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181. Prompting Removal of Unnecessary Indwelling Urinary Catheters
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal.pptx
     April 01, 2022 - Socio-Adaptive Challenges To Removal6-8 Communication patterns and catheter use based on unit culture Nurses … Nurses Nurse-led protocol to remove all urinary catheters that do not meet criteria (nurse empowered … Daily review by nurses for catheter indication to make recommendations for removal (nurse empowered). … Nurse-empowered stop orders Daily nurse review for indications and removal if appropriate via nurse-driven … comfort with urinary catheter removal protocols Staff knowledge and skills Respect among nurses and

182. Redesigning Systems To Improve Teamwork and Quality for Hospitalized Patients: RESET Project Implementation Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reset-guide.pdf
     January 01, 2020 - attendance Often just the charge nurse All bedside nurses Physician attendance Sporadic Consistent … members are busy/high workloads Support professionals in their work; enlist the help of unlicensed nursing … personnel and other disciplines (e.g., social work, physical therapy) with patient engagement activities … Presence of nurses Presence of nurses at IPR for no, some or all patients Direct observations (10/mo. … Nurse manager Nurses on phase I unit RESET project updates Twice a month Emailed newsletter

183. Presentation: Auditing Your Briefings and Debriefings
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
     December 01, 2017 - reliability Briefings & Debriefings ‹#› AHRQ Safety Program for Surgery – Implementation SAY: Nurses … Resident Anesthesia CRNA Anesthesia Attending Surgical Resident Attending Surgeon CRNA = certified registered … Circulator nurses almost always paused other tasks. … Resident Anesthesia CRNA Anesthesia Attending Surgical Resident Attending Surgeon CRNA = certified registered … Scrub technicians and scrub nurses rarely engaged in the process; they should have information to share

184. Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-engaging-leadership-slides.html
     December 01, 2017 - manager Nurse champion (engage nursing personnel) Nurse educator, unit manager, charge nurse … Develop a common purpose (patient safety) View nurses as partners (not barriers) Identify nurse champions … A physician administrator : “Because the nurses on the geriatrics unit wanted to have their patients … regain mobility…they viewed mobility as very important …versus the other units where the nurses didn’ … A nurse champion is critically important!

185. Ensuring Adequate Nurse Staffing in a Public Health Emergency | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-lasater.html
     December 01, 2024 - Grantee Profile Ensuring Adequate Nurse Staffing in a Public Health Emergency Karen Blanchette … “Patients in hospitals that had poor nurse staffing ratios before the pandemic were 20 percent more likely … They are also evaluating whether changes in patient outcomes parallelled changes in nurse outcomes and … Her research explains the value of nurses and makes a business case for investing in hospital nursing … “It became remarkably apparent to me how critical nurses were in the delivery of patient care,” Dr.

186. NAC Member Biography: Mary Beth Flynn Makic | Agency for Healthcare Research and Quality
     www.ahrq.gov/cpi/about/organization/nac/makic.html
     February 01, 2025 - 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)

187. SOPS Bibliography | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/bibliography/index.html?page=1
     January 01, 2025 - 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 … Cross‐cultural differences in nurse burnout and the relationship with patient safety: An East‐West comparative … Causes of nurses' second victim distress: An objective analysis. … Manager's influence on the registered nurse and nursing assistant relational quality and patient safety

188. TeamSTEPPS Learning Benchmarks (pdf file)
     www.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

189. SOPS Bibliography | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/bibliography/index.html?page=4
     January 01, 2025 - Nurse Educ Today. 2019 , 75: 95-103. … Patient safety culture associated with patient safety competencies among registered nurses. … The association of the nurse work environment and patient safety in pediatric acute care. … The effect of nurse empowerment educational program on patient safety culture: A randomized controlled … Effects of individual nurse and hospital characteristics on patient adverse events and quality of care

190. Session 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2sess2.html
     October 01, 2014 - Nursing assistants can use SBAR when communicating with licensed nurses; licensed nurses can use SBAR … Licensed nurse communication tasks. … Who Should Report About What Each type of nurse (e.g., nursing assistant to licensed nurse) has his … The next two sections present communication action steps for nursing assistants and licensed nurses. … Return to Contents   Communication Action Steps for Licensed Nurses Licensed and especially charge

191. Making Healthcare Safer Practices: 12. Infusion Pumps (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
     March 01, 2020 - mandatory training over 4 months on the proper usage of patient-controlled analgesia pumps for all registered … Researchers observed nurse IVCI training and nurses on five units. … Established mandatory training by nurse educators of registered nurses (RNs) who used PCA pumps. … Over the 6 months of intervention, the champion group provided education to registered nurse (RN) staff … Bias (High, Moderate, Low) Subramanyam et al., 201615 Educated anesthesiologists and certified registered

192. Project Report - Lean Sigma (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/nurse_empower-slides/How-CUSP-Enables-Nurse-Empowerment-Nov-15-2011-508.ppt
     January 01, 2011 - Project Report - Lean Sigma CLABSI Supplemental Call Series How CUSP Enables Nurse Empowerment November … It Empowers Nurses Driven by frontline staff – Nurses Identifies problem areas: What staff think are … RCA and debriefing Improves pt safety norms Slide * Best Practices: Engaging & Sustaining Nurse … CUSP project: Proposed cohorting Implemented nurse-physician joint rounds Developed a written daily … Really resolve some problems Problems I have seen with other groups: Only nurse manager attends

193. Part One: Traditional Practice and Recommendations for Change (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/ena-slides/part1a.html
     October 01, 2015 - Nurses Association via email. … Emergency nurses? Inpatient nurses? Providers? … Uninformed assumptions of both the emergency nurse and the inpatient nurse contribute to a chaotic handoff … Nurses Association via email. … Nurse-directed removal Is there a protocol for the nurse to evaluate ongoing need and remove the

194. Team-Based Care: Improving Safety, Engagement, and Joy (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teambased-2.pdf
     May 01, 2016 - The care team may include a provider, registered nurse, care team coordinator (medical assistant or … licensed practical nurse), patient access coordinator, and even pharmacist, educator, or case manager

195. Chapter 5. Information and Training for Staff, Primary Care Providers, and Residents and their Families | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man5.html
     December 01, 2017 - Section Two: Education For Registered Nurses and Licensed Practical Nurses Goals and Objectives of … Class The goal of this inservice is to provide the information and training that nurses need in order … Training should include nurses on all three shifts and those who work on weekends. … List all of the information that should be included in their nurses notes during the period of increased … Nurses on all three shifts and those who work the weekend are expected to respond immediately.

196. Assemble the Team and Engage Leadership for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-fac-guide.html
     July 01, 2023 - ,managers, midwives, anesthetists,nurse practitioners, and L&D staff nurses. … For example, a nurse opinion leader can serve as the representative for all L&D unit nurses on the CUSP … of the L&D unit nurses at CUSP team meetings. … The nurse manager supports CUSP activities by communicating the team's needs to the L&D unit nurses. … contact for the L&D unit nurses, helps empower the unit nurses throughout the initiative, and integrates

197. Background Quality Improvement Team Information Form | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/team-info-form.html
     May 01, 2017 - Delivery Medical Director     Hospital Patient Safety Officer or Chief Quality Officer     Nurse … Champion     Nurse Educator     Labor and Delivery Nurse Manager     Labor and Delivery … Nurses (list all)     Nurse Midwives (list all)     Obstetricians (list all)     Anesthesiologists … /Certified Nurse Anesthetists     Neonatal Intensive Care Unit  Staff     Pharmacist  

198. TeamSTEPPS for Office-Based Care Knowledge Assessment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/knowledge.pdf
     December 02, 2015 - Registered Nurse d. … Nurse Jones is conducting a handoff. … Communication between physicians and nurses b. … A nurse corrects a misstatement made by the physician, but the physician ignores the correction. … What should the nurse do in this situation? a.

199. SOPS Bibliography | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/sops/bibliography/index.html?page=1
     January 01, 2025 - 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 … Cross‐cultural differences in nurse burnout and the relationship with patient safety: An East‐West comparative … Causes of nurses' second victim distress: An objective analysis. … Manager's influence on the registered nurse and nursing assistant relational quality and patient safety

200. SOPS Bibliography | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/bibliography/index.html?page=7
     January 01, 2025 - Patient safety culture among nurses. Int Nurs Rev. 2014 , 62(1): 102-110. … Patient safety culture in nephrology nurse practice settings: Initial findings. … Registered nurses’ collective safety organising behaviours: The association with perceptions of patient … The impact of nurse working hours on patient safety culture: A cross-national survey including Japan, … Patient safety culture in acute care: A web-based survey of nurse managers' and registered nurses' views