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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-a.docx
January 01, 2016 - Facility personnel include: surgeons, physicians, proceduralists, anesthesiologists, nurse anesthetists … , anesthesia technicians, nurses, scrub technicians, gastroenterologists, and all others who work in
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_3_Pres_video_508.pdf
May 30, 2013 - engage the patient and family in hospital care
– To share accurate and useful information between nurses … ”
• Builds trust in the care process
– Shows the patient how much nurses know and do
for them
– … transition to home
Strategy 3: Bedside Shift Report 15
Benefits of bedside shift report for nurses … (continued 2)
• Can physicians and nurses engage in confidential
conversations with other providers … Bedside Shift Report (Tool 3)
Option 1: Role play vignette (continued)
• Debrief
– What did the nurses
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
July 23, 2010 - )
Nurse shift changes require the successful transfer of information between nurses going off duty … and nurses coming on duty to prevent adverse events and medical errors. … Nurses who are coming on duty should thank the nurses who are going off duty if they have done a good … Specific points to discuss as needed:
One of the nurses used the term “cardiomyopathy.” … How did the nurses address the patient’s concern about getting out of bed by himself?
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-electronic-reports.pdf
February 10, 2014 - Users and Potential Uses
The primary users of this report are the nursing leadership, direct care nurses … or charge nurses Nurse shift change report
Rehab Department staff Rehab Department internal review … risk huddle for nurses and rehab
DON or ADON, nurse manager, wound nurse, dietitian,
rehab director … This report is helpful for nursing home staff and
wound nurses to promote early identification of pressure … MDS assessment documentation
Nurse managers or charge nurses Nurse shift change report
Rehab Department
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-learning-benchmarks.pdf
May 31, 2023 - Go scrub and tell the circulating nurse to “get the ball rolling.”
b. … Tell the nurse to stop undercutting her.
b. … Tell the clinic manager to have a talk with the nurse.
d. … Just let the patients know that the nurse is having a bad day.
13. … The doctor has often been short
tempered around the nurses and techs and doesn’t take suggestions very
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preventiveservices.ahrq.gov/hai/cusp/videos/09c-serve-mentor/index.html
June 01, 2018 - Infections Program
Comprehensive Unit-based Safety Program (CUSP)
Videos
The Nurse … Videos
Decolonization – Universal and Targeted
Tools
The Nurse … toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses … The Nurse Manager as Mentor and Coach [55 sec.] … last reviewed June 2018
Page originally created February 2013
Internet Citation: The Nurse
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-obstetric-hemorrhage-scenarios.pptx
July 01, 2023 - Tanya, charge nurse
Allison, L&D nurse
Frontline
SPPC-II
SCRIPT
She calls to the charge nurse, Tanya … Larsen, anesthesiologist
Tanya, charge nurse
Allison, L&D nurse
Frontline
SPPC-II
SCRIPT
Ms. … Williams, I’ll be your daytime nurse.”
Amy (Off-going nurse): “Hello, Allison. … the clinical location to the operating room, which will require a large degree of coordination among nurses … Female doctor and nurses
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-hypertension-scenarios.pptx
July 01, 2023 - Alice Smith, the patient
Kim, triage nurse
Frontline
SPPC-II
SCRIPT
Kim, the triage nurse, greets … Alice Smith, the patient
Beth, L&D nurse
Kim, triage nurse
Frontline
SPPC-II
SCRIPT
At 3 p.m., another … Beth, L&D Nurse
Frontline
SPPC-II
SCRIPT
Here you see the triage nurse, Kim, preparing to hand off … nurse
Hi, Melanie. … Female doctor and nurses
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preventiveservices.ahrq.gov/teamstepps/rrs/rrsspecscen.html
October 01, 2014 - The family member alerted the nurse about these concerns. … The nurse assured the family member that she would check on the patient. … An hour later, the family member reminded the nurse, who then assessed the patient. … The nurse checked the patient’s vital signs. … Based on her colleague’s recommendation, the nurse called the RRT via the operator.
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preventiveservices.ahrq.gov/ncepcr/communities/pbrn/registry/american-association-nurse-practitioners-network-research.html
January 01, 2012 - Reports and Other Publications
Funding Opportunities
American Association of Nurse … The PBRN's long term goals are to: a) conduct practice-based research relevant to nurse practitioners … and their patients, b) facilitate translation of research to practice, c) improve the practice by nurse … practitioners, and d) improve the health of all patients seen by nurse practitioners.
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preventiveservices.ahrq.gov/cpi/about/organization/nac/makic.html
March 01, 2024 - C.C.N.S., FAAN, FNAP, FCNS , is a professor and specialty director of the Adult-Gerontology Clinical Nurse … research scientist at Denver Health and Hospital Authority and previously held the position of research nurse … Makic has been a critical care clinician and clinical nurse specialist for more than 36 years and is … fellowships in the American Academy of Nursing, the National Academies of Practice, and the Clinical Nurse … Makic recently completed a three-year term on the American Association of Critical-Care Nurses (AACN)
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preventiveservices.ahrq.gov/teamstepps/instructor/scenarios/operroom.html
March 01, 2014 - Helen, the nurse coordinator, identifies an open room for the following day and moves Mr. … The O.R. circulating nurse places a tourniquet on the left thigh. … providers are around the bed, including the ICU attending physician, a consultant pulmonologist, two ICU nurses … one ICU nurse for all medication administration. … Larry is the perioperative team circulating nurse working with Jane as the scrub nurse for a patient
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preventiveservices.ahrq.gov/news/newsroom/case-studies/201517.html
July 01, 2015 - All Impact Case Studies
July 2015
The Association of Women’s Health, Obstetric and Neonatal Nurses … In 2013, the index completed its content validity testing with 45 registered nurses, physicians, and … certified nurse midwives. … “Data gathered on patients with this tool can help plan effective and efficient nurse staffing, set benchmarks … National
Implementer:
Association of Women’s Health, Obstetric and Neonatal Nurses
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
January 01, 2006 - unclear about procedure
Temp nurses need help
Other nurses on sick-out
Group O patient almost given … Group A Blood
A positive unit was hanging on the infuser
Transfusing nurse didn’t check blood type on … hanging unit
A positive unit not removed from prior case
Nurse was busy and distracted
Nurse interrupts … transfusion
Nurse sees that unit is A positive
Recovery
Antecedent Events
Root Causes
Discovery Event … OK
OM
HEX
Nurse was busy and distracted
Temp nurse unclear about procedure
CUSP and Sensemaking: Next
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/chsp/news-and-events/events/webinars/chsp-webinar-slides-011221.pdf
January 12, 2021 - included in the Compendium
⁄ Counts of:
- Physicians
- Primary care physicians
- Medical groups
- Nurse … practitioners and physician
assistants in different practice site types
41
Percentage of nurse … in consolidation:
- Nurse practitioners and physician assistants employed in hospitals are much more … ⁄ There is not a clear relationship between nurse practitioners
and physician assistants in systems … practitioners and physician assistants employed in health systems, by state
Nurse practitioners and
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
November 30, 2013 - Users and Potential Uses
The primary users of this report are the facility leadership, direct care nurses … , nurse
managers or charge nurses, MDS* nurse, quality
improvement (QI) nurse, infection control nurse … ADON, nurse manager, wound nurse, dietitian,
Rehab director, medical director or wound physician, nurse … Users and Potential Uses
The primary users of this report are the facility leadership, direct care nurses … , nurse
managers or charge nurses, MDS* nurse, quality
improvement (QI) nurse, infection control nurse
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preventiveservices.ahrq.gov/teamstepps/instructor/scenarios/combatcare.html
March 01, 2014 - A nurse enters and observes the difficulty the corpsman is experiencing. … For the next 15 minutes, the two nurses work together to care for the patient. … Downs does not say anything and proceeds to meet Nurse Richardson's request. … A nurse passing by the room hears the Call-out and steps into the room. … The nurse insists that he be moved ahead of others in X Ray.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-f.docx
September 01, 2016 - Will the anesthesia professional and nurse discuss critical preprocedural safety steps together before
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
July 01, 2023 - Danielle Williams, the patient
Tanya, charge nurse
Allison, L&D nurse
SCRIPT
Allison repeats a … • Reasons for Handoffs:
o Shift changes
E.g., nurse to nurse
o Hemorrhage and other emergent … Williams, I’ll be your
daytime nurse.”
Amy (Off‐going nurse): “Hello, Allison. … Allison, on‐coming nurse
Danielle Williams, the patient
SCRIPT
Off‐going nurse Amy continues … Williams’ status changes.
50
Amy, off‐going nurse
Allison, on‐coming nurse
Danielle Williams,
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
July 01, 2023 - Danielle Williams, the patient
Tanya, charge nurse
Allison, L&D nurse
Hospital AIM
Team
Leads
SPPC-II … 45
Allison, on-coming nurse
Danielle Williams, the patient
Amy, off-going nurse
Sounds good. … Williams, I’ll be your daytime nurse.”
Amy (Off-going nurse): “Hello, Allison. … Williams’ status changes.
48
Amy, off-going nurse
Allison, on-coming nurse
Danielle Williams, the … Amy, off-going nurse
Allison, on-coming nurse
Danielle Williams, the patient
50
Hospital AIM
Team