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461. 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.

462. On-Time Falls Prevention: Electronic Reports (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.pdf
     November 06, 2017 - Care plan meetings Charge nurse/nurse manager and CNAs. … CNA Shift Change Report Nurse managers or charge nurses. … nurse. … Users and Potential Uses The primary users of this report are nursing leadership, direct care nurses … , restorative nurse.

463. 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

464. 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

465. Appendix 1-B. Pre/Post-Test Questions and Answers for Module 1 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap1b.html
     October 01, 2014 - The nurse should: Make no mention of it at report. … Mention it at report, noting that it is unchanged, and when the nurse/doctor will next review the situation … You ask the licensed nurse if she has noticed any change in his mood or behavior, and if she has asked … The nurse should: Make no mention of it at report. … You ask the licensed nurse if she has noticed any change in his mood or behavior, and if she has asked

466. Women: Stay Healthy at Any Age (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/prevention/lifestyle/healthy-women.pdf
     May 01, 2014 - If you have a family member with breast, ovarian, or peritoneal cancer, talk with your doctor or nurse … If you are older than 65 or have had a hysterectomy, talk with your doctor or nurse about whether you … If you are older than 65, talk to your doctor or nurse about whether you should be screened. … 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

467. Transcript-Speaking-Up (doc file)
     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.

468. AHRQ Safety Program for Perinatal Care: Sample Scenario for Preeclampsia/Seizure In Situ Simulation (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_preeclampsia.docx
     May 01, 2017 - This can be done using a verbal report and handoff from one nurse to another nurse during change of shift … and begins assessment. · Nurse asks about status of labs. · Nurse plans to call doctor. … Trigger #1 Patient volunteers information to assessing nurse: “You know, the other nurse asked me if … Expected behavior/performance: · Nurse reassures patient and partner. … · Nurse reassesses maternal and fetal status.

469. AHRQ Safety Program for Perinatal Care: Sample Scenario for Umbilical Cord Prolapse In Situ Simulation (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_cord-prolapse.docx
     May 01, 2017 - Clinical Context Provide 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 … Trigger #1 Patient volunteers information to assessing nurse: “My water just broke.” … Expected behavior/performance: Nurse reassures patient and husband. … Nurse reassesses maternal and fetal status.

470. Assemble the Team | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/assemble/team-slides.html
     December 01, 2012 - The Nurse Manager's Role . Slide 21. … CUSP Team Members Nurses (including Nurse educator, Nurse manager) * . Physicians * . … Is a frontline provider, nurse educator, physician, or other staff member. … Engage Other CUSP Team Members Nurses Executive partners Infection preventionists Patient … The Nurse Manager's Role Supports CUSP activities.

471. Project Report - Lean Sigma
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/assemble/assembleteam.pptx
     January 01, 2006 - intervention Meets regularly (weekly or at least monthly) Has adequate resources 3 3 CUSP Team Members Nurses … (including Nurse educator, Nurse manager)* Physicians* Executive partners* Infection preventionists … interventions 16 16 Physician Engagement 17 Engage Other CUSP Team Members Executive partners Nurses … problems Makes rounds and meets monthly with members of health care team on the unit 19 19 The Nurse … 24 24 Assemble the Team: What the Team Needs To Do Recruit a team lead, nurse manager, physician

472. Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxselfassessment.pdf
     November 02, 2017 - )  Admitting Nurse  Charge Nurse  Nurse Manager  Nursing Supervisor  Director of Nursing …  MDS Nurse  Charge Nurse  Nurse Manager  Nursing Supervisor  Director of Nursing  Physical …  Charge Nurse  Nurse Manager  Nursing Supervisor  Director of Nursing  Physical Therapist … falls Nurses _____ Therapy _____ CNAs _____ Nurses _____ Therapy _____ CNAs _____ Effective … restorative/strengthening exercises Nurses _____ Therapy _____ CNAs _____ Nurses _____ Therapy _

473. Section 7E (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-7-e.pdf
     December 29, 2017 - Respondent Preferred Language UNADJUSTED ANALYSIS English (12001) Spanish (1018) P-Value Nurse-parent … .02 Preparing to leave hospital 80.2% 84.6% <.001 Informed in Emergency Room 82.1% 88.5% <.001 Nurse-child … hospital 83.6% 88.1% <.001 MULTIVARIATE ANALYSIS* English (12001) Spanish (1018) P-Value Nurse-parent … .14 Preparing to leave hospital 80.0% 84.8% <.001 Informed in Emergency Room 83.0% 87.6% .001 Nurse-child

474. Section 6A (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-6-a.pdf
     December 29, 2017 - and Single Items Composite and Single Item Measures Hospital-level Unit Reliability at N=300 Nurse-parent … .79 Privacy with providers .82 Preparing to leave hospital .87 Informed in Emergency Room .74 Nurse-child … Table 3: Internal Consistency Reliability of Child HCAHPS Composites Composites # Items Alpha* Nurse-parent … Communication about medicines 4 .73 Informed about child’s care 2 .87 Preparing to leave hospital 5 .89 Nurse-child

475. Final Progress Report: Enhanced Patient Safety Intervention to Optimize Medical (EPITOME) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/15851-Sirio-draft-1.pdf
     January 01, 2010 - This multidisciplinary effort involved physicians, nurses, respiratory therapists, and pharmacists in … Nurses requested pharmacists to see patients for additional education and review of the medical regimens … During administration, respiratory therapists and nurses teach the patient about medication from the … time and to ensure that nursing staff did not duplicate education efforts, while allowing multiple nurses … This is a result of large number of nurses (we had well over 1000) requiring training, patient workflow

476. Auditing Your Briefings and Debriefings Process: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-fac-notes.html
     December 01, 2017 - Slide 14: 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

477. 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

478. 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.

479. Sample Scenario for Postpartum Hemorrhage In Situ Simulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/perinatal-care/modules/situ/simulation-postpart-hemorrhage.html
     May 01, 2017 - This can be done using a verbal report and handoff from one nurse to another nurse during change of shift … Nurse calls for additional help, provider, or rapid response. … Nurse advises patient that she needs the IV back in. … Nurse uses critical language to express concern about lack of blood T&C match. … Nurse calls for additional help, provider, or rapid response.      

480. Sample Scenario for Magnesium Toxicity In Situ Simulation (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_vbac-abpain.docx
     May 01, 2017 - This can be done using a verbal report and handoff from one nurse to another nurse during change of shift … Partner asks nurse for pain medication for his wife. … . · Nurse reassures patient and support person. … Nurse reassures patient and support person. … Nurse or provider performs vaginal exam.