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141. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/reports/engage.html
     October 01, 2021 - Patient Safety Foundation, Institute for Patient- and Family-Centered Care, American Association of Nurse … Practitioners, National Nurse-led Care Consortium, Prince George's County Department of Health, Capital

142. TeamSTEPPS Video Debrief Guide: CUS-Maternal Health (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/cus-facilitator-guide-maternal-equity.pdf
     August 30, 2023 - Her nurse is concerned and uses CUS words to speak up. Discussion Questions 1. Was Dr. … The nurse is concerned about the patient, but also her job.

143. TeamSTEPPS Video Debrief Guide: CUS and Teach-Back on Inpatient Medical Unit (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/cus-teach-back-inpatient-medical-guide.pdf
     August 31, 2023 - At the beginning of the video, what did the nurse do to express her concern? 2. … The nurse used “CUS” words with the team to address a patient safety concern.

144. TeamSTEPPS Video Debrief Guide: Debrief in Emergency Department (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/debrief-emergency-dept-guide.pdf
     August 31, 2023 - The discussion frequently references use of other TeamSTEPPS tools: • Nurse Chris recognized that the … • Pharmacist Mario and Nurse Chris communicated clearly about medications given, so there was good

145. Using Simulation in TeamSTEPPS Training: Classroom Slides | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps/simulation/simulationslides/simslides.html
     June 01, 2019 - She is trembling, complaining of nausea, and begging her nurse for pain relief. … The nurse reiterates to the attending OB that her assessment is that the patient is in active labor. … Although Sally's cervix has not demonstrated active labor yet, her nurse believes the pain relief and … She is trembling, complaining of nausea, and begging her nurse for pain relief. … Response: The nurse uses two-challenge rule or CUS to advocate to the physician that Sally should receive

146. Appendix E. Endoscopy Checklist Template - Implementation Guide | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-e.html
     May 01, 2017 - Endoscopy Safety Checklist - Preprocedure Area/Procedure Room Before Patient Enters Room Nurse … Patient height, weight, body mass index |___| History and physical Anesthesia Professional and Nurse … Before Patient Leaves Room Debriefing Nurse Reviews With Team: |___| Name of the procedure performed

147. Tool: Call-Out | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps-program/curriculum/communication/tools/callout.html
     May 01, 2023 - The nurse manager could focus on her assessment and prepare for his transfer to the emergency department … the use of call-outs helped the team during an emergent event:  How did the call-outs made by the nurse

148. Tool: Teach-Back | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps-program/curriculum/communication/tools/teachback.html
     May 01, 2023 - Examples of effective teach-backs include: A home nurse needs to prepare the patient and a family caregiver … The nurse shows the patient and family caregiver the process and technique for changing the dressing.

149. Tool: DESC | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps-program/curriculum/mutual/tools/desc.html
     July 01, 2023 - DESC's use is illustrated in the conflict scenario below: A nurse feels that a patient has abdominal … The nurse receives the order from the resident on call.

150. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
     June 09, 2016 - Nursing 1 Advanced Practice Nurse (NP, CRNA, CNS, CNM) 2 Licensed Vocational Nurse (LVN), Licensed … Practical Nurse (LPN) 3 Patient Care Aide, Hospital Aide, Nursing Assistant 4 Registered Nurse (

151. Tool: Task Assistance | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps-program/curriculum/mutual/tools/task.html
     May 01, 2023 - Nurse practitioner offering to see a patient scheduled for a physician colleague who is unexpectedly … 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. How would you offer assistance in this example?

152. Evaluation Metrics (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/evalguide/lepevalguide.pdf
     September 01, 2012 - The receptionist, Carolyn, knows that one of the nurses, Betty, speaks Spanish. … Through the interpreter, Nurse Arroyo tells the patient, Mr. … Say to the nurse, “Let me check back with you. … Nurse Angelis is preparing to discharge Mr. … Khang, interprets Nurse Angelis’s instructions. The patient nods. Nurse Angelis states that Mr.

153. Case Scenarios: Handling Challenging Communications | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.html
     August 01, 2022 - Toward the end of the procedure, the nurse notices that Mary has turned blue and stops the procedure. … The nurse also notices that Mary is not breathing, and her EKG shows a heart rate of less than 30. … 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 … The nurses, operating surgeon and anesthesiologist are all employed by the hospital, which is self-insured

154. 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-diagnostic-safety-database-report-2024.pdf
     January 01, 2024 - practitioner, clinical nurse specialist, nurse midwife, advanced practice nurse, etc. 60 8% Registered … nurse (RN), licensed vocational nurse (LVN), licensed practical nurse (LPN) 165 23% Other clinical … Nurse (RN/LVN/ LPN) PA/NP/CNS/ Midwife/APN, etc. Physician (M.D. or D.O.) … Nurse (RN/LVN/ LPN) PA/NP/CNS/ Midwife/APN, etc. Physician (M.D. or D.O.) … Nurse (RN/LVN/ LPN) PA/NP/CNS/ Midwife/APN, etc. Physician (M.D. or D.O.)

155. TeamSTEPPS Video: SBAR on Inpatient Medical Unit | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps-program/resources/additional/sbar-inpatient.html
     August 01, 2023 - A nurse calls a doctor with an update about a patient.

156. Henry Ford Hospital's Hematology-Oncology Unit Uses AHRQ Safety Program to Lower Bloodstream Infections | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsroom/case-studies/202202.html
     February 01, 2022 - hospital started tracking infection rates, according to Kelsey Hebel, M.S.N., R.N., the unit's clinical nurse … A unit nurse explains the upcoming procedure and the need for a daily chlorhexidine bath to the patient … "This leaves the patient feeling confident that everyone across the disciplines—health provider, nurses

157. TeamSTEPPS Fundamentals Course: Module 6. Mutual Support | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module6/igmutualsupp.html
     March 01, 2019 - A nurse passing by the room hears the call-out. … The endoscopy nurse thinks she sees a possible lesion that may have been missed. … delivering the Two-Challenge Rule within your institution and to obtain buy-in from all involved (e.g., nurses … The nurse was uncomfortable with the late decelerations. … The nurse receives the order from the resident on call.

158. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
     January 01, 2019 - Organization, this patient safety workshop is designed to be suitable for healthcare workers (e.g., nurses … Clinical Nurse Leader Tool Kit https://www.aacnnursing.org/Education-Resources/Tool-Kits/Clinical-Nurse-Leader-Tool-Kit … Missed nursing care is problematic because nurses coordinate, provide, and evaluate many interventions … Nurses also plan, deliver, and evaluate nurse-initiated care to manage patients’ symptoms and responses … Alphabetical Index of Resources 5 Staffing Strategies for Engaged Nurses and Better Patient Outcomes

159. TeamSTEPPS Specialty Scenarios: Ancillary Services (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ancillary.pdf
     March 19, 2014 - The patient is transported to the acute care area where an experienced nurse and physician assistant … The nurse has a serious concern about the patient but is unable to identify anything specifically. … The PA and nurse begin to press for the x ray to be completed, but the X Ray Department is backlogged … The nurse insists that he be moved ahead of others in X Ray. … Quickly, Nurse Moody says loudly, “ABCs people, what’s the patient’s respiratory status?

160. Primary Care Workforce Facts and Stats No. 3 (pdf file)
     pcmh.ahrq.gov/sites/default/files/publications/files/pcwork3.pdf
     January 01, 2012 - primary care workforce includes approximately 209,000 practicing primary care physicians, 56,000 nurse … primary care workforce by provider type, 2010 Primary care provider Number Physicians 208,807 Nurse