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8661. A machine learning approach to reclassifying miscellaneous patient safety event reports. | PSNet
      psnet.ahrq.gov/issue/machine-learning-approach-reclassifying-miscellaneous-patient-safety-event-reports
      July 22, 2020 - Implementation of a patient safety incident management system as viewed by doctors, nurses

8662. 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

8663. Final Progress Report: Development Validation and Implementation of Customized Checklists for Safe Surgery (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/gawande-report.pdf
      January 01, 2024 - nurse anesthetists), operating room nurses, surgical technologists, and a mock surgeon participant. … two consultation meetings were held, including operating room directors, anesthesia professionals, nurses … Nurse Anesthetist (CRNA) 40 11% Registered nurse 122 34% Surgical technician 37 10% Surgeons Surgical … Nurse Anesthetist (CRNA) 4 1% Nursing Staff Registered nurse 131 20% Surgical technician 15 2% Surgeons … created by subject matter experts from each of the specialties, including anesthesia professionals, nurses

8664. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36074/psn-pdf
      September 28, 2010 - Matching nurse skill with patient acuity in the intensive care units: a risk management mandate. … Matching nurse skill with patient acuity in the intensive care units: a risk management mandate. … https://psnet.ahrq.gov/issue/matching-nurse-skill-patient-acuity-intensive-care-units-risk-management … https://psnet.ahrq.gov/issue/matching-nurse-skill-patient-acuity-intensive-care-units-risk-management-mandate … https://psnet.ahrq.gov/issue/matching-nurse-skill-patient-acuity-intensive-care-units-risk-management-mandate

8665. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38385/psn-pdf
      February 04, 2009 - Impact of a computerized physician order entry system on nurse-physician collaboration in the medication … Impact of a computerized physician order entry system on nurse-physician collaboration in the medication … https://psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-nurse-physician- collaboration-medication … that implementation of a computerized physician order entry system appeared to impair some aspects of nurse–physician … https://psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-nurse-physician-collaboration-medication

8666. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39166/psn-pdf
      December 09, 2009 - Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients … Effectiveness of a pharmacist-nurse intervention on resolving medication discrepancies for patients … https://psnet.ahrq.gov/issue/effectiveness-pharmacist-nurse-intervention-resolving-medication- discrepancies-patients … A medication reconciliation intervention conducted by a pharmacist and nurse significantly reduced … https://psnet.ahrq.gov/issue/effectiveness-pharmacist-nurse-intervention-resolving-medication-discrepancies-patients

8667. Appendix 1-A. Suggested Slides for Module 1 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1a.html
      October 01, 2014 - Slide 7 Role of Nursing Assistants and Licensed Nurses Your role in a long-term nursing center … After the assessment, organize the information and report it to the resident's nurse practitioner or

8668. Methods Research Report: Developing Consistent and Useful Quality Improvement Study Data Extraction (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/developing-consistent-useful-quality-improvement.pdf
      September 01, 2020 - Columbia physician in a tutorial, nurse educator. … Nurse with extensive asthma experience (Peer Leader education intervention); Trained asthma nurse … Teachers and community nurses: one session. … PLE: Nurse with extensive asthma experience + physician; PCI: Asthma nurse + physician. … PLE: Education component only by nurse to physician.

8669. Methodology Report #3: Design and Methods of the 1996 Medical Expenditure Panel Survey Nursing Home Component (pdf file)
      meps.ahrq.gov/data_files/publications/mr3/mr3.pdf
      September 01, 1998 - a facility licensed as a nursing home with three or more beds that provides onsite supervision by a registered … nurse (RN) or licensed practical nurse (LPN) 24 hours a day, 7 days a week. … LPN is licensed practical nurse. LTC is long-term care. RN is registered nurse. … LPN Licensed practical nurse. LTC Long-term care. … RN Registered nurse.

8670. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44279/psn-pdf
      August 26, 2015 - Leadership style and patient safety: implications for nurse managers. … Leadership style and patient safety: implications for nurse managers. … https://psnet.ahrq.gov/issue/leadership-style-and-patient-safety-implications-nurse-managers Nurse managers … https://psnet.ahrq.gov/issue/leadership-style-and-patient-safety-implications-nurse-managers https://

8671. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37789/psn-pdf
      June 04, 2008 - The cost of nurse-sensitive adverse events. June 4, 2008 Pappas SH. … The cost of nurse-sensitive adverse events. J Nurs Adm. 2008;38(5):230-236. … https://psnet.ahrq.gov/issue/cost-nurse-sensitive-adverse-events This study determined that the actual … https://psnet.ahrq.gov/issue/cost-nurse-sensitive-adverse-events https://psnet.ahrq.gov/issue/costs-adverse-events-intensive-care-units … https://psnet.ahrq.gov//#adverseevent https://psnet.ahrq.gov/issue/improving-nurse-patient-staffing-ratios-cost-effective-safety-intervention

8672. A framework for assessing reasoning about controversial end-of-life clinical decisions. | PSNet
      psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
      November 30, 2023 - 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 … multiple physicians and the charge nurse, due to concern that the medication would hasten the patient … 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

8673. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863755/psn-pdf
      March 06, 2024 - Nurse leader attitudes and beliefs regarding medical errors. … Nurse leader attitudes and beliefs regarding medical errors. … https://psnet.ahrq.gov/issue/nurse-leader-attitudes-and-beliefs-regarding-medical-errors Effective leadership … This cross-sectional study with 304 nurse leaders identified positive attitudes regarding medical error … reporting and underscores the importance of nurse leaders in fostering a just culture.

8674. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44299/psn-pdf
      November 06, 2015 - Nurse practitioner–led medication reconciliation in critical access hospitals. … Nurse Practitioner–led Medication Reconciliation in Critical Access Hospitals. … The Journal for Nurse Practitioners. 2015;11(5). doi:10.1016/j.nurpra.2015.03.005. … https://psnet.ahrq.gov/issue/nurse-practitioner-led-medication-reconciliation-critical-access-hospitals … This pre-post study demonstrated that nurse practitioner–led medication reconciliation was effective

8675. Module 2: Urinary Catheter Maintenance | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod2.html
      February 01, 2023 - In the case study, a nurse and a transporter ready a patient for transport. … Nurse: “You know that we’ve been trying to decrease our CAUTI rates here, right? … Nurse:  “Not exactly. … Nurse: “Yes, you’re correct.” Transporter: “OK, I got it. Anything else?” … Next, the nurse empties the urinary catheter bag.

8676. Module 2: Urinary Catheter Maintenance: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod2-slides.html
      February 01, 2023 - Setting the Stage ICU patient has a urinary catheter because of recent extensive urological surgery Nurse … followup study Transporter grabs the urinary catheter bag and places the bag on patient’s abdomen Nurse … Slide 6 Answer Nurse and transporter talk outside the patient’s room Slide 7 Back in … the Patient's Room Nurse uses the securement device Nurse empties the urinary catheter bag … Slide 8 Moving the Patient Nurse and transporter move the patient from the bed to the cart

8677. 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

8678. PREGNANCY, INCLUDING PRETERM BIRTH #12 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/12_pregnancy_potential_high_impact_2012-12-11.pdf
      January 01, 2012 - The National Association of Neonatal Nurses recently asserted that every dollar expended on providing … cents per ounce and may be provided free to hospitals. 10 The National Association of Neonatal Nurses … Implementing the use of donor milk in the hospital setting: implications for nurses. … Glenview (IL): National Association of Neonatal Nurses (NANN); [accessed 2012 Aug 9]. [1 p]. … Glenview (IL): National Association of Neonatal Nurses (NANN); 2011 Nov [accessed 2012 Aug 28]. [

8679. Best Practices for Treating Long COVID Summit: Summary Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/covid-19/long-covid-summit-report.pdf
      February 27, 2023 - Agenda Following the opening remarks, Sherri Wilson, D.N.P., M.P.A., R.N., President, Virginia Nurses … provide, where oncologists and other physicians, physical therapists, behavioral health clinicians, nurses … President Virginia Nurses Association Panelists: Cynthia Adinig (Fairfax County) Mattie Smith, R.N … Clinics Richmond, Virginia Vivienne Pierce McDaniel Central Virginia Chapter National Black Nurses … Melissa Williams BHMA Center for Post Covid Care Kingsport, Tennessee Sherri Wilson Virginia Nurses

8680. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
      January 01, 2004 - active failures are errors made by those who provide direct care to the patient, such as physicians, nurses … Other technologies planned are a nurse call system, a bed exit system, and a materials management system … A cabinet, or “nurse server,” in each alcove will hold the patient’s barcoded medication—in a locked … Joseph’s Hospital Advances in Patient Safety: Vol. 2 434 patient care, allowing the nurse … The cameras will connect directly to the nurses’ station or another appropriate location, and will only