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181. Pressure Ulcer Prevention Toolkit (doc file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
     January 01, 1995 - The 47-item test was developed by Pieper and Mott in 1995 to examine the knowledge of nurses on pressure … Nurses’ knowledge of pressure ulcer prevention, staging, and description. … Wound care team[footnoteRef:1] [1: May be large or small group that includes nurses and/or physicians … between medical staff, wound team, and unit staff for pressure ulcer practice Certified Wound Care Nurse … · Checks skin each time person is turned or cleaned or bed is changed · Reports any skin issues to nurse

182. I-PASS: Integrating High Quality Handoffs into TeamSTEPPS and Hospital Care
     cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-may2015.pptx
     January 01, 2015 - Methods - Primary Outcome: Measurement of Error Rates Standardized error surveillance methodology Study nurse … Workflow TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® I-PASS Slide ‹#› 73 i-pass for nurses … TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® I-PASS Slide ‹#› I-PASS for Nurses As I-PASS … standardizing nursing handoffs as well Approached I-PASS Team about possibility of adapting I-PASS curriculum Nurse … TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® I-PASS Slide ‹#› Study #2: Direct Observation Nurse

183. TeamSTEPPS Implementation: Fostering Buy-in from the Front Lines to the C-suite
     cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-feb2015.pptx
     January 01, 2015 - Lines to C-Suite Slide ‹#› About MetroHealth Over 476 Primary Care/ Specialty Physicians 1,230 Registered … Nurses 145 Advanced Practice Nurses TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® Fostering … TeamSTEPPS® Fostering Buy-in: Front Lines to C-Suite Slide ‹#› Unit Change Team Medical Director Nurse

184. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Safe Cesarean Section (doc file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
     May 01, 2017 - Who should use this tool: Nurses, physicians, midwives, and other labor and delivery (L&D) unit staff … Circulating nurse Charge nurse Operating room (OR) technician Pediatrics Primary maternity provider … (if applicable) Circulating nurse OR technician Pediatric provider Circulating nurse verbalizes: … (if applicable) Circulating nurse Operating room (OR) technician Pediatric provider Circulating nurse … |_| Circulating nurse |_| Charge nurse |_| OR technician |_| Pediatric provider |_| Primary maternity

185. Slide 1
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/rodriguez/rodriguez.pptx
     September 05, 2012 - Medical Assistant Non-Clinical Office Staff Other Clinical Staff Registered Nurse Unknown … practitioner) 4 4 8 Medical assistant 3 3 6 Community health worker 3 0 3 Other (nutritionist and registered … practitioner) 4 4 8 Medical assistant 3 3 6 Community health worker 3 0 3 Other (nutritionist and registered … 4 4 8 Medical assistant 3 3 6 Community health worker 3 0 3 Other (nutritionist and registered … nurse) 0 2 2 13 11 24  

186. Briefing Exercise | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/teamstepps/lep/handouts/lepbriefingex.html
     December 01, 2012 - I need someone to play the nurse, someone to play the interpreter, and someone to play the patient. … Nurse: Hi, [interpreter name]. I'm nurse [name]. We are going to discharge [patient name] today. … [Interpreter and nurse walk into patient room] Nurse: Hi, [patient name]. I'm [ nurse name ]. … Interpreter: [ interprets ] Patient: [ nods ] Nurse: Next, I'm going to go over your medications … Interpreter: [ interprets ] Nurse: First, we want you to take aspirin once a day to help keep your

187. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate (doc file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
     May 30, 2013 - Who should use this tool: Nurses, physicians, midwives, pharmacists, and other labor and delivery (L& … Typically, a nurse Create Independent Checks (CUSP Science of Safety) (continued) Key Perinatal Safety … Use of uniform, unit-established standing orders allows nurses to provide initial management in response … Science of Safety) (continued) Key Perinatal Safety Elements Examples Have standing orders for nurses … cardiac conduction >18 Cardiac arrest 30–35 Adapted from Simpson, 2004.10 Standing orders for nurse

188. Advancing Patient Safety | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/patient-safety/reports/advancing/index.html
     July 01, 2022 - Additional funding led to the creation of a virtual nurse discharge advocate and a version of the tool … Distributing an Evidence-Based Handbook for Nurses Given the central role that nurses serve in patient … the Agency teamed with the Robert Wood Johnson Foundation to develop and distribute a handbook for nurses … entitled Patient Safety and Quality: An Evidence-Based Handbook for Nurses . … infections action plan; "Project RED"; Patient Safety and Quality: An Evidence-Based Handbook for Nurses

189. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
     March 01, 2017 - Long term care nurses' feelings on communication, teamwork and stress in long term care. … The nurse identified herself and the reason she was calling. … The nurses' assessment of the resident frames the concerns that prompted the nurse to call the physician … PLAY VIDEO:  I PASS the BATON Video Ask: How was I PASS the BATON used in this nurse to nurse example … Long term care nurses' feelings on communication, teamwork and stress in long term care.

190. Five hours in the PACU? MetroHealth Uses TeamSTEPPS to Improve Patient Transfer from OR to ICU
     cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-march2016.pptx
     January 01, 2016 - ICU Triage TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® OR to ICU Transfer Slide ‹#› PACU nurse … boarder problem” is “A triage problem” Current triage system lacks standardized patient handoff PACU nurses … re-education of specific patient populations for when boarders are necessary No easy system to alert PACU nurses … interruptions during rounds regarding PACU triage Improved handoff “Less angry” and more confident PACU nurses

191. Register Now: April 25 Webinar Will Launch HHS Series on National Action Alliance To Advance Patient Safety | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsletters/e-newsletter/858.html
     April 01, 2023 - Nurse Staffing Gaps Reported in Hospitals With More Vulnerable Maternity Patients, Study Finds . … Nurse Staffing Gaps Reported in Hospitals With More Vulnerable Maternity Patients, Study Finds Most … hospitals adhere to nurse staffing guidelines, but gaps in staffing are reported more frequently at … staffing guidelines published by the Association of Women’s Health, Obstetric and Neonatal Nurses. … They found that nurses reported strong adherence to staffing guidelines in their hospitals; but higher

192. Measuring the Quality of Hospice Care | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/talkingquality/measures/setting/long-term-care/hospice.html
     January 01, 2023 - Whether nurses associated with the hospice are certified in the specialty of hospice and palliative care … Average number of visits to a patient per week by Nurses. All hospice staff.

193. AHRQ News Now | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsletters/e-newsletter/index.html?page=1
     April 18, 2023 - January 10, 2023 Open Communication, Involvement in Quality Improvement Reduces Burnout Among Nurses … Diagnostic Safety Tool; New Patient Safety Research August 9, 2022 Issue Brief Highlights Nurses

194. Executive Briefing
     cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/leadership-brief/ts-leadershipbrief.pptx
     January 01, 2013 - an interprofessional TeamSTEPPS training during neonatal resuscitation in a simulated environment: Nurses … TeamSTEPPS reflects the dynamics that can occur when teams consist of physicians, nurses, and technicians … The initiative focuses on gaining the support of both physicians and nurses to enhance teamwork. … Staff (e.g., physicians and nurses) need to be willing to work together to communicate, question each … Allow time for staff to attend training (nurses, physicians, key personnel).

195. TeamSTEPPS Specialty Scenarios: Ambulatory Care (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ambulatory.pdf
     March 19, 2014 - The nurse is embarrassed but does not speak to the doctor about the situation. … Cindy S., a nurse, is at the bedside inserting an IV. … Lora A. is the nurse at the cart drawing up the meds. … The lunch relief nurse comes on just as the patient leaves for X Ray. … The unit clerk is aware of the plan, but the patient’s nurse is not.

196. Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsroom/case-studies/201419.html
     November 01, 2014 - standards for consistently measuring infection rates, and other tools to improve teamwork among doctors, nurses … Now the nurses and other members of the health care team really feel they have a sense of ownership when

197. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/teamstepps/instructor/scenarios/neonatalicu.html
     March 01, 2014 - Two hours later, the nurse contacts the resident and again expresses her concern that the baby "just … The resident reassures the nurse and says he thinks the baby is fine. … The nurse asks that the attending physician be called, but the resident refuses. … the room and, without assessing the patient or learning the history, begins calling out orders to the nurses … At 0930, the nurse caring for the infant realizes that the infant is still NPO and on no IVF.

198. TeamSTEPPS: Rapid Response Systems (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/instructor_slides/rrsinstructmod.pdf
     January 01, 2008 - SPANINING”) SAY: In the context of the RRS, transition support applies to the liaison roles taken on by nurses … At a local university hospital, the response team consists of ICU physicians, ICU charge nurses, nurse … None of the training sessions are structured so that nurses, intensivists, and respiratory therapists … , or nurse- to-nurse). … The nurse checked the patient’s vital signs.

199. SITUATION MONITORING (ppt file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsinstructmod.ppt
     January 01, 2008 - SPANINING”) SAY: In the context of the RRS, transition support applies to the liaison roles taken on by nurses … At a local university hospital, the response team consists of ICU physicians, ICU charge nurses, nurse … None of the training sessions are structured so that nurses, intensivists, and respiratory therapists … , or nurse-to-nurse). … The nurse checked the patient’s vital signs.

200. Chlorhexidine Bathing Routine Reduces Infections in Nursing Homes | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/news/newsroom/press-releases/chlorhexidine-bathing.html
     October 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …