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141. Strategy 2: Communicating for Improve Quality (Tool 1) (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_1_Be_Partner_508.docx
     June 02, 2025 - Engagement We work as a team to make sure you get the best care Your health care team includes you, doctors, nurses … If you or your family needs to talk to a doctor at any time, please let your nurse know. … Nurse shift changes occur when nurses who are going off duty share information about you with nurses … Your nurses will change shifts between [7 and 7:30 a.m.] and [7 and 7:30 p.m.].

142. Guide: Purpose and Use of CLABSI Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/clabsi-tools/guide.html
     January 01, 2020 - Some organizations require a nurse to be present bedside during all central line insertions and to complete … Alternatively, if you have existing reporting mechanisms on your unit (nurse-to-nurse report forms, charge … nurse report forms, for example) add the question of whether or not any catheters or tubes can be removed … to correct a violation that nurses identified. … Use the CLABSI Investigation Nurse Letter ( Appendix 8 ) to invite input from frontline nurses in the

143. Chapter 5. Information and Training for Staff, Primary Care Providers, and Residents and their Families | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man5.html
     December 01, 2017 - Section Two: Education For Registered Nurses and Licensed Practical Nurses Goals and Objectives of … Class The goal of this inservice is to provide the information and training that nurses need in order … Training should include nurses on all three shifts and those who work on weekends. … List all of the information that should be included in their nurses notes during the period of increased … Nurses on all three shifts and those who work the weekend are expected to respond immediately.

144. Final Progress Report: Improved Patient Safety Through Web-Based Education (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/hendee-report.pdf
     January 01, 2024 - Gorski, MS, RN, CS, CRNI Clinical Nurse Specialist Covenant Home Health & Hospice Helen Osborne … , MEd, OTR/L President Health Literacy Consulting Janice Kuiper Pikna, RN Clinical Nurse Specialist … Branch Denise Martin-Sheridan, CRNA, PhD Professor and Associate Graduate Director Center for Nurse … , FAAN William Beaumont Hospital - Royal Oak/Oakland University Director of Graduate Program of Nurse … Reporting Error and Follow Up • The Proactive Approach to Error • Health Literacy • Technology and the Nurse

145. Introducing the CAHPS Emergency Department Survey (ED CAHPS) - Parast (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-emergency-dept-webinar-analysis.pdf
     June 02, 2025 - best) with equal intervals between each option  “Before giving you medicine, did the doctors and nurses … (Yes / No) How well doctors and nurses communicate  Example: “During this emergency room visit, how … often did nurses explain things in a way you could understand?” … Communication about medications  Example: “Before giving you medicine, did the doctors or nurses … No) Communication about follow-up  Example: “Before you left the emergency room, did a doctor, nurse

146. Examples of Technical and Adaptive Solutions for Change | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/tools.html
     March 01, 2017 - Solutions for Change From the Field At a small rural facility, staff identified issues with recruiting nurse … Having already successfully recruited their senior leaders, the team needed to find nurses to join. … This resulted in the development of safety training and events the nurses felt would best address their … There were a series of nurse-led quarterly gatherings attended by facility leaders, quality improvement … After putting these technical and adaptive solutions in place, the facility saw an improvement in nurse

147. Error Producing Conditions in the Intensive Care Unit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
     February 26, 2008 - • Lapses—for example, a nurse performs a structured task but does not use a checklist and, as a … Nurse participants were recruited through advertisements placed at several ICUs in Salt Lake City, UT … To be eligible for the study, nurses had to be active Registered Nurse license holders, have at least … Errors not only occur in the ICU, but they occur rather frequently, as reflected in the high mean nurse … result, the device may not facilitate the task at hand as much as it increases the likelihood of the nurse

148. How to Use the AHRQ SOPS Ambulatory Surgery Center Survey to Improve Patient Safety - Famolaro (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-ASC_Webcast_2021-Famolaro.pdf
     January 01, 2021 - of ASCs had 4 to 5 rooms 77% of ASCs were multispecialty Respondents 35% of respondents were nurses … • Designed to be administered to all staff as appropriate, including: ► Physicians, nurses, nurse anesthetists … aorn-comprehensive-surgical-checklist it/aom-comprehensive-surgical-checklist The Assoc iation of periOperative Registered … Nurses (AORN) Comprehensive Surgica l Checklist was created to support a facility's need to use a single

149. AHRQ Safety Program for Perinatal Care: Be a Partner in Your Care (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/partner-care.docx
     May 01, 2017 - Care We Work as a Team To Make Sure You Get the Best Care Your health care team includes you, doctors, nurses … Hospital staff are usually available at specific times: · Labor and delivery doctors and nurses will … If you or your family needs to talk to a doctor at any time, please let your nurse know. … · Nurse shift changes occur when nurses who are going off duty share information about you with nurses … Your nurses will change shifts between [7 and 7:30 a.m.] and [7 and 7:30 p.m.].

150. Chapter 4. Assessing Surgeon Acceptance of Risk Adjustment Models | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssi4.html
     April 01, 2018 - The originally proposed approach for Chapter 4 was to solicit input from surgeons and IP nurses … Identify nurses to participate in focus groups and in-depth discussion Two focus groups were conducted … Five infection control nurses in addition to the facilitator and an observing notetaker participated … Eight infection control nurses in addition to the facilitator participated in the second focus group … Compile Results of Focus Groups to Make Recommendations of Surgeon, Nurse Perspectives on Risk-adjustment

151. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses.html
     August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department … Next Page Table of Contents Distributed Cognition and the Role of Nurses in Diagnostic Safety … in the Emergency Department Introduction The Theory of Distributed Cognition Nurses' Role in Diagnosis … Distributed cognition and the role of nurses in diagnostic safety in the emergency department.

152. Final Progress Report: Medication Error Reduction, Technologies and Human Factors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
     January 01, 2024 - This survey was sent to nurse users only. … The five groups included representative pediatric nurses, intensive care nurses, staff anesthesiologists … , resident anesthesiologists, and certified registered nurse anesthetists. … and all nurse managers. … Usability testing Participants in usability testing included four staff nurses, three nurse “super users

153. Appendix: State Overviews (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap2.html
     October 01, 2014 - Referrals from physicians, nurses, family, or friends. … Nurses maintain a current list of specialists who will see Medicaid patients. … The community-based nurses help deliver disease management services to program members. … Health coaches or case managers—registered nurses with specific experience in a clinical area and at … Registered nurses operate the call center, which is located in Montana.

154. Tool-Examples (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/tool-examples.docx
     March 01, 2017 - Solutions for Change From the Field 1) At a small rural facility, staff identified issues with recruiting nurse … Having already successfully recruited their senior leaders, the team needed to find nurses to join. … This resulted in the development of safety training and events the nurses felt would best address their … There were a series of nurse-led quarterly gatherings attended by facility leaders, quality improvement … After putting these technical and adaptive solutions in place, the facility saw an improvement in nurse

155. Conclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses5.html
     August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Conclusion … Previous Page Next Page Table of Contents Distributed Cognition and the Role of Nurses … Diagnostic Safety in the Emergency Department Introduction The Theory of Distributed Cognition Nurses … of cognition in context and provides a particularly appropriate and useful framework, suggesting how nurses … Emphasizing the role of nurses in diagnostic safety through the lens of distributed cognition would be

156. Six New Jersey Hospitals Reduce Adverse Events With AHRQ Medication Reconciliation Toolkit | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/ktcquips85.html
     October 01, 2014 - Emergency department nurses now follow up with community physicians and pharmacy staff on missing information … to create a grand rounds module about medication reconciliation that was presented to physicians and nurses … The facility educated both the nurses collecting medication information and the ordering physicians about … Two registered nurses developed a six-step algorithm to use as a resource and guide for obtaining a complete

157. Pediatric Patient Safety Learning Laboratory to Reengineer Continuous Physiologic Monitoring Systems | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/physiologic-monitoring-long-desc.html
     January 01, 2025 - hospitalized children in acute care wards, focusing on reducing noninformative alarms and accelerating nurse … manager to actively filter nonactionable alarms by suppressing them before they reached the bedside nurse … They also amplified actionable, critical alarms by directly calling the nurse when actionable alarms … Physiologic monitor alarm burden and nurses’ subjective workload in a children’s hospital . … Physiologic monitor alarm burden and nurses’ subjective workload in a children’s hospital .

158. Section 7. Tools and Resources (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
     August 01, 2017 - Instructions: Administer the questionnaire to registered nurses and nursing assistants. … Pressure Ulcer Baseline Assessment for Registered Nurse For which factors in the Braden Scale are you … WOC Nurse (ET nurse) B. RN C. Nursing assistant D. … All of the above Pressure Ulcer Baseline Assessment: Answer Key Registered Nurse For which factors … WOC Nurse (ET nurse) B. RN C. Nursing assistant D.

159. Section 7. Tools and Resources (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
     August 01, 2017 - Instructions: Administer the questionnaire to registered nurses and nursing assistants. … Pressure Ulcer Baseline Assessment for Registered Nurse For which factors in the Braden Scale are you … WOC Nurse (ET nurse) B. RN C. Nursing assistant D. … All of the above Pressure Ulcer Baseline Assessment: Answer Key Registered Nurse For which factors … WOC Nurse (ET nurse) B. RN C. Nursing assistant D.

160. Experiences From the Frontline: Case Studies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
     May 01, 2015 - champion, staff nurses, the L&D nurse manager, QI coordinators, an obstetrician/gynecologist physician … care teams—the obstetrics and gynecology providers, the in-house anesthesiologists, the certified registered … nurse anesthetists (CRNAs), and the L&D nurses. … The rapid response nurse then alerts the charge nurse in the operating room. … Training all unit nurses first.