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261. Webinar #1: Fuzzy Set Analysis (Slide Presentation) | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar01/fuzzysets_slides.html
     July 01, 2013 - Control (outcome) NCQA PCMH Level Enhanced Access to care Clinic A 24 I None Clinic B 45 II 24 hour nurse … line Clinic C 78 III 24 hour nurse line Clinic D 35 None E-visits Clinic E 65 III E-visits Clinic F … 100 III 24 hour nurse line, same-day appt Slide 26 Performing the Analysis (cont’d) Step 2: Choose … line .67 Clinic C 78 0.8 III 1 24 hour nurse line .67 Clinic D 35 0.2 None 0 E-visits 0.1 Clinic E 65 … 0.6 III 1 E-visits 0.1 Clinic F 100 1 III 1 24 hour nurse line same-day appt 1 Slide 27 Performing the

262. Patient and Family Engagement | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/cusp/modules/patient-family-engagement/index.html
     July 01, 2018 - Defects Through Sensemaking Implement Teamwork and Communication Apply CUSP Role of the Nurse

263. Central Line-Associated Bloodstream Infections (CLABSI) | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/topics/central-line-associated-bloodstream-infections-clabsi.html
     Included studies range from the use of health care simulation and unit-based nurse educators to reduce

264. Pocket Guide: TeamSTEPPS: Strategies & Tools to Enhance Performance and Patient Safety (pdf file)
     pbrn.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
     January 01, 2020 - Nurse: “BP is 96/62” 11 Communication Check-Back Using closed-loop communication to ensure that … double-checks to ensure that the message was received Example: Doctor: “Give 25 mg Benadryl IV push” Nurse … in care include shift changes; transfer of responsibility between and among nursing assistants, nurses … , nurse practitioners, physician assistants, and physicians; and patient transfers. 13 Communication

265. TeamSTEPPS for Code Blue Teams: Piloting SBAR & CUS for Interprofessional Team Education
     pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-april2015.pptx
     January 01, 2015 - January 2013 – Sessions become interprofessional with med/surg nurses, ICU nurses, and critical care … transport nurses. … Primary MD did not feel comfortable with information relayed by nurse, leading to a delay in management … TeamSTEPPS® TeamSTEPPS for Code Blue Teams Slide ‹#› 20 SBAR Poor communication noted during nurse-to-primary … Subjective rating scale Bias – nurse who completes the report was also present during the resuscitation

266. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.docx
     March 13, 2013 - Frequently, these individuals are existing clinical staff, such as nurse leaders, who are well-respected … For example, leaders can involve staff in developing statements of core values and new practices, ask nurses … Also, giving autonomy to mid-level leaders, such as nurse managers, to implement day-to-day activities … Nurse leaders identified and trained two nurse champions who then served as trainers for their peers. … Trinity Hospital tied implementation to research-oriented goals required in their program for promoting nurses

267. Making Informed Consent an Informed Choice: Training for Health Care Leaders Audio Script | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script-leaders.html
     September 01, 2020 - safety leaders, risk management leaders, and unit leaders including physicians, anesthesiologists, nurses … I called in the nurse practitioner, and he decided to call the stroke team. … Nurses and residents may prepare a patient for informed consent discussions by holding education sessions … procedure in their own words; patients felt more comfortable asking questions; and patients, families, and nurses … practitioners or independent physician assistants and nurses.

268. COVID-19 Pandemic Led to Long Absences, Reduced Hours, and Job Exits Among the U.S. Healthcare Workforce (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqdr-data-spotlight-healthcare-workforce-covid.pdf
     May 11, 2023 - In 2020, the rate of cases with days away from work increased 291% for registered nurses, driven by … Nurses United thought their employers provided a safe workplace during the pandemic.11 Concerns about … Violence against nurses and other frontline staff also challenges healthcare workers to stay in their … Nonfatal injuries and illnesses resulting in days off work among nurses up 291 percent in 2020. … Nurses union survey finds most still feel unsafe at work amid pandemic.

269. The CUSP Method | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/cusp/index.html
     December 01, 2023 - Identify Defects Through Sensemaking Implement Teamwork and Communication Apply CUSP The Role of the Nurse

270. Communication-Material-Guide (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/communication-material-guide.docx
     May 01, 2017 - Materials: Slides 12-25, Example Briefing and Debriefing videos Audience: Surgeons, anesthesia, scrub nurses … , circulating nurses, nurse manager Topic: The Surgical Checklist as a Communication and Teamwork Tool … Materials: Slides 26-32, examples of checklists Audience: Administration, surgeons, anesthesia, all nurses … Materials: Slides 33-41, examples of checklists Audience: Administration, surgeons, all nurses AHRQ … Slides 33-41, Tabletop Simulation video, checklist Audience: Administration, surgeons, anesthesia, all nurses

271. AHRQ Papers on Diagnostic Safety Topics | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/reports/dxsafety-issuebriefs.html
     January 01, 2024 - Healthcare System: Current State and a Call to Action ( PDF , 2 MB) Reinforcing the Value and Roles of Nurses … in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators ( PDF , 1.2 MB) Improved … Accuracy Through Probability-Based Diagnosis ( PDF , 976 KB) Distributed Cognition and the Role of Nurses

272. Guide to Patient and Family Engagement in Hospital Quality and Safety | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/patients-families/engagingfamilies/guide.html
     December 01, 2017 - Strategy 3: Nurse Bedside Shift Report supports the safe handoff of care between nurses by involving … the patient and family in the change of shift report for nurses.

273. Chapter 3. Developing Change: Designing the Medication Reconciliation Process | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/match/chapter-3.html
     July 01, 2022 - This list should be shared and utilized by all physicians, nurses, pharmacists, and others caring for … In addition, physicians, nurses, and pharmacists have an active role in reviewing, managing, and monitoring … When the physician signs off on the admission order set, this could trigger a task for the nurse and/ … Nurses and/or pharmacists may be involved during intra-hospital transfers to ensure medication orders … Nurse and/or Pharmacist Prompting .

274. Survey on Patient Safety (facility version) (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
     November 15, 2019 - Registered Nurse ( j. Respiratory Therapist ( b. Physician Assistant/Nurse Practitioner ( k.

275. Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsroom/case-studies/ktcquips91.html
     October 01, 2014 - The hospital assigned responsibility for completing medication reconciliation to the ICU charge nurse … the confusion that occurred previously when the responsibility was split between the ICU and floor nurses

276. Selected Best Practices and Suggestions for Improvement (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
     January 01, 2012 - , physicians and other providers, hospitalists, pharmacists, wound ostomy and continence (WOC) nurses … compliance, identifies opportunities for improvement, and communicates best practices to frontline nurses … Laurel, NJ: Wound Ostomy and Continence Nurses Society; June 2010. 2. … Patient safety and quality: an evidence-based handbook for nurses. … Registered Nurses’ Association of Ontario (RNAO). Risk assessment & prevention of pressure ulcers.

277. NAC Member Biography: Jeana Reyes | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/cpi/about/organization/nac/reyes.html
     July 01, 2023 - She is a member of the American Nurses Association, American College of Healthcare Executives, and American … Association of Critical Care Nurses, where she served on numerous committees over the past 15 years,

278. Nursing Home Resources | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/es/nursing-home/resources/search.html
     January 01, 2022 - of Retired Persons (AARP) (1) Advancing States (1) AHCA/NCAL (32) AHRQ (32) American Nurses … Arriving Home Safely Infographic This infographic for nurses provides instructions for disinfecting and

279. Information to Help Hospitals Get Started (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/About_the_Guide_508.pdf
     May 13, 2013 - patients, family members, clinicians, and hospital staff from the point of admission • Strategy 3: Nurse … Bedside Shift Report supports the safe handoff of care between nurses by involving the patient and … family in the change of shift report for nurses • Strategy 4: IDEAL Discharge Planning helps reduce

280. Pilot Study Results From the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Workplace Safety Supplemental Item Set for Nursing Homes (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/NH-WPS-Pilot-Study-Overall-Results-2023.pdf
     January 01, 2023 - Percent Administrator/Manager 258 11% Physician (M.D., D.O.) 5 <1% Other Provider 3 <1% Licensed Nurse … , Assistant Director/Assistant Manager, Minimum Data Set (MDS) Coordinator/Resident Nurse Assessment … : Registered Nurse (RN), Licensed Practical Nurse (LPN), Wound Care Nurse • Nursing Asst/Aide: Certified … Safety Composite Measures Admin/ Manager Admin Support Staff Direct Care Staff Licensed Nurse … Safety Composite Measure Admin/ Manager Admin Support Staff Direct Care Staff Licensed Nurse