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9501. Final Progress Report: Center for Safety In Emergency Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/wears2-report.pdf
      January 01, 2025 - The pilot project studied shift change turnovers among physicians and nurses in EDs. … excellence in patient safety, touching emergency care writ large---for example, by including physicians, nurses … the medical professionals relevant to emergency care (for example, emergency medicine physicians, nurses … Automated Dispensing Units Change Nurses’ Workflow. 2003 – 2004, Association of Hospital Systems Pharmacists

9502. A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries | PSNet
      psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
      July 23, 2024 - and feedback strategies, awarding and recognizing improvement, and elevating the role of experienced nurses … Nurses at hospitals with lower NTSV cesarean rates are more likely to report a culture that is supportive … collaborative learning process and the use of collective wisdom across hospitals and across providers Engaging nurses … The Topic General Hospitals Labor and Delivery Health Care Providers Physicians Nurses

9503. Voluntary Adverse Event Reporting in Rural Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
      January 01, 2007 - specifically examined through a series of key informant interviews with CEOs, risk managers, and floor nurses … Floor nurses who were interviewed reported using the data to look at the environment surrounding an … Floor nurses were almost unanimous in their positive assessment of ORM related to analysis and use of … Nurses said they were able to track particular weaknesses and focus on where the errors were occurring

9504. Electronic health record adoption and nurse reports of usability and quality of care: the role of work environment. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-use-work-environments-and-patient-outcomes/citation/ehr
      January 01, 2023 - Electronic health record adoption and nurse reports of usability and quality of care: the role of work … Electronic health record adoption and nurse reports of usability and quality of care: the role of work … Record/Electronic Medical Record Document Type Journal Publication Population Nurse

9505. Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inpatient setting: a systematic review. | PSNet
      psnet.ahrq.gov/issue/improving-perceptions-patient-safety-through-standardizing-handoffs-emergency-department
      December 21, 2022 - J Am Assoc Nurse Pract. 2019;31(6):354-363. doi:10.1097/JXX.0000000000000160. … J Am Assoc Nurse Pract . 2019; 31 (6) :354-363 . … J Am Assoc Nurse Pract. 2019;31(6):354-363. doi:10.1097/JXX.0000000000000160. … Insulin Order March 1, 2019 Bedside shift report improves patient safety and nurse

9506. Association between sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the Intern Health Study. | PSNet
      psnet.ahrq.gov/issue/association-between-sleep-health-and-rates-self-reported-medical-errors-intern-physicians
      February 07, 2024 - January 25, 2017 Nurse staffing, nursing assistants and hospital mortality: retrospective … July 19, 2019 Nurse Staffing Levels, Missed Vital Signs and Mortality in Hospitals: Retrospective … December 19, 2018 Physician and nurse well-being and preferred interventions to address … February 14, 2024 The association between nurse staffing and omissions in nursing care

9507. Patient safety in nursing homes from an ecological perspective: an integrated review. | PSNet
      psnet.ahrq.gov/issue/patient-safety-nursing-homes-ecological-perspective-integrated-review
      December 07, 2022 - View More See More About The Topic Long-Term Care Geriatrics Nurse

9508. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/guides/implguide-refs.html
      October 01, 2015 - Example of a Nurse-Driven Protocol for Catheter Removal Appendix N. … Effect of nurse-led multidisciplinary rounds on reducing the unnecessary use of urinary catheterization … A nurse-driven Foley catheter removal protocol proves clinically effective to reduce the incidents of … Sustained reductions in urinary catheter use over 5 years: bedside nurses view themselves responsible

9509. Staff nurse training presentation for the deployment of the CP-CDS tool | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/using-evidence-based-nursing-practices-and-electronic-health-record-decision-4
      January 01, 2023 - Staff nurse training presentation for the deployment of the CP-CDS tool Citation Staff … nurse training presentation for the deployment of the CP-CDS tool PDF action-cp-cds-training.pdf

9510. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts3.html
      December 01, 2017 - Nurse Shift Change Report        5. … Weekly Risk Huddle for Nurse and Rehab        7. … Nurse Shift Change Report        6. Rehab Department Internal Review        7. … Weekly Risk Huddle for Nurse and Rehab        11.

9511. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdf
      December 01, 2024 - A panel of nurse leaders explored this issue at a roundtable, “Using Acuity: Optimizing Patient Care … Clinical Nurse Leader Tool Kit https://www.aacnnursing.org/Portals/0/PDFs/CNL/CNLToolKit.pdf The … Nursing Care https://psnet.ahrq.gov/primers/primer/29 This AHRQ Primer highlights the importance of nurses … Missed nursing care is problematic because nurses coordinate, provide, and evaluate many interventions … Nurses also plan, deliver, and evaluate nurse-initiated care to manage patients’ symptoms and responses

9512. Case Example #1: Stanford Coordinated Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-1.html
      July 01, 2019 - practice two days per week   MD=medical doctor; FTE=full-time equivalent; APRN=advanced practice registered … Sometimes, providers or the APRN nurse specialist attend specialty visits with patients to make sure … CC, care coordinator; MA, medical assistant; MD, medical doctor; APRN, advance practice registered nurse … The SCC nurse conducts home visits using the Care Transitions Program® developed by Eric Coleman, MD, … SCC nurses engage with the community through home visits where they use the Care Transitions Program®

9513. High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review. | PSNet
      psnet.ahrq.gov/issue/high-fidelity-simulations-impact-clinical-reasoning-and-patient-safety-scoping-review
      January 26, 2022 - April 7, 2021 Nurse work environment and its impact on reasons for missed care, safety … August 13, 2014 View More See More About The Topic Educators Nurse

9514. Central Venous Catheter Removal
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-removal.pptx
      April 01, 2022 - included in multi-professional rounds or discussed during safety huddles Lack of local physician and nurse … prompts to remove CVC in maintenance checklists or in EHRs Physicians and organizational leadership, Nurses … , and benefits of alternatives to central venous catheters Identify CLABSI prevention physician and nurse … champions Nurse quality leaders rounding and providing just in time education as part of a multimodal … Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream

9515. A Sweet Case of Hidden Hydrogen Ions | PSNet
      psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
      November 30, 2023 - Education is one of the most important means through which to empower physicians, trainees, and nurses … Educating trainees, nurses, and physicians regarding criteria for DKA and HHS, and management of type … These teams should include physicians, dieticians, pharmacists, nurses, and advanced practice providers

9516. Verification Screen That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong Chart | PSNet
      psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
      October 30, 2024 - also 33 “near misses” in which incorrectly placed orders were caught, questioned, and corrected by nurses … In 2016, a survey of 503 nurses, physicians, IT practitioners, and CFOs/financial operations experts … The team consisted of physicians, nurses, administrative leaders, quality and patient safety staff, and

9517. Safe Medication Administration: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-fac-guide.html
      July 01, 2023 - Nurses, physicians, midwives, pharmacists, and other L&D unit staff involved in the preparation and administration … Standing orders for nurses to respond to tachysystole and for reducing, stopping, and restarting oxytocin … Using unit-established standing orders to allow nurses to provide initial management in response to suspected

9518. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33843/psn-pdf
      October 01, 2017 - We certainly have known for decades about physicians, nurses, and other health care workers coming to … JS: I'll speak for physicians, although I think nurses and respiratory therapists and others feel the … You can easily look at absenteeism, and you can find out (for nurses, respiratory therapists, and others

9519. Diagnostic Safety Improvement | PSNet
      psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
      July 21, 2025 - Value of Teamwork in Diagnosis (3) Defining the critical role of nurses … Review Defining the critical role of nurses in diagnostic error prevention: a conceptual … This review describes a framework for engaging nurses in the diagnostic process to enhance multidisciplinary

9520. Behavioral Interventions to Promote Breastfeeding - Recommendations and Rationale (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/rdNAq7uEUC2tNYV6_L9Qte
      January 01, 2010 - education and behavioral counseling programs use individual or group sessions led by specially trained nurses … Behavioral Interventions to Promote Breastfeeding: USPSTF Recommendations In most programs studied, nurses … These trials used lactation consultants, nurses, or peer counselors to provide pre-arranged appointments