-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/practice-profile-template.docx
May 14, 2021 - needed)
Staff
FTE
Comments
Doctors (MD/DO)
Name:
Name:
Name:
Nurse … practitioners and Physician assistants
Name:
Name:
Name:
Registered … nurses
Name:
Name:
Name:
Licensed practical or vocational nurses
-
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
-
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.
-
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.
-
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.
-
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:
-
www.ahrq.gov/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses2.html
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
The Theory … This structure means that a nurse taking care of a patient is more likely than a physician to observe … In addition, the nurse is more likely to establish rapport with the patient and caregiver, thus being … For example, a nurse assesses the patient upon initial presentation to the ED, demonstrating the physical … For example, as part of a newly established workflow, the nurse and physician go into a patient’s room
-
www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module2-speaker-notes.html
February 01, 2023 - The nurse and transporter need to take the patient to radiology for a followup study. … Nurse: “You know that we’ve been trying to decrease our CAUTI rates here, right? … Nurse: “Not exactly. … Nurse: “Yes, you’re correct.”
Transporter: “OK, I got it. Anything else?” … Next, the nurse empties the urinary catheter bag.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/implementation-guide/implementation-guide-appendix-m.docx
August 03, 2015 - Example of a Nurse-Driven Protocol for Catheter Removal
Algorithm for observing patient after discontinuing … Example of a Nurse-Driven
Protocol for Catheter Removal
Below is an example of a nurse-driven protocol … your hospital’s patient population via discussion with your institution’s medical care providers
The nurse … If no appropriate (acceptable) indication(s) for use are present, the nurse should discontinue the urinary
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/24914-Friese-draft-1.pdf
August 31, 2020 - Clinician participants were employed at the ambulatory practices and included registered
nurses, physicians … practitioners) and registered nurses who work
in a sample of
ambulatory oncology
practices. … Significant differences were observed between registered nurses and prescribers in terms of
safety scores … , with registered nurses reporting higher use of behaviors consistent with a safety
culture compared … (Infusion Nurse)
In response to order signing delays, some infusion nurses use workarounds to counter
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/24914-Friese-report.pdf
August 31, 2020 - Clinician participants were employed at the ambulatory practices and included registered
nurses, physicians … practitioners) and registered nurses who work
in a sample of
ambulatory oncology
practices. … Significant differences were observed between registered nurses and prescribers in terms of
safety scores … , with registered nurses reporting higher use of behaviors consistent with a safety
culture compared … (Infusion Nurse)
In response to order signing delays, some infusion nurses use workarounds to counter
-
www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod2-slides.html
February 01, 2023 - Setting the Stage
ICU patient has a urinary catheter because of recent extensive urological surgery
Nurse … followup study
Transporter grabs the urinary catheter bag and places the bag on patient’s abdomen
Nurse … Slide 6
Answer
Nurse and transporter talk outside the patient’s room
Slide 7
Back in … the Patient's Room
Nurse uses the securement device
Nurse empties the urinary catheter bag … Slide 8
Moving the Patient
Nurse and transporter move the patient from the bed to the cart
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/assemble/assembleteam.docx
August 24, 2012 - This individual will:
· Be a frontline provider—a staff nurse, nurse manager, nurse educator, or physician … For example, the nurse opinion leader can serve as the representative for all unit nurses on the CUSP … of the unit nurses at CUSP team meetings. … The nurse manager supports CUSP activities by communicating the CUSP team’s needs to the unit nurses. … contact for the unit nurses and helps empower the unit nurses throughout the initiative.
-
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?
-
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
-
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.
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/resources/nh-survey.doc
June 09, 2016 - 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.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsspecscen.pdf
January 11, 2010 - 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.