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www.ahrq.gov/sites/default/files/2024-01/kazi-report.pdfJanuary 01, 2024 - medication administration errors (MAEs) in inpatient medical/surgical units Scope: Aim 1: Identify nurse … Nurses were recruited through nurse leaders and word of mouth. … Varieties of PM tasks imposed on nurses during medication administration. … Nurses use two main strategies to remember PM tasks. First, nurses write down PM tasks. … Second, nurses use electronic tools to keep track of PM tasks.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdfJanuary 01, 2013 - CLABSI Investigation Nurse Letter Appendix 9. … Some organizations require a nurse to be present bedside during all central line insertions and to … Alternatively, if you have existing reporting mechanisms on your unit (nurse-to-nurse report forms, … to correct a violation that nurses identified. … Use the CLABSI Investigation Nurse Letter (Appendix 8) to invite input from frontline nurses in the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdfApril 01, 2011 - identify needs and adapt the strategy; the trainers to prepare and conduct the training; staff champions (registered … • Periodically monitoring nurses gave nurses helpful and timely feedback. … Then, nurse leaders held a 6-hour training session for selected nurses, including members of the unit-based … council and nurses who were working towards promotion. … Nurse managers monitored and supported implementation.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.docxApril 30, 2013 - The bedside nurse will review the materials with the patient and family on the first day of admission … patient and family engagement related to communication This training can be co-led by a physician, nurse … strategy, the trainers to prepare and conduct the training, staff champions per shift for overall support (registered … We recommend that this be the bedside nurse on the day of admission; however, involving other staff on … challenges and concerns related to implementing the Communicating to Improve Quality, Nurse Bedside
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Communication-Material-Guide (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/communication-material-guide.docxMay 01, 2017 - Materials: Slides 12-25, Example Briefing and Debriefing videos Audience: Surgeons, anesthesia, scrub nurses … , circulating nurses, nurse manager Topic: The Surgical Checklist as a Communication and Teamwork Tool … Materials: Slides 26-32, examples of checklists Audience: Administration, surgeons, anesthesia, all nurses … Materials: Slides 33-41, examples of checklists Audience: Administration, surgeons, all nurses AHRQ … Slides 33-41, Tabletop Simulation video, checklist Audience: Administration, surgeons, anesthesia, all nurses -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdfMay 01, 2017 - champion, staff nurses, the L&D nurse manager, QI coordinators, an obstetrician/gynecologist physician … First, the implementation team strategically began train- ing nurse managers, assistant nurse managers … 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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdfMay 01, 2017 - champion, staff nurses, the L&D nurse manager, QI coordinators, an obstetrician/gynecologist physician … First, the implementation team strategically began train- ing nurse managers, assistant nurse managers … 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.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-creative-strategies-transcript.pdfApril 01, 2019 - The first, which I call the exclusive- role approach, in that approach a nurse serves exclusively as … their most complex patients were transferred to another nurse who would do that exclusively. … Their nurse care coordinators would try to be highly responsive. … former ICU nurses, very experienced nurses that understood how Creative Strategies to Improve … Ingrid Nembhard For the nurse care coordination program, by design there were nurses.
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex9.htmlJuly 01, 2018 - staff satisfaction. 2,3 Length of stay decreased. 166 Bedside change of shift 172-174 Nurses … conduct bedside report for change of shift Patients, families, incoming/ outgoing nurses Nurses … Team response includes nursing supervisor; others such as physician, unit nurse, or patient relations … given VIP button for family member/ friend and is considered part of care team 177 Family, patient, nurses
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/nh/about/measures-nursing-home-family-member-609.pdfDecember 28, 2017 - Nurses/Aides’ Kindness/ Respect Towards Resident Q12 Nurses/Aides treat resident with courtesy and … respect Q13 Nurses/Aides treat resident with kindness Q14 Nurses/Aides really cared about resident … • Sometimes • Usually • Always Q15 Nurses/Aides rude to resident Response Options • Yes • No … /Aides give respondent timely information about resident Q27 Nurses/Aides’ explanation to respondent … Family Member Survey Nursing Home Staffing, Care of Belongings, and Cleanliness Q11 Able to find a nurse
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apf.htmlOctober 01, 2017 - Description: Staff nurses had expectations of the wound care nurse that were not in line with his or … For example, staff nurses thought the wound care nurse should change patient dressings. … To further clarify roles and outline working relationships, wound care nurses and staff nurses made a … Nurses who did not follow the process were held accountable. … Nurse leaders, the Pressure Injury Prevention Program Lead, and bedside nurses are available to answer
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-5.htmlMarch 01, 2022 - diagnosis into the recently-approved 2021 Essentials, which sets the educational framework for professional nurse … in Exhibit 2 , emphasizing how professional nurses contribute to diagnosis. … Nurses have always played a role in diagnosis, and the case has been made that this role needs to be … recognized explicitly and encouraged. 16 , 101 Nurse engagement in diagnosis improves timeliness and … ’ full participation in diagnosis will be the next key step in advancing this role. 33 Nurses are key
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www.ahrq.gov/hai/cauti-tools/ena-slides/conclusion.htmlOctober 01, 2015 - The Emergency Nurses Association Presents CAUTI Slides and Transcript Conclusion Previous … Page Table of Contents The Emergency Nurses Association Presents CAUTI Slides and Transcript … Reducing CAUTI is a shared responsibility of the health care team, including the emergency nurse. … Decision-making based on sound evidence, best practice, and established guidelines can foster positive nurse-driven … Decision making: Sound evidence Best practice Established guidelines Nurse-driven change
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/131-ss-swiss-cheese.pptxApril 01, 2025 - protocol for decolonization3 Pre-op checklist did not indicate if nasal decolonization was used; pre-op nurse … | Surgical Services The Swiss Cheese Model System Failure Consequences A study by Tucker found that nurses … encounter almost one system failure every hour (6.5 per 8-hour shift), effectively removing 1 in every 15 nurses … from patient care duties just to deal with the failures each day.4,5 Another study found that nurses … The impact of operational failures on hospital nurses and their patients.
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www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-slides.htmlMarch 01, 2017 - Perceptions of Teamwork Image: Bar graph illustrating the different perceptions of teamwork between registered … nurses and physicians, with physicians being almost twice as likely to report adequate teamwork as registered … nurses. 2. … Address concerns about physicians’ and nurses’ time. … Identify a good physician and/or nurse champion: Motivated intrinsically. Courageous.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.htmlOctober 01, 2014 - The team may consist of nurses (RN, LPN), physical therapists, dietitians, or nurse aides, as well as … A Unit Champion may be anyone who works on the unit, including nurses (RN, LPN) and nurse aides. … A demonstrated positive image of their unit and with nursing personnel. … Communication must be between staff at all levels: within the unit (e.g., between nurses, nurses and … aides, nurses and physician, nurses and other staff) and between unit staff and the Wound Care Team.
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.htmlOctober 01, 2014 - The team may consist of nurses (RN, LPN), physical therapists, dietitians, or nurse aides, as well as … A Unit Champion may be anyone who works on the unit, including nurses (RN, LPN) and nurse aides. … A demonstrated positive image of their unit and with nursing personnel. … Communication must be between staff at all levels: within the unit (e.g., between nurses, nurses and … aides, nurses and physician, nurses and other staff) and between unit staff and the Wound Care Team.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Savitz.pdfMarch 01, 2004 - Conclusions: The central role nurses play in patient safety suggests a need for consensus on a set … In addition, professional organizations and provider groups, such as the American Nurses Association … represent the largest component of the health care workforce, and (2) nurses play an important role … Keeping patients safe: transforming the work environment of nurses. … American Nurses Association.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdfMarch 01, 2004 - administrative task that falls under the Reporting System Barriers 173 responsibility of the nurse … But these positive opinions remain confined to those statements that referred to what a nurse or physician … concerned that the reporting system would be used to report the behavior of others MD = physician RN = registered … nurse Overcoming barriers to the use of reporting systems The next set of questions focused on how … : My report was given protection from the Texas Board of Nurse Examiners.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/improving-communication-guide.docxSeptember 01, 2022 - Nurses and physicians may approach communication differently. … For example, nurse satisfaction with nurse-physician communication is associated with a communication … Physicians reported satisfaction when nurses communicated their input on patient care. … What does the nurse or medical assistant mean by “sick” or “right away”? … In this example, the medical assistant or nurse should ask clarifying questions on the phone call with
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