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861. St. Joseph’s Hospital Improves Patient Safety Using AHRQ Tools | Agency for Healthcare Research and Quality
     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

862. Strategy 4: IDEA Discharge Planning (Tool 4)
     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

863. Understanding SOPS® Surveys: A Primer for New Users - Gray (pdf file)
     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…

864. PowerPoint Presentation
     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

865. CAHPS Elicitation Protocol Webcast (pdf file)
     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.

866. TeamSTEPPS Implementation Guide (pdf file)
     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

867. Selected Best Practices and Suggestions for Improvement (pdf file)
     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

868. Slide 1
     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…

869. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     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

870. TeamSTEPPS Situation Monitoring Module 3
     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

871. Module 5: How To Measure Pressure Injury Rates and Prevention Practices (doc file)
     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. ·

872. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin (doc file)
     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

873. Hospital Survey on Patient Safety Culture: User's Guide (pdf file)
     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.

874. Understanding SOPS® Surveys: A Primer for New Users - Hare (pdf file)
     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

875. Antibiotic Stewardship Slides, Part 2
     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…

876. Implementing TeamSTEPPS to the Perioperative Service Area
     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

877. PowerPoint Presentation
     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

878. Implementation Guide for AHRQ's Making Informed Consent an Informed Choice - Training Modules (pdf file)
     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.

879. Mod5-Comm-Assessment (pdf file)
     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

880. Implementing SBAR: Improving Communication and Response Times in Critical Care Transport
     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.