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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/stafftrainhandouts_all.pdf
September 01, 2012 - The receptionist, Carolyn,
knows that one of the nurses, Betty, speaks Spanish. … Khang, interprets Nurse Angelis’s instructions. The
patient nods. Nurse Angelis states that Mr. … Nurse: Hi, [interpreter name]. I am 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]. … The receptionist, Carolyn, knows
that one of the nurses, Betty, speaks Spanish.
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healthcare411.ahrq.gov/teamstepps/instructor/scenarios/ambulatory.html
October 01, 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.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepbriefingex.pdf
July 25, 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 blood
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4g_combo_psi10-postopmetaderangement-bestpractices.pdf
May 20, 2016 - Systems of Care
Introduction: Essential First Steps
• Engage key procedural personnel, including nurses … and
hypoglycemia (rapid heart rate, sweating, confusion, disorientation, etc.).5
• Ensure that the nurse … specifications_manual_for_national_hospital_inpatient_qua
lity_measures/
Staff Required
• Physicians and other providers, nurses … Communication
• Detailed communication between the provider, pharmacist, nurse, and patient (including … • Communication between patient, provider, nurse, and diabetes educator regarding patient
education
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/trainershandouts_all.pdf
September 01, 2012 - The receptionist,
Carolyn, knows that one of the nurses, Betty, speaks Spanish. … Khang, interprets Nurse Angelis’s
instructions. The patient nods. Nurse Angelis states that Mr. … 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]. … The receptionist, Carolyn, knows
that one of the nurses, Betty, speaks Spanish.
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healthcare411.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/timeline.html
December 01, 2014 - Two team leaders may co-lead project activities; one is a nurse and the second can be from nursing or … Ad hoc team members include wound care staff, staff educator, physicians, nurses, and rehabilitation … identify problems in, for example, CNA documentation completeness, and may find it necessary to have the nurse … Likely champions for each nursing unit are the nurse managers, with backup support by the QI department … for ensuring that On-Time process improvements are carried out on each nursing unit and holds each nurse
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healthcare411.ahrq.gov/sops/surveys/nursing-home/supplemental-items/workplace-safety.html
November 01, 2023 - Skip to main content
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healthcare411.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
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healthcare411.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
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healthcare411.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
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healthcare411.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
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healthcare411.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
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healthcare411.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
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healthcare411.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
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healthcare411.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
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healthcare411.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.
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healthcare411.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
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healthcare411.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
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healthcare411.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.
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healthcare411.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