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41. Preventing CAUTI in Specialized Patient Populations: The ICU | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
    December 01, 2017 - The nurse/physicians in the unit want to take the Foley out, but the surgeon/oncologist also caring for … Surgeon Infectious disease specialist (Resident) Emergency medicine EM physician Nurse … Formation of CAUTI Team Unit Manager: For support, leadership, & time allocation Unit Charge Nurses … collection Unit Team Leader: Peer champion, coordinate project efforts, staff empowerment Staff Nurses … Bag below bladder, use of securement device, seal not broken) Nurse to complete when care on sheet

42. Register Now: April 25 Webinar Will Launch HHS Series on National Action Alliance To Advance Patient Safety | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/858.html
    April 01, 2023 - Nurse Staffing Gaps Reported in Hospitals With More Vulnerable Maternity Patients, Study Finds . … Nurse Staffing Gaps Reported in Hospitals With More Vulnerable Maternity Patients, Study Finds Most … hospitals adhere to nurse staffing guidelines, but gaps in staffing are reported more frequently at … staffing guidelines published by the Association of Women’s Health, Obstetric and Neonatal Nurses. … They found that nurses reported strong adherence to staffing guidelines in their hospitals; but higher

43. Primary Care | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/research/findings/factsheets/primary/index.html
    February 01, 2024 - Primary Care Workforce This fact sheet shows that primary care physicians, nurse practitioners, and … The Number of Nurse Practitioners and Physician Assistants Practicing Primary Care in the United States … Nurse practitioners and physician assistants are health professions begun in the United States in

44. Breaking Down Barriers to Aseptic Catheter Insertion | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-slides.html
    December 01, 2017 - Infection Preventionist Physician Nurse leader or nurse educator Bedside nurse Other… Slide … (31%) Patient’s labia closed over the catheter during insertion and contaminated the catheter; nurse … Nurse inserting catheter ripped her sterile gloves, did not get new ones. … Techs/Nurse Aides to insert Foley? … care improvement Plans for Future & Sustainability: Perform follow-up evaluation Implement Nurse

45. Implementing Team Approaches for Improving Diabetes Care in Health Centers | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/practiceimprovement/delivery-initiative/rodriguez/index.html
    December 01, 2020 - Licensed Vocational Nurse: 8.9%. Medical Assistant: 32.3%. Non-Clinical Office Staff: 27.6%. … Registered Nurse: 5.1%. Unknown: 6.1%. … 12 clinics) N Practice leader (coordinator, medical director) 3 2 5 Clinician (physician, nurse … 8 Medical assistant 3 3 6 Community health worker 3 0 3 Other (nutritionist and registered … nurse) 0 2 2 Total 13 11 24   Slide 13 Image: Three large ovals captioned Clinic

46. Strategy 2: Communicating for Improve Quality (Tool 1) (doc file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_1_Be_Partner_508.docx
    February 10, 2011 - Engagement We work as a team to make sure you get the best care Your health care team includes you, doctors, nurses … If you or your family needs to talk to a doctor at any time, please let your nurse know. … Nurse shift changes occur when nurses who are going off duty share information about you with nurses … Your nurses will change shifts between [7 and 7:30 a.m.] and [7 and 7:30 p.m.].

47. Strategies for Improving Patient Experience with Ambulatory Care: Cultivating Cultural Competence (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-6k.pdf
    August 01, 2017 - Health Plan Offers Nurse Advice Line in Spanish Health plans can also take steps to ensure that their … care organization, developed and aggressively marketed a 24-hour bilingual (English and Spanish) nurse … Eight bilingual registered nurses staff the line, which replaced a traditional advice line where nurses … After Molina introduced its bilingual nurse advice line, calls from Spanish- speaking members increased … Source: AHRQ Health Care Innovations Exchange. 24-Hour, Bilingual Nurse Line Provides Advice and Interpreter

48. Strategy 4: IDEA Discharge Planning (Tool 1) (doc file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
    January 01, 2010 - Assess how well doctors and nurses explain the diagnosis, condition, and next steps in the patient’s … practices to support their competence and confidence in caregiving at home Assess how well doctors and nurses … shift report, rounds, vital status check, nurse calls, and other opportunities that present themselves … If another clinician is needed to address concerns (e.g., pharmacist, doctor, or nurse), arrange for … Because this involves medications, we assume it would be a clinician — nurse, doctor, or pharmacist.

49. Strategy 4: IDEA Discharge Planning (Tool 1) (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
    January 01, 2010 - Assess how well doctors and nurses explain the diagnosis, condition, and next steps in the patient’s … practices to support their competence and confidence in caregiving at home Assess how well doctors and nurses … bedside shift report, rounds, vital status check, nurse calls, and other opportunities that present … • If another clinician is needed to address concerns (e.g., pharmacist, doctor, or nurse), arrange … Because this involves medications, we assume it would be a clinician — nurse, doctor, or pharmacist

50. Hospital Survey on Patient Safety Culture Version 2.0 (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
    January 01, 2021 - 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 (RN) Medical 5 Physician Assistant 6 Resident, Intern 7 Physician, Attending, Hospitalist

51. Develop and Improve Your Stewardship Program | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/antibiotic-use/acute-care/improve/index.html
    June 01, 2021 - Part 2) Effective Behavior Changes Around Prescribing Sustaining Stewardship Bedside Nurse … The presentations about integration of the bedside nurse and the microbiology lab into the stewardship … Changes Around Antibiotic Prescribing Sustaining Stewardship Activities The Role of the Bedside Nurse

52. AHRQ Releases Annual Update on U.S. Healthcare Quality, Equity | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/839.html
    November 01, 2022 - Hospital Nurse Staffing Can Impact Breast Milk Feeding of Newborns . … Hospital Nurse Staffing Can Impact Breast Milk Feeding of Newborns An AHRQ-funded study published in … Reviewing data from 2,691 nurses who worked various hospital shifts at 184 hospitals in 29 states, researchers … analyzed the relationship between nurse-reported staffing and missed nursing care as well as breast … A positive exclusive breast milk feeding rate was partially due to labor nurses facilitating skin-to-skin

53. Mississippi Hospital Reduces Patient Falls by 25 Percent Using AHRQ Program | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsroom/case-studies/201801.html
    April 01, 2018 - Key measures taken to prevent falls now include bedside commodes, welcome signs in each room from the nurse … reminding patients to “call, don’t fall,” and additional safety awareness training for nurses and patient … Lee emphasized that training was mandatory for both nurses and patient care technicians, “which played … Anderson Regional is having an individually written contract with patients that indicates when the nurse … patient so there will be a pre-established expectation that at a specified time during the night, the nurse

54. Module 3: Best Practices in Pressure Injury Prevention (doc file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
    June 12, 2018 - . · Empower staff—both nurses and nursing assistants—to report abnormal skin findings. … Communication among nursing assistants, nurses, and managers is critical to success. … The wound nurses, Quality Department, and nurse managers audited the use of the annotated image. … SAY: The answer is the wound or ostomy nurse consult revealed a slightly pink coccyx. … At least two nurses or nurse aides are required to move him. He is occasionally incontinent.

55. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
    March 01, 2017 - Long term care nurses' feelings on communication, teamwork and stress in long term care. … The nurse identified herself and the reason she was calling. … The nurses' assessment of the resident frames the concerns that prompted the nurse to call the physician … PLAY VIDEO:  I PASS the BATON Video Ask: How was I PASS the BATON used in this nurse to nurse example … Long term care nurses' feelings on communication, teamwork and stress in long term care.

56. Examples of Nursing Home Quality Measures for Consumers | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/talkingquality/measures/setting/long-term-care/nursing-home/examples.html
    April 01, 2019 - Registered Nurses (RNs). Licensed Vocational Nurses (LVNs) or Licensed Practical Nurses (LPNs).

57. 2022 Updated Results for the AHRQ Surveys on Patient Safety CultureTM (SOPS®) Diagnostic Safety Supplemental Items for Medical Offices (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/DxSftyRpt-Updated-2022.pdf
    January 01, 2022 - Administrative or clerical staff 286 27% Other clinical staff or clinical support staff 276 26% Registered … nurse (RN), licensed vocational nurse (LVN), licensed practical nurse (LPN) 176 16% Physician ( … M.D. or D.O.) 110 10% Physician assistant, nurse practitioner, clinical nurse specialist, nurse midwife … 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.)

58. Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html
    June 01, 2020 - The team automated and validated the nurse-managed insulin infusion protocol at Johns Hopkins to illustrate … Nurses found the Smart Agent system more efficient, safe, and usable than the current standard-of-care … Automation and interoperability of a nurse-managed insulin infusion protocol as a model to improve safety … below were accessed June 12, 2020. 2019 Barasch, N., et al., Automation and interoperability of a nurse-managed

59. Core CUSP Toolkit | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/hai/cusp/modules/index.html
    August 01, 2019 - Defects Through Sensemaking Implement Teamwork and Communication Apply CUSP Role of the Nurse … The Role of the Nurse Manager The Role of the Nurse Manager module of the CUSP Toolkit addresses

60. 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices (pdf file)
    teamstepps.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.)