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www.ahrq.gov/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses6.html
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
References … Previous Page
Table of Contents
Distributed Cognition and the Role of Nurses in … The hidden lives of nurses’ cognitive artifacts. … Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. … Ten best practices for improving emergency medicine provider–nurse communication.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses6.html
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
References … Previous Page
Table of Contents
Distributed Cognition and the Role of Nurses in … The hidden lives of nurses’ cognitive artifacts. … Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. … Ten best practices for improving emergency medicine provider–nurse communication.
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digital.ahrq.gov/sites/default/files/docs/activity/measuring_the_value_of_2009_update_2.pdf
January 01, 2009 - This complex care coupled with inadequate nurse-patient ratios, provider fatigue, on-the-job training … The tele-ICU also makes intensivists more available to nurses. … monitoring (including computerized alerts for changes in key physiologic
parameters) and availability of nurse
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www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/understand-sci-slides.html
May 01, 2017 - Factors Can Predict Performance
Examples of Impact of System-Level Factors
System Factor
Effect
Nurse-to-patient … ratios regularly exceed best practice
When nurse-to-patient ratios regularly exceed best practice … Hierarchy issues
Disrupted the ability of unit nurses and doctors to work effectively together with
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/iowa-case-study.pdf
January 29, 2021 - factors in success were a well-formed collaborative team led by a
dedicated physician and expert nurse … approach with equal contributions from the Hospitalist Principal
Investigator (PI) and a doctorate nurse … collaborative, the dyad sought the support of the
discharge instructions education committee – these nurses
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/iowa-case-study.pdf
January 29, 2021 - factors in success were a well-formed collaborative team led by a
dedicated physician and expert nurse … approach with equal contributions from the Hospitalist Principal
Investigator (PI) and a doctorate nurse … collaborative, the dyad sought the support of the
discharge instructions education committee – these nurses
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/iowa-case-study.pdf
January 29, 2021 - factors in success were a well-formed collaborative team led by a
dedicated physician and expert nurse … approach with equal contributions from the Hospitalist Principal
Investigator (PI) and a doctorate nurse … collaborative, the dyad sought the support of the
discharge instructions education committee – these nurses
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/iowa-case-study.pdf
January 29, 2021 - factors in success were a well-formed collaborative team led by a
dedicated physician and expert nurse … approach with equal contributions from the Hospitalist Principal
Investigator (PI) and a doctorate nurse … collaborative, the dyad sought the support of the
discharge instructions education committee – these nurses
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/iowa-case-study.pdf
January 29, 2021 - factors in success were a well-formed collaborative team led by a
dedicated physician and expert nurse … approach with equal contributions from the Hospitalist Principal
Investigator (PI) and a doctorate nurse … collaborative, the dyad sought the support of the
discharge instructions education committee – these nurses
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/iowa-case-study.pdf
January 29, 2021 - factors in success were a well-formed collaborative team led by a
dedicated physician and expert nurse … approach with equal contributions from the Hospitalist Principal
Investigator (PI) and a doctorate nurse … collaborative, the dyad sought the support of the
discharge instructions education committee – these nurses
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/iowa-case-study.pdf
January 29, 2021 - factors in success were a well-formed collaborative team led by a
dedicated physician and expert nurse … approach with equal contributions from the Hospitalist Principal
Investigator (PI) and a doctorate nurse … collaborative, the dyad sought the support of the
discharge instructions education committee – these nurses
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www.ahrq.gov/teamstepps/officebasedcare/module10/office_msmt.html
September 01, 2015 - Slide 12: Behavior: An Example
As part of a pediatric practice’s efforts to improve teamwork, all nurses … Shortly after implementing the SBAR strategy, a nurse calls the on-call physician with concerns about … The nurse begins to present the patient's situation and background, but before she can complete her SBAR
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www.ahrq.gov/hai/tools/cauti-hospitals/toolkit-impl.html
October 01, 2020 - Example of a Nurse-Driven Protocol for Catheter Removal ( Word , 288 KB) (Appendix M of Toolkit for … Tract Infections in Hospital Units: Implementation Guide)
An example of a protocol that empowers nurses … Accessible ( Microsoft PowerPoint (3.1 MB) / Transcript ( Word ) / mp3 audio (8.2 MB)
Engaging the Nurse
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psnet.ahrq.gov/perspective/response-failure-report-march-2007
June 01, 2007 - When an error occurs in a situation where nurses may be manipulating a medication in a non-emergency … situation before administration, one of the first questions should be, "Why was the nurse put in that … Why add the additional step and burden to the nurse to match the brand name to the generic name of the
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
July 01, 2023 - Performance
Examples of Impact of System-Level Factors
System Factor
Effect
Nurse-to-patient … ratios regularly exceed best practice
When nurse-to-patient ratios regularly exceed best practice … Hierarchy issues
Disrupted the ability of unit nurses and doctors to work effectively together with
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/iowa-case-study.pdf
January 29, 2021 - factors in success were a well-formed collaborative team led by a
dedicated physician and expert nurse … approach with equal contributions from the Hospitalist Principal
Investigator (PI) and a doctorate nurse … collaborative, the dyad sought the support of the
discharge instructions education committee – these nurses
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod1-slides.html
February 01, 2023 - Require a change of values, attitudes, or beliefs (i.e., “behavior based”)
Examples:
Are nurses … Reminders/stop orders
Nurse-driven removal protocol
Slide 20
Methods for Mitigating Risk … requires a team approach
1:1 Conversations
Drill down on CAUTI (Learning From Defects tool)
Nurse-physician
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/035-ss-pre-launch-activities.docx
April 01, 2025 - Your team will have a surgeon and operating room (OR) nurse leads. … required for educational training, including possible computer-based training modules, presentations to nurse … Provide Staff Education and Training
Prior to launching decolonization, train frontline staff (nurses
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www.ahrq.gov/sites/default/files/2024-07/congdon-magilvy-report.pdf
January 01, 2024 - Healthcare provider participants included
nursing home administrators, nurses, certified nursing assistants … If nurse staffing is related to quality of care provided, the indicators of nurse
staffing should be … Nursing homes with higher percent of care hours provided by licensed
nurses had lower levels of new … The US Congress
recently entertained legislation calling for minimum requirements for nurse staffing … Nurses are well positioned
to guide consumers to make future life decisions in an environment of quality
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psnet.ahrq.gov/issue/comparison-broselow-tape-measurements-versus-physician-estimations-pediatric-weights
November 15, 2017 - March 14, 2018
Audibility of patient clinical alarms to hospital nursing personnel. … Medication reconciliation at hospital discharge: a qualitative exploration of acute care nurses … December 18, 2014
Pediatric emergency nurses self-reported medication safety practices