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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
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psnet.ahrq.gov/node/837760/psn-pdf
January 01, 2024 - This commentary discusses recent legal actions brought against clinicians, including
Tennessee nurse
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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.
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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
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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.
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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
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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.
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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
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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
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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 registered … nurses
• Laboratory staff
Equipment
• Antibacterial soap or alcohol-based hand rub
• Chlorhexidine
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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
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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
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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
-
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
-
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
-
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
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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
-
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
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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.
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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.