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monahrq.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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monahrq.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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monahrq.ahrq.gov/sites/default/files/publications/files/dischargeprep.pdf
February 14, 2013 - : (Name of patient’s nurse)
Date: _______ Nurse: __________
Date: _______ Nurse: _______ … ___
Date: _______ Nurse: __________
Date: _______ Nurse: __________
Date: _______ Nurse … : __________
Date: _______ Nurse: __________
Date: _______ Nurse: __________
Date: … Date: _______ Nurse: __________
Date: _______ Nurse: __________
Date: _______ Nurse … ______ Nurse: __________
Date: _______ Nurse: __________
Date: _______ Nurse: _________
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monahrq.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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monahrq.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - The wound care nurse and a nurse from the unit work together to assess a resident’s wounds, change the … The nurse says, “I’m the nurse for Mrs. N, a resident on ward B. … Using her SBAR tool, the nurses states:
“Hi Dr. K, I am calling about one of the residents. … This nurse usually works only on the weekends. … No one knew anything about her concerns—they were not passed along by the nurses or by the covering provider
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monahrq.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).
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monahrq.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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monahrq.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
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monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/NH-WPS-Pilot-Study-Overall-Results-2023.pdf
January 01, 2023 - Percent
Administrator/Manager 258 11%
Physician (M.D., D.O.) 5 <1%
Other Provider 3 <1%
Licensed Nurse … , Assistant
Director/Assistant Manager, Minimum Data Set (MDS) Coordinator/Resident Nurse
Assessment … : Registered Nurse (RN), Licensed Practical Nurse (LPN), Wound Care
Nurse
• Nursing Asst/Aide: Certified … Safety Composite Measures
Admin/
Manager
Admin Support
Staff
Direct Care
Staff
Licensed
Nurse … Safety Composite Measure
Admin/
Manager
Admin Support
Staff
Direct Care
Staff
Licensed
Nurse
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-II.pdf
January 01, 2023 - incidents were “Always” or “Most of the time”
documented in an incident or occurrence report (98 percent); Nurses … follows:
• Anesthesiologist
• Doctor/Physician (excluding Anesthesiologists) or Surgeon
• Certified Registered … Nurse Anesthetist (CRNA)
• Physician Assistant or Nurse Practitioner
• Management: Medical Director … , Office Manager, Other Manager
• Nurse: Registered Nurse (RN), Licensed Practical Nurse (LPN)/Licensed … In addition, those who worked 17 to 31 hours per
week were primarily nurses, and those who worked more
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monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apb.html
August 01, 2022 - #1
Charge nurse
Nurse #2
RN
CNA X
Nursing tech
Manager MS
Manager
Pertinent Interview … The charge nurse usually doesn’t take patient assignments; however, the emergency department was on bypass … Nurse #1 and Nurse #2 both said they were speaking to the tech at the same time while she was passing … The CNA referred to both of the patients as "your patient" when providing each nurse with results. … There was an opportunity to ask a clarifying question of the tech and nurses about patient identification
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monahrq.ahrq.gov/teamstepps/instructor/scenarios/operroom.html
March 01, 2014 - Helen, the nurse coordinator, identifies an open room for the following day and moves Mr. … The O.R. circulating nurse places a tourniquet on the left thigh. … providers are around the bed, including the ICU attending physician, a consultant pulmonologist, two ICU nurses … one ICU nurse for all medication administration. … Larry is the perioperative team circulating nurse working with Jane as the scrub nurse for a patient
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impsteps.docx
January 19, 2017 - Multidisciplinary Team Members To Serve as the Change Team
The change team consists of a change team champion, nurse … Two team leaders co-facilitate project activities; one is a nurse and the second can be from nursing … Ad hoc team members include wound nurse, staff educator, physicians, nurses, and rehabilitation staff … Likely champions for each nursing unit are the nurse managers with backup support by the QI staff, who … responsibility of ensuring On-Time process improvements are carried out on each nursing unit and holds each nurse
-
monahrq.ahrq.gov/nursing-home/resources/search.html
January 01, 2022 - of Retired Persons (AARP)
(1)
Advancing States
(1)
AHCA/NCAL
(32)
AHRQ
(32)
American Nurses … Arriving Home Safely Infographic This infographic for nurses provides instructions for disinfecting and
-
monahrq.ahrq.gov/es/nursing-home/resources/search.html
January 01, 2022 - of Retired Persons (AARP)
(1)
Advancing States
(1)
AHCA/NCAL
(32)
AHRQ
(32)
American Nurses … Arriving Home Safely Infographic This infographic for nurses provides instructions for disinfecting and
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/neonatalicu.pdf
March 19, 2014 - Scenario 44
Appropriate for: Neonatal ICU
Setting: Hospital
At approximately 2100, the NICU nurse … 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. … room and, without assessing the patient or learning the history, begins calling
out orders to the nurses
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monahrq.ahrq.gov/news/newsletters/e-newsletter/839.html
November 01, 2022 - Hospital Nurse Staffing Can Impact Breast Milk Feeding of Newborns . … Hospital Nurse Staffing Can Impact Breast Milk Feeding of Newborns
An AHRQ-funded study published in … Reviewing data from 2,691 nurses who worked various hospital shifts at 184 hospitals in 29 states, researchers … analyzed the relationship between nurse-reported staffing and missed nursing care as well as breast … A positive exclusive breast milk feeding rate was partially due to labor nurses facilitating skin-to-skin
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monahrq.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
January 01, 2021 - taking a variety of forms that often include:
• Enhanced care coordination services such as embedded nurse … For example, many of the staff members used in
these interventions - nurses, pharmacists, and care managers … The primary care staff role types included:
• Doctors,
• Nurse practitioners,
• Nurses,
• Medical … The staff interviewed provided a variety services, including visiting nurses,
transportation, mental … visits
Work Flow
Mapping
Preliminary
Interview Guide
30 Eight primary care
site staff (e.g.,
nurses
-
monahrq.ahrq.gov/teamstepps/rrs/rrsspecscen.html
October 01, 2014 - The family member alerted the nurse about these concerns. … The nurse assured the family member that she would check on the patient. … An hour later, the family member reminded the nurse, who then assessed the patient. … The nurse checked the patient’s vital signs. … Based on her colleague’s recommendation, the nurse called the RRT via the operator.
-
monahrq.ahrq.gov/news/newsletters/e-newsletter/785.html
October 01, 2021 - Acute care nurses' perceptions of leadership, teamwork, turnover intention and patient safety—mixed methods … Impact of state nurse practitioner regulations on potentially inappropriate medication prescribing between … physicians and nurse practitioners: a national study in the United States. … Home care nurses' identification of patients at risk of infection and their risk mitigation strategies