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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
    January 01, 2003 - To further increase awareness about the study, posters were distributed to individual nursing floors … There were enough licensed and unlicensed personnel on the floor to care for patients. 8. … Did you, or someone else on your floor that you are aware of, break an accepted policy or protocol? … Participants worked on a variety of nursing floors, ranging from general medicine to critical care. … small Advances in Patient Safety: Vol. 1 60 differences were reported for working on the usual floor
  2. www.ahrq.gov/news/blog/ahrqviews/aian-trust-responsibility.html
    November 01, 2024 - It should represent a floor, not a ceiling, informing the national conversation regarding AI/AN health
  3. Fallpxtool2D (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2d.docx
    January 28, 2013 - 2D: Assessing Current Fall Prevention Policies and Practices Background: The purpose of this self-assessment tool is to identify what processes of care your hospital has in place and what areas need improvement. Reference: Adapted from AHRQ publication on the Falls Management Program for nursing homes. www.ahrq.gov/res…
  4. www.ahrq.gov/teamstepps/rrs/instructor_slides/rrsinstructmod.html
    October 01, 2014 - Activators can be floor staff, a patient, a family member, specialists, or anyone else sensing acute … The patient or a family member may also serve as a kind of activator when they alert floor staff about … Team members from the nursing staff or floor staff are trained to monitor for fluctuations in any one … on another floor. … The team arrived on the floor but had to wait to be directed to the appropriate room.
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
    March 12, 2008 - protocols in spiral ACLS resource book Wheelchairs unavailable (missing, locked up, on a different floor … ) • Minimum of 1 wheelchair per floor • 3-4 wheelchairs in reception area including an extra-wide … , returns immediately to ground floor to await ambulance crew, accompanies EMS to patient floor, holds … elevator for EMS return with patient to ground floor Staff unable to find patient location in new … building Identify floor, corridor, and room number during overhead page Staff unaware of standing
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spread.pptx
    April 15, 2012 - With the Next Unit 12 Account for Variability 13 Goal: Decrease CAUTI rates on all floors
  7. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb3.html
    February 01, 2023 - Determine if the resident stumbles, trips, has difficulty finding objects or detecting changes in floor
  8. www.ahrq.gov/news/newsroom/case-studies/cdom0801.html
    October 01, 2014 - for low blood pressure; protective aids such as hip, elbow, or knee pads; beds that are low to the floor
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-k.pdf
    October 05, 2015 - the bag at a level below the patient’s bladder The bag should never come into contact with the floor
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts.ppt
    October 01, 2015 - Additionally, the patient makes several attempts to climb out of the bed, and is found on the floor at
  11. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/implmatls.html
    November 01, 2017 - Environmental factors (e.g., glare, poor lighting, uneven surfaces, new environment, patterned carpet … or floor) |__| |__| Situational factors (e.g., recent transfer, time of day, responding to … |__| Range of motion evaluation |__| |__| Vital signs |__| |__| Surface (floor … /ground) that the resident was found on (e.g., wet floor, uneven terrain) |__| |__| Description
  12. www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/guide.html
    October 01, 2017 - This last point is crucial, because once patients are off the unit floor, other hospital Team members … A 9-week preceptorship with floor nurses to build skills. 9 months of support, which includes a … Floor mats.
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_fall-prevention.docx
    September 20, 2017 - This last point is crucial, because once patients are off the unit floor, other hospital Team members … orientation to the hospital and its fall and other prevention programs A 9-week preceptorship with floor … these items should be stored on or near the unit for easy availability: Assistive devices Low beds Floor
  14. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/packet.html
    November 01, 2017 - walker, crutch, O 2 ) – improper use     X X       Equipment failure, bed, chair, floor
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsinstructmod.ppt
    January 01, 2008 - Activators can be floor staff, a patient, a family member, specialists, or anyone else sensing acute … The patient or a family member may also serve as a kind of activator when they alert floor staff about … Team members from the nursing staff or floor staff are trained to monitor for fluctuations in any one … on another floor. … The team arrived on the floor but had to wait to be directed to the appropriate room.
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/instructor_slides/rrsinstructmod.pdf
    January 01, 2008 - Activators can be floor staff, a patient, a family member, specialists, or anyone else sensing acute … The patient or a family member may also serve as a kind of activator when they alert floor staff about … Team members from the nursing staff or floor staff are trained to monitor for fluctuations in any … on another floor. … The team arrived on the floor but had to wait to be directed to the appropriate room.
  17. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/slides.html
    December 01, 2017 - Extrinsic Fall Risk Factors Environment Clutter Inadequate lighting, glare Uneven or wet floors
  18. www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/slides.html
    September 01, 2017 - Slide 5: 2012 NDNQI Definition of a Fall A patient fall is an unplanned descent to the floor with … included whether they result from physiological reasons (fainting) or environmental reasons (slippery floor
  19. Coaching Scenarios (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module9/ts2-0ltc_module9_coaching_scenarios.pdf
    April 24, 2017 - Scenario 1 You are assigned to coach day shift staff on a 60 bed long- term care floor on teamwork
  20. www.ahrq.gov/news/newsroom/case-studies/ktcquips73.html
    October 01, 2014 - The revised protocol was pilot tested on the medical floor, with hospitalists consistently ordering VTE

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