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monahrq.ahrq.gov/news/newsroom/case-studies/201511.html
May 01, 2015 - Nurses began structured, purposeful visits to patients. … The hospital implemented a non-punitive system to monitor nurses' locations and the frequency of their
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
April 01, 2011 - Involve the patient and family in nurse change of shift report or bedside rounds. … Assess how well doctors and nurses explain the diagnosis, condition, and next steps in the patient’s … Education can take place during bedside shift report, rounds, vital status check, nurse calls, and as … If another clinician (e.g., pharmacist, doctor, or nurse) is needed to address a concern, arrange for … Nurses:
Case manager:
Discharge planner:
Interpreter:
Others:
21
Strategy 4: IDEAL Discharge Training
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monahrq.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-rabson.pdf
January 01, 2017 - The nurse did the EKG before seeing Dr. X. He came right in after. He
was well prepared.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - Nurses’ notes
MDS assessments
Nursing assistant documentation
Therapy notes and evaluations
October … Nurses’ notes
Resident Care Plan
Postfall Assessment
Physician Progress Notes
October 2017
On-Time
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monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-overview-surveys.pdf
January 01, 2022 - Understanding SOPS® Surveys: A Primer for New Users - Gray
Overview of the SOPS Surveys
Laura Gray, MPH
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
What is Patient Safety Culture?
Organization
13
What are the SOPS Surveys?
• Surveys of providers and st…
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/implguide_0.pdf
March 01, 2006 - • Involvement of both physicians and nurses from the clinical workspace is essential. … used SBAR for
telephone communication
of patient information to
staff L&D physicians
= Rate of Nurse … member of the
Change Team
Clinical or
Technical Expert
“The Champion”
Physician(s):
Nurse … Interest in driving/leading change
Essential to have at least one Physician
Champion and one Nurse … Able to work effectively with the
physician/nurse champions
Is the critical driving force
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4d_combo_psi07-crbsi-bestpractices.pdf
May 20, 2016 - to use.8
Best Processes/Systems of Care
Introduction: Essential First Steps
• Engage key nurses … These procedures should be done by a
nurse, physician, or other health care professional who has received … • Plan and provide education on protocols and standing orders to physicians and other
providers, nurses … Required
• Physicians and other providers trained in inserting central lines
• Specially trained nurse
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - Data collected from
participating nurses suggest the need for more training for nurses in detecting … were
obtained (e.g., primary and prenatal care records, hospital records, medical examiner files), nurse … In addition to nurse training, procedural changes included
using safety stickers in the charts of patients … inserts on the
patients’ doors, and patient attendant guidelines, as well as creation of a psychiatric nurse … Further
exploration may also explain the factors that influenced the lack of significant nurse outcomes
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-091317.pptx
January 01, 2017 - Slide 1
Maintaining the Gains of The TeamSTEPPS Program (Part 3 of 3)
Wednesday, September 13, 2017
TEAMSTEPPS 05.2
Slide ‹#›
September TeamSTEPPS Monthly Webinar
1
Rules of Engagement
Audio for the webinar can be accessed in two ways:
Through the phone (*Please mute your computer speakers)
Through your com…
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-3-slides.pptx
February 28, 2022 - whenever relevant.
20
20
Cross-Monitoring Example
Situation Monitoring
What actions by the nurse
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - If you are not sure a skin lesion is a pressure injury, ask the Wound Care Team or Wound Care Nurse. … This can be done by an outside expert, such as the wound nurse or nurse manager from another unit.
·
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
May 01, 2017 - Who should use this tool: Nurses, physicians, midwives, pharmacists, and other labor and delivery (L& … Have standing orders for nurses to respond to tachysystole and for reducing, stopping, and restarting … Use of uniform, unit-established standing orders allows nurses to provide initial management in response … Complications
For tachysystole, the following should be implemented as standing physician orders so that nurses … intoxication to the patient/caregiver; ask the patient/caregiver to monitor these signs and notify the nurse
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
July 01, 2018 - You are only sampling nurses and have
a population of 1,200 nurses so according to Table 2, your minimum … sample size should be 600 nurses … Nursing—From the total of 1,200 nurses, a sample of 600 nurses is
selected. … by 600 nurses needed = every 2nd nurse).
2. … Registered Nurse j. Respiratory Therapist
b. Physician Assistant/Nurse Practitioner k.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-hare.pdf
January 01, 2022 - Supervisors/
Managers/
Clinical Leaders/
Senior Leaders
(highest)
81%
positive
Advanced
Practice Nurse
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-051017.pptx
January 01, 2017 - Leaders
Develop an interdisciplinary core team of Peri Op TeamSTEPPS Trainers
Physician Champions
Nurse … service line at one time
Include all surgical specialties & departments
Train surgeons, residents, nurses
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/ts-obc-webinar-050317.pptx
January 01, 2017 - Nurse Manager at UIHC – Iowa River Landing
Co-Project Lead – TeamSTEPPS at IRL
Kip Pedersen
Manager … champions from each discipline within our facility:
Frontline Operations, Clinical (Medical Assistants and Nurses
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part2.pptx
March 01, 2017 - Antibiotic Stewardship Slides, Part 2
Antibiotic Stewardship
AHRQ Pub. No. 16(17)-0003-22-EF
March 2017
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Welcome to today’s educational session on antibiotic stewardship. This module is part of the Agency for Healthcare Research and Quality (or AHRQ) Safety Progra…
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/implementation-guide-making-informed-consent-informed-choice.pdf
January 01, 2017 - technology), as well as representatives from the clinical units and different types of staff
(e.g., nurses … , physicians, residents, nurse educators, interpreters). … practitioners, and other nurses follow informed consent policy and use best practices. … Map out the workflow to identify inconsistencies with policy and inefficiencies.
• Allow staff (e.g., nurses … Registered Nurse r h. Dietician
r b. Physician Assistant/ r i.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
April 01, 2016 - Toward the end
of the procedure, the nurse notices that Mary has become “blue” and stops the procedure … The nurse calls for a “code blue”
response while the team involved in the procedure begins to administer … The nurse
involved in monitoring Mary appears visibly shaken and states that she was distracted during … (tall/short) are not counted, nor are descriptions of the other person’s age or social role (mom,
nurse
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-nov2013.pptx
January 01, 2013 - negative outcomes
(Vardaman et al, 2012)
Call for standardization
Joint Commission
Air and Surface Nurses … Implementation
TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
TeamSTEPPS
References
Air and Surface Transport Nurses … Air and Surface Transport Nurses Association Position Papers.