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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/daugherty-report.pdf
June 30, 2007 - On the nursing units, huddles typically were led by the nurse manager, charge nurse, or clinical
nurse … , the individual patient’s nurse, and a pastoral care provider. … Collaboration between nurses and physician: no longer a choice. Acad Med 1997; 5:295-303.
9. … She won’t be dancing anyway: a study of surgeons, surgical nurses, and elder
patients. … Nurses and doctors: a problem of partnership. In: Soothill K, Mackay L, Web C,
editors.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/thomas-report.pdf
June 30, 2015 - . 4 times daily at 5- to 7-hr intervals;
measurement made by physician,
corroborated by attending nurse … The broadcasts from the tilt sensors were received by several
tablet PCs placed near the nurse stations … bed-angle intervals
generally occurred between periods of rapid bed-angle change when, for example, a nurse … Nurse-reported HOBAs are generally not a reliable or precise measure of
the actual bed angles, particularly … Patient to nurse ratio and risk of ventilator-associated
pneumonia in critically ill patients.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4b_pdi02-pressureulcer-bestpractices.pdf
January 01, 2012 - 2 Tool D.4b
Best Processes/Systems of Care
Introduction: Essential First Steps
• Engage key nurses … compliance, identifies opportunities for improvement,
and communicates best practices to frontline nurses … Laurel, NJ: Wound
Ostomy and Continence Nurses Society; June 2010.
8. … Patient safety and quality: an evidence-based handbook for nurses. … Registered Nurses’ Association of Ontario (RNAO).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
January 01, 2012 - 2 Tool D.4p
Best Processes/Systems of Care
Introduction: Essential First Steps
• Engage key nurses … compliance, identifies opportunities for improvement,
and communicates best practices to frontline nurses … Laurel, NJ: Wound
Ostomy and Continence Nurses Society; June 2010.
8. … Patient safety and quality: an evidence-based handbook for nurses. … Registered Nurses’ Association of Ontario (RNAO).
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www.ahrq.gov/research/findings/studies/index.html?page=408
January 01, 2024 - postanesthesia care unit (PACU) to improve postoperative handovers between anesthesia providers (APs) and PACU registered … nurses (RNs). … Implications for nurse administrators include the need for continual engagement with nurses along the … continuum of EHR design, as well as the need to encourage nurses to speak up and acknowledge workflow … A systematic review of nurses' experiences with unintended consequences when using the electronic health
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www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
January 01, 2024 - group (26 physicians and 23 nurses) design. … However,
medical nurses contributed 74% of all comments made by nurses (547/740) yet represented only … For example,
initial coding included simulations with activated nurses. … Surgical
nurses were reticent to participate in the simulations. … Disclosing errors to patients: Perspectives of registered
nurses.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
June 28, 2017 - Several nurses had input on the design of it. … Rehab
X X
Nurse Shift
Change Report
Nurses meet at change of shift to
review resident clinical … managers or charge
nurses
Nurse managers or charge
nurses typically lead the
meeting. … DON, nursing supervisors,
nurse managers or charge
nurses, MDS nurse, QI
nurse, infection control … Practitioner; (MDS) Minimum Data Set; (QI) Quality
Improvement; (MD/APRN) Medical Doctor/Advanced Practice Registered
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_2b_IDEAL_Booklet_508.pdf
May 22, 2013 - During your hospital stay,
your doctors and nurses will make sure to answer your
questions and address … ]
• Write down what your doctors and nurses say. … before you are ready,
call [insert name] at [phone number].
13 :: :: 2
My doctors or nurses … Ask your doctor or nurse how others can help you
recover. … My doctors or nurses answered questions that are important to me and my family.
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www.ahrq.gov/research/findings/studies/index.html?page=356
January 01, 2024 - The researchers sought to understand the perceived preparedness of frontline nurses (registered nurses … (RNs), licensed practical nurses (LPNs)), unit nurse managers, and skilled nursing facility (SNF) administrators … associated with seeking physician care by Medicare beneficiaries who receive all their primary care from nurse … The authors sought to examine rate and correlates of switching from exclusive nurse practitioner (NP) … associated with seeking physician care by Medicare beneficiaries who receive all their primary care from nurse
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/sample-care-plan.html
January 01, 2013 - This tool should be used collaboratively by staff nurses with input from other disciplines (e.g., physician … alternatives for patients unable to recall use of call bell, e.g., use brass bell, move bed in sight of nurses … bell in reach but may forget, will probably call her daughter's name instead; moved within earshot of nurses … Place patient in most appropriate place on the ward for his or her needs, e.g., close to nurses' station … Located nearest toilet and within earshot of nurses' station.
Lighting.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest-slides/slides.html
October 01, 2014 - within 72 hours of being placed in the ED
ICU spread use of bundle to the ED
Checklist used but nurses … documenting noncompliance instead of stopping procedure:
Nurses must be empowered to stop the procedure … Nurses did not feel they had leadership support to stop the procedure:
Leadership gave nurses … % of nurses that are comfortable stopping procedure? Did they stop it when necessary?
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www.ahrq.gov/news/newsroom/case-studies/201509.html
January 01, 2018 - The program also saves time for nurses and doctors who previously collected the information, and is making … Before the change at Banner Desert, the medication history was completed by nurses; when issues arose … From a patient care standpoint, it's now safer for the patients, and it frees up more of the nurses' … There is also cost savings, since techs cost much less compared to physicians and nurses." … "Physicians and nurses absolutely love that pharmacy is able to provide this service," Dr.
-
www.ahrq.gov/sites/default/files/2024-07/aboumatar-report.pdf
January 01, 2024 - teams, charge nurses, senior leaders).
2. … Interventions Intervention Description
Post-discharge phone calls • Castle Medical Center: Calls are conducted registered … nurses (RNs);
nursing managers/directors have to make at least five calls per week; and
emergency … New team member roles
• Massachusetts General Hospital: Created an ‘attending nurse role’. … Please comment below on who performs this (e.g. primary
nurse, charge nurse, or others), round frequency
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www.ahrq.gov/research/findings/studies/index.html?page=214
January 01, 2024 - Health, Obstetric and Neonatal Nurses (AWHONN) staffing guidelines. … Their nurse leaders facilitated the invitations. … A total of 615 labor nurses from 67 hospitals participated. … Most nurses did report that staffing guidelines were adhered to. … Impact of infectious exposures and outbreaks on nurse and infection preventionist workload.
-
www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
January 01, 2024 - Nurses’ Attitudes and Experiences Regarding Disclosure
Dr. … Although each organization had a formal policy encouraging disclosure of errors to
patients, many nurse … The
pivotal role of nurse managers was highlighted by all focus groups. … Nurse managers
often were described by participants as maintaining the local, informal culture. … playing the role of nurse or pharmacy manager.
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www.ahrq.gov/sites/default/files/publications/files/ptflowguide.pdf
January 01, 2014 - ED nurse managers, charge nurses, and staff nurses spent more time planning and
implementing strategies … An additional 160 hours (4 hours each for 40 nurses) were spent on the initial
training of staff nurses … The team consisted of three physicians, two nurses, two nurse practitioners, a
technician, a registration … Department leaders and nurses reported that it was
easier for the new nurses to adapt to the process … Butler Emergency Nurse Manager
K. Rios Emergency Nurse
C. Cicote IT System Analyst
K.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts2.html
December 01, 2017 -
* QAPI = Quality Assessment and Performance Improvement; APRN = advanced practice registered … X
X
X
X
X
X
Nurse Shift Change Report
Nurses meet at change of shift to review … Nurse managers or charge nurses.
Nurse managers or charge nurses typically lead the meeting. … If I could review this on a weekly basis in a short meeting with the nurses and nursing assistants, that … Let's meet here at the nurses' station.
Facilitator: It looks like we have a plan.
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www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-facguide.html
March 01, 2017 - What would it look like if everyone—physicians and nurses and staff—were truly engaged in doing this … This discrepancy is seen also in the operating room between nurse anesthetists and anesthesiologists. … For instance, a physician who resists enacting a new, nurse-driven ICU protocol may think the change … Loss of time is a concern for many doctors and nurses. … Say:
Try to find at least one good physician or a nurse who is intrinsically motivated.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-facguide.docx
January 01, 2017 - What would it look like if everyone—physicians and nurses and staff—were truly engaged in doing this … This discrepancy is seen also in the operating room between nurse anesthetists and anesthesiologists. … For instance, a physician who resists enacting a new, nurse-driven ICU protocol may think the change … Loss of time is a concern for many doctors and nurses. … SAY:
Try to find at least one good physician or a nurse who is intrinsically motivated.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient.pptx
May 28, 2015 - Nurse OR gave report to Nurse ICU.
08/03/12 – Ms. C is stable. … Did the nurses feel like they have the information they need on catheter indications and need? … Can they call out any concerns or bring them up with the physician and nurses? … On "Foley Fridays," nurses wore T-shirts emblazoned with "Nurses Stopping CAUTI Usage (NSCU)." … Can they call out any concerns or bring them up with the physician and nurses?