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9481. Improving Safety Using Teamwork and Patient Safety Norms (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
      June 30, 2025 - Implementing TeamSTEPPS to Facilitate Workplace Civility and Nurse Retention. … J Nurses Prof Dev. 2020. Sep/Oct;36(5):259-265. doi: 10.1097/NND.0000000000000666. PMID: 32890179. … Implementation • Developed multidisciplinary team ► Included all 3 ICUs, medical directors of each unit, nurse … identification of clinical issues ► Reduced adverse events ► More timely referrals ► Improved ratings by nurses … and what is discussed and by whom • Implement nursing objective card—to clearly define role of nurse

9482. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61046/psn-pdf
      October 21, 2020 - effect-bar-code-technology-safety-medication-administration https://psnet.ahrq.gov/issue/evaluation-nurse-interaction-bar-code-medication-administration-technology-work-environment

9483. Puh-Erepguide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide.pdf
      February 10, 2014 - Ulcer Assessment was developed by a multistate multidisciplinary design team that consisted of wound nurses … , nurse leaders, and consultants from standalone nursing homes, large nursing home chains, and wound … This report is helpful for nursing staff and wound care nurses to promote earlier identification of … The wound nurse, wound physician, and other disciplines attending wound rounds can see quickly which … The Pressure Ulcer Counts by Month Report compiles pressure ulcer data captured by nurses on the weekly

9484. Chapter-3 - Sepsis Recognition (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
      March 01, 2020 - One study increased the number of nurses in the ED and provided more space for triage. … facilitators mentioned in these five studies included strong teamwork among providers, pharmacy staff, and nursing … personnel, and empowering the pharmacy staff to take a more active role in prescribing and Making … The Code Sepsis program enhanced cooperation among prescribers, pharmacy staff, and nursing personnel … Institution of nurse triage screening tool, nurse-initiated sepsis order set, and provider order sets

9485. Potential uses of AI for perioperative nursing handoffs: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/potential-uses-ai-perioperative-nursing-handoffs-qualitative-study
      September 01, 2021 - This study focuses on postoperative nurse handoffs, specifically regarding situational awareness and … October 21, 2009 Health IT implementation stories: HANDS care plan tool seeks to improve nurse … See More About The Topic Hospitals Information Professionals Engineers Surgery Nurse

9486. Empowering Women and Providers for Improved Care of Urinary Incontinence: EMPOWER Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow-empower.pdf
      January 01, 2025 - The first arm consists of usual care; the second arm adds nurse navigation, and the third arm involves … usual care, nurse navigation, and the UI CeCe mobile chatbot, an interactive artificial intelligence-based … Nurse navigators help guide participants in their UI self-management efforts. … Data sources include electronic medical records (EMR), nurse navigator logs, training attendance sheets … • The project fosters patient education-empowerment impact through direct interaction with nurse

9487. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/SOPS-Nursing-Home-DB-Part-I-2023.pdf
      January 01, 2023 - Highlights Largest two respondent job titles 28% Nursing Assistant/Aide 18% Licensed Nurse (RN … , LPN, Wound Care Nurse) 75% of respondents work day shift. 26% of respondents have worked in their … Respondent Characteristics Respondents Number Percent Job Title Nursing assistant/aide 842 28% Licensed nurse

9488. TeamSTEPPS Mutual Support Module 4
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-4-slides.pptx
      June 02, 2025 - The nurse calls out the vital signs while the physician continues to monitor the rhythm. … A nurse passing by the room hears the call-out. How would you offer task assistance? … Before the patient is discharged, the nurse checks the patient’s vitals one last time. … The nurse finds it unusual that the blood pressure and heart rate are substantially elevated. 17 … The nurse receives the order from the resident on call.

9489. Multifactorial Medication Mishap | PSNet
      psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
      September 01, 2016 - The patient experienced nausea with pills but told the bedside nurse he had taken liquid opioids in the … The nurse informed the physician that the patient was having significant pain, and liquid opioids had … Shortly thereafter, the nurse went to the bedside to administer the drug to the patient for his ongoing … A covering nurse checked on the patient and found him unconscious—a code blue was called. … If a pharmacist or nurse has concerns about the appropriateness of a medication order, he should feel

9490. Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
      January 01, 2024 - poorly  developed safety culture. (21‐26) Our multidisciplinary team of geriatricians, pharmacists, nurses … Alcohol Misuse and Abuse Reported by Nurse Aides in      Assisted Living.   … Home Health Care Nurses’ Perceptions of the Post‐hospitalization Information Needs of Geriatric Patients … Home Health Care: More than Just a Visiting Nurse [Invited Editorial]. 

9491. Electronic health record usability: Associations with nurse and patient outcomes in hospitals. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-use-work-environments-and-patient-outcomes/citation/ehr-usability
      January 01, 2023 - Electronic health record usability: Associations with nurse and patient outcomes in hospitals. … Electronic health record usability: Associations with nurse and patient outcomes in hospitals. … Record/Electronic Medical Record Document Type Journal Publication Population Nurse

9492. AmbulDATAFORM 4 ADE Incident Identification Formatory Pedi Med Study (pdf file)
      digital.ahrq.gov/sites/default/files/docs/resource/Dataform_4_ADE_Incident_Identification_Form.pdf
      June 16, 2021 - Nurse practitioner 3. Physician’s assistant 4. Nurse in office 5. Pharmacist in office 6. … School nurse 9. Babysitter/daycare provider 10. Patient 11. Other__________________ 12. … Nurse practitioner 3. Physician’s assistant 4. Nurse in office 5. Pharmacist in office 6. … School nurse 9. Babysitter/daycare provider 10. Patient 11. Other _________________ 12. … Nurse Practicioner 3. Physician Assistant 4. EMR 5. Pharmacist in office 6.

9493. Communication in the electronic age: an analysis of face-to-face physician-nurse communication in the emergency department. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/cognitive-engineering-complex-decisionmaking-problem-solving-acute-care/citation/communication
      January 01, 2023 - Communication in the electronic age: an analysis of face-to-face physician-nurse communication in the … Communication in the electronic age: an analysis of face-to-face physician-nurse communication in the … Record/Electronic Medical Record Document Type Journal Publication Population Nurse

9494. Measuring safety climate in elderly homes. | PSNet
      psnet.ahrq.gov/issue/measuring-safety-climate-elderly-homes
      March 29, 2023 - April 10, 2024 Inappropriate prescribing to older patients by nurse practitioners and

9495. Adverse events in long-term care residents transitioning from hospital back to nursing home. | PSNet
      psnet.ahrq.gov/issue/adverse-events-long-term-care-residents-transitioning-hospital-back-nursing-home
      April 28, 2021 - February 23, 2011 Nurse-physician communication in the long-term care setting: perceived

9496. Medical Failure-to-Rescue Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/silber-report.pdf
      January 01, 2025 - Hospitals with higher nurse-to-bed ratios [2, 15, 22, 24-28], better nurse mix ratios [3, 5, 25, 28 … FTR is also studied in order to find optimal levels of nurse staffing and ideal nurse … Ratio, Highest Quartile of Nurse Mix, and Size > 250 Beds. … Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. … Educational levels of hospital nurses and surgical patient mortality. JAMA 2003; 290:1617-1623.

9497. Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/effect-health-information-technology-health-care-provider-communication/citation/factors
      January 01, 2023 - Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. … Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. … Technology Clinical Messaging Document Type Journal Publication Population Nurse

9498. Ten best practices for improving emergency medicine provider-nurse communication. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/cognitive-engineering-complex-decisionmaking-problem-solving-acute-care/citation/ten
      January 01, 2023 - Ten best practices for improving emergency medicine provider-nurse communication. … Ten best practices for improving emergency medicine provider-nurse communication. … Record/Electronic Medical Record Document Type Journal Publication Population Nurse

9499. AHRQ Nursing Home Survey on Patient Safety Culture Version 2.0: User’s Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-users-guide-2.0.pdf
      March 01, 2025 - Unit-level POCs typically are at the management or supervisory level, such as nurse managers, department … • Physicians and other providers, such as physician assistants and nurse practitioners, who may work … background characteristics—Do not report results for any background characteristic category (e.g., nurses

9500. Interpreting the Patient Safety Literature | PSNet
      psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
      June 01, 2005 - think the data are as important as in an academic medical center, we have learned that doctors and nurses … institutions where the patient safety officer described wonderful programs, and none of the doctors or nurses … systems to support their work, but the work itself has to live in the hearts and minds of our doctors and nurses … RW: In terms of big buckets—informatics, culture change, hiring more nurses, standard procedures—how