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psnet.ahrq.gov/node/841467/psn-pdf
December 14, 2022 - The evening nurse acknowledged the order yet refused to start the drip as she was uncomfortable with … The resident physician on duty spoke at length with the nurse, but she refused to start the
drip and … The same nurse refused to start basal PCA dosing through two subsequent nights despite discussions with … Nurse staffing was stretched very thin due to staffing shortages, so no other nurses could
be assigned … resulting in significant harm to the patient and family.13,16
There is a robust program for educating nurses
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digital.ahrq.gov/ahrq-funded-projects/electronic-medication-management/annual-summary/2010
January 01, 2010 - Updating the OMP was predominantly done by physicians, nurse practitioners, and physician assistants … (94 percent), followed by nurses (5 percent) and pharmacists (1 percent).
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psnet.ahrq.gov/issue/single-room-hospital-accommodation-associated-differences-healthcare-associated-infection
June 21, 2016 - May 18, 2016
Nurses' shift length and overtime working in 12 European countries: the … August 25, 2021
Estimating the economic cost of nurse sensitive adverse events amongst
-
www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/curriculum/front-matter.html
February 01, 2022 - or parts and used to prepare the next generations of practice facilitators to assist the physicians, nurse … practitioners, physician assistants, nurses, medical assistants and office staff with their efforts
-
meps.ahrq.gov/data_files/publications/rf13/rf13.shtml
December 01, 2000 - or by some other State or Federal agency
and provide onsite supervision by a registered … nurse or
licensed practical nurse 24 hours a day, 7 days a week (Bethel,
-
integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/pharmacotherapy-training
January 01, 2020 - Practices should encourage and support physicians, physician’s assistants (PAs), and nurse practitioners … Use Disorder (MOUD)
Lists online and in-person trainings for physicians, advanced practice registered … nurses (NP/CNM/CNS/CRNA), physician assistants, and medical students and provides an overview of the
-
digital.ahrq.gov/sites/default/files/docs/publication/Parisetal_HFES2008.pdf
January 01, 2008 - the nurse performing the administration, rather than on the care
system as a whole. … Medication safety
event data (errors and ADEs) were collected by four trained
nurse data collectors … Information also flows within
a role, such as when nurses update each other on patient status
during … known allergies)
& receives
medication
Verbal communication with
physician & nurse about … current meds and known
allergies, discuss meds with
nurse at time of
administration.
-
psnet.ahrq.gov/node/838632/psn-pdf
October 19, 2022 - systematic-review-nursing-practice-workarounds
https://psnet.ahrq.gov/web-mm/workaround-error
https://psnet.ahrq.gov/issue/nurse-workarounds-electronic-health-record-integrative-review … https://psnet.ahrq.gov/issue/rework-and-workarounds-nurse-medication-administration-process-implications-work-processes
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module-2-slides.pptx
September 01, 2015 - CAUTI in Hospitals
ICU patient has a urinary catheter because of recent extensive urological surgery
Nurse … for followup study
Transporter grabs the urinary catheter bag and places the bag on patient’s abdomen
Nurse … Maintenance ‹#›
AHRQ Safety Program for Reducing CAUTI in Hospitals
6
Back in the Patient’s Room
Nurse … uses the securement device
Nurse empties the urinary catheter bag
Important to do this aseptically … Catheter Maintenance ‹#›
AHRQ Safety Program for Reducing CAUTI in Hospitals
7
Moving the Patient
Nurse
-
digital.ahrq.gov/sites/default/files/docs/survey/oklahoma-patient-survey.pdf
June 16, 2021 - The doctor or nurse/counselor had to ask me for all of my information. .............................. … The doctor or nurse/counselor only needed to update my information and not ask all of it again. ..... … Sometimes there are test results or medication history missing that my doctor or nurse/counselor needs … I feel less frustrated when my doctor or nurse/counselor can look up my medical records easily on the … to state my information and not ask all of it again:
8:
When I talked with the doctor or nurse
-
digital.ahrq.gov/sites/default/files/docs/page/08-0087-EF.pdf
October 01, 2009 - made when the physicians are outside the facility, through regular
communication with the facility nurse … Ingram noted that nurse administrators within the
facilities made changes to residents’ medication routines—such … Paraprofessionals perform a large share of the direct care, which is supervised by nurse
managers … There was no way to ensure that, for example, if a pharmacist or nurse updated a
patient's medication … Superusers including charge nurses, certified nursing assistants, medtechs, and ward
clerks.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/patient-navigation-model-lung-cancer-rapid.pdf
December 01, 2018 - Navigator characteristics (background [e.g., Registered Nurse, lay person],
training, cultural competence … , cervical,
colorectal, or
prostate cancer
Nine studies of lay
navigators, four
studies of nurses … one type
included)
Patient navigation
(PN) and patient
activation (PA)
primarily provided by
nurses … delivered by
nurses with
APNs
available
24/7. … or social worker) or
pairing a nurse with an advanced practice nurse available to patients 24/7.9
-
psnet.ahrq.gov/node/863219/psn-pdf
February 28, 2024 - managing-patient-safety-and-staff-safety-nursing-homes-exploring-how-leaders-nursing-homes
https://psnet.ahrq.gov/issue/nurse-managers-leadership-patient-safety-and-quality-care-systematic-review
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_mg-toxicity.docx
May 01, 2017 - This can be done using a verbal report and handoff from one nurse to another nurse during change of shift … Mother also asks nurse about getting baby’s photo taken. … Nurse reassesses maternal and fetal status. … Nurse calls for additional help, provider, or rapid response team. … Nurse reassesses maternal and fetal status.
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-mg-toxicity.html
July 01, 2023 - This can be done using a verbal report and handoff from one nurse to another nurse during change of shift … Mother also asks nurse about getting baby’s photo taken. … Nurse reassesses maternal and fetal status. … Nurse calls for additional help, provider, or rapid response team. … Nurse reassesses maternal and fetal status.
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs02257502-hewner-final-report-2017.pdf
January 01, 2017 - The nurse care coordinator in the study practice received
automated care transitions alerts via secure … During the call, the nurse assessed the impact of social and behavioral
determinants of health and … The coordinating transitions project used HIE to alert the practice’s nurse care coordinator about … The role of the registered nurse (RN) care coordinator has been critical to the
success of the program … reduction in cost and improvement in the patient experience of care is an emerging
skill set, and all nurses
-
psnet.ahrq.gov/issue/american-geriatrics-society-ags-policy-brief-covid-19-and-nursing-homes
October 12, 2022 - See More About The Topic
Long-Term Care
Facility and Group Administrators
Nurse … Managers
Public Health
Nurse Care
View More
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb1txt.html
December 01, 2017 - All nurses trained in a fall response system that includes:
immediate evaluation and increased monitoring … MDS for risk and history; physician notes, nurse notes, assessment form, and any other that may include … Section F: Care Plan Development
Location: Care plan, nurse notes, progress notes. … Section G: Monitoring Implementation and Resident Response
Location: Nurse notes, interdisciplinary … For residents with changes in digoxin, do the nurse notes or care plan include adequate monitoring of
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
April 23, 2008 - The coaching team included six registered nurses with specialized knowledge and
skills related to research … coaches were doctorally prepared, and three were masters
prepared, including a gerontology clinical nurse … The Linker Role
Linkers for each hospital were designated by the hospital’s chief nurse officer (CNO … The nurse
executives were asked to select nurses with specific characteristics when designating linkers … All but one linker were nurses.
-
psnet.ahrq.gov/issue/missed-rationed-or-unfinished-nursing-care-scoping-review-patient-outcomes
May 29, 2024 - September 24, 2016
The relationship between nurse education level and patient safety: … July 15, 2013
View More
See More About The Topic
Hospitals
Nurse Managers … Nurse Care
Missed Care
Epidemiology of Errors and Adverse Events
View More