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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/briefing-slides/Morning-Briefing-and-Shadowing-July-12-2011-508.ppt
January 01, 2011 - Participates
Physician doing rounds who is responsible
for the ICU patients that day
Night charge nurse … Day charge nurse
Morning Briefing Process
Three simple questions
What happened overnight that I need … If You Were Following a Nurse
Did you observe that in a crisis or when there was an important issue, … often most informed but does not always speak up
Our Findings
Nurse is the provider most often … supplying Pyxis and stock drugs were
Some providers avoided
EMR was not accessed
Our Findings
Nurses
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www.ahrq.gov/sites/default/files/2024-09/ratwani-report.pdf
January 01, 2024 - Physicians were interrupted 12.7 times per hour and the most frequent source of
interruptions was from nurses … frequent interruptions were in-person conversations from other
physicians or residents (n = 193) or nurses … the discharge, and
then talked to the nurse. … Discussion: The majority of the interruptions that emergency physicians faced were from either
nurses … it demonstrates a high rate of interruptions
to emergency physician workflow, primarily driven by nurses
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3-communication-speaker-notes.pdf
July 01, 2023 - Reasons for Handoffs:
o Shift changes
E.g., nurse to nurse
o Severe hypertension and other emergent … Beth, L&D Nurse
SCRIPT
Here you see the triage nurse, Kim, preparing to hand off Ms. … Kim, triage nurse
Alice Smith, the patient
Beth, L&D Nurse
SCRIPT
Kim explains Ms. … Kim, triage nurse
Alice Smith, the patient
Beth, L&D Nurse
SCRIPT
Kim continues with the handoff … Kim, triage nurse
Alice Smith, the patient
Beth, L&D Nurse
SCRIPT
Kim concludes by giving Beth
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www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
December 01, 2017 - Nurse.
Anesthesia CRNA.
Was anyone using a script?
Yes.
No. … Nurses.
Residents.
Fellows.
Psychologists. … Preoperative nurse initiates.
Primary perioperative team communication tool. … Followup:
Operating room charge nurse assigned to update preference cards. … Preoperative nurse initiates.
Primary perioperative team communication tool.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-creative-strategies-nembhard.pdf
January 01, 2014 - A Quasi-Experiment Assessing the Six-Months Effects of a Nurse
Care Coordination Program on Patient … innovations implemented:
► Fully integrated Electronic Medical Record
► E-Consults
The New Role for Nurses … program versus centers yet to
implement (6 vs. 6) after 6 months of program use
► Participation: All nurses … For staff experience of teamwork: Sample items from Nembhard & Tucker 2011; Gittell 2001
• Nurses and … Care Coordination
A Central Question
Research Setting: Community Health Centers
The New Role for Nurses
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction-speaker-notes.pdf
July 01, 2023 - Tanya, charge nurse
Allison, L&D nurse
SCRIPT
She calls to the charge nurse, Tanya, to notify the … charge nurse
Danielle Williams, the patient
Dr. … Tanya, charge nurse
Allison, L&D nurse
SCRIPT
As the requested materials and supplies arrive, the … Larsen, anesthesiologist
Tanya, charge nurse
Allison, L&D nurse
SCRIPT
Ms. … Sonentag, obstetrician
Danielle Williams, the patient
Tanya, charge nurse
Allison, L&D nurse
-
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.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - champion, staff nurses, the L&D nurse manager,
QI coordinators, an obstetrician/gynecologist physician … First, the implementation team strategically began train-
ing nurse managers, assistant nurse managers … care teams—the obstetrics and
gynecology providers, the in-house anesthesiologists, the
certified registered … nurse anesthetists (CRNAs), and the
L&D nurses. … The
rapid response nurse then alerts the charge nurse in the
operating room.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - champion, staff nurses, the L&D nurse manager,
QI coordinators, an obstetrician/gynecologist physician … First, the implementation team strategically began train-
ing nurse managers, assistant nurse managers … care teams—the obstetrics and
gynecology providers, the in-house anesthesiologists, the
certified registered … nurse anesthetists (CRNAs), and the
L&D nurses. … The
rapid response nurse then alerts the charge nurse in the
operating room.
-
www.ahrq.gov/health-literacy/professional-training/lepguide/app-b.html
September 01, 2020 - Nurse: OK, so you have been tired since this morning. Do you have any other symptoms? … An hour later, the nurse appears again and finds Mrs. … The interpreter is no longer present, but the nurse proceeds to explain:
Mrs. … Triage nurse did not recognize the need for a qualified medical interpreter. … The next level of missed opportunity occurred at the level of the triage nurse.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure-speaker-notes.pdf
July 01, 2023 - Examples include:
Outpatient:
o Physicians, nurses, sonographers
Inpatient:
o Physicians, nurses … 17
Staff Your AIM Team for Success
Key Team Members Additional Potential Contributors
• Nurses … (including nurse educator, • Pharmacists
nurse manager, nurse midwives, nurse • Patient safety officers … , including educators, managers, midwives, anesthetists, nurse
practitioners, and L&D staff nurses; … The key team members—nurses, physicians, and senior executives—will help
ensure the initiative is used
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-f.docx
September 01, 2016 - Will the anesthesia professional and nurse discuss critical preprocedural safety steps together before
-
www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-4.html
July 01, 2022 - Nurses and pharmacists empowered to start list or document medications or changes as new information … transfer
(1) Physician
(2) Verify/confirm the patient's pre-admission medication list
(2) Nurse … (3) Reconcile patient's current medication list with medications ordered upon admission
(3) Nurse … medications, changes or deletions based on the patient's care plan for discharge
(3) Physician or nurse …
(6) Educate patient on changes made to preadmission medication list
(6) Physician or nurse
-
www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-4.html
July 01, 2022 - Nurses and pharmacists empowered to start list or document medications or changes as new information … transfer
(1) Physician
(2) Verify/confirm the patient's pre-admission medication list
(2) Nurse … (3) Reconcile patient's current medication list with medications ordered upon admission
(3) Nurse … medications, changes or deletions based on the patient's care plan for discharge
(3) Physician or nurse …
(6) Educate patient on changes made to preadmission medication list
(6) Physician or nurse
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrs_slides/rrsslides.pdf
January 01, 2008 - ICU Physician
ICU Charge Nurse
Nurse Practitioner (if available)
RRS coordinator
Transportation service … 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.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsslides.ppt
January 01, 2008 - ICU Physician
ICU Charge Nurse
Nurse Practitioner (if available)
RRS coordinator
Transportation service … 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.
-
www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/patient-involvement/healthy-men/healthy-men.pdf
March 01, 2014 - If
you are between the ages of 76 and 85, talk
with your doctor or nurse about whether
you should … Talk to
your doctor or nurse about being screened
for depression, especially if during the last 2 … If you are older than 65, ask your doctor
or nurse whether you should be screened.
Lung Cancer. … Talk to your doctor or nurse
about getting screened for lung cancer if you
are between the ages of … Task Force members
are practicing doctors and nurses in the fields of family medicine,
general internal
-
www.ahrq.gov/patient-safety/resources/match/matchfig3txt.html
August 01, 2012 - In the second direction, depending on the care unit, nurse and/or pharmacist verify medication history … Then information can flow to the center, to the Med Profile, or down to: depending on the care unit, nurse … Forms:
Created standardized approach for physicians, nurses, and pharmacists for medication reconciliation … Creates standardized process for nurses and pharmacists to identify, resolve, and document followup on … Nurse (or pharmacist in ICUs) prompted to confirm history and reconcile with current orders.
-
www.ahrq.gov/news/newsroom/case-studies/201801.html
April 01, 2018 - Key measures taken to prevent falls now include bedside commodes, welcome signs in each room from the nurse … reminding patients to “call, don’t fall,” and additional safety awareness training for nurses and patient … Lee emphasized that training was mandatory for both nurses and patient care technicians, “which played … Anderson Regional is having an individually written contract with patients that indicates when the nurse … patient so there will be a pre-established expectation that at a specified time during the night, the nurse
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-slides.pptx
June 01, 2021 - The nurse notifies the on-call clinician, who orders ciprofloxacin. … The nurse notifies the on-call provider, who orders ciprofloxacin. … The nurse notifies the on-call provider, who orders ciprofloxacin. … The nurse notifies the on-call provider, who orders ciprofloxacin. … Developing a Program
19
Pre-prescriptive Interventions
Examples
Checklist of signs and symptoms for nurses