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381. Multiple Levels Involved in Prescribing the Wrong Medication | PSNet
     psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
     December 23, 2020 - Hannah Spero, MSN, APRN, NP-C  Health Sciences Assistant Clinical Professor  Betty Irene Moore School of Nursing … The safe administration of medication: Nursing behaviours beyond the five-rights.  … ASHP guidelines on pharmacist-conducted patient education and counseling. … https://www.ashp.org/-/media/assets/policy-guidelines/docs/guidelines/pharmacist-conducted-patient-education-counseling.ashx … Care November 30, 2021 Patient Safety Primers Nursing

382. "The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety | PSNet
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     December 01, 2012 - He was discharged to a skilled nursing facility one week later. … Such a committee can write and implement guidelines to ensure effective POCUS utilization. … The guidelines also set forth expectations regarding assessment of competency in POCUS. … Ultrasound Guidelines: Emergency, Point-of-Care and Clinical Ultrasound Guidelines in Medicine. … Bedside Ultrasonography Guidelines for Critically Ill Patients.

383. Patient involvement for improved patient safety: a qualitative study of nurses' perceptions and experiences. | PSNet
     psnet.ahrq.gov/issue/patient-involvement-improved-patient-safety-qualitative-study-nurses-perceptions-and
     July 19, 2019 - November 6, 2015 Differences in medication knowledge and risk of errors between graduating nursing … November 11, 2015 Patient participation in patient safety and nursing input—a systematic … December 16, 2011 Changes in nursing practice: associations with responses to and coping

384. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867497/psn-pdf
     February 26, 2025 - The nursing team called the sponge count “correct” at the end of the case because they “counted” twenty … added in the middle of the operation, which actually contained eleven sponges instead of ten, the nursing … Nursing staff frequently find packs with 9 or 11 sponges and by policy these “bad packs” of sponges … The Association of periOperative Registered Nurses (AORN) has guidelines on the importance of how and … Guidelines in practice: prevention of unintentionally retained surgical items.

385. Pharmacist Role in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/pharmacist-role-patient-safety
     June 29, 2020 - For example, automated dispensing cabinets in hospital patient care areas support efficient nursing response … D Director, Clinical Guidelines & Quality Improvement American Society of Health-System Pharmacists Bethesda … Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines … 2020 Annual Perspective Patient Safety in Medical, Nursing

386. Ebola: Are We Ready? | PSNet
     psnet.ahrq.gov/web-mm/ebola-are-we-ready
     July 01, 2012 - The hospital had developed and disseminated guidelines for caregivers and had trained them especially … intake, triage, laboratory, and patient care facilities and to train personnel in accordance with CDC guidelines … After the initial experience in Dallas, these guidelines were revised, requiring hospitals to retrain … In light of the complexity of caring for patients with Ebola, the high stakes, and the evolving guidelines

387. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. | PSNet
     psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
     July 19, 2023 - These published guidelines incorporate evidence-based practices, and the authors applied the guidelines … maintenance, specific patient populations, management of complications, and PICC removal. 1 The MAGIC guidelines … steadily over the past 40 years. 19 Increasing complexity of healthcare, higher patient acuity, and nursing … sreese@ucdavis.edu Margaret Brown-McManus, MSN, RN, CNL Unit Director Patient Care Services, Radiology Nursing … Guidelines for the prevention of intravascular catheter-related infections.

388. Registered nurses' efforts to ensure safety for home-dwelling older patients. | PSNet
     psnet.ahrq.gov/issue/registered-nurses-efforts-ensure-safety-home-dwelling-older-patients
     July 19, 2019 - November 6, 2015 Differences in medication knowledge and risk of errors between graduating nursing … May 24, 2023 Exploring nursing-sensitive events in home healthcare: a national multicenter … Topic Home Care Facility and Group Administrators Nurse Managers Geriatrics Home Nursing

389. Privacy Gone Awry | PSNet
     psnet.ahrq.gov/web-mm/privacy-gone-awry
     February 24, 2011 - for an upcoming JCAHO inspection, the small community hospital (which had suffered from significant nursing … In keeping with this, the recovery room nurse (a recent graduate from nursing school) closed the "privacy … patient's family and represent a potential revenue loss for the surgeon and the hospital, but standard guidelines … End-of-Life Care Planning August 1, 2018 Evaluation of clinical practice guidelines

390. Targeted Medication Safety Best Practices for Hospitals. | PSNet
     psnet.ahrq.gov/issue/targeted-medication-safety-best-practices-hospitals
     January 26, 2023 - Organizational Policy/Guidelines Targeted Medication Safety Best Practices for Hospitals … April 24, 2018 Consumermedsafety.org September 8, 2022 ISMP Guidelines … November 12, 2014 ISMP Guidelines for Sterile Compounding and the Safe Use of Sterile … March 16, 2025 ASHP guidelines on the safe use of automated dispensing devices.

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33605/psn-pdf
     March 12, 2021 - These five “rights” have been historically incorporated into the nursing curriculum as the standard … Optimizing Nursing Workflow to Minimize Error Potential: In health care settings, distractors during … Due to the additional time burden added to existing nursing workload, these double checks should be … Health systems are encouraged to develop robust guidelines for use of these agents. … Health aecabri@ucdavis.edu Michaela Davis, MSN, RN, CNS Doctoral Student Betty Irene Moore School of Nursing

392. A framework for assessing reasoning about controversial end-of-life clinical decisions. | PSNet
     psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
     November 30, 2023 - He was no longer able to ask for pain medications or answer nursing questions regarding pain. … extremely difficult to explain to the patient's loving significant other, who was unable to hear the nursing … Mark Fedyk, PhD Associate Professor Betty Irene Moore School of Nursing Department of Internal Medicine … New clinical-practice guidelines for the management of pain in patients with cancer. … Comfort Care Guidelines for Providers -- Penn Medicine. 2018.

393. Missing ECG and Missed Diagnosis Lead to Dangerous Delay | PSNet
     psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
     March 01, 2015 - According to the integrated 2010 and 2015 American Heart Association Guidelines for Cardiopulmonary Resuscitation … Part 9: Acute Coronary Syndromes: 2015 American Heart Association Guidelines Update for Cardiopulmonary … of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines

394. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. | PSNet
     psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
     January 23, 2017 - After an appropriate procedural pause, nursing staff applied cardiac, pulse oximetry, and end tidal carbon … Some guidelines recommend three personnel at bedside—the proceduralist, the sedation provider, and a … Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for … ISMP Safe Practice Guidelines for Adult IV Push Medications . ISMP;2015. … Departments Health Care Providers Emergency Medicine Pediatric Emergency Medicine Emergency Nursing

395. Interrogating and uprooting systemic racism in the emergency department. | PSNet
     psnet.ahrq.gov/issue/interrogating-and-uprooting-systemic-racism-emergency-department
     March 05, 2025 - Emergency Medicine Clinical Misdiagnosis Psychological and Social Complications Practice Guidelines

396. Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. | PSNet
     psnet.ahrq.gov/innovation/improving-formal-incivility-reporting-ambulatory-oncology-implementing-civic-duty
     March 14, 2022 - incivility events (e.g., bullying, racist language, hostility) committed by patients and visitors towards nursing … Incivility and Violence in Clinical Settings (CIVIC) Duty program included a one-hour education session for nursing

397. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33601/psn-pdf
     December 15, 2024 - Guidelines and frameworks for safe health IT implementation and use have been developed.

398. The Unfamiliar Catheter | PSNet
     psnet.ahrq.gov/web-mm/unfamiliar-catheter
     November 01, 2006 - Alternatively, the hospital may consult the competency guidelines from an appropriate professional organization … indicated, are available for instruction and reference.( 9 ) Quality control initiatives that align with nursing … Nursing. 2000;30:14. [go to PubMed] 10. Kaissi A. … A review of the nursing role in central venous cannulation: implications for practice policy and research

399. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected | PSNet
     psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
     September 25, 2024 - Adult guidelines recommend monitoring blood pressure, oxygenation, and heart rate along with clinical … In children, guidelines and several studies recommend performing upper endoscopy under general anesthesia … Guidelines for sedation and anesthesia in GI endoscopy. Gastrointest Endosc . 2018; 87: 327-37. … September 25, 2024 Hospital nurses' perceptions of human factors contributing to nursing … June 10, 2015 Using a Delphi method to identify human factors contributing to nursing

400. ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. | PSNet
     psnet.ahrq.gov/issue/ismp-gap-analysis-tool-gat-safe-iv-push-medication-practices
     June 13, 2018 - August 22, 2018 ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults … June 7, 2017 ISMP Guidelines for Safe Electronic Communication of Medication Information