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201. Final Progress Report: Medication Error Reduction, Technologies and Human Factors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
     January 01, 2024 - This survey was sent to nurse users only. … The five groups included representative pediatric nurses, intensive care nurses, staff anesthesiologists … , resident anesthesiologists, and certified registered nurse anesthetists. … and all nurse managers. … Usability testing Participants in usability testing included four staff nurses, three nurse “super users

202. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-slides.pptx
     June 01, 2021 - improve communication between nursing staff and providers Recognize that SBAR can support the role of nurses … suggest a time frame 6 Communicating With Prescribers 6 SBAR To Improve Communication Nearly 90% of nurses … No The nurse did not share: Resident’s anticoagulation status No update on vitals Clear? … Tell the nurse to wait until Monday and notify the regular practitioner. “I’m too busy right now.” … His nurse faxes the urine culture results to provider’s office.

203. Final Progress Report: Care Interventions and Quality of Care in Rural and Urban Nursing Units (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/baernholdt-report.pdf
     January 01, 2024 - Additionally, context (community, hospital, and nursing unit characteristics), nurse work environment … nurse staffing, rural, urban, longitudinal 2 2. … Specific Aim 2: To examine the effect nurse work environment (NWE) factors and nurse outcomes have on … Likert scale in which higher scores represent higher satisfaction Intent to leave Percentage of nurses … The rural nurses scored their practice environment and job satisfaction lower, but their intent-to-leave

204. Strategy 4: IDEA Discharge Planning (Tool 2b) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_2b_IDEAL_Booklet_508.pdf
     June 02, 2025 - 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.

205. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
     January 01, 2003 - Nursing personnel directly involved in a medical error were interviewed within 2 weeks of the error. … Methods Subjects were nursing personnel (registered nurses, patient care technicians, licensed practical … The majority of participants were registered nurses (84 percent), with 63 percent of them usually working … Given the nature of this study, we anticipated that nursing personnel might be reluctant to discuss … Surprisingly, we discovered that nursing personnel wanted to talk about their errors.

206. Improving Communication and Teamwork in the Surgical Environment
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-blank-template.pptx
     June 02, 2025 - name> Team Members - Administrator/Manager - Anesthesiologist/Certified Registered … Nurse Anesthetist - Circulating Nurse - Scrub Technician - … Data collector - Anesthesia Technician - Pre-op/Post-Anesthesia Care Unit Nurse

207. Module 3: Conversations Around Device Necessity Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module3-speaker-notes.html
     February 01, 2023 - nurse. … She implemented the nurse-driven protocol because there was no need for hourly output measurement. … X and instructed her on how to call the nurse when the bedpan was needed. … Molly was an experienced nurse and had worked in the ICU for 15 years. … Nurses are busy, and for many nurses, removing a catheter is a change in practice. Clearly, Ms.

208. Final Progress Report: Engineering Safe Care Journeys for Vulnerable Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
     January 01, 2025 - We conducted post-implementation semi-structured interviews with the 10 ED nurses to ask the nurses … [N=10 nurses and 15 patients]. … (F) Barriers (B) Work system elements Person – ED nurse • Nurse knowledge of pt • Nurse lack … in D/C • Timely and smooth D/C (e.g., sufficient time with ED nurse) • Busy ED and busy nurses (e.g … practitioner, RN – Registered nurse, SNF – Skilled nursing facility, UTI – Urinary tract infection

209. Final Progress Report: Real-time assessment of risk factors for medication errors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/dresselhaus-report.pdf
     January 01, 2024 - The mean age of nurse participants (n=119) was 39.3; 89% were women. … Physician and nurse subjects were recruited among volunteers on the inpatient medical services of the … These data allow errors to be linked to the ordering physician or administering nurse. … Of nurse subjects, 71 worked in adult settings, and 48 worked in pediatric settings. … The mean age of nurse participants was 39.3; 89% were women.

210. Tool 3 Continued | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/dischargeprep.html
     March 01, 2025 - DE: ____ Total: ______ Date: ______ DE: ____ Total: ______ Date: ______ DE: ____ Total: ______ Floor Nurse … : (Name of patient's nurse) Date: _______ Nurse: __________   Date: _______ Nurse: __________   Date … : _______ Nurse: __________   Date: _______ Nurse: __________   Date: _______ Nurse: __________   Date … : _______ Nurse: __________   Date: _______ Nurse: __________   Date: _______ Nurse: __________   Date … : _______ Nurse: __________   Contacts with family/caregiver Date: _______ Name: __________   Date: _

211. Tool 3 Continued | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/dischargeprep.html
     March 01, 2025 - DE: ____ Total: ______ Date: ______ DE: ____ Total: ______ Date: ______ DE: ____ Total: ______ Floor Nurse … : (Name of patient's nurse) Date: _______ Nurse: __________   Date: _______ Nurse: __________   Date … : _______ Nurse: __________   Date: _______ Nurse: __________   Date: _______ Nurse: __________   Date … : _______ Nurse: __________   Date: _______ Nurse: __________   Date: _______ Nurse: __________   Date … : _______ Nurse: __________   Contacts with family/caregiver Date: _______ Name: __________   Date: _

212. Labor and Delivery Unit Safety: Safe Cesarean Section | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-safe-csection.html
     July 01, 2023 - Who should use this tool: Nurses, physicians, midwives, and other labor and delivery (L&D) unit staff … The timeout is typically led by the circulating nurse once all staff members are present in the operating … ___ Circulating nurse ___ Charge nurse ___ Operating room (OR) technician ___ Pediatrics … ___ Circulating nurse ___ Charge nurse ___ Operating room (OR) technician ___ Pediatric provider … ___ Circulating nurse ___ OR technician ___ Pediatric provider Circulating nurse verbalizes:

213. Morning Briefing and Shadowing (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing.html
     April 01, 2013 - together so that they realize that nurses – which is my background, I was an ICU nurse for probably … and the other nurses going on shift. … they just update the nurse. … They've all shadowed nurses. … like nurse practitioners?

214. Appendix D, Table D3 | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpraapd3.html
     April 01, 2018 - Anesthesiologist and nurse take to PACU. Anesthesiologist is at head and nurse is at foot.  … Circulating nurse take to PACU. … In PACU nurses are gloved, not gowned. … Patient to nurse ratio in PACU   2 patients to1 nurse, critical care is 1 to 1. … PACU nurses call every patient next day and ask about any problems or unexpected things.

215. Staff Safety Assessment
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
     January 01, 2006 - unclear about procedure Temp nurses need help Other nurses on sick-out Group O patient almost given … Group A Blood A positive unit was hanging on the infuser Transfusing nurse didn’t check blood type on … hanging unit A positive unit not removed from prior case Nurse was busy and distracted Nurse interrupts … transfusion Nurse sees that unit is A positive Recovery Antecedent Events Root Causes Discovery Event … OK OM HEX Nurse was busy and distracted Temp nurse unclear about procedure CUSP and Sensemaking: Next

216. Case Example #5: WellMed | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-5.html
     July 01, 2019 - Two full-time float MAs act as triage nurses, filling in as needed. … In addition, this coach is also a licensed vocational nurse (LVN) who acts as a backup nurse, starting … Registered nurse (RN) outpatient case managers oversee the management of high-risk patients with multiple … MAs and triage nurses can consult PCPs. … ; RN=registered nurse Return to Contents Team Building and Training The clinic manager at the WellMed

217. Assemble the Team and Engage Leadership for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.pdf
     May 01, 2017 - , anesthetists, nurse practitioners, and L&D staff nurses; • Physicians, including obstetricians, family … For example, a nurse opinion leader can serve as the representative for all L&D unit nurses on the … 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 … key contact for the L&D unit nurses, helps empower the unit nurses throughout the initiative, and integrates

218. Module 3: Conversations Around Device Necessity | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod3-slides.html
     February 01, 2023 - protocol for catheter removal Day nurse Sally and Ms. … X Image: To the right of text are images of "Nurse Sally" and "Mrs. X." … X Image: Photo on right side of slide of "Nurse Molly." … Images: Photo of "Nurse Sally" and "Nurse Molly." … Slide 10 The Manager's Reaction Images: Photos of the "Nurse Manager" and "Nurse Molly."

219. Final Progress Report: Clinical Decision Support Simulations for Medication Administration Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
     January 01, 2024 - of nurse practitioners (26-29). … walking up to the nurse and asked a question regarding the patient. … Two nurses explain this use below: Nurse one: “I think I’d use it more like…well we’ve had a lot … One nurse described them as: “Short and sweet. … Nurse-Staffing Levels and the Quality of Care in Hospitals.

220. Abt Single-Sided Body Template (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.docx
     June 02, 2025 - Care plan meetings Charge nurse/nurse manager and CNAs. … CNA Shift Change Report Nurse managers or charge nurses. … nurse. … Users and Potential Uses The primary users of this report are nursing leadership, direct care nurses … , restorative nurse.