-
www.ahrq.gov/sites/default/files/wysiwyg/chain/practice-tools/roleplays.pdf
March 19, 2017 - Wentworth (see SBAR form for scenario 1)
Nurse: You have just received Mrs. … one of your nurses reports to you that Mr. … Rivera (see SBAR form for scenario 3)
Nurse: While taking Mrs. … After the nurse tells you the UA results, the nurse proceeds to tell you background information
about … Folz (see SBAR form for scenario 4)
Nurse: Mrs.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/leputcomesasst.pdf
July 25, 2012 - The receptionist,
Carolyn, knows that one of the nurses, Betty, speaks Spanish. … Through the interpreter, Nurse Arroyo tells the patient, Mr. … Say to the nurse, “Let me check back with you. … Nurse Angelis is preparing to discharge Mr. … Khang, interprets Nurse Angelis’s
instructions. The patient nods. Nurse Angelis states that Mr.
-
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
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts3.html
December 01, 2017 -
Dietary Department Internal Review
X
MDS Assessment Documentation
X
Nurse … Report or brief with CNAs
No
Nurse Manager
Nursing Assistants – A
Every shift
c. … Skin or wound meeting
No, unless the resident has a pressure ulcer
Wound care nurse
Nursing – A …
* QAPI = Quality Assessment and Performance Improvement; APRN = advanced practice registered … nurse.
-
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.
-
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.
-
www.ahrq.gov/sites/default/files/wysiwyg/chain/practice-tools/warfarin-1-slides.pdf
March 19, 2017 - Slide 20
•Nurses are trained to be narrative and
descriptive. … The Disconnect in Nurse-Physician
Communication Styles
Observers of communication between nurses … Nurses are trained to speak and think in narratives and
descriptions. … Nurse: Okay.
Doctor: Thanks.
Nurse: Right. … However, communication between nurses and physicians is often
difficult.
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-d.html
April 01, 2017 - Implementation Guide
Ambulatory Surgery Checklist - Preop
Before Patient Enters Room
Nurse … Patient position
|___| Known allergies
|___| Patient weight
|___| History and physical
Nurse … Professional Shares:
|___| Anesthetic plan
|___| Airway and other concerns
Circulating Nurse … and Scrub Tech Share:
|___| Equipment issues
|___| Other concerns
Circulating Nurse and … Before Patient Leaves Room/Debriefing
Nurse Reviews With Team:
|___| Instrument, sponge and
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-physicians.pdf
April 01, 2022 - Suggested Strategies
• When a new resident or physician starts in the ICU, have the nurse manager and … the clinical
nurse specialist/educator meet with them to share patient safety initiatives on the unit … Smith showing frustration toward Nurse Kara for removing Mrs.
Grant’s indwelling urinary catheter. … When Nurse Kara explained why she removed the catheter
according to the nurse-driven protocol, Dr. … Overall, utilization has decreased, nurses are feeling more comfortable with making
this decision on
-
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
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereports.html
September 01, 2017 - Users and Potential Uses
The primary users of this report are the facility leadership, direct care nurses … supervisors, nurse managers or charge nurses, MDS* nurse, quality improvement (QI) nurse, infection … Users and Potential Uses
The primary users of this report are the facility leadership, direct care nurses … supervisors, nurse managers or charge nurses, MDS* nurse, quality improvement (QI) nurse, infection … managers, nursing supervisors, MDS* nurse, quality improvement nurse, infection control nurse
Nursing
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-team-slides.pptx
April 01, 2022 - Safety Program for ICUs: Preventing CLABSI and CAUTI
Building the CUSP Team ׀ 6
CUSP Team Members3
Nurses … : bedside, nurse management, clinical nurse specialist, educator
Nurse’s aides
Physicians
Executive partners … manager, clinical nurse specialist, nurse educator, physician, or other ICU staff member; include a … Connects CUSP to patient and family engagement
Knows how care is provided at the bedside
Supports bedside nurses … , assistant nurse manager, clinical nurse specialist, or nurse practitioner
AHRQ Safety Program for
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/role-play.html
May 01, 2017 - Killbug and Nurse Nohai. … He then approaches Nurse Nohai at the nurses' station. … Not interrupt Nurse Nohai. … Possible Answers :
Nurse Nohai used SBAR.
Dr. Killbug didn't interrupt Nurse Nohai. … Nurse Nohai wasn't defensive.
2. Nurse Nohai used SBAR to improve communication with Dr.
-
www.ahrq.gov/teamstepps/instructor/reference/learnbench.html
March 01, 2014 - Tell the clinic manager to have a talk with the nurse. … Complain to the attending that the nurse is hypercritical and ineffective. … Just let the patients know that the nurse is having a bad day. … The doctor has often been short tempered around the nurses and techs and doesn't take suggestions very … Nurse.
Supervisor.
It depends on circumstances.
Patient.
B-4.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/ereports.html
December 01, 2014 - MDS Assessment Documentation
4
Nurse manager, charge nurse
Nurse Shift Change Report … Ulcers
6
Charge nurse, wound nurse, CNA
Skin Rounds
7
Charge nurse, dietician, CNA … , wound nurse, CNA
Skin Rounds
7
Charge nurse, dietician, CNA, and others (e.g., wound nurse … MDS Assessment Documentation
5
Nurse manager, charge nurse
Nurse Shift Change Report … With this report, nurses can review trends to determine if CNAs are documenting better, worse, or about
-
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
-
www.ahrq.gov/es/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
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apb.html
August 01, 2022 - Detailed Review Timeline
Event Type:
Individuals Interviewed:
NAME
TITLE/ROLE
Nurse … #1
Charge nurse
Nurse #2
RN
CNA X
Nursing tech
Manager MS
Manager … 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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures-key.docx
March 01, 2017 - Killbug and Nurse Nohai. … He then approaches Nurse Nohai at the nurses’ station. … Nurse Nohai: On my assessment, Mrs. … What could Nurse Nohai have done differently? … Killbug was more open-minded and seemed to listen to Nurse Nohai’s assessment.
· Nurse Nohai presented
-
www.ahrq.gov/hai/cusp/modules/identify/alt-text.html
March 01, 2013 - 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
A Causal Tree shows … The transfusing nurse didn't check the blood type on the hanging unit because the nurse was busy and … The temp nurses needed help.
Other nurses were on sick-out. … unclear about procedure
Transfusing nurse busy and distracted
Both nurses from outside the agency