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161. Final Progress Report: Improving the Safety of Primary Care by Measuring Adverse Events and Improvement (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
     January 01, 2024 - These five nurses were contractors with KDJ Consulting, an agency that has provided nurse chart reviewers … Charts were reviewed for AEs by external nurse auditors using the BI-OTT. … The experienced nurse answered the same question with “very effective.” … We relied on the input of nurses and experienced nurse auditors to develop and refine the toolkit. … of nurses across the United States to determine training preferences, we feel that these nurses gave

162. Peterson Regional Medical Center | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/cusp-success/peterson.html
     September 01, 2012 - Theresa Hickman, RN, an ICU nurse, manager, and educator, was asked to lead its implementation because … Members included Saul, an ICU nurse, the Director of Quality Services, and a quality analyst. … Initially, Hickman and the ICU's Nurse Director led the CUSP Team. … Like Hickman, Morris was enthusiastic about how CUSP had enhanced nurse-to-nurse and nurse-doctor communication … “When she sees that a patient can be harmed, any nurse can formally fix that.”

163. Opening Materials: Attribution, Objectives, Introduction, and Main Menu | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/ena-slides/preface.html
     October 01, 2015 - The Emergency Nurses Association Presents CAUTI Slides and Transcript Opening Materials: Attribution … Introduction, and Main Menu Previous Page Next Page Table of Contents The Emergency Nurses … Obstacles to Practice Change (continued) Case Study Conclusion Slide 1 Emergency Nurses … Compare the current practices in your institution to a sample survey of ED nurses. … Because catheter placement is highly prevalent in the emergency department, the emergency nurse can play

164. Arriving Home Safely Infographic | Agency for Healthcare Research and Quality
     www.ahrq.gov/nursing-home/resources/arriving-home-safely.html
     June 01, 2022 - Home Safely Infographic Resource: Arriving Home Safely Infographic This infographic for nurses … Source: ANA - American Nurses Association Topic(s): Staff and Resident Well-being; Infection Prevention

165. Be a Partner in Your Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/partner-care.html
     May 01, 2017 - 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. ].

166. Building a Team and Process to Reduce CAUTI Risk | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/building-team-process-slides.html
     December 01, 2017 - Has good rapport with the medical staff Preferably from that unit: nurse manager, charge nurse, … nurse educator, or frontline nurse Optional, but less desirable: nurse from organization at large: … Manager (or charge nurse) Case Manager (or discharge planner) Social Worker Bedside nurses assigned … Nurse caring for patient 78/227 (34.4)    Case manager 4/227 (1.8)    Nurse caring for … patient and case manager 1/227 (0.4)    Nurse caring for patient, case managger, and nurse manager

167. AHRQ SHARE Approach Training and Implementation Success Story (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/success-stories/share-approach_success_story1_winthrop.pdf
     April 01, 2016 - Story Patient Satisfaction and Breastfeeding Rates Improve After Hospital Trains Maternal-Child Nurses … in Shared Decisionmaking January 2016 When nurses expressed an interest in learning how to better … Understanding that physicians are much more accustomed to role-playing activities than nurses in their … Together Kutzin and Hylton-McGuire planned a simulation training where maternal- child health nurses … their patients and the hospital’s overall goal to achieve high patient satisfaction.” 2 3 Each nurse

168. Making Healthcare Safer Practices: 14. Delirium (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
     March 01, 2020 - Crit Care Nurse. 2018;38(1):38-49. doi: 10.4037/ccn2018633. 14. … Clin Nurse Spec. 2011;25(6):299-311. doi: 10.1097/NUR.0b013e318234897b. 27. … A preoperative, nurse-led intervention program reduces acute postoperative delirium. … screening tools to detect delirium in patients with neuroscience diagnoses Pre-post design; 47 registered … Moderate LaFever et al., 201516 Delirium education program to increase oncology registered nurses

169. 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.].

170. Open Communication, Involvement in Quality Improvement Reduces Burnout Among Nurses, Study Finds | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/845.html
     January 01, 2023 - Open Communication, Involvement in Quality Improvement Reduces Burnout Among Nurses, Study Finds … Open Communication, Involvement in Quality Improvement Reduces Burnout Among Nurses, Study Finds Open … communication among nurses and greater involvement in quality improvement efforts were related to not … In the study, published in the Journal of Pediatric Nursing , researchers surveyed nurses at an urban … Articles featured this week include: Sources of nurse-sensitive inpatient safety improvement .

171. Final Progress Report: Pediatric patient safety learning laboratory to re-engineer continuous physiologic monitoring systems (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/bonafide-report.pdf
     January 01, 2024 - ECRI engineers investigated nurse workflow and alarm effectiveness. … Relationship of alarm exposure to nurse workload: We analyzed the relationship between alarms and nurse … Nurse questionnaire We administered an in-person questionnaire to 98 bedside nurses, inquiring about … (e.g., leadership nurses, a nurse holding the primary nurses' phone). … Observed team-based behaviors included nurses checking on each other, nurses checking on other nurses

172. Final Progress Report: An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response System (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lord-report.pdf
     January 01, 2024 - A study from Australia with a sample size of 73 nurses found that, the more experienced the nurse, … were more likely to consult with a more experienced nurse before calling the RRT, even when this was … and staff performance: Nurse and RRT member performance Are the RRS protocols being followed? … tend to ask the more experienced nurses before calling themselves Concerns from the Bedside Nurses … are being taught by the responding team • Other nurses will take over the patients of a nurse who has

173. 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

174. About the Toolkit Development | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/about.html
     May 01, 2017 - Participating organizations American Academy of Orthopaedic Surgeons American Association of Nurse … Association of periOperative Registered Nurses International Association of Healthcare Central Service

175. 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

176. TeamSTEPPS®: Research/Evidence Base | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/evidence-base/phys-nurse-collab.html
     July 01, 2015 - Nurse/physician collaboration: action research and the lessons learned. … Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists … Operating room teamwork among physicians and nurses: Teamwork in the eye of the beholder. … Study links bad behavior by doctors to nurses leaving the profession. … Nurse-physician communication during labor and birth: implications for patient safety.

177. Case Example #7: Cherokee Health Systems | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-7.html
     July 01, 2019 - ; RN=registered nurse; ER=emergency room; LPN=licensed practical nurse; Rx=prescriptions; EKG=electrocardiogram … Each core team at the Center City Clinic consists of a team medical doctor (MD), a shared BHC, a registered … nurse (RN), two licensed practical nurses (LPNs), a part-time case worker, and one patient-services … With an experienced nurse onsite, Dr. … ; RN=registered nurse; MA=medical assistant; EKG=electrocardiogram; HbA1C=hemoglobin A1C; CHCs=community

178. Final Progress Report: Real-time assessment of risk factors for medication errors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14283-Dresselhaus-draft-1.pdf
     September 29, 2005 - The mean age of nurse participants (n=119) was 39.3; 89% were women. … Physician and nurse subjects were recruited among volunteers on the inpatient medical services of the … These data allow errors to be linked to the ordering physician or administering nurse. … Of nurse subjects, 71 worked in adult settings, and 48 worked in pediatric settings. … The mean age of nurse participants was 39.3; 89% were women.

179. The Emergency Department & Catheter Insertions | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-slides.html
     December 01, 2017 - John Hospital and Medical Center Lisa Wolf, PhD, RN, CEN, FAEN Emergency Nurses Association (ENA) … Physician and nurse practice influences this relationship greatly. … Engage nurses ( significant role in UC use). … Nurses? Physicians? Hospitalists? Intensivists? Patients? … Saves time for the bedside nurse.

180. 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