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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858166/psn-pdf
    December 13, 2023 - This study linked unit-level nurse pay to high reliability characteristics of information sharing and
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837760/psn-pdf
    January 01, 2024 - This commentary discusses recent legal actions brought against clinicians, including Tennessee nurse
  3. psnet.ahrq.gov/issue/relationship-between-quality-care-and-negligence-litigation-nursing-homes
    September 07, 2011 - October 21, 2020 Nurse staffing and inpatient hospital mortality.
  4. www.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit1-working-with-a-lab.html
    October 01, 2016 - Information or training should be provided to nurses, members of any quality assurance committees, and
  5. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-slides.html
    October 01, 2020 - While surgeons often rate OR nurses higher, the inverse is not true. … Nurse and scrub tech share equipment issues and/or other concerns. … Surgeon, nurse, and anesthesia professional perform the timeout Patient's name. … Circulating nurse and scrub tech share— Equipment issues. Other concerns. … Circulating nurse and scrub tech confirm— All medications are correct and labeled.
  6. psnet.ahrq.gov/issue/leading-your-organization-high-reliability
    August 18, 2021 - January 6, 2016 A performance improvement plan to increase nurse adherence to use of … January 14, 2009 View More See More About The Topic Hospitals Nurse … Managers General Internal Medicine Hospital Medicine Nurse Care View More
  7. psnet.ahrq.gov/issue/rapid-response-teams-whats-latest
    December 12, 2012 - Nursing (Brux). 2017;47(12):34-41. doi:10.1097/01.NURSE.0000526885.10306.21. … This commentary discusses key features of a rapid response team, nurse responsibilities as team members … Nursing (Brux). 2017;47(12):34-41. doi:10.1097/01.NURSE.0000526885.10306.21.
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50615/psn-pdf
    October 30, 2019 - transfusion protocol order (Patient 1’s "Doe" name) did not match the name they had been given by the ED nurse … room nursing staff and the emergency department, the blood bank, the surgeons and, ultimately the OR nurse … The OR nurse then looked Patient 1 up by his real name in the hospital system and found a medical record … of the EHR can produce confusion, especially at the level of the most immediate caregivers (bedside nurses
  9. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction-speaker-notes.pdf
    July 01, 2023 - Tanya, charge nurse Allison, L&D nurse SCRIPT She calls to the charge nurse, Tanya, to notify the … charge nurse Danielle Williams, the patient Dr. … Tanya, charge nurse Allison, L&D nurse SCRIPT As the requested materials and supplies arrive, the … Larsen, anesthesiologist Tanya, charge nurse Allison, L&D nurse SCRIPT Ms. … Sonentag, obstetrician Danielle Williams, the patient Tanya, charge nurse Allison, L&D nurse
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4k_nqi03-bsi-bestpractices.pdf
    May 17, 2016 - Systems of Care Introduction: Essential First Steps • Engage key procedural personnel, including nurses … These procedures should be done by a nurse, physician, or other health care professional who has received … Required • Physicians and other providers (in neonatology, pediatrics, infectious diseases) • NICU registerednurses • Laboratory staff Equipment • Antibacterial soap or alcohol-based hand rub • Chlorhexidine
  11. www.ahrq.gov/sites/default/files/2025-02/nance-report.pdf
    January 01, 2025 - resulting from an uncovered medical malpractice lawsuit recovery against an individual physician or nurse … Physicians and nurses have a near-universal perception, right or wrong, that disclosure makes them a … As a group nationwide, doctors, nurses, and other practitioners do not believe that disclosure is the … In brief, following knee replacement surgery, a nurse put the right pain medication in the wrong path … any failure, and correspondingly the dangerously wrong expectation hammered into every doctor and nurse
  12. www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/exe-summary.html
    March 01, 2020 - Ambulatory home-bound There are a range of models; most are pharmacist-led but some are led by nurse … practitioners, physician assistants, or nurses. … Implementation of study protocols were usually implemented by nurses. … Infusion Pumps/Medication Error : Staff Education and Training Adverse drug events Nurse adherence … One study noted that time and energy constraints on nurse educators can be barriers to implementing large
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/forming-cuspteam-slides.pptx
    January 01, 2017 - Program for Mechanically Ventilated Patients 6 Safety Program CUSP Team Members Essential Team Members Nurses … Physicians Occupational therapists Respiratory therapists Physical therapists Executive partner Nurse … Ventilated Patients 7 Core CUSP Team Roles CUSP Facilitator CUSP Champion Unit Manager Provider Champion Nurse … Safety Program for Mechanically Ventilated Patients 10 Team Roles—Unit Manager Is often either a nurse … Team ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 12 Who To Engage—Provider and Nurse
  14. Puh-Impmenu (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.pdf
    June 02, 2025 - On-Time Existing Pressure Ulcer Report Care plan meetings MDS assessment documentation Nurse … Report Care plan meeting Dietary Department internal review MDS assessment documentation Nurse
  15. psnet.ahrq.gov/issue/will-prosecuting-medical-errors-lead-culture-silence
    March 13, 2024 - This article summarizes discussions regarding the verdict to convict a nurse due to a workaround … June 1, 2022 Nurse Vaught sentenced for deadly medical error. … September 28, 2022 Nurse Vaught sentenced for deadly medical error. … See More About The Topic General Public Quality and Safety Professionals Medicine Nurse
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38826/psn-pdf
    July 29, 2009 - Nurse accidentally kills premature son of swine flu victim in Spain. July 29, 2009 Tremlett G.  … https://psnet.ahrq.gov/issue/nurse-accidentally-kills-premature-son-swine-flu-victim-spain This newspaper … https://psnet.ahrq.gov/issue/nurse-accidentally-kills-premature-son-swine-flu-victim-spain
  17. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T1-Background_final.docx
    October 01, 2016 - Prescribing clinicians—physicians, nurse practitioners, and physician assistants—can consult these tools
  18. Section 6A (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-6-a.pdf
    June 02, 2025 - and Single Items Composite and Single Item Measures Hospital-level Unit Reliability at N=300 Nurse-parent … .79 Privacy with providers .82 Preparing to leave hospital .87 Informed in Emergency Room .74 Nurse-child … Table 3: Internal Consistency Reliability of Child HCAHPS Composites Composites # Items Alpha* Nurse-parent … Communication about medicines 4 .73 Informed about child’s care 2 .87 Preparing to leave hospital 5 .89 Nurse-child
  19. psnet.ahrq.gov/perspective/workplace-safety-health-care
    January 01, 2017 - For some GYN procedures requiring lithotomy, the nurse must remove the bed end. … Doing so with a 25-pound standard bed end requires that the nurse pull it forcefully while in an awkward … Sadly, while waiting for the bed ends to arrive from the vendor, a nurse was injured exactly the way … Canacari, RN Associate Chief Nurse, Perioperative Services Beth Israel Deaconess Medical Center, Boston … OSHA plans healthcare safety crackdown for injured nurses. Healthcare Finance. June 11, 2015.
  20. psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
    January 01, 2017 - The nurses themselves discovered that, because they had all gone to different nursing schools and thought … For some GYN procedures requiring lithotomy, the nurse must remove the bed end. … Doing so with a 25-pound standard bed end requires that the nurse pull it forcefully while in an awkward … Sadly, while waiting for the bed ends to arrive from the vendor, a nurse was injured exactly the way … OSHA plans healthcare safety crackdown for injured nurses. Healthcare Finance. June 11, 2015.