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psnet.ahrq.gov/primer/electronic-health-records
March 15, 2025 - Guidelines and frameworks for safe health IT implementation and use have been developed.
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psnet.ahrq.gov/primer/alert-fatigue
March 15, 2025 - care) remains a high-profile patient safety issue, with recent research exploring alert fatigue in nursing … There has been progress toward developing guidelines for high-severity alerts (which warn of significant … February 14, 2024
Alarm burden and the nursing care environment: a 213-hospital cross-sectional
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psnet.ahrq.gov/web-mm/pca-overdose
April 01, 2017 - The nursing staff called a “code” and the patient was resuscitated and transferred to the intensive care … benefits include superior pain control, automatic electronic documentation, and improved utilization of nursing … such technologies are often too expensive and/or plagued with false alarm problems for use on ordinary nursing … November 1, 2017
Compliance with guidelines to prevent surgical site infections: as simple
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psnet.ahrq.gov/issue/defining-speaking-healthcare-system-systematic-review
September 27, 2023 - September 27, 2023
The nurse's experience of decision-making processes in missed nursing … May 13, 2020
A study of error reporting by nurses: the significant impact of nursing … View More
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Abusive supervision and its relationship with nursing … May 13, 2020
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psnet.ahrq.gov/issue/ismp-list-error-prone-abbreviations-symbols-and-dose-designations
January 14, 2024 - October 21, 2011
ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults … June 7, 2017
ISMP Guidelines for Safe Electronic Communication of Medication Information
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psnet.ahrq.gov/web-mm/another-fall
June 01, 2010 - or institutionalized persons, falls are even more common—some studies suggest that more than 50% of nursing … Position Statement: Guidelines for Restraint Use. 1991. [ go to related site ] 2. JCAHO. … A randomized trial of a consultation service to reduce falls in nursing homes. … Mechanical restraint use and fall related injuries among residents of skilled nursing facilities. … A clinical trial to reduce restraints in nursing homes.
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psnet.ahrq.gov/web-mm/lot-pain-medications
September 23, 2020 - fentanyl, and intravenous hydromorphone.( 18 ) Beyond these recommendations, there are no additional guidelines … Practice guidelines for acute pain management in the perioperative setting: an updated report by the … Clinical guidelines for the use of chronic opioid therapy in chronic noncancer pain. … Fine PG, Portenoy RK; Ad Hoc Expert Panel on Evidence Review and Guidelines for Opioid Rotation. … Opioid prescribing: a systematic review and critical appraisal of guidelines for chronic pain.
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psnet.ahrq.gov/issue/special-focus-issue-patient-safety
November 06, 2015 - Special or Theme Issue
Special Focus Issue: Patient Safety.
Citation Text:
Special Focus Issue: Patient Safety. Wagner VD, ed. AORN J. 2014;100:351-456.
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psnet.ahrq.gov/web-mm/pregnant-danger
January 12, 2011 - Nursing-to-nursing communication should take place at the time of transfer to assure transmission of … This case highlights the need to create clear guidelines for urgent management of pregnant patients and … Triage Guidelines for Obstetrical Patients Presenting to the Emergency Department (Adapted from University … of Michigan Hospitals and Health Centers Emergency Department Guidelines)
All patients who present
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psnet.ahrq.gov/issue/80-hour-duty-week-rationale-early-attitudes-and-future-questions
September 28, 2010 - The author discusses the ACGME duty-hour guidelines , how residents feel about them, and the unintended … February 3, 2011
The 80-hour work guidelines and resident survey perceptions of quality
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psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-venous-thromboembolism
November 16, 2022 - July 19, 2023
Surviving Sepsis Campaign: international guidelines for management of sepsis … September 28, 2022
ASHP–PPAG Guidelines for Providing Pediatric Pharmacy Services … American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines
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psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
November 01, 2012 - One might consider Clinical Practice Guidelines (CPGs). … Since then, the profession has witnessed an explosion of guidelines from many different sources. … A full discussion of developing and employing practice guidelines is beyond the scope of this commentary … Nonetheless, implementing such guidelines within health care systems may allow providers to follow clear … misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing
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psnet.ahrq.gov/web-mm/new-oral-anticoagulants
July 01, 2011 - rivaroxaban, placing her at very high risk for bleeding and the development of an epidural hematoma (the guidelines … Recent guidelines from the American Society of Regional Anesthesia and Pain Medicine recommend that TSOACs … Promoting awareness of new guidelines and updating medical knowledge among clinicians is certainly a … Often, these interventions require multidisciplinary input from medicine, nursing, and pharmacy. … antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines
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psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
March 24, 2019 - rarely in clinical care. 16 Confirming intubation with a carbon dioxide monitor is recommended in the guidelines … and cardiopulmonary resuscitation did not increase in the years following the publication of these guidelines … Part 1: Executive Summary: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation … 2018
Color coded medication safety system reduces community pediatric emergency nursing … Emergency Departments
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psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
May 01, 2014 - appropriately, we realized that they simply had no time for soap-and-water hand washing, which the guidelines … And to be honest, the guidelines were not clear—there was no clear indication as to when health care … based on epidemiological studies, review the literature, and make sure that we could transform the guidelines … addition, it was most helpful to secure the support and interest of the CEO, CMO, and the Chief of Nursing … WHO Guidelines on Hand Hygiene in Health Care.
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psnet.ahrq.gov/issue/ismps-safe-medicine
January 26, 2023 - April 24, 2018
Consumermedsafety.org
September 8, 2022
ISMP Guidelines … August 24, 2022
ISMP Guidelines for Sterile Compounding and the Safe Use of Sterile Compounding
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psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
June 28, 2023 - A review of the physician, nursing, and respiratory therapy notes found no tracheostomy management plan … cardiopulmonary issues, especially in patients who may not be able to communicate effectively with the nursing … Standards for the care of adult patients with a temporary tracheostomy: standards and guidelines. … Tracheotomy: clinical review and guidelines. … Intensive Care Units
Long-Term Care
Allied Health Services
Critical Care
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - System implementation led to the hiring of two critical care nursing project officers. … Despite the existence of guidelines, protocols, and continuous performance improvement initiatives, medical … The team included 33 emergency, anesthesiology, surgical, and critical care medical and nursing staff … The review encompassed emergency medical, radiological, anesthesiology, surgical, and nursing texts. … System implementation led to the hiring of two critical care nursing project officers.
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psnet.ahrq.gov/issue/barcode-medication-administration-technology-use-hospital-practice-mixed-methods
December 07, 2022 - February 5, 2020
User-testing guidelines to improve the safety of intravenous medicines
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psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
April 17, 2024 - April 17, 2024
ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults … June 7, 2017
ISMP Guidelines for Safe Electronic Communication of Medication Information