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21. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
    August 01, 2022 - a defined structure (e.g., presentation of the patient who arrives in the ED) and hierarchy (e.g., nurse … This structure means that a nurse taking care of a patient is more likely than a physician to observe … In addition, the nurse is more likely to establish rapport with the patient and caregiver, thus being … Thus, nurses have a critical role in diagnosis by virtue of the nursing knowledge that develops as nurses … Ten best practices for improving emergency medicine provider–nurse communication.

22. RED Discharge Preparation Workbook (pdf file)
    talkingquality.ahrq.gov/sites/default/files/publications/files/dischargeprep.pdf
    February 14, 2013 - : (Name of patient’s nurse) Date: _______ Nurse: __________ Date: _______ Nurse: _______ … ___ Date: _______ Nurse: __________ Date: _______ Nurse: __________ Date: _______ Nurse … : __________ Date: _______ Nurse: __________ Date: _______ Nurse: __________ Date: … Date: _______ Nurse: __________ Date: _______ Nurse: __________ Date: _______ Nurse … ______ Nurse: __________ Date: _______ Nurse: __________ Date: _______ Nurse: _________

23. Problems With Electronic Health Records Linked to Nurse Dissatisfaction, Poor Patient Care | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/news/newsletters/e-newsletter/766.html
    June 01, 2021 - Today's Headlines Problems With Electronic Health Records Linked to Nurse Dissatisfaction, Poor Patient … Problems With Electronic Health Records Linked to Nurse Dissatisfaction, Poor Patient Care Hospitals … using inadequate electronic health record (EHR) technology have higher rates of nurse dissatisfaction … Researchers reviewed data from more than 1.2 million surgical patients and 12,000 nurses at 343 hospitals … systems with suboptimal usability may be partly responsible for the growing prevalence of burnout among nurses

24. TeamSTEPPS 2.0: Module 9 | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/teamstepps/instructor/fundamentals/module9/coachscenarios.html
    March 01, 2014 - examining the patient, when the on-call resident reached the room and began calling out orders to the nurses … The OR nurse approaches the resident to discuss what happened. … The nurse is upset and embarrassed but later states that she has experienced this side of Dr. … The patient then becomes angry and is transferred to a room across from the nurses station. … The registered nurse (RN) acknowledges the order in the computer and passes it on to the technician,

25. Module 2: Urinary Catheter Maintenance Facilitator Notes | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module2-speaker-notes.html
    February 01, 2023 - The nurse and transporter need to take the patient to radiology for a followup study.  … Nurse: “You know that we’ve been trying to decrease our CAUTI rates here, right? … Nurse:  “Not exactly. … Nurse: “Yes, you’re correct.” Transporter: “OK, I got it. Anything else?” … Next, the nurse empties the urinary catheter bag.

26. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part II (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-II.pdf
    January 01, 2023 - incidents were “Always” or “Most of the time” documented in an incident or occurrence report (98 percent); Nurses … follows: • Anesthesiologist • Doctor/Physician (excluding Anesthesiologists) or Surgeon • Certified Registered … Nurse Anesthetist (CRNA) • Physician Assistant or Nurse Practitioner • Management: Medical Director … , Office Manager, Other Manager • Nurse: Registered Nurse (RN), Licensed Practical Nurse (LPN)/Licensed … In addition, those who worked 17 to 31 hours per week were primarily nurses, and those who worked more

27. NAC Member Biography: Mary Beth Flynn Makic | Agency for Healthcare Research and Quality
    talkingquality.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)

28. Peer Support Interaction—Nurse: Video | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/videos/nurses.html
    August 01, 2022 - Setting Hospital Hospital Resources CANDOR Peer Support Interaction—Nurse … and Events Education & Training Resources Peer Support Interaction—Nurse … This video demonstrates an example of emotional support provided for the nurse caregiver after an adverse … 2022 Page originally created April 2016 Internet Citation: Peer Support Interaction—Nurse

29. Assembleteam (doc file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/assemble/assembleteam.docx
    August 24, 2012 - This individual will: · Be a frontline provider—a staff nurse, nurse manager, nurse educator, or physician … For example, the nurse opinion leader can serve as the representative for all unit nurses on the CUSP … of the unit nurses at CUSP team meetings. … The nurse manager supports CUSP activities by communicating the CUSP team’s needs to the unit nurses. … contact for the unit nurses and helps empower the unit nurses throughout the initiative.

30. Communication-Facilitator-Guide (doc file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
    June 01, 2021 - The wound care nurse and a nurse from the unit work together to assess a resident’s wounds, change the … The nurse says, “I’m the nurse for Mrs. N, a resident on ward B. … Using her SBAR tool, the nurses states: “Hi Dr. K, I am calling about one of the residents. … This nurse usually works only on the weekends. … No one knew anything about her concerns—they were not passed along by the nurses or by the covering provider

31. Bckgrndqiteam (doc file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/bckgrndqiteam.doc
    August 07, 2012 - Director Hospital Patient Safety Officer or Chief Quality Officer Nurse … Champion Nurse Educator Nurse Manager Nurses

32. Leveraging Cultural Change to Reduce Urinary Catheter Use | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
    December 01, 2017 - Intensivists Nurse Manager MD Director Nurses Image: Cartoon of a yellow schoolbus with the words … Medical Director Nurse Manager Nurses Intensivists Others Slide 14 Three Levels of Organizational … Nurse Med calls back to the ED 20 minutes later and asks for Nurse ED. … The Nurse manager does not “want to make waves” and has not made the nurses accountable for following … What about the nurse manager?

33. TeamSTEPPS Specialty Scenarios: Neonatal ICU (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/neonatalicu.pdf
    March 19, 2014 - Scenario 44 Appropriate for: Neonatal ICU Setting: Hospital At approximately 2100, the NICU nurse … Two hours later, the nurse contacts the resident and again expresses her concern that the baby “just … The resident reassures the nurse and says he thinks the baby is fine. … The nurse asks that the attending physician be called, but the resident refuses. … room and, without assessing the patient or learning the history, begins calling out orders to the nurses

34. Describe How a Plan or Provider Can Influence a Quality Measure | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/talkingquality/translate/labels/describe.html
    January 01, 2023 - sensitive,” which means that performance on the measure is strongly influenced by the care delivered by nurses … When it was explained that nurses are responsible for checking on the central line and keeping it clean … and germ-free, they accepted that the nurse did indeed have influence over the measure. … When a patient is admitted to the hospital, a nurse assesses the condition of the patient's skin and … To ensure that nurses have the necessary knowledge for skin assessment and intervention they attend a

35. Strategy 4: IDEA Discharge Planning (Tool 2b) (doc file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_2b_IDEAL_Booklet_508.docx
    June 20, 2011 - During your hospital stay, your doctors and nurses will make sure to answer your questions and address … Repeat these instructions back to the doctor or nurse in your own words. … Write down what your doctors and nurses say. Ask questions again until you understand the answers. … going home before you are ready, call [insert name] at [phone number]. :: 14 1 :: · My doctors or nurses … Ask your doctor or nurse how others can help you recover.

36. Event Investigation and Analysis Guide: Appendix B | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apb.html
    August 01, 2022 - #1 Charge nurse Nurse #2 RN CNA X Nursing tech Manager MS Manager Pertinent Interview … The charge nurse usually doesn’t take patient assignments; however, the emergency department was on bypass … Nurse #1 and Nurse #2 both said they were speaking to the tech at the same time while she was passing … The CNA referred to both of the patients as "your patient" when providing each nurse with results. … There was an opportunity to ask a clarifying question of the tech and nurses about patient identification

37. Strategy 4: IDEA Discharge Planning (Tool 2b) (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_2b_IDEAL_Booklet_508.pdf
    May 22, 2013 - During your hospital stay, your doctors and nurses will make sure to answer your questions and address … ] • Write down what your doctors and nurses say. … before you are ready, call [insert name] at [phone number]. 13 :: :: 2  My doctors or nurses … Ask your doctor or nurse how others can help you recover. …  My doctors or nurses answered questions that are important to me and my family.

38. Morningbriefing (doc file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/morningbriefing.doc
    August 07, 2012 - Purpose of tool: This tool provides a structured approach to help physicians and nurses identify the … · Physicians who conduct patient rounds. · Charge nurses and nurse managers who make patient assignments … How to use this tool: Complete this tool by meeting with the charge nurse daily before starting patient … availability or problems Outside patient testing or transportation needs Physician or nurse

39. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Safe Cesarean Section (doc file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
    May 01, 2017 - Who should use this tool: Nurses, physicians, midwives, and other labor and delivery (L&D) unit staff … Circulating nurse Charge nurse Operating room (OR) technician Pediatrics Primary maternity provider … (if applicable) Circulating nurse OR technician Pediatric provider Circulating nurse verbalizes: … (if applicable) Circulating nurse Operating room (OR) technician Pediatric provider Circulating nurse … |_| Circulating nurse |_| Charge nurse |_| OR technician |_| Pediatric provider |_| Primary maternity

40. CAHPS American Indian Survey (doc file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/american-indian/american-indian-eng-851.docx
    March 04, 2009 - Do you have a primary doctor or nurse? 1|_| Yes 2|_| No  If No, go to #29 on page 6 13. … How long has this person been your primary doctor or nurse? … Which one of the following clinics do you go to when you see your primary doctor or nurse? … primary doctor or nurse possible, what number would you use to rate your primary doctor or nurse? … | 10 Best primary doctor or nurse possible Getting Needed Care 29.