered nurses, licensed practical nurses, and nurse midwives. … Nurse practitioner (NP) Nurse practitioners are licensed to practice as primary and/or specialty … Registered nurse (RN)
 An RN is a health care professional who can assess, plan, implement, and evaluate … Certified diabetes educators and asthma educators are licensed health care professionals, including registered

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837856/psn-pdf
    August 17, 2022 - Nurse well-being: a concept analysis. … Nurse well-being: a concept analysis. … https://psnet.ahrq.gov/issue/nurse-well-being-concept-analysis Clinician well-being has important implications … In this study, researchers used a concept analysis to identify attributes of nurse well-being at the … These findings can support the development of a standardized definition of nurse well-being to guide

  14. Chapter 4. Long Term Management | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man4.html
    December 01, 2017 - The Falls Nurse Coordinator may use the FMP Entry Log to record the names of all residents who are … Vision The nurse should observe the resident during activities of daily living while in the bedroom … The nurse uses the Get Up and Go Test to determine safety during rising and ambulation. … Once the Fax Back Orders are received, the nurse should carry out all of those requested. … For other tasks, such as the level of assistance provided, the nurse should ask direct care staff.

  15. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/848754
    January 01, 2025 - interviews and focus groups with hospital leadership and healthcare workers (e.g., executives, charge nurses … , staff nurses) about the implementation of safety initiatives at one UK... … interviews and focus groups with hospital leadership and healthcare workers (e.g., executives, charge nurses … , staff nurses) about the implementation of safety initiatives at one UK...

  16. PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
    June 02, 2025 - get worse before they start getting better. 20 Evaluating TeamSTEPPS Exercise Measurement Three nurses … As part of their implementation, they train all the nurses and the employed physician staff on these … targeted unit/work area: Size of unit/work area: Number of staff within unit/work area: Physicians: Nurses … information about the patient and surgical procedure Who: Surgeons, anesthesiologists, operating room nurses

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852807/psn-pdf
    August 30, 2023 - Errors as well as needle stick injuries increased threefold when nurses worked shifts exceeding 12 hours … Nationwide campaigns to increase the number of anesthesiology residents and student nurse anesthetists … Night shift work and its health effects on nurses. … Work schedule, needle use, and needlestick injuries among registered nurses. … Developing the anesthesia workforce: the impact of training nurse anesthetists.

  18. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia | PSNet

    psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
    January 29, 2021 - Errors as well as needle stick injuries increased threefold when nurses worked shifts exceeding 12 hours … Nationwide campaigns to increase the number of anesthesiology residents and student nurse anesthetists … Night shift work and its health effects on nurses. … Work schedule, needle use, and needlestick injuries among registered nurses. … Developing the anesthesia workforce: the impact of training nurse anesthetists.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43731/psn-pdf
    December 03, 2014 - Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse … Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse … psnet.ahrq.gov/issue/detection-missed-injuries-pediatric-trauma-center-addition-acute-care- pediatric-nurse … the number of documented missed injuries that were caught following the introduction of acute care nurse … psnet.ahrq.gov/issue/detection-missed-injuries-pediatric-trauma-center-addition-acute-care-pediatric-nurse

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36669/psn-pdf
    January 18, 2011 - A review of organizational culture instruments for nurse executives. … A review of organizational culture instruments for nurse executives. … https://psnet.ahrq.gov/issue/review-organizational-culture-instruments-nurse-executives The authors … compare tools used by nurse leaders to assess organizational culture and describe each tool and its … https://psnet.ahrq.gov/issue/review-organizational-culture-instruments-nurse-executives
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