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201. Role Play Scenarios (pdf file)
     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.

202. TeamSTEPPS Limited English Proficiency Module: Learning Outcomes Assessment (pdf file)
     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.

203. 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

204. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     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.

205. 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.

206. 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.

207. Structured Communication about Warfarin and Patient Safety (pdf file)
     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.

208. Appendix D. Ambulatory Surgery Center Checklist Template - Implementation Guide | Agency for Healthcare Research and Quality
     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

209. Making It Work Tip Sheet: Engaging Physicians in Preventing CLABSI and CAUTI (pdf file)
     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

210. 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

211. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     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

212. Building an Engaged CUSP Team Slides
     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

213. National Content Series Facilitator’s Guide | Agency for Healthcare Research and Quality
     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.

214. TeamSTEPPS Learning Benchmarks | Agency for Healthcare Research and Quality
     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.  

215. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     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

216. 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

217. SOPS Bibliography | Agency for Healthcare Research and Quality
     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

218. Event Investigation and Analysis Guide: Appendix B | Agency for Healthcare Research and Quality
     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

219. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
     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

220. Identify Defects Module Alternate Text | Agency for Healthcare Research and Quality
     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