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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/naa-october-2024-webinar-slides.pdf
January 01, 2024 - Lenhart, MD
lenhart@ohsu.edu
mailto:hurtadod@ohsu.edu
mailto:lenhart@ohsu.edu
References
• American Nurses … Foundation, Pulse on the Nation's Nurses Survey Series: Mental Health and Wellness
Survey 4, May 2023
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/case.html
December 01, 2017 - rotates the time of the meetings each week in order to accommodate both day and evening shift CNAs and nurses … Information can be entered at any one of seven touch-screen kiosks in the facility: two at each of the three nurses
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/002-cusp-learning-defects.pptx
October 01, 2024 - MRSA Prevention | ICU & Non-ICU
Learning From Defects
9
Who To Interview To Understand the Defect
Nurses … The impact of operational failures on hospital nurses and their patients.
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psnet.ahrq.gov/node/49438/psn-pdf
March 05, 2004 - The video cameras are monitored at the
nurses' station, located just inside the OR suite. … useful work-related knowledge
to OR workers, such as cleaning staff, surgeons, anesthesiologists, nurses
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring.pptx
May 01, 2017 - :
EFM “strip rounds”14
Regular peer review with feedback for all staff (physicians, midwives, staff nurses … Care
Electronic
Fetal Monitoring
References
Association of Women's Health, Obstetric, and Neonatal Nurses
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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
December 23, 2020 - Massachusetts Department of Public Health; the Boards of Registration responsible for licensing physicians, nurses … Nurses were required to double-check high-dose chemotherapy orders and to complete specialized training
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psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
December 15, 2024 - In hospitals or long-term care settings, this is generally the responsibility of nurses or other trained … administration to ensure medications are given to the correct patient Minimize interruptions to allow nurses
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/024-ss-cusp-learning-from-defects.pptx
April 01, 2025 - Prevention | Surgical Services
Learning From Defects
9
Who To Interview To Understand the Defect
Nurses … The impact of operational failures on hospital nurses and their patients.
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www.ahrq.gov/hai/cusp/toolkit/learn-defects.html
December 01, 2012 - At a minimum, this should include the physician, nurse, administrator, and other selected professionals … (Nurse knew dose ordered was not standard for that medication.)
… (Nurse ratio was 1:1.)
Was there a good mix of skilled with new staff? … (There was a nurse orientee shadowing a senior nurse and an extra nurse to cover the senior nurse's responsibilities … (Nurse caring for three patients because another nurse went home sick.)
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
June 02, 2025 - (Nurse knew dose ordered was not standard for that medication.) … (New nurse asked preceptor to help him or her mix the medication concentration.) … (Nurse ratio was 1:1.)
Was there a good mix of skilled with new staff? … (There was a nurse orientee shadowing a senior nurse and an extra nurse to cover the senior nurse’s responsibilities … (Nurse caring for three patients because another nurse went home sick.)
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psnet.ahrq.gov/issue/trends-nursing-home-deficiencies-and-complaints
February 18, 2009 - Book/Report
Trends in Nursing Home Deficiencies and Complaints.
Citation Text:
Trends in Nursing Home Deficiencies and Complaints. Office of the Inspector General. Washington, DC: US Department of Health and Human Services; September 2008. Report No. OEI-02-08-00140.
Copy Citation…
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psnet.ahrq.gov/issue/nursing-home-antimicrobial-stewardship-guide
November 23, 2016 - Toolkit
Nursing Home Antimicrobial Stewardship Guide.
Citation Text:
Nursing Home Antimicrobial Stewardship Guide. Rockville, MD: Agency for Healthcare Research and Quality; October 2016.
Copy Citation
Save
Save to your library
Print
Download PDF
…
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www.ahrq.gov/topics/nursing-homes.html
Topic: Nursing Homes
AHRQ has research, tools and resources for clinicians on topics such as preventing falls and antimicrobial stewardship in nursing homes.
AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
AHRQ’s S…
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www.ahrq.gov/hai/tools/abate/nursing-protocols.html
May 01, 2022 - Nursing Protocols
The Toolkit for Decolonization of non-ICU Patients With Devices includes the trial-based 1 protocols for decolonization with 2% chlorhexidine gluconate (CHG) and 2% nasal mupirocin. Also included are common alternatives to the trial-based protocols for implementing decolonization.
Hospit…
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/emotional-wellness-resources-electronic.docx
March 01, 2022 - Emotional Wellness Resources for Nursing Home Staff
Emotional Wellness Resources for
Nursing Home Staff
Stress, fear, and exhaustion from being on the frontlines of the COVID-19 pandemic may leave you feeling anxious and overwhelmed. These feelings are common, and you do not have to f…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/nh/nursing-home-discharged-resident-span-653b.doc
September 01, 2011 - M:\8486\8486.01.02.30\CAHPS KIT Surveys\Spanish\Nursing Home\1653b_Discharged_Resident to WP 8.24.11.doc - 2/2/2018 - 12:17 PM - lt
CAHPS® Nursing Home Survey
Version:
Discharged Resident Instrument
Language: Spanish
For assistance with this survey, please contact the CAHPS Help Line at 800-492-9261 or cahps1@westat.c…
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psnet.ahrq.gov/issue/phony-diagnoses-hide-high-rates-drugging-nursing-homes
December 22, 2021 - September 7, 2016
Whistle-blowing nurse is acquitted in Texas.
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digital.ahrq.gov/sites/default/files/docs/survey/care-management-discussion-guide.pdf
November 18, 2008 - Health and Science University, Portland OR
This is an interview guide designed to be conducted with nurses … require more time; for experts, less)
Question Novice Expert
Describe your general role in the clinic Nurse … follow-up,
motivational
interviewing, education
For Physician: How do you DECIDE to involve the nurse … For Nurse: What KIND of patient generally gets
REFERRED to you? … for counseling; a new diabetic who needs education; a quality protocol where I
refer a patient to a nurse
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psnet.ahrq.gov/issue/supplemental-item-set-nursing-home-sops-call-pilot-participants
December 24, 2008 - See More About The Topic
Long-Term Care
Quality and Safety Professionals
Geriatrics
Nurse
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-10.html
November 01, 2014 - Team leaders: Nurse manager from patient care services and staff from training and development department … Two clinical nurse specialists, one from the ED, one from the cardiology department. … One nurse.
One risk manager.
Two stakeholders from an ODS heart institute.