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8761. Dropping to New Lows | PSNet
      psnet.ahrq.gov/web-mm/dropping-new-lows
      December 18, 2024 - The nurses caring for the patient would often "hold" the morning or evening doses of insulin if his blood … been effective in our experience is having an inpatient diabetes team consisting of advanced practice nurses … Figures 2a and 2b show an example of a nurse-driven hypoglycemia protocol and a screenshot with direct … to ensure reliable use.( 10 ) In this case, the patient's tube feeds were intermittently held and nurses … Example of Nurse-driven Hypoglycemia Protocol Figure 2b.

8762. Final Progress Report: Immersive Simulation for Design and Evaluation of an Emergency Department IT System (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/bisantz-report.pdf
      January 01, 2025 - system was compared against typical EDIS displays in a clinical simulation experiment during which nurse-physician … with ED personnel from a large academic medical center, including attending and resident physicians, nurses … participants with emergency medicine experience (one attending physician, four resident physicians, and five nurses … view of an existing EDIS in an experiment run in a clinical simulation environment. 5 Fourteen nurse-physician … Eighteen clinicians with emergency medicine experience (nine nurses and nine physicians or physician

8763. Cusp Patient Family Engagement Facilitator Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP_Patient_Family_Engagement_Facilitator_Notes.docx
      June 02, 2025 - Advisors work with physicians, nurses, administrators, and support staff to ensure their contributions … Ask questions Patient and family advisors need to feel comfortable asking nurses, physicians, and administrators … ASK: · How did the nurse address the patient’s and family member’s questions and concerns? … · What else could the nurse have done to ensure effective communication with the patient and family member … Educate the patient and family throughout the hospital stay. · A equals Assess how well doctors and nurses

8764. Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical Examination | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
      April 29, 2020 - The plan was for a home health nurse to evaluate the skin breakdown later in the week. … In a typical hospitalization, nurses would perform a complete skin assessment at least once daily. … Alternatively, nurses may have noted mild skin changes but may have been so focused on respiratory issues … abdominal symptoms or pain, and leg swelling. 8 In this case, it appears that the physicians and nurses … areas was visualized during the video visit and physical examination was deferred to a home health nurse

8765. Appendix C. Site Visit Protocol | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraapc.html
      April 01, 2018 - knowledgeable staff members, including an administrator, an infection control specialist, a surgical nurse … with qualified individuals serving in a variety of roles (e.g., administrators, surgeons, surgical nurses … with qualified individuals serving in a variety of roles (e.g., administrators, surgeons, surgical nurses … How many are nurses? How many are administrative staff? How many are surgical assistants? … Clinical Staff (Nurse or Surgeon) Questions 50 min Current Role Tell me about your current

8766. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40425/psn-pdf
      August 02, 2012 - Incidence and impact of physician and nurse disruptive behaviors in the emergency department. … Incidence and impact of physician and nurse disruptive behaviors in the emergency department. … https://psnet.ahrq.gov/issue/incidence-and-impact-physician-and-nurse-disruptive-behaviors-emergency- … https://psnet.ahrq.gov/issue/incidence-and-impact-physician-and-nurse-disruptive-behaviors-emergency-department … https://psnet.ahrq.gov/issue/incidence-and-impact-physician-and-nurse-disruptive-behaviors-emergency-department

8767. Final Progress Report: Enhancing Stroke Prehospital and Emergency Evaluation and Delivery (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/prabhakaran-holl-report.pdf
      January 01, 2025 - who had undergone a transfer from a PSC to a CSC for stroke care, emergency department (ED) MDs, ED nurses … recruiting an interdisciplinary team of relevant clinicians and individuals (e.g., patients, paramedics, nurses … leadership, using a Plan Do Study Act model, to engage ED nursing and directors to train physicians, nurses … Clinicians (e.g., ED nurses, ED physicians, ED techs, radiology techs) participated in a 10-minute “

8768. Fall and Fall-related Injury Quality Improvement Clinical Decision Support Tool (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/action-qi-cds-training.pdf
      June 16, 2021 - Improvement Clinical Decision Support Tool Overview: This offering provides Information to support nurse … • Patient Falls and Patient Falls with Injury are two of the four “nurse sensitive” indicators of … • Nurse Leaders are often held accountable for the quality and quantity of nursing care on their … Data from multiple sources are needed to identify causes for falling their units and help nurse leaders … into a report to support quality improvement activities related to fall prevention • Educate nurse

8769. Final Progress Report: Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/corbett-report.pdf
      January 01, 2024 - members who live in rural areas; seven physicians who practiced in primary care or as hospitalists; five nurses … who practiced in urban hospitals; seven nurses who practiced in rural hospitals; eight pharmacists … Nurse identified hospital to home medication discrepancies: Implications for improving transitional … discrepancies in patients transitioning from hospital to home health care: Impact of a pharmacist-nurse

8770. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50696/psn-pdf
      November 27, 2019 - Her home medications were reviewed by a nurse and it was documented that she had been taking hydrocodone … system-wide changes were implemented that included standardized pre-procedure screening by both a nurse … Additionally, vascular access nurses and physicians launched a monthly Morbidity & Mortality meeting … Additionally, standardized pre-procedure screening by both nurses and physicians should provide more

8771. Extension for Community Healthcare Outcomes (ECHO): Presentation to AHRQ 2006 Annual Conference (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/2006Arora_051811comp.pdf
      February 01, 2006 - specialists ~ Centralized database HIPAA compliant to monitor outcomes STEPS ~ Train providers, nurses … Health Disorders BUILDING BRIDGES HEALTHCARE IN NEW MEXICO Specialists Primary Care Pharmacists Nurse … Physicians, Nurse Practitioners, Physician Assistant, Pharmacist and Nurses Years in Practice No.

8772. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49490/psn-pdf
      September 01, 2005 - The nurse increased the pump rate to 500 mL/hour, but within 20 minutes, the patient reported feeling … While checking the pump, the nurse realized that she had inadvertently increased the magnesium sulfate … Another project that observed nurses administering IV medications found 265 so-called mistakes, slips … Biomedical engineers and nurses, if armed with general training in HFE principles, can detect and suggest

8773. Inpatient Transitions of Care: Challenges and Safety Practices | PSNet
      psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
      June 15, 2024 - Anna Satake PhD, MSN, GCNS, RN Geriatric Clinical Nurse Specialist Assistant Clinical Professor Department … Nurses' perspectives on interprofessional communication in the prevention of functional decline in hospitalized … Use of an audit with feedback implementation strategy to promote medication error reporting by nurses … View More See More About The Topic Hospitals Hospital Medicine Nurse

8774. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40311/psn-pdf
      March 23, 2011 - The association of shift-level nurse staffing with adverse patient events. … The association of shift-level nurse staffing with adverse patient events. … https://psnet.ahrq.gov/issue/association-shift-level-nurse-staffing-adverse-patient-events In this study … https://psnet.ahrq.gov/issue/association-shift-level-nurse-staffing-adverse-patient-events https://psnet.ahrq.gov

8775. Engineering Safe Care Journeys for Vulnerable Older Adults | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/safe-care-journeys-long-desc.html
      January 01, 2025 - The lab’s transdisciplinary team of engineers, health services researchers, nurses, physicians, and pharmacists … It includes feedback loops with direct communication to the nurse practitioner regarding culture results … and a mechanism for the nurse practitioner to follow up with the health system regarding the outcome

8776. CAHPS American Indian Survey (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/american-indian/american-indian-eng-851.docx
      March 04, 2009 - Do you have a primary doctor or nurse? 1|_| Yes 2|_| No  If No, go to #29 on page 6 13. … How long has this person been your primary doctor or nurse? … Which one of the following clinics do you go to when you see your primary doctor or nurse? … primary doctor or nurse possible, what number would you use to rate your primary doctor or nurse? … | 10 Best primary doctor or nurse possible Getting Needed Care 29.

8777. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41417/psn-pdf
      January 31, 2013 - The association of patient safety climate and nurse- related organizational factors with selected patient … The association of patient safety climate and nurse-related organizational factors with selected patient … https://psnet.ahrq.gov/issue/association-patient-safety-climate-and-nurse-related-organizational-factors … https://psnet.ahrq.gov/issue/association-patient-safety-climate-and-nurse-related-organizational-factors-selected-patient … https://psnet.ahrq.gov/issue/association-patient-safety-climate-and-nurse-related-organizational-factors-selected-patient

8778. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837213/psn-pdf
      May 25, 2022 - Nurse Vaught sentenced for deadly medical error. May 25, 2022 DePeau-Wilson M. …   https://psnet.ahrq.gov/issue/nurse-vaught-sentenced-deadly-medical-error Disciplinary actions … This article summarizes reaction to the sentencing of a nurse in a high-profile medication error case … https://psnet.ahrq.gov/issue/nurse-vaught-sentenced-deadly-medical-error https://psnet.ahrq.gov/issue … lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication https://psnet.ahrq.gov/issue/nurse-faces-prison-deadly-error-her-colleagues-worry-could-i-be-next

8779. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38466/psn-pdf
      March 31, 2009 - Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of … Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of … https://psnet.ahrq.gov/issue/collaboration-between-pharmacists-physicians-and-nurse-practitioners- qualitative … https://psnet.ahrq.gov/issue/collaboration-between-pharmacists-physicians-and-nurse-practitioners-qualitative … https://psnet.ahrq.gov/issue/collaboration-between-pharmacists-physicians-and-nurse-practitioners-qualitative

8780. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72522/psn-pdf
      December 02, 2020 - Errors in nurse-led triage: an observational study. … Errors in nurse-led triage: an observational study. … https://psnet.ahrq.gov/issue/errors-nurse-led-triage-observational-study Emergency department triage … Conducted at a single emergency department (ED) in Italy, this study found that nurse-led triage errors … https://psnet.ahrq.gov/issue/errors-nurse-led-triage-observational-study https://psnet.ahrq.gov/issue