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181. Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults. | PSNet
     psnet.ahrq.gov/issue/optimizing-post-acute-care-patient-safety-scoping-review-multifactorial-fall-prevention
     January 12, 2022 - Related Resources From the Same Author(s) Evaluation of clinical practice guidelines … September 15, 2021 Linking patient safety culture to quality ratings in the nursing home … August 3, 2022 The National Imperative to Improve Nursing Home Quality: Honoring Our … June 10, 2020 Omissions of care in nursing home settings: a narrative review. … June 3, 2020 Nursing practice with hospitalised older people: safety and harm.

182. Expanding what we know about off-peak mortality in hospitals. | PSNet
     psnet.ahrq.gov/issue/expanding-what-we-know-about-peak-mortality-hospitals
     July 09, 2008 - July 9, 2008 Unfinished nursing care, missed care, and implicitly rationed care: state … September 27, 2017 Concordance with urgent referral guidelines in patients presenting … May 22, 2024 Society of Critical Care Medicine Guidelines on Recognizing and Responding … September 24, 2016 The occurrence of adverse events potentially attributable to nursing … February 8, 2012 Adverse Events: Expecting too Much of Nurses and too Little of Nursing

183. Exhausted workforce increases the risk of errors. | PSNet
     psnet.ahrq.gov/issue/exhausted-workforce-increases-risk-errors
     September 07, 2016 - The effects of three consecutive 12-hour shifts on cognition, sleepiness, and domains of nursing … View More See More About Nurses Health Care Executives and Administrators Nursing … Fatigue and Sleep Deprivation Practice Guidelines View More

184. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.194_slideshow.ppt
     March 01, 2009 - homes) State interventions to improve communication between referring facilities (such as nursing homes … On the phone, the nursing home physician started to explain, “I’m sending you a 68-year-old man with … homes or clinics This communication should follow the handoff guidelines described by the Joint Commission … transition that can lead to medical errors This transfer should also follow Joint Commission Patient Safety guidelines … Points Transitions of care in the emergency department should follow Joint Commission standardized guidelines

185. Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of incident reports. | PSNet
     psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis-using-free
     December 18, 2019 - December 18, 2019 'Care left undone' during nursing shifts: associations with workload … December 12, 2014 Prevalence, patterns and predictors of nursing care left undone in … August 28, 2024 Exploring the role of guidelines in contributing to medication errors … Understanding the facilitators and barriers to barcode medication administration by nursing … View More Related Resources Use of pediatric injectable medicines guidelines

186. Guideline for prevention of retained surgical items. | PSNet
     psnet.ahrq.gov/issue/guideline-prevention-retained-surgical-items
     April 26, 2023 - Commentary Guideline for prevention of retained surgical items. Citation Text: Putnam K. Guideline for prevention of retained surgical items. AORN J. 2015;102(6):P11-P13. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

187. The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication administration process on the floor. | PSNet
     psnet.ahrq.gov/issue/amelie-project-failure-mode-effects-and-criticality-analysis-model-evaluate-nurse-medication
     September 24, 2016 - This study reports on a multidisciplinary failure mode and effect analysis of nursing medication administration … August 22, 2015 Nursing perception of the impact of automated dispensing cabinets on … May 29, 2014 Nursing perception of the impact of medication carts on patient safety and … April 24, 2018 Evaluation of clinical practice guidelines on fall prevention and management … December 18, 2013 The relationship between the nursing work environment and the occurrence

188. Weaving a healthcare tapestry of safety and communication. | PSNet
     psnet.ahrq.gov/issue/weaving-healthcare-tapestry-safety-and-communication
     September 29, 2017 - This commentary describes how a medical-surgical unit developed an initiative that combined nursing theory … April 15, 2016 Evaluation of clinical practice guidelines on fall prevention and management … December 15, 2014 Accountability in nursing practice: why it is important for patient … December 10, 2014 Work-arounds observed by fourth-year nursing students. … February 27, 2014 A secondary care nursing perspective on medication administration safety

189. The influence of race and gender on pain management: a systematic literature review. | PSNet
     psnet.ahrq.gov/issue/influence-race-and-gender-pain-management-systematic-literature-review
     December 02, 2020 - investigate how the interpersonal, therapeutic relationship between nurses and patients  contribute to nursing … 2, 2020 A mixed-methods systematic review of interventions to address incivility in nursing … July 15, 2020 Evaluation of clinical practice guidelines on fall prevention and management … April 7, 2021 Exploring mediating effects between nursing leadership and patient safety … See More About The Topic Researchers Anesthesiology Nurse Care Anesthesia Nursing

190. Anesthesiologist group says hospitals can prevent fatal errors like Vanderbilt's. | PSNet
     psnet.ahrq.gov/issue/anesthesiologist-group-says-hospitals-can-prevent-fatal-errors-vanderbilts
     June 01, 2022 - May 25, 2022 Assessing nursing quality and patient safety. … February 7, 2024 Anesthesia workspaces for safe medication practices: design guidelines … November 15, 2023 Handling injectable medications in anaesthesia: Guidelines from the … More About The Topic Hospitals Risk Managers Anesthesiology Nurse Care Anesthesia Nursing

191. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837804/psn-pdf
     August 10, 2022 - nurses-harm-prevention-practices-during-admission-older-person-hospital-multi-method https://psnet.ahrq.gov/issue/nursing-guidelines-comprehensive-harm-prevention-strategies-adult-patients-acute-hospitals

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46831/psn-pdf
     April 18, 2018 - A related commentary discusses how to integrate the guidelines into frontline care activities. … https://psnet.ahrq.gov/issue/how-perioperative-nurses-define-attribute-causes-and-react-intraoperative-nursing-errors

193. Global Report on Infection Prevention and Control: Executive Summary. | PSNet
     psnet.ahrq.gov/issue/global-report-infection-prevention-and-control-executive-summary
     March 09, 2022 - January 29, 2019 WHO Draft Guidelines for Adverse Event Reporting and Learning Systems … May 10, 2023 COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight … June 23, 2021 Coronavirus Commission for Safety and Quality in Nursing Homes. … March 10, 2021 Severe staffing and personal protective equipment shortages faced by nursing … June 3, 2020 American Geriatrics Society (AGS) Policy Brief: COVID-19 and nursing homes

194. Medication error prevention in the school setting: a closer look. | PSNet
     psnet.ahrq.gov/issue/medication-error-prevention-school-setting-closer-look
     March 01, 2023 - Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines … CPRA) – 4-Step Technique Innovation Summary February 26, 2025 Predictors of nursing … May 13, 2020 The promise of big data: improving patient safety and nursing practice. … May 4, 2015 Nursing student medication errors: a case study using root cause analysis … May 1, 2013 A spotlight on strategies for increasing safety reporting in nursing education

195. Nurse Wellbeing and Patient Safety | PSNet
     psnet.ahrq.gov/curated-library/nurse-wellbeing-and-patient-safety
     August 30, 2023 - Washington, DC: George Washington University School of Nursing. … Fatigue is known to contribute to mistakes and omissions in nursing care. … Kathleen Sanford and Sue Schuelke about Virtual Nursing Kathleen Sanford is the chief nursing officer … Organizational Policy/Guidelines AORN Position Statement on Patient Safety. … Organizational Policy/Guidelines Addressing nurse fatigue to promote safety and

196. Inadequate hand-off communication. | PSNet
     psnet.ahrq.gov/issue/inadequate-hand-communication
     April 02, 2015 - publishes sentinel event alerts to draw attention to pressing or emerging safety issues and provide guidelines … April 2, 2015 Improving communication from hospital to skilled nursing facility through … March 2, 2022 Shift-to-shift nursing handover interventions associated with improved … December 9, 2020 Barriers to and facilitators of bedside nursing handover: a systematic … July 7, 2021 Examining the meaning of the language used to communicate the nursing hand-off

197. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-02/final_spotlight_opat_powerpoint_01102020_tocme.pdf
     January 01, 2020 - He was discharged to a skilled nursing facility (SNF) for continuation of intravenous antibiotics. … can receive parenteral antibiotics after discharge include home, an infusion center, or a skilled nursing … – Patients who require a higher level of care may complete their therapy in a skilled nursing facility … : – Patient’s home or other dwelling: prison, motel, shelter – Outpatient infusion center – Skilled nursing … • Vancomycin per IDSA OPAT Guidelines requires weekly therapeutic drug monitoring in patients with

198. Safe practice recommendations for the use of copy-forward with nursing flow sheets in hospital settings. | PSNet
     psnet.ahrq.gov/issue/safe-practice-recommendations-use-copy-forward-nursing-flow-sheets-hospital-settings
     May 18, 2022 - Study Safe practice recommendations for the use of copy-forward with nursing flow … Safe Practice Recommendations for the Use of Copy-Forward with Nursing Flow Sheets in Hospital Settings … Safe Practice Recommendations for the Use of Copy-Forward with Nursing Flow Sheets in Hospital Settings … January 15, 2020 Evaluation of clinical practice guidelines on fall prevention and management … February 9, 2011 Horus meets Nightingale in the modern age: how nursing communicates

199. The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. | PSNet
     psnet.ahrq.gov/issue/design-safe-or-sorry-study-cluster-randomised-trial-development-and-testing-evidence-based
     May 22, 2013 - This study describes the implementation of a patient safety program focused on evidence-based guidelines … Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines … poison information centre can provide important assessment and guidance regarding medication errors in nursing … Cases Discharging Our Responsibility September 1, 2007 Nursing

200. Medical errors: mandatory reporting, voluntary reporting, or both? | PSNet
     psnet.ahrq.gov/issue/medical-errors-mandatory-reporting-voluntary-reporting-or-both
     February 28, 2024 - Related Resources From the Same Author(s) Managing patient safety and staff safety in nursing … homes: exploring how leaders of nursing homes negotiate their dual responsibilities- a case study. … Leading quality and safety on the frontline - a case study of department leaders in nursing … politicians' approach to support-systems and requirements for complying with quality and safety regulation in nursing … Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines