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81. Federal Interagency Workgroup--Diagnostic Safety: November Meeting Summary (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2022.pdf
    March 01, 2023 - Contract o Posted three new issue briefs on the AHRQ website: (1) Distributed Cognition and the Role of Nurses … Diagnostic Accuracy Through Probability-Based Diagnosis; (3) Reinforcing the Value and Roles of Nurses … in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. … https://www.ahrq.gov/patient-safety/reports/issue-briefs/nurse-role-dxsafety.html https://www.ahrq.gov … /patient-safety/reports/issue-briefs/nurse-role-dxsafety.html 2 Agency Update o Posted Calibrate

82. Tool: SBAR | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/teamstepps-program/curriculum/communication/tools/sbar.html
    November 01, 2019 - It states what the nurse or other provider has assessed based on the background information, patient … After watching the video, consider: How did the SBAR technique improve communication between the nurse … The nurse identified herself and the reason she was calling. … The nurse provided the background of the deep vein thrombosis (DVT) diagnosis and all current labs. … The recent assessment of the patient has led the nurse to call the physician with her concerns.

83. New Models of Primary Care Workforce - Case Example #5: WellMed (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_5.pdf
    October 01, 2016 - Two full-time float MAs act as triage nurses, filling in as needed. … In addition, this coach is also a licensed vocational nurse (LVN) who acts as a backup nurse, starting … Registered nurse (RN) outpatient case managers oversee the management of high-risk patients with multiple … MAs and triage nurses can consult PCPs. … ; RN=registered nurse Team Building and Training The clinic manager at the WellMed at Medical Center

84. Nursing Home Workplace Safety Resource List (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
    January 01, 2023 - /health-and- safety/incivility.jpg The American Nurses Association (ANA) created this Civility Best … Practices for Nurses poster for healthcare organizations. … /nurse-bullying Healthcare organizations can review this resource from St. … Catherine University to understand forms of nurse bullying, identify common nurse bully types, and understand … This resource also provides organizational strategies to address bullying among nurses. 4.

85. Preventing CAUTI in Specialized Patient Populations: The ICU | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
    December 01, 2017 - The nurse/physicians in the unit want to take the Foley out, but the surgeon/oncologist also caring for … Surgeon Infectious disease specialist (Resident) Emergency medicine EM physician Nurse … Formation of CAUTI Team Unit Manager: For support, leadership, & time allocation Unit Charge Nurses … collection Unit Team Leader: Peer champion, coordinate project efforts, staff empowerment Staff Nurses … Bag below bladder, use of securement device, seal not broken) Nurse to complete when care on sheet

86. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
    April 01, 2011 - identify needs and adapt the strategy; the trainers to prepare and conduct the training; staff champions (registered … • Periodically monitoring nurses gave nurses helpful and timely feedback. … Then, nurse leaders held a 6-hour training session for selected nurses, including members of the unit-based … council and nurses who were working towards promotion. … Nurse managers monitored and supported implementation.

87. Register Now: April 25 Webinar Will Launch HHS Series on National Action Alliance To Advance Patient Safety | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/news/newsletters/e-newsletter/858.html
    April 01, 2023 - Nurse Staffing Gaps Reported in Hospitals With More Vulnerable Maternity Patients, Study Finds . … Nurse Staffing Gaps Reported in Hospitals With More Vulnerable Maternity Patients, Study Finds Most … hospitals adhere to nurse staffing guidelines, but gaps in staffing are reported more frequently at … staffing guidelines published by the Association of Women’s Health, Obstetric and Neonatal Nurses. … They found that nurses reported strong adherence to staffing guidelines in their hospitals; but higher

88. Re-Engineered Discharge Toolkit (pdf file)
    healthcare411.ahrq.gov/sites/default/files/publications/files/redtoolkitforms.pdf
    September 01, 2012 - : (Name of patient’s nurse) Date: _______ Nurse: __________ Date: _______ Nurse: _______ … ___ Date: _______ Nurse: __________ Date: _______ Nurse: __________ Date: _______ Nurse … Date: _______ Nurse: __________ Date: _______ Nurse: __________ Date: _______ Nurse … ______ Nurse: __________ Date: _______ Nurse: __________ Date: _______ Nurse: _________ … During this hospital stay, how often did nurses listen carefully to you?

89. TeamSTEPPS Video Debrief Guide: Huddle in Emergency Department (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/huddle-emergency-dept-guide.pdf
    August 31, 2023 - . • Nurse Autumn will start an IV, draw labs, and give medications. • Nurse Julie will document. • Nurse

90. New Models of Primary Care Workforce and Financing - Case Example #3: Fairview Health Services (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_3.pdf
    October 01, 2016 - provider’s office; and two pods where unit coordinators, medical ▌pg. 1 assistants (MAs), and registered … nurses (RNs) sit. … practitioner; RN=registered nurse; PA=physician assistant; MA=medical assistant; SW=social worker; … • One to two nurses who triage calls received by the pod. … MA=medical assistant; RN=registered nurse; MD=medical doctor; PA=physician assistant; NP=nurse practitioner

91. TeamSTEPPS Fundamentals Course: Module 6. Mutual Support | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/teamstepps/instructor/fundamentals/module6/slmutualsupp.html
    July 01, 2018 - The nurse calls out the vital signs while the physician continues to monitor the rhythm. … A nurse passing by the room hears the call-out. … Before the patient is discharged, the nurse checks the patient's vitals one last time. … The nurse finds it unusual that the blood pressure and heart rate are substantially elevated. … The nurse receives the order from the resident on call.

92. Primary Care | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/research/findings/factsheets/primary/index.html
    February 01, 2024 - Primary Care Workforce This fact sheet shows that primary care physicians, nurse practitioners, and … The Number of Nurse Practitioners and Physician Assistants Practicing Primary Care in the United States … Nurse practitioners and physician assistants are health professions begun in the United States in

93. Breaking Down Barriers to Aseptic Catheter Insertion | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-slides.html
    December 01, 2017 - Infection Preventionist Physician Nurse leader or nurse educator Bedside nurse Other… Slide … (31%) Patient’s labia closed over the catheter during insertion and contaminated the catheter; nurse … Nurse inserting catheter ripped her sterile gloves, did not get new ones. … Techs/Nurse Aides to insert Foley? … care improvement Plans for Future & Sustainability: Perform follow-up evaluation Implement Nurse

94. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/teamstepps/instructor/scenarios/ed.html
    March 01, 2014 - In the meantime, Nurse Richardson from the Emergency Department requests 50 mg of morphine to restock … He goes back into the waiting room and asks for assistance from the Triage nurse because "things are … In the meantime, Nurse Richardson from the Emergency Department requests 50 mg of morphine to restock … Quickly, Nurse Moody says loudly, "ABCs people, what's the patient's respiratory status? … The nurse insists that he be moved ahead of others in X Ray.

95. Assemble the Team and Engage Leadership for Perinatal Safety | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-slides.html
    July 01, 2023 - Slide 5: Team Members Nurses (including nurse educator, nurse manager, nurse midwives, nurse anesthetists … Slide 25: The CUSP Leader's Role Is a frontline provider, nurse educator, physician, or other staff … Nurses. Patient safety officers. Technicians. Clerks and receptionists. … Slide 39: The Nurse Manager's Role Leads or supports L&D CUSP activities. … American Organization of Nurse Executives Nurse Manager Leadership Partnership Learning Domain Framework

96. Implementing Team Approaches for Improving Diabetes Care in Health Centers | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/practiceimprovement/delivery-initiative/rodriguez/index.html
    December 01, 2020 - Licensed Vocational Nurse: 8.9%. Medical Assistant: 32.3%. Non-Clinical Office Staff: 27.6%. … Registered Nurse: 5.1%. Unknown: 6.1%. … 12 clinics) N Practice leader (coordinator, medical director) 3 2 5 Clinician (physician, nurse … 8 Medical assistant 3 3 6 Community health worker 3 0 3 Other (nutritionist and registered … nurse) 0 2 2 Total 13 11 24   Slide 13 Image: Three large ovals captioned Clinic

97. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety: Rapid Response Systems (doc file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
    May 01, 2017 - Who should use this tool: Nurses, physicians, midwives, anesthesiology providers, neonatal providers, … care condition · An event that requires a team response · An acute situation that the physician or nurse … Rapid responders may include staff L&D nurses, nurse midwives, obstetricians, and anesthesiology providers … midwife(s) L&D staff nurse(s) Anesthesiology Charge nurse L&D technician … notified: Yes No Nurse manager notified: Yes No Attending M.D. or midwife notified: Yes

98. Strategy 2: Communicating for Improve Quality (Tool 1) (doc file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_1_Be_Partner_508.docx
    February 10, 2011 - Engagement We work as a team to make sure you get the best care Your health care team includes you, doctors, nurses … If you or your family needs to talk to a doctor at any time, please let your nurse know. … Nurse shift changes occur when nurses who are going off duty share information about you with nurses … Your nurses will change shifts between [7 and 7:30 a.m.] and [7 and 7:30 p.m.].

99. Strategies for Improving Patient Experience with Ambulatory Care: Cultivating Cultural Competence (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-6k.pdf
    August 01, 2017 - Health Plan Offers Nurse Advice Line in Spanish Health plans can also take steps to ensure that their … care organization, developed and aggressively marketed a 24-hour bilingual (English and Spanish) nurse … Eight bilingual registered nurses staff the line, which replaced a traditional advice line where nurses … After Molina introduced its bilingual nurse advice line, calls from Spanish- speaking members increased … Source: AHRQ Health Care Innovations Exchange. 24-Hour, Bilingual Nurse Line Provides Advice and Interpreter

100. Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization (doc file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation.docx
     August 31, 2017 - It instituted a 1-year residency program for new-graduate registered nurses (RNs) to provide support … nurse specialty that this hospital doesn’t have. … Good communication needs to occur among staff at all levels: · Within the unit (among nurses, nurse assistants … Wound, Ostomy, and Continence (WOC) Nurse assessment. … and nurse assistants.