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  1. www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/nursing-home/2025-nursing-home-database-report-pt1.pdf
    January 01, 2025 - Administrator/Manager 440 11% Administrative Support Staff 329 8% Direct Care Staff 501 13% Licensed Nurse
  2. psnet.ahrq.gov/issue/how-hospital-leaders-contribute-patient-safety-through-development-trust
    January 22, 2014 - January 22, 2014 The association of patient safety climate and nurse-related organizational … March 28, 2012 Errors in nurse-led triage: an observational study.
  3. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
    February 01, 2014 - 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 … pharmacist personally retrieved, labeled, and delivered the drug and a calibrated syringe to the bedside nurse … typically be delivered). 6 Case: Multifactorial Medication Mishap (4) Shortly thereafter, the nurse … A covering nurse checked on the patient and found him unconscious—a code blue was called.
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/dailygoals-rounds-slides.pptx
    January 01, 2017 - Safety Program for Mechanically Ventilated Patients Daily Goals and Outcomes Percentage of residents and nurses … Complete during rounds Nurse should read back to ensure agreement Modify to fit your unit Daily Goals … Improving nurse-physician communication and satisfaction in the intensive care unit with a daily goals … Crit Care Nurse. 2009 Dec;29(6):58-69. PMID: 19952337. 11. Agarwal S, Frankel L, Tourner S, et al. … Crit Care Nurse. 2009 Dec;29(6):58-69. PMID: 19952337. Agarwal S, Frankel L, Tourner S, et al.
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47288/psn-pdf
    December 21, 2018 - systems-thinking-and-incivility-nursing-practice-integrative-review https://psnet.ahrq.gov/issue/creating-nurse-led-culture-minimize-horizontal-violence-acute-care-setting-multi
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60363/psn-pdf
    March 01, 2021 - Initial meeting in hospital: The Transitions Coach, who can be a registered nurse or social worker, … Resources Used and Skills Needed Staffing: The program relies on registered nurses, social workers, … Costs: In 2014, the annual costs to support one advanced practice nurse during the research study totaled
  7. www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide7.html
    May 01, 2016 - Education programs for nurses and patients. Engage patients in the process. Audit and feedback. … Targeted education of nurses can be modestly effective in improving mechanical prophylaxis adherence … Generally, this daily screening is performed by a nurse, although in some institutions a pharmacist or … The color coding for this situation (orange) makes this acceptable combination known to the nurse at … These cases may represent under-prophylaxis and an opportunity for intervention if the nurse does not
  8. www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide7.html
    May 01, 2016 - Education programs for nurses and patients. Engage patients in the process. Audit and feedback. … Targeted education of nurses can be modestly effective in improving mechanical prophylaxis adherence … Generally, this daily screening is performed by a nurse, although in some institutions a pharmacist or … The color coding for this situation (orange) makes this acceptable combination known to the nurse at … These cases may represent under-prophylaxis and an opportunity for intervention if the nurse does not
  9. psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
    October 06, 2021 - baby's health, about what to watch for, and oh, by the way, this has to happen in 36 hours, and your nurse … We're going to do workshops with nurses and providers and then with patients to think about how we’re … One of the really heartbreaking video sequences was a Spanish-speaking family where the nurse came in … Hang up the phone and tell your nurse.” But those instructions were not provided in Spanish. … We are here to change the way it's done in the community with those who are doing it, with the nurses
  10. psnet.ahrq.gov/perspective/health-equity-and-maternal-health
    October 06, 2021 - We're going to do workshops with nurses and providers and then with patients to think about how we’re … One of the really heartbreaking video sequences was a Spanish-speaking family where the nurse came in … Hang up the phone and tell your nurse.” But those instructions were not provided in Spanish. … We are here to change the way it's done in the community with those who are doing it, with the nurses … April 21, 2021 The impact of critical incidents on nurses and midwives: a systematic
  11. www.ahrq.gov/evidencenow/model/profiles/walkers-point.html
    March 01, 2021 - Steve Ohly, registered nurse practitioner and manager at Walker's Point Community Clinic.
  12. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-shoulder-dystocia.html
    July 01, 2023 - Clinical Context The facilitator provides the clinical context to person in the role of nurse. … This can be done using a verbal report and handoff from one nurse to another nurse. … Expected behavior/performance: Nurse introduces self to the patient and begins assessment. … Nurse continues to assist patient with pushing. … Nurse clearly demonstrates leadership role until other team members arrive.
  13. psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
    September 27, 2017 - 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
  14. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
    April 30, 2025 - This publication has been well received by state policymakers and building-based school nurses. … Nurse leaders were critical to improvement and varied in their skills, suggesting that nurse leader … CDS use was affected by both nurse and patient characteristics. … executive summary of the report was published within the March 2005 issue of AJN, which went to 344,000 registerednurse subscribers.
  15. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/huddle-emergency-dept-guide.pdf
    June 02, 2025 - . • Nurse Autumn will start an IV, draw labs, and give medications. • Nurse Julie will document. • Nurse
  16. digital.ahrq.gov/sites/default/files/docs/page/Participant%20List_0.pdf
    June 16, 2021 - University robert.dittus@Vanderbilt.Edu Ilaina Edison, RN, MBA Vice President for Operations Visiting Nurse
  17. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.263_slideshow.ppt
    March 01, 2012 - (All patients discharged from medicine service at this hospital are called by a nurse within 3 days.) … The nurse learned about the worsening symptoms and contacted the discharging team. … * * Case: Postdischarge Phone Call (4) The nurse who had called previously called again 2 days … The discharging team was convinced that the follow-up phone call from the nurse had definitely prevented … phone call using a focused script elicited the patient’s new symptoms The nurse was able to reach the
  18. digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-52a-sample-task-table-no-delegation
    January 01, 2023 - Prescriber retrieve message with record Prescribing physician or nurse practitioner Research, review … Prescriber approve or decline request or change medication Prescribing physician or nurse practitioner … Give prescription and record to office staff Prescribing physician or nurse practitioner Handoffs
  19. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
    November 01, 2014 - Nurse workstation and code area organization. Chart billing and scanning enhancement. … Further, Lean had to be halted at times in the ED because of staffing issues with nurses and an H1N1 … nurses, physicians, schedulers, and other staff from key areas. … She indicated that Lean offers additional opportunities for nurses to provide input. … A nurse leader noted that involvement of nurses in RIE-related decisions created ownership in support
  20. effectivehealthcare.ahrq.gov/sites/default/files/ebc-challenge-webinar-transcript.pdf
    June 01, 2014 - Nurse practitioners and PAs are an important emerging audience for AHRQ products and they were  the … between  AHRQ and the nursing   community and providing insights on how we can effectively involve nurses … example, generating topics for the research we do, sharing research findings and communicating with nurses … That convention  would  provide   access to about 5,000 nurse practitioners. … Also looking at the Ohio Association of Advanced Practice Nurses Convention and meeting in the fall of