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www.ahrq.gov/sites/default/files/2024-07/aboumatar-report.pdf
January 01, 2024 - teams, charge nurses, senior leaders).
2. … Interventions Intervention Description
Post-discharge phone calls • Castle Medical Center: Calls are conducted registered … nurses (RNs);
nursing managers/directors have to make at least five calls per week; and
emergency … New team member roles
• Massachusetts General Hospital: Created an ‘attending nurse role’. … Please comment below on who performs this (e.g. primary
nurse, charge nurse, or others), round frequency
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
June 02, 2025 - Nursing
1 Advanced Practice Nurse (NP, CRNA, CNS, CNM)
2 Licensed Vocational Nurse (LVN), Licensed … Practical Nurse (LPN)
3 Patient Care Aide, Hospital Aide, Nursing Assistant
4 Registered Nurse (
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-6k.pdf
August 01, 2017 - Health Plan Offers Nurse Advice Line
in Spanish
Health plans can also take steps to ensure
that their … care organization, developed and
aggressively marketed a 24-hour bilingual
(English and Spanish) nurse … Eight bilingual registered nurses staff the
line, which replaced a traditional advice
line where nurses … After Molina introduced its bilingual
nurse advice line, calls from Spanish-
speaking members increased … Source: AHRQ Health Care Innovations
Exchange. 24-Hour, Bilingual Nurse Line
Provides Advice and Interpreter
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_1_Be_Partner_508.docx
June 02, 2025 - Engagement
We work as a team to make sure you get the best care
Your health care team includes you, doctors, nurses … If you or your family needs to talk to a doctor at any time, please let your nurse know. … Nurse shift changes occur when nurses who are going off duty share information about you with nurses … Your nurses will change shifts between [7 and 7:30 a.m.] and [7 and 7:30 p.m.].
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide4.html
October 01, 2017 - It instituted a 1-year residency program for new-graduate registered nurses (RNs) to provide support … A 9-week preceptorship with floor nurses to build skills. … Good communication needs to occur among staff at all levels:
Within the unit (among nurses, nurse … Give nurses access to dressings when wound staff are unavailable. … and nurse assistants.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts.ppt
June 02, 2025 - insertion techniques
Culture change (CUSP):
Teamwork and communication amongst frontline staff
Identify nurse … Safety Issue)
DESC Script
Collaboration
CUSP: CAUTI
*
CAUTI Example
CAUTI Scenario
An ED nurse … The nurse knows that the patient does not need a catheter and that there are alternatives that would … Despite concerns, the nurse places the catheter because the physician made it clear that the family wants … The nurse notices this but does not move the bag.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts4.html
December 01, 2017 - Multidisciplinary Team Members To Serve as the Change Team
The change team consists of a change team champion, nurse … Two team leaders may co-lead project activities; one is a nurse and the second can be from nursing or … Ad hoc team members include wound care staff, staff educator, physicians, nurses, and rehabilitation … identify problems in, for example, CNA documentation completeness and may find it necessary to have the nurse … Likely champions for each nursing unit are the nurse managers, with backup support by the QI department
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion-notes.docx
April 01, 2022 - The nurse does not get another catheter but instead continues to insert the “dirty” catheter. … Registered nurses (RNs) are responsible for maintenance of indwelling urinary catheters, but unlicensed … If an unlicensed provider is inserting a urinary catheter, the registered nurse must verify that the … Having a nurse expert or champion to lead the rounds helps. … Frequently, this team consists of leaders and staff nurse representation.
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www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
January 01, 2024 - Interviews were conducted with nurses (39% of
interviews), resident physicians (32%), attending physicians … 7P20HS017111-02
Through the 1180 interviews, 263 reports of nonideal care events were generated (53% by
nurses … representing both the Internal Medicine and
Emergency Medicine services; inpatient and ED pharmacists; nurses … 6
ED Nurse
prepares abx for
administration
Step 7
ED Nurse locates
patients in the ED
Step … 9
ED Nurse checks
patient allergies
Step 10
ED Nurse
administers
antibiotic to patient
Step
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-antepart-hemorrhage.html
July 01, 2023 - Clinical Context
The facilitator provides the clinical context to person in the role of nurse. … This can be done using a verbal report and handoff from one nurse to another nurse during change of shift … Expected behavior/performance (not in any particular order):
Nurse introduces self to the patient … Nurse calls for additional help, provider, or rapid response team. … Nurse calls for additional help, provider, or rapid response team.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/transcript-speaking-up.doc
May 01, 2017 - The nurse notices that the surgeon has contaminated the sleeve of his gown. … Nurse:
“Excuse me, Dr. Jones. … Nurse:
“No, really, Dr. … Nurse:
“I’m sorry, Dr. Jones, but this is a safety issue.
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www.ahrq.gov/sites/default/files/2024-09/segall-report.pdf
January 01, 2024 - Participants were 15
remote telemetry technicians and 27 nurses from cardiac units (e.g., cardiothoracic … that it only represents time to identify an arrhythmia; it does not reflect time to then alert
the nurse … 3
State correct problem 4
Print rhythm strips 1
Send one strip to the patient’s nurse 1
Document the … 3
State correct problem 4
Print rhythm strips 1
Send one strip to the patient’s nurse 1
Document the … Fostering synergy: A nurse-managed remote telemetry model. Critical Care Nurse
2007;27:22-33.
8.
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www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/culture.html
April 01, 2022 - Making It Work – Overcoming the "Just in Case" Mindset (PDF, 269.6 KB)
Making It Work – Empowering Nurses … To Implement Nurse-Driven Protocols for Reducing CAUTI in the ICU Setting (PDF, 249.7 KB)
Making … 40.5 MB, 22:05 minutes; Transcript , PDF, 318.2 KB)
Audio interview with Pat Posa – How To Empower Nurses … To Effectively Implement a Nurse-Driven Protocol for Removing Urinary Catheters, Including How To Obtain … YouTube embedded video: https://www.youtube-nocookie.com/embed/DQ9AwEWaLF4
Video – Empowering Nurses
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www.ahrq.gov/teamstepps-program/curriculum/communication/tools/sbar.html
November 01, 2019 - It states what the nurse or other provider has assessed based on the background information, patient … The nurse identified herself and the reason she was calling. … The nurse provided the background of the deep vein thrombosis (DVT) diagnosis and all current labs. … The recent assessment of the patient has led the nurse to call the physician with her concerns. … The recommendation was initiated by the nurse for additional labs, and a plan was discussed for future
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.pdf
October 01, 2016 - A doctor will ask a nurse to check on
a resident more often and encourage drinking for up to a few days … The doctor will request that nurses check often to see how he or she is feeling, take his/her
temperature … A doctor may ask a nurse to check on
a resident more often and encourage drinking for up to a few days … aware of them so that you and your family member can report
any changes in how he or she feels to a nurse … think your family member may be
experiencing any of these side effects—or just feels different—let a nurse
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.docx
October 01, 2016 - A doctor will ask a nurse to check on a resident more often and encourage drinking for up to a few days … The doctor will request that nurses check often to see how he or she is feeling, take his/her temperature … A doctor may ask a nurse to check on a resident more often and encourage drinking for up to a few days … aware of them so that you and your family member can report any changes in how he or she feels to a nurse … think your family member may be experiencing any of these side effects—or just feels different—let a nurse
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/improving-communication-guide.docx
September 01, 2022 - Nurses and physicians may approach communication differently. … For example, nurse satisfaction with nurse-physician communication is associated with a communication … Physicians reported satisfaction when nurses communicated their input on patient care. … What does the nurse or medical assistant mean by “sick” or “right away”? … In this example, the medical assistant or nurse should ask clarifying questions on the phone call with
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k.html
May 01, 2017 - Members
– - Administrator/Manager
– - Anesthesiologist/Certified Registered … Nurse Anesthetist
– - Circulating Nurse
– - Scrub Technician … – - Anesthesia Technician
– - Pre-op/Post-Anesthesia Care Unit Nurse
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/observation/observation.pptx
May 01, 2017 - of a Data Sheet Used To Guide an Observation
Key:
ID: Identity
DOB: Date of birth
CRNA: Certified registered … nurse anesthetist
IVATB: Intravenous antibiotics
MD: Doctor of medicine
RN: Registered nurse
ST: Surgery
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm4a.html
October 01, 2014 - Some interventions might seem appealing (e.g., sending a nurse care manager to the home of every member … At Level One, members receive educational mailings and access to the nurse call line and audio health … A patient at this level receives a call from a nurse care manager at weeks 6 and 26. … States can use several techniques to coordinate provider and member interventions:
Station nurse … Provide patient registries to nurse care managers and providers.
Work with office staff.