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  1. www.ahrq.gov/hai/cusp/cusp-success/peterson.html
    September 01, 2012 - Theresa Hickman, RN, an ICU nurse, manager, and educator, was asked to lead its implementation because … Members included Saul, an ICU nurse, the Director of Quality Services, and a quality analyst. … Initially, Hickman and the ICU's Nurse Director led the CUSP Team. … Like Hickman, Morris was enthusiastic about how CUSP had enhanced nurse-to-nurse and nurse-doctor communication … “When she sees that a patient can be harmed, any nurse can formally fix that.”
  2. www.ahrq.gov/news/newsletters/e-newsletter/768.html
    June 01, 2021 - Study Examines Impact of Monitoring Alarms on Nurse Workload Issue Number 768 AHRQ News Now … Today's Headlines: Study Examines Impact of Monitoring Alarms on Nurse Workload . … Study Examines Impact of Monitoring Alarms on Nurse Workload Increased exposure to patient monitoring … Safety Learning Laboratory funded by AHRQ that aimed to reduce noninformative alarms and accelerate nurses … The study found that nurses exposed to 40 or more alarms within a two-hour period experienced a 5.5 point
  3. www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/assemble-fac-guide.html
    May 01, 2017 - ,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
  4. Dischargeprep (doc file)

    www.ahrq.gov/sites/default/files/publications/files/dischargeprep.docx
    January 02, 2013 - : (Name of patient’s nurse) Date: _______ Nurse: __________ Date: _______ Nurse: __________ … Date: _______ Nurse: __________ Date: _______ Nurse: __________ Date: _______ Nurse: ________ … __ Date: _______ Nurse: __________ Date: _______ Nurse: __________ Date: _______ Nurse: _ … Nurse: __________ Date: _______ Nurse: __________ Date: _______ Nurse: __________ Date: … _______ Nurse: __________ Date: _______ Nurse: __________ Date: _______ Nurse: __________
  5. Dischargeprep (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/red/toolkit/dischargeprep.docx
    January 02, 2013 - : (Name of patient’s nurse) Date: _______ Nurse: __________ Date: _______ Nurse: __________ … Date: _______ Nurse: __________ Date: _______ Nurse: __________ Date: _______ Nurse: ________ … __ Date: _______ Nurse: __________ Date: _______ Nurse: __________ Date: _______ Nurse: _ … Nurse: __________ Date: _______ Nurse: __________ Date: _______ Nurse: __________ Date: … _______ Nurse: __________ Date: _______ Nurse: __________ Date: _______ Nurse: __________
  6. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.pdf
    September 01, 2024 - Administrator Medical Director Director of Nursing/Nursing Supervisor Department Head Unit Manager/Charge Nurse … Assistant Director/Assistant Manager Minimum Data Set (MDS) Coordinator/ Resident Nurse Assessment … Other Provider Nurse Practitioner Clinical Nurse Specialist Physician Assistant  d. … Licensed Nurse Registered Nurse (RN) Licensed Practical Nurse (LPN) Wound Care Nurse  e.
  7. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-II.pdf
    January 01, 2023 - incidents were “Always” or “Most of the time” documented in an incident or occurrence report (98 percent); Nurses … follows: • Anesthesiologist • Doctor/Physician (excluding Anesthesiologists) or Surgeon • Certified RegisteredNurse Anesthetist (CRNA) • Physician Assistant or Nurse Practitioner • Management: Medical Director … , Office Manager, Other Manager • Nurse: Registered Nurse (RN), Licensed Practical Nurse (LPN)/Licensed … In addition, those who worked 17 to 31 hours per week were primarily nurses, and those who worked more
  8. 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."
  9. www.ahrq.gov/sites/default/files/publications/files/dischargeprep.pdf
    February 14, 2013 - : (Name of patient’s nurse) Date: _______ Nurse: __________ Date: _______ Nurse: _______ … ___ Date: _______ Nurse: __________ Date: _______ Nurse: __________ Date: _______ Nurse … : __________ Date: _______ Nurse: __________ Date: _______ Nurse: __________ Date: … Date: _______ Nurse: __________ Date: _______ Nurse: __________ Date: _______ Nurse … ______ Nurse: __________ Date: _______ Nurse: __________ Date: _______ Nurse: _________
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/red/toolkit/dischargeprep.pdf
    February 14, 2013 - : (Name of patient’s nurse) Date: _______ Nurse: __________ Date: _______ Nurse: _______ … ___ Date: _______ Nurse: __________ Date: _______ Nurse: __________ Date: _______ Nurse … : __________ Date: _______ Nurse: __________ Date: _______ Nurse: __________ Date: … Date: _______ Nurse: __________ Date: _______ Nurse: __________ Date: _______ Nurse … ______ Nurse: __________ Date: _______ Nurse: __________ Date: _______ Nurse: _________
  11. 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.
  12. www.ahrq.gov/news/newsletters/e-newsletter/945.html
    February 01, 2025 - Better Nurse Staffing Levels Associated With Lower Rates of Cesarean Section Issue Number 945 … Today's Headlines: Better Nurse Staffing Levels Associated With Lower Rates of Cesarean Section . … nurse staffing levels led to lower cesarean section (C-section) rates and higher vaginal birth after … Researchers examined the impact of nurse staffing levels during labor on rates of C-section and VBAC … The study examined data including 2,786 nurses across 193 hospitals in 23 states.
  13. www.ahrq.gov/patient-safety/capacity/candor/modules/guide4/apb.html
    February 01, 2017 - Analysis Guide: Appendix B Event Type: Individuals Interviewed: NAME TITLE/ROLE Nurse … #1 Charge nurse Nurse #2 RN CNA X Nursing tech Manager MS Manager Pertinent Interview … 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
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
    March 03, 2008 - Collaborate with nurse leader, clinical nurse specialist, or nursing supervisor to determine the need … Departmental nursing leadership identified six individuals from the unit—including registered nurses … The unit- based nurse leader, nurse 3. … The registered nurse delegates tasks depending on the needs and condition of the patient, the complexity … The nurse leader and clinical nurse specialist on the unit review every patient fall according to the
  15. www.ahrq.gov/teamstepps/rrs/rrsspecscen.html
    October 01, 2014 - The family member alerted the nurse about these concerns. … The nurse assured the family member that she would check on the patient. … An hour later, the family member reminded the nurse, who then assessed the patient. … The nurse checked the patient’s vital signs. … Based on her colleague’s recommendation, the nurse called the RRT via the operator.
  16. 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
  17. 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
  18. 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.
  19. www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/index.html
    June 01, 2023 - Long-term care Have an experienced registered nurse offer to administer routine medications for a less … experienced registered nurse who is behind in their care because of a patient whose condition was deteriorating
  20. 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.

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