-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016147-rachal-final-report-2009.pdf
January 01, 2009 - primary care practitioners, sharing of electronic health records for
targeted infants across agencies, nurse … Perspective
The majority of respondents did not perceive any disadvantages to their child’s physician or
nurse
-
digital.ahrq.gov/sites/default/files/docs/health-it-implementation.pdf
December 01, 2005 - staff more efficiently
• Order pneumovax/flu shots, tests (EKGs), meds from the
exam room so the nurse … – EX: nurse who worked with a group of docs knew which kind of echo test each one
wanted and could … and by triage operators (essentially nursing personnel
assigned to triage duty for the day)
– The … of computer based TO-DO lists to capture the patient
call-in information
– An email is sent to the nurse … Process:
– Nurses put faxed echo results (and other tests) in a basket
for docs to see as they came
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/varying-impact-two-clinical
Prior to 1996, nurses used paper flowsheets, medication administration records, and progress notes.
-
digital.ahrq.gov/sites/default/files/docs/care-post-treatment-slides-072512.pdf
July 25, 2012 - • As-needed phone calls to/from program coordinator and/or vendor’s
remote monitoring nurses. … • Cardiocom nurses are very professional and caring, fantastic communicators with
patients and staff … Interaction
Patient Using Louise
43
Interdisciplinary Collaboration- 3 Year Development
• Doctors, Nurses … 36% prefer agent
48% neutral
16% prefer doctor or nurse
“I prefer Louise, she’s better than a doctor … “It was just like a nurse, actually better, because sometimes a nurse just gives you
the paper and says
-
digital.ahrq.gov/sites/default/files/docs/resource/PCC_Schillinger_Q2_EnrollmentOutreachCallSFHP.pdf
April 17, 2009 - The nurse can help you manage your diabetes and answer
questions. … or “Do you have any questions that you would like a nurse
to call you back about?” … If you want a nurse to call you back no matter what you
2
answer, you can push a key for that … The nurse will call you back. … We can have a nurse call you when you return.
Q: Does my doctor know about this program?
-
digital.ahrq.gov/sites/default/files/docs/2010-02-24%20Transitions%20In%20Care%20(4).pdf
January 01, 2010 - http://relationalagents.com/red_demo_4545.wmv
Pilot Study: Self‐Report Ratings of the
Virtual Nurse … definitely prefer
doctor or nurse
definitely prefer
Elizabeth/Louise 5.4 (1.9)
How much did you feel … “It was just like a nurse,
actually better, because
sometimes a nurse just
gives you the paper … allergies, conflicts with lab test results and patient conditions,
needs for monitoring
• Alert nurses … to:
PCPs with info and alerts
clinic scheduling staff with need for follow‐up visits
visiting nurse
-
digital.ahrq.gov/sites/default/files/docs/page/2006LeonhardtPagel_052411comp.pdf
June 01, 2006 - Goals and Objectives
• Patient Safety Council : 11 patients, 12 health
care providers (doctors, nurses … perspective
– “I’ve changed my nursing practice based on comments from
the patients on this Council” (Nurse … (Clinic nurse)
Document title: Partners in Safety: The Walworth County (Wisconsin) Patient Safety
-
digital.ahrq.gov/sites/default/files/docs/page/Health%20IT%20Implementation.ppt
December 01, 2005 - coordinate care delivery
Using telemedicine if in remote/rural sites
Communicate with home health nurses … front-office staff more efficiently
Order pneumovax/flu shots, tests (EKGs), meds from the exam room so the nurse … EX: nurse who worked with a group of docs knew which kind of echo test each one wanted and could correctly … and by triage operators (essentially nursing personnel assigned to triage duty for the day)
The information … Use of computer based TO-DO lists to capture the patient call-in information
An email is sent to the nurse
-
digital.ahrq.gov/sites/default/files/docs/medicaid/health-it-implementation.pdf
December 01, 2005 - staff more efficiently
• Order pneumovax/flu shots, tests (EKGs), meds from the
exam room so the nurse … – EX: nurse who worked with a group of docs knew which kind of echo test each one
wanted and could … and by triage operators (essentially nursing personnel
assigned to triage duty for the day)
– The … of computer based TO-DO lists to capture the patient
call-in information
– An email is sent to the nurse … Process:
– Nurses put faxed echo results (and other tests) in a basket
for docs to see as they came
-
digital.ahrq.gov/sites/default/files/docs/implementation/Kraus.ppt
December 16, 2004 - RN accesses EMR, selects med, modifies order adding dose replace reason (for each med needed)�
EMR�
Nurse … to complete and fax form to pharmacy
- Nurse can request multiple meds on same form
- No additional … order modifications or verifications on EMR
- No potential confusion for nurse from �New Order� flags … to complete and fax form to pharmacy
- Nurse can request multiple meds on same form
- No additional … order modifications or verifications on EMR
- No potential confusion for nurse from “New Order” flags
-
digital.ahrq.gov/sites/default/files/docs/biblio/Kraus.ppt
December 16, 2004 - RN accesses EMR, selects med, modifies order adding dose replace reason (for each med needed)�
EMR�
Nurse … to complete and fax form to pharmacy
- Nurse can request multiple meds on same form
- No additional … order modifications or verifications on EMR
- No potential confusion for nurse from �New Order� flags … to complete and fax form to pharmacy
- Nurse can request multiple meds on same form
- No additional … order modifications or verifications on EMR
- No potential confusion for nurse from “New Order” flags
-
digital.ahrq.gov/sites/default/files/docs/survey/care-management-discussion-guide.pdf
November 18, 2008 - Health and Science University, Portland OR
This is an interview guide designed to be conducted with nurses … require more time; for experts, less)
Question Novice Expert
Describe your general role in the clinic Nurse … follow-up,
motivational
interviewing, education
For Physician: How do you DECIDE to involve the nurse … For Nurse: What KIND of patient generally gets
REFERRED to you? … for counseling; a new diabetic who needs education; a quality protocol where I
refer a patient to a nurse
-
digital.ahrq.gov/sites/default/files/docs/resource/Dataform_4_ADE_Incident_Identification_Form.pdf
September 30, 2009 - Nurse practitioner
3. Physician’s assistant
4. Nurse in office
5. Pharmacist in office
6. … School nurse
9. Babysitter/daycare provider
10. Patient
11. Other__________________
12. … Nurse practitioner
3. Physician’s assistant
4. Nurse in office
5. Pharmacist in office
6. … School nurse
9. Babysitter/daycare provider
10. Patient
11. Other _________________
12. … Nurse Practicioner
3. Physician Assistant
4. EMR
5. Pharmacist in office
6.
-
digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-3-applying-cds-medication-management
Medication Selection/Reconciliation (prescriber, nurse, pharmacist)
Select, for a clinical condition … Administration (patient or caretaker, nurse, and/or other clinician)
Make positive medication and … Education (patient or caretaker, pharmacist, nurse, prescriber, other clinicians)
Engage patient in … Monitoring (patient or caregiver, nurse, other clinicians, pharmacist, prescriber, health system) … narrow view of this interdependent process and respond with, "That’s not my job", or, "The pharmacist or nurse
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs018912-mcconnochie-final-report-2014.pdf
January 01, 2014 - We found that existing school health personnel (nurses and school health aides) could
usually be relied … Stakeholders included
parents, telephone management nurses (“phone triage nurses”) from pediatric offices … Participant categories included family caregivers, telemedicine assistants, phone triage nurses, providers … Triage
Nurse
-‐
Office
nurse
providing
guidance
on
illness
management
… Triage
Nurse
5
It
depends
on
the
phone
nurse
that’s
referring
–
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/outpatient-management-warfarin
January 01, 1991 - of Study: Compare warfarin dosage-adjustments using a computer program to dosage-adjustments by a nurse-specialist … predictions using a computer program was compared to the accuracy of an experienced anticoagulation nurse-specialist … Outcome: There was no significant difference between the computer program and the anticoagulation nurse-specialist
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/meigs-jb-et-al-2003
January 01, 2003 - Nurses and nurse practitioners used the [DSS] for 0-13% of patient visits."
-
digital.ahrq.gov/sites/default/files/docs/page/reduction-in-hospital-acquired-complications-and-infections-quick-reference-guide.pdf
January 01, 2010 - medical record
tallied the score and generated an automatic consult
to the wound ostomy continence (WOC) nurse … was at a high or very high risk for developing
a pressure ulcer.19 Following this assessment, the
WOC nurse … Wound Ostomy and Continence Nurses Society. … nosocomial catheter-associated urinary tract
infections through computerized feedback to
physicians and a nurse-directed
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/randomized-trial-computerized
March 01, 1989 - The Center has six practices, each with a staff physician, a nurse, and between three and five family-medicine … The nurse reminder needed 15 hours clerical time and 55 hours nurse time to call 1,188 families. … the salary, the cost per blood pressure reading gained ranged from $22.47 (salary $10 per hour for a nurse
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017817-field-final-report-2012.pdf
January 01, 2012 - of important
information from the skilled nursing facility to primary care physicians and visiting nurses … We developed a work-around by establishing a
collaborative link between a research nurse within the … The research nurse cross-referenced this with the EMR and
entered discharge information directly. … patient’s home and to ensure correct discharge dates, each potential match was
reviewed by research nurses … 47%
Operations research analyst 33.93 370 12,561 28%
Research assistant† 19.23 202 3,885 16%
Registered