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361. AHRQ Safety Program for Perinatal Care: Sample Scenario or Uterine Tachysystole In Site Simulation (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_ut-tachysystole.docx
     May 01, 2017 - This can be done using a verbal report and handoff from one nurse to another nurse during change of shift … Nurse reassesses maternal and fetal status. … Nurse calls for additional help, provider, or a rapid response. … Nurse reassesses maternal and fetal status. … Nurse calls for additional help, provider, or a rapid response.

362. Strategy 2: Communicating to Improve Quality (Tool 3) (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/asc-checklist-template.docx
     January 01, 2009 - Ambulatory Surgery Implementation Guide Ambulatory Surgery Checklist Preop Before Patient Enters Room Nurse … performing the procedure · Patient position · Known allergies · Patient weight · History and physical Nurse … Surgeon, Nurse, and Anesthesia Professional perform the Timeout · Patient’s name · Surgical procedure … and Scrub Tech Share: · Equipment issues · Other concerns Circulating Nurse and Scrub Tech Confirm: … Before Patient Leaves Room/Debriefing Nurse Reviews With Team: · Instrument, sponge and needle counts

363. 6 Tk1 T6-Managing Resident And Family Expectations Final (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.docx
     October 01, 2016 - Managing Resident and Family Expectations Nurses, prescribing clinicians, and any other staff who discuss … The intention is to both (a) support nurses and prescribing clinicians when residents or family members … request antibiotics when antibiotics are not needed and (b) educate nurses and prescribing clinicians … Let’s form teams of three: a family member, a nurse, and an observer. … When you are playing the observer’s role—listen to the nurse to see how the nurse responds to the family

364. 6 Tk1 T6-Managing Resident And Family Expectations Final (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.pdf
     October 01, 2016 - Managing Resident and Family Expectations Nurses, prescribing clinicians, and any other staff who discuss … The intention is to both (a) support nurses and prescribing clinicians when residents or family members … request antibiotics when antibiotics are not needed and (b) educate nurses and prescribing clinicians … Let’s form teams of three: a family member, a nurse, and an observer. … • When you are playing the observer’s role—listen to the nurse to see how the nurse responds to the

365. Learndefects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
     June 02, 2025 - (Nurse knew dose ordered was not standard for that medication.) … (New nurse asked preceptor to help him or her mix the medication concentration.) … (Nurse ratio was 1:1.) Was there a good mix of skilled with new staff? … (There was a nurse orientee shadowing a senior nurse and an extra nurse to cover the senior nurse’s responsibilities … (Nurse caring for three patients because another nurse went home sick.)

366. Exhibit 4. Roles of staff interviewed at each site visit | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpraexh4.html
     April 01, 2018 - Pre-op, OR, PACU nurses. Instrument technician. … Clinical nurse managers. Environmental services specialist. Infection control specialist. … Pre-op, OR, PACU nurses. Academic hospital, off-site ASC Administrator. … Pre-op, OR, PACU nurses. Sterile processing technician. … Pre-op, OR, PACU nurses. Quality improvement nurse. Scrub technician.

367. Chapter 6. Measure Maps and Profiles (continued, 4) | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6c.html
     June 01, 2014 - physicians and by physicians for nurses with the CPS scores. … Adequate validity correlations were not found for the nurse scale. … A review of instruments measuring nurse-physician collaboration. … physicians and by physicians for nurses with the CPS scores. … Adequate validity correlations were not found for the nurse scale.

368. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/implmatls.html
     November 01, 2017 - .) |__| Admitting Nurse |__| Charge Nurse |__| Nurse Manager |__| Nursing Supervisor |__| Director … |__| Charge Nurse |__| Nurse Manager |__| Nursing Supervisor |__| Director of Nursing |__| … |__| Charge Nurse |__| Nurse Manager |__| Nursing Supervisor |__| Director of Nursing |__| Physical … _____ Nurses _____ Therapy _____ CNAs _____ Root cause analysis for falls Nurses _ … regarding risks for and prevention of falls Nurses _____ Therapy _____ CNAs _____ Nurses

369. Section 7A (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-7-a.pdf
     June 02, 2025 - (72) Asian/PI (490) Black (1376) Hispanic (2448) White (8400) Multi (526) P-value Nurse-parent … 80.7% 82.8% 80.1% 81.8% <.001 Informed in Emergency Room 81.5% 83.3% 85.2% 85.9% 81.2% 83.8% .001 Nurse-child … (72) Asian/PI (490) Black (1376) Hispanic (2448) White (8400) Multi (526) P-value Nurse-parent … 81.0% 83.1% 79.7% 81.4% <.001 Informed in Emergency Room 81.3% 84.1% 85.7% 85.2% 80.9% 83.9% <.001 Nurse-child

370. Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harder.pdf
     May 19, 2003 - • Nurse educators responsible for training nursing staff on the use of the drug. … Temporary assignment of nurses. … Instruction of temporarily assigned nurses When a nurse is on temporary assignment, the nurse in charge … to staff nurses and pharmacists. … by the nurse in charge of that station, who should inform the temporarily assigned nurse how computers

371. 130-Ss-Swiss-Cheese-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/130-ss-swiss-cheese-fg.docx
     April 01, 2025 - These patient-level factors meant that on the day of surgery, when the pre-op holding area nurse had … The provider who gave the instructions was a new nurse-orientee. … The nurse-orientee received inadequate supervision. … The nurse-orientee did not seek out her mentor. … Anita Tucker, a systems engineer from Harvard Business School, observed and analyzed nurses in the clinical

372. Rapid Response for Perinatal Safety: Rapid Response Systems | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/tool-rapid-response-systems.html
     July 01, 2023 - Who should use this tool: Nurses, physicians, midwives, anesthesiology providers, neonatal providers … Activation can done by anyone—a nurse, maternity care provider, or a patient or family member—who senses … Rapid responders may include staff L&D nurses, nurse midwives, obstetricians, and anesthesiology providers … Calling the charge nurse. Pressing a call button. Calling the hospital operator. … midwife(s)     L&D staff nurse(s)     Anesthesiology     Charge nurse

373. CAHPS American Indian Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/american-indian/american-indian-eng-851.pdf
     March 04, 2009 - Do you have a primary doctor or nurse? 1 Yes 2 No → If No, go to #29 on page 6 13. … How long has this person been your primary doctor or nurse? … Which one of the following clinics do you go to when you see your primary doctor or nurse? … best primary doctor or nurse possible, what number would you use to rate your primary doctor or nurse … or nurse possible CAHPS American Indian Survey 6 Getting Needed Care 29.

374. TeamSTEPPS® Helps St. Louis Hospital Keep C-Section Rate Low | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201904.html
     June 01, 2019 - For every labor and delivery patient, the charge nurse and chief resident lead an interdisciplinary team … review that includes nurses, obstetricians, neonatologists, and anesthesiologists on each shift. … The charge nurse initiates huddles with the OB residents, presenting the care management plan with input … from the bedside nurse regarding individual patient issues. … “We include patients when we do bedside handoffs as nurses change shifts.

375. Morning Briefing and Shadowing (Slide Presentation) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing-slides/slides.html
     October 01, 2014 - If You Were Following a Nurse Slide 23. If You Were Following a Physician Slide 24. … Day charge nurse Return to Contents   Slide 7. … If You Were Following a Nurse Did you observe that in a crisis or when there was an important issue … Our Findings Nurse is the provider most often left with patient information to pass on to another … Our Findings Nurses did not realize how complicated sterile processing was; efforts made to keep

376. Final Progress Report: Organization of Care and Outcomes in Cardiac Surgery (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/martinez-report.pdf
     January 01, 2024 - Nurse staffing patterns did not seem to occur among CVICUs. … Key Words: ICU Physician Staffing, Intensivist, Nurse Staffing, Multidisciplinary Rounds, Organization … This is certainly true of intensive care units, in which variation in physician, nurse, and pharmacy … This survey included questions about physician, nurse, and mid-level provider staffing; utilization … The nurse-to-patient ratio in the step-down units was 1:4.0.

377. Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
     January 01, 2024 - The goal of this study was to describe nurses' perceptions of nurse- physician communication in the long-term … Results: Three hundred seventy-five nurses completed the questionnaire, and 21 nurses completed qualitative … Nurses identified several barriers to effective nurse-physician communication: lack of physician openness … At the most recent count, over 300 nurses had done so. … , pharmacists, physician assistants, and nurse practitioners.

378. Improving Patient Safety Through Provider Communication Strategy Enhancements (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
     February 06, 2008 - On nursing units, huddles typically were led by the nurse manager, charge nurse, or clinical nurse educator … , individual patient’s nurse, and pastoral care provider. … She won’t be dancing anyway: A study of surgeons, surgical nurses, and elder patients. … Nurses and doctors: A problem of partnership. In: Soothill K, Mackay L, Web C, editors. … The impact of physician-nurse interaction on patient care.

379. SOPS Diagnostic Safety Pilot Study Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-pilot-study-report.pdf
     April 01, 2021 - Other clinical staff or clinical support staff 186 24% Administrative or clerical staff 192 25% Registered … nurse (RN), licensed vocational nurse (LVN), licensed practical nurse (LPN) 120 16% Physician ( … M.D. or D.O.) 85 11% Management 74 10% Physician assistant, nurse practitioner, clinical nurse specialist … , nurse midwife, advanced practice nurse, and other etc. 66 9% Other position 46 6% Total 769 100% … When these items were further investigated, most providers (e.g., physicians, physician assistants, nurse

380. Facilitator Guide: Auditing Your Briefings and Debriefings (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing_facnotes.docx
     December 01, 2017 - Slide 13 Training Observers SAY: Nurses, medical students, volunteers, psychologists, physicians, … Circulator nurses almost always paused other tasks. … Scrub technicians and scrub nurses rarely engaged in the process; they should have information to share … The preoperative nurse will start documentation with the checklist. … Nurses have even thanked surgeons for communicating the needs and expectations for the case well, allowing