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81. Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
    April 07, 2008 - recruited direct team members, including obstetricians, labor and delivery and special-care nursery nurses … , neonatal nurse practitioners, anesthesiologists, certified registered nurse anesthetists (CRNA), … nurses and the patient; the addition of an obstetrician; taking the patient to the operating room for … , neonatal registered nurses, clinical nurse leader, birthplace manager, neonatal nurse practitioner … , anesthesiologist, blood bank director, pharmacy manager, certified registered nurse anesthetist, operating

82. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report Part II (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-II-SOPS-ASC-DatabaseReport.pdf
    December 01, 2021 - Anesthes- iologists) or Surgeon Certified Registered Nurse Anesthetist (CRNA) Physician … Anesthes- iologists) or Surgeon Certified Registered Nurse Anesthetist (CRNA) Physician … Anesthes- iologists) or Surgeon Certified Registered Nurse Anesthetist (CRNA) Physician … Anesthes- iologists) or Surgeon Certified Registered Nurse Anesthetist (CRNA) Physician … Anesthes- iologists) or Surgeon Certified Registered Nurse Anesthetist (CRNA) Physician

83. Nursing | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/topics/nursing.html
    Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department The … Emergency Nurses Association Presents CAUTI Slides and Transcript Recent Research … Studies Tracheal intubation by advanced practice registered nurses in pediatric critical care … Predictors of Clinical Nurse Leader implementation success across a national sample of settings: a Bayesian … The consequences of emotionally evocative patient behaviors on emergency nurses' patient assessments

84. Fallspximpl-Handouts (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docx
    November 15, 2017 - Nursing Assistant A: I think it would work well for the nurse managers or charge nurses to meet with … Facilitator: Some nursing homes have nursing assistants and charge nurses or nurse managers meet weekly … Would nurse shift report be the best way to share the reports with the charge nurses on the different … Miranda [Nurse Manager A] had said she wanted to meet with the nurses to determine the best process for … Nurse managers or charge nurses Nurse managers or charge nurses typically lead the meeting.

85. Strategy 3: Bedside Shift Report (Tool 3) (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_3_Pres_video_508.pdf
    May 30, 2013 - engage the patient and family in hospital care – To share accurate and useful information between nurses … ” • Builds trust in the care process – Shows the patient how much nurses know and do for them – … transition to home Strategy 3: Bedside Shift Report 15 Benefits of bedside shift report for nurses … (continued 2) • Can physicians and nurses engage in confidential conversations with other providers … Bedside Shift Report (Tool 3) Option 1: Role play vignette (continued) • Debrief – What did the nurses

86. Engaging The Nurse, Physician, Patient/Family, CUSP – Learn From Defects | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-video.html
    December 01, 2017 - Reducing CAUTI in Hospitals Information for Specialty Audiences Engaging The Nurse … Telemedicine Universal ICU Decolonization Protocol Engaging The Nurse … reviewed December 2017 Page originally created March 2016 Internet Citation: Engaging The Nurse … https://www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-video.html

87. New Models of Primary Care Workforce - Case Example #8: Methodist Healthcare Ministries: Wesley Health & Wellness Center (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_8.pdf
    October 01, 2016 - (LVN), and a registered nurse (RN). … MD=medical doctor; NP=nurse practitioner; RN=registered nurse; LPN=licensed practical nurse; MA=medical … Wesley Nurses The Wesley Nurse program serves South Texas at 80 sites, predominantly Methodist church … CHWs are assigned to Wesley nurses, particularly if patients need Spanish translation or if the nurse … LVN=licensed vocational nurse; MA=medical assistant; EHR=electronic health record; RN=registered nurse

88. Section 2: Explanation of Key Concepts and Tools | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/teamstepps-program/curriculum/situation/tools/index.html
    June 01, 2023 - Situation Monitoring Examples Context Example Hospital A nurse notices that another nurse has … nurse. … admitted for an acute asthma attack notices that the patient has become unresponsive and calls for the registered … nurse or the Rapid Response Team. … In view of the patient’s admission diagnosis, the eICU nurse notifies the bedside nurse of possible signs

89. 2018 Hospital SOPS Database Report Executive Summary Infograpic (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsrptexecsum_0.pdf
    March 01, 2018 - posrtive Staff Position 77% positive Administration / Management (highest) 63% posrhv Registered … nurse/ Licensed vocational nurse/ Licensed practical nurse ( lowest) Comparing results over time

90. Transcript: How To Have Difficult Conversations With Colleagues Around Infection Prevention Practices (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/difficult-conversations-transcript.pdf
    April 01, 2022 - I'm Kate Schmidgall, and I'm joined by Pat Posa, registered nurse, quality excellence leader at St. … It would be a nurse that would be observing that. … Preventing CLABSI and CAUTI Difficult Conversations Transcript | 3 Kate: How do we begin to coach nurses … The nurse knows the doc is on the same page. … we've used that forum to practice real-life scenarios that we’ll hear feedback of tensions between the nurses

91. Strategy 3: Bedside Shift Report (Tool 3)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
    July 23, 2010 - ) Nurse shift changes require the successful transfer of information between nurses going off duty … and nurses coming on duty to prevent adverse events and medical errors. … Nurses who are coming on duty should thank the nurses who are going off duty if they have done a good … Specific points to discuss as needed: One of the nurses used the term “cardiomyopathy.” … How did the nurses address the patient’s concern about getting out of bed by himself?

92. Part One: Traditional Practice and Recommendations for Change (continued) | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/ena-slides/part1a.html
    October 01, 2015 - Nurses Association via email. … Emergency nurses? Inpatient nurses? Providers? … Uninformed assumptions of both the emergency nurse and the inpatient nurse contribute to a chaotic handoff … Nurses Association via email. … Nurse-directed removal Is there a protocol for the nurse to evaluate ongoing need and remove the catheter

93. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/nursedr-early-mobility-protocols-facguide.docx
    January 01, 2017 - Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Nurse-Driven … Your multidisciplinary team might consist of nurses, a respiratory therapist, a physical therapist, a … If the patient clears the exclusion criteria, a registered nurse (RN) may carefully initiate early mobilization … Three designated patient care technicians who collaborate with the nurses work from 7 a.m. to 7 p.m. … Frequently, nurses have so many tasks to accomplish during the day that they do not have time to mobilize

94. Ambulatory Surgery Center Survey on Patient Safety Pilot Study Results (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc_pilotstudy.pdf
    April 01, 2015 - This included doctors, nurses, certified registered nurse anesthetists, physician assistants, nurse … • The three most common staff positions reported by respondents were nurses (33%), doctors (21%) … Nurse Anesthetist 62 3% Physician Assistant or Nurse Practitioner 42 2% Management 134 7% Nurse 592 … Nurse Anesthetist (CRNA),” “Physician Assistant or Nurse Practitioner,” or "Other" are not shown. ( … Nurse Anesthetist (CRNA),” “Physician Assistant or Nurse Practitioner,” or "Other" are not shown. (

95. Strategies for Improving Patient Experience with Ambulatory Care: On-Demand Advice, Diagnosis, and Treatment for Minor Health Conditions (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6f.pdf
    March 01, 2017 - around-the-clock staffed by registered nurses (RNs) who assist members who have questions or need advice … , training in active listening and motivational interviewing may help nurses make meaningful connections … If members or nurses consistently have difficulty with specific questions, the clinical team should … Conditions March 2017 6.F-8 • Minimize stress on practitioners: Studies suggest that advice line nurses … Stress in telephone helpline nurses is associated with failures of concentration, attention and memory

96. Design Options for a Self-Management Support Program | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ptmgmt/design.html
    July 01, 2018 - The care managers primarily are licensed practical nurses. … Each nurse was responsible for 1-15 primary care sites. … The nurses provided self-management support at the primary care clinic in one-on-one encounters or in … These services include 24-hour access to telephone consultation with a registered nurse, as well as an … According to an article reporting research on this program, the registered nurses were employed by the

97. TeamSTEPPS 2.0: Mutual Support Exercise Sheet (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module6/exmutualsupport.pdf
    March 21, 2014 - Two nurses are at the desk during a brief lull in a busy day. … Nurse #1: “Let's see whether Maureen can use some help.” … Nurse #1: “Come with me. I’ll show you how it's done.” (Nurse #1 approaches Nurse #3.) … Nurse #1: “Maureen, I can see you're busy. … Nurse #3: “Thanks. The IV is set up. You just need to start the line.” (Nurse 3 exits.)

98. Puh-Electronic-Reports (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-electronic-reports.pdf
    February 10, 2014 - Users and Potential Uses The primary users of this report are the nursing leadership, direct care nurses … or charge nurses Nurse shift change report Rehab Department staff Rehab Department internal review … risk huddle for nurses and rehab DON or ADON, nurse manager, wound nurse, dietitian, rehab director … This report is helpful for nursing home staff and wound nurses to promote early identification of pressure … MDS assessment documentation Nurse managers or charge nurses Nurse shift change report Rehab Department

99. Engaging the Nurse, Physician, Patient/Family, CUSP- Learn From Defects | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-slides.html
    August 01, 2018 - Nurse OR gave report to Nurse ICU. 08/03/12 – Ms. C is stable. … C’s son has been with her since surgery, but he has not been included in any rounds with the nurses or … Slide 7 Reducing CAUTIs: Nurse Engagement in the ICU Jenny Tuttle, RN, MSNEd, CNRN Clinical Nurse … publications from Society of Critical Care Medicine (SCCM) and American Association of Critical Care Nurses … Slide 62 Next Steps: Assess your ICU’s level of engagement of nurses, physicians and patients/families

100. Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-engaging-leadership-slides.html
     December 01, 2017 - manager Nurse champion (engage nursing personnel) Nurse educator, unit manager, charge nurse, staff … Develop a common purpose (patient safety) View nurses as partners (not barriers) Identify nurse champions … physician administrator : “Because the nurses on the geriatrics unit wanted to have their patients regain … A nurse champion is critically important! … Slide 76 CAUTI GPS Questions Do bedside nurses ensure the Foley is removed when no longer needed