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41. TeamSTEPPS Rapid Response Systems Module | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/teamstepps/rrs/instructor_slides/rrsinstructmod.html
    October 01, 2014 - ) Say: In the context of the RRS, transition support applies to the liaison roles taken on by nurses … At a local university hospital, the response team consists of ICU physicians, ICU charge nurses, nurse … None of the training sessions are structured so that nurses, intensivists, and respiratory therapists … , or nurse-to-nurse). … The nurse checked the patient's vital signs.

42. Communication: Severe Hypertension - PowerPoint Presentation
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
    July 01, 2023 - Observe how the nurse, Kim, calls-out assertively.  … Reasons for Handoffs: Shift changes E.g., nurse to nurse Severe hypertension and other emergent events … Beth, L&D Nurse Hospital AIM Team Leads SPPC-II SCRIPT Here you see the triage nurse, Kim, preparing … Kim, triage nurse Alice Smith, the patient Beth, L&D Nurse Hospital AIM Team Leads SPPC-II SCRIPT … Female doctor and nurses

43. Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/cusp/modules/identify/identify.html
    December 01, 2012 - Transfusing nurse didn’t check blood type on hanging unit. Nurse was busy and distracted. … Recovery Nurse interrupts transfusion. Nurse sees that unit is A positive. … Root Causes Temp nurse unclear about procedure. Temp nurses need help. … Other nurses on sick-out. … Transfusing nurse busy and distracted. Both nurses from outside the agency.

44. Introduction _x000b_to the SPPC-II Teamwork Toolkit _x000b_for Obstetric Hemorrhage - PowerPoint Presentation
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction.pptx
    July 01, 2023 - Allison, L&D nurse Danielle Williams, the patient Dr. … Tanya, charge nurse Allison, L&D nurse Hospital AIM Team Leads SPPC-II SCRIPT She calls to the charge … Tanya, charge nurse Allison, L&D nurse Hospital AIM Team Leads SPPC-II SCRIPT As the requested materials … Larsen, anesthesiologist Tanya, charge nurse Allison, L&D nurse Hospital AIM Team Leads SPPC-II … Sonentag, obstetrician Danielle Williams, the patient Tanya, charge nurse Allison, L&D nurse Hospital

45. Conducting a Morning Briefing | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/cusp/toolkit/morning-briefing.html
    December 01, 2012 - Defects Through Sensemaking Implement Teamwork and Communication Apply CUSP Role of the Nurse … Purpose of tool: This tool provides a structured approach to help physicians and nurses identify the … Charge nurses and nurse managers who make patient assignments and are responsible for the entire patient … How to use this tool: Complete this tool by meeting with the charge nurse daily before starting patient … or problems       Outside patient testing or transportation needs       Physician or nurse

46. Team Structure and Assembly - PowerPoint Presentation
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure.pptx
    July 01, 2023 - Examples include: Outpatient: Physicians, nurses, sonographers Inpatient: Physicians, nurses, anesthesiologists … 11 Staff Your AIM Team for Success Key Team Members Nurses (including nurse educator, nurse manager, … nurse midwives, nurse anesthetists) Healthcare Providers (OB/GYN, midwife, family medicine, pediatricians … , including educators, managers, midwives, anesthetists, nurse practitioners, and L&D staff nurses; Physicians … The key team members—nurses, physicians, and senior executives—will help ensure the initiative is used

47. Team Structure and Assembly (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure-speaker-notes.pdf
    July 01, 2023 - Examples include: Outpatient: o Physicians, nurses, sonographers Inpatient: o Physicians, nurses … 17 Hospital AIM Team Leads SPPC‐II Staff Your AIM Team for Success Key Team Members • Nurses … (including nurse educator, nurse manager, nurse midwives, nurse anesthetists) • Healthcare Providers … , including educators, managers, midwives, anesthetists, nurse practitioners, and L&D staff nurses; … The key team members—nurses, physicians, and senior executives—will help ensure the initiative is used

48. Team Structure and Assembly - PowerPoint Presentation
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure.pptx
    July 01, 2023 - Examples include: Outpatient: Physicians, nurses, sonographers Inpatient: Physicians, nurses, anesthesiologists … 11 Staff Your AIM Team for Success Key Team Members Nurses (including nurse educator, nurse manager, … nurse midwives, nurse anesthetists) Healthcare providers (OB/GYN, midwife, family medicine, pediatricians … , including educators, managers, midwives, anesthetists, nurse practitioners, and L&D staff nurses; Physicians … The key team members—nurses, physicians, and senior executives—will help ensure the initiative is used

49. Improving Communication and Teamwork in the Surgical Environment
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-blank-template.pptx
    April 21, 2014 - name> Team Members - Administrator/Manager - Anesthesiologist/Certified Registered … Nurse Anesthetist - Circulating Nurse - Scrub Technician - … Data collector - Anesthesia Technician - Pre-op/Post-Anesthesia Care Unit Nurse

50. Strategy 2: Communicating to Improve Quality (Tool 2) (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_2_ComTipsBroch_508.pdf
    May 24, 2013 - about your health • Make sure your health care team is aware of any concerns • Tell a doctor or nurse … if they notice a change in your condition • Find a nurse when help is needed urgently Tell us who … After your doctor or nurse tells you something, try saying, “Let’s make sure I have this right” and … It is helpful to write down what the doctors and nurses tell you. … If you are worried about taking any medicine for any reason, tell your doctor or nurse before you take

51. Strategy 2: Communicating to Improve Quality (Tool 2) (doc file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_2_ComTipsBroch_508.docx
    February 24, 2011 - information about your health Make sure your health care team is aware of any concerns Tell a doctor or nurse … if they notice a change in your condition Find a nurse when help is needed urgently Tell us who you … After your doctor or nurse tells you something, try saying, “Let’s make sure I have this right” and then … It is helpful to write down what the doctors and nurses tell you. … If you are worried about taking any medicine for any reason, tell your doctor or nurse before you take

52. Communication: Severe Hypertension (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3-communication-speaker-notes.pdf
    July 01, 2023 - Reasons for Handoffs: o Shift changes E.g., nurse to nurse o Severe hypertension and other emergent … Beth, L&D Nurse SCRIPT Here you see the triage nurse, Kim, preparing to hand off Ms. … Kim, triage nurse Alice Smith, the patient Beth, L&D Nurse SCRIPT Kim explains Ms. … Kim, triage nurse Alice Smith, the patient Beth, L&D Nurse SCRIPT Kim continues with the handoff … Kim, triage nurse Alice Smith, the patient Beth, L&D Nurse SCRIPT Kim concludes by giving Beth

53. Introduction to the SPPC‐II Teamwork Toolkit for Obstetric Hemorrhage (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction-speaker-notes.pdf
    July 01, 2023 - Tanya, charge nurse Allison, L&D nurse SCRIPT She calls to the charge nurse, Tanya, to notify the … charge nurse Danielle Williams, the patient Dr. … Tanya, charge nurse Allison, L&D nurse SCRIPT As the requested materials and supplies arrive, the … Larsen, anesthesiologist Tanya, charge nurse Allison, L&D nurse SCRIPT Ms. … Sonentag, obstetrician Danielle Williams, the patient Tanya, charge nurse Allison, L&D nurse

54. Team Structure and Assembly (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure-speaker-notes.pdf
    July 01, 2023 - Examples include: Outpatient: o Physicians, nurses, sonographers Inpatient: o Physicians, nurses … 17 Staff Your AIM Team for Success Key Team Members Additional Potential Contributors • Nurses … (including nurse educator, • Pharmacists nurse manager, nurse midwives, nurse • Patient safety officers … , including educators, managers, midwives, anesthetists, nurse practitioners, and L&D staff nurses; … The key team members—nurses, physicians, and senior executives—will help ensure the initiative is used

55. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
    May 01, 2017 - champion, staff nurses, the L&D nurse manager, QI coordinators, an obstetrician/gynecologist physician … First, the implementation team strategically began train- ing nurse managers, assistant nurse managers … care teams—the obstetrics and gynecology providers, the in-house anesthesiologists, the certified registered … nurse anesthetists (CRNAs), and the L&D nurses. … The rapid response nurse then alerts the charge nurse in the operating room.

56. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
    May 01, 2017 - champion, staff nurses, the L&D nurse manager, QI coordinators, an obstetrician/gynecologist physician … First, the implementation team strategically began train- ing nurse managers, assistant nurse managers … care teams—the obstetrics and gynecology providers, the in-house anesthesiologists, the certified registered … nurse anesthetists (CRNAs), and the L&D nurses. … The rapid response nurse then alerts the charge nurse in the operating room.

57. SITUATION MONITORING (ppt file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsinstructmod.ppt
    January 01, 2008 - SPANINING”) SAY: In the context of the RRS, transition support applies to the liaison roles taken on by nurses … At a local university hospital, the response team consists of ICU physicians, ICU charge nurses, nurse … None of the training sessions are structured so that nurses, intensivists, and respiratory therapists … , or nurse-to-nurse). … The nurse checked the patient’s vital signs.

58. SOPS Bibliography | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/sops/bibliography/index.html
    January 01, 2024 - Nurse Educ Pract. 2023 , 67: 103565. … Nurse Educ Today. 2023 , 21: 105701. … Nurses’ perceptions of the clinical decision support system effect on patient safety. … Hospital management, supervisor support, and nurse speaking-up behaviours: The mediating role of safety … How does workplace violence-reporting culture affect workplace violence, nurse burnout, and patient safety

59. Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/2024-01/crystal-report.pdf
    January 01, 2024 - Adequate staffing, particularly at the registered nurse level, is also key to support individualized … nurse (RN) staffing versus those with the lowest staffing. … For example, a registered nurse noted: “…a patient in the Alzheimer’s unit that kept urinating in the … These findings also highlight the key role of registered nurses that was identified in the quantitative … In particular, lower registered nurse staffing was associated with greater reliance on antipsychotics

60. Federal Interagency Workgroup--Diagnostic Safety: November Meeting Summary (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2022.pdf
    March 01, 2023 - Contract o Posted three new issue briefs on the AHRQ website: (1) Distributed Cognition and the Role of Nurses … Diagnostic Accuracy Through Probability-Based Diagnosis; (3) Reinforcing the Value and Roles of Nurses … in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. … https://www.ahrq.gov/patient-safety/reports/issue-briefs/nurse-role-dxsafety.html https://www.ahrq.gov … /patient-safety/reports/issue-briefs/nurse-role-dxsafety.html 2 Agency Update o Posted Calibrate