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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2011
January 01, 2011 - communicating key health information and alerts to outpatient primary care physicians and visiting nurses
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-nh_webcast-famolaro.pdf
September 21, 2022 - Designed to be administered to all staff as appropriate, including:
► Physicians and other providers, nurses
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb21.html
December 01, 2017 - survey results
Lawsuits
High insurance premiums
The Falls Management Program (FMP)
The Falls Nurse … It is important that you respond to the fax ASAP so that the nurse coordinator can use your recommendations
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pso.ahrq.gov/sites/default/files/wysiwyg/guides-psos-providers-determining-parent-orgs-affiliated-providers.pdf
July 01, 2021 - treatment facility, clinical laboratory, or health center; or
(ii) A physician, physician assistant, registered … nurse, nurse practitioner, clinical nurse specialist,
certified registered nurse anesthetist, certified … nurse midwife, psychologist, certified social
Page 3 of 9
worker, registered dietician or nutritional
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www.ahrq.gov/patient-safety/settings/hospital/candor/videos/nurses.html
August 01, 2022 - Peer Support Interaction—Nurse: Video
AHRQ Communication and Optimal Resolution Toolkit
Communication … This video demonstrates an example of emotional support provided for the nurse caregiver after an adverse
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/endoscopy-checklist-template.docx
January 01, 2009 - Room
AHRQ Safety Program for Ambulatory Surgery
Implementation Guide
Before Patient Enters Room
Nurse … allergies
· Patient height, weight, body mass index
· History and physical
Anesthesia Professional and Nurse … Before Patient Leaves Room Debriefing
Nurse Reviews With Team:
· Name of the procedure performed
· Identify
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psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - of a vecuronium-containing syringe on the anesthesia drug tray by a previously assigned anesthesia nurse … , who then signed out to another nurse at shift change, and the anesthesiologist’s failure to read the … In this case, the nurse who prepared the medications handed off to another nurse before the block administration … Nurse Educ Today . 2017;52:7-9. [ Available at ] Higham H, Baxendale B. … Mistaken Intubation
June 1, 2016
Does simulation training for acute care nurses
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www.ahrq.gov/nursing-home/resources/medicare-payment-viral-testing.html
May 01, 2022 - Medicare Payment for COVID-19 Viral Testing: Skilled Nursing Facility/Nursing Facility
Resource: Medicare Payment for COVID-19 Viral Testing: Skilled Nursing Facility/Nursing Facility
The document includes a flow chart for COVID-19 Viral Testing, a Medicare payer hierarchy, Medicaid and the Uninsured payer …
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psnet.ahrq.gov/node/49821/psn-pdf
February 01, 2018 - The nurse checked the automated dispensing machine in which the oxycodone was stored
and was surprised … After the physician and nurse recognized the error, the patient immediately received multiple doses of … The RCA also found that the nurse did not check the concentration of the medication to be
administered … psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
nurse … How informatics nurses use bar code technology to reduce medication errors.
-
psnet.ahrq.gov/node/36064/psn-pdf
June 28, 2006 - Nurse error spotlights drug's danger.
June 28, 2006
Greene L. Tampa Bay Times. June 19, 2006. … https://psnet.ahrq.gov/issue/nurse-error-spotlights-drugs-danger
This article reports on the death of … https://psnet.ahrq.gov/issue/nurse-error-spotlights-drugs-danger
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psnet.ahrq.gov/node/44402/psn-pdf
January 22, 2016 - analysis found that anticipatory management conversation occurred in most physician-to-
physician and nurse-to-nurse
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.docx
October 01, 2016 - Implement, Monitor, & Sustain a Program Toolkit 1/Tool 5 4
Sample Policy for Medical Record Referral Form
Nurses
-
www.ahrq.gov/teamstepps-program/evidence-base/education.html
June 01, 2023 - Nurse Education Perspectives 34(5), 339-44. Select to access the abstract . … Nurse Education Today . Select to access the abstract .
Mahmood LS, Mohammed CA, Gilbert JHV. … Nurse Education in Practice 4(1), 20-9. Select to access the abstract .
Paige, J. T., Garbee D.
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psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
January 01, 2023 - • After the bedside nurse was unable to pass the NGT, the charge nurse
attempted multiple times, … NGT, the fundamental deficiency in
this case was poor communication between the bedside and charge nurses … , at
nursing change of shift, and between the nurse and supervising health care
provider … was a serious complication of a relatively simple procedure
that is commonly performed by bedside nurses … Crit Care Nurse. 2019;39(6):54-63. [Available
at]
14. Judd M.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Stalhandske_71.pdf
February 23, 2008 - Due to
the unavailability of a Certified Registered Nurse Anesthetist (CRNA), a resident was called … evaluate the available staff during off-tours and consider respiratory therapists,
advanced practice nurses … Anesthesia personnel (anesthesiologists or certified registered nurse anesthetists) are in-hospital … independent practitioner who is appropriately privileged for
airway management or an Advance Practice Nurse … or Certified Registered Nurse
Anesthetist (CRNA) who has a scope of practice that includes airway management
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Gavin.pdf
January 01, 2001 - Residents were rated by three staff members—a
nursing assistant (NA), a licensed practical nurse (LPN … having a seating problem within
each domain
Item rated
Nursing
assistant
Licensed
practical
nurse … Significance P = 0.001 ns P = 0.006 P = 0.000
NA = nursing assistant
LPN = licensed practical nurse … NA .92 .80
LPN .60 .47
KT .83 .57
PI .83 .40
NA = nursing assistant
LPN = licensed practical nurse … .361 .306 .204 .363
Significance .010 .031 ns .010
NA = nursing assistant
LPN = licensed practical nurse
-
psnet.ahrq.gov/node/49732/psn-pdf
May 01, 2015 - practitioner, a rapid
response nurse, and a pharmacist. … They also help the
primary bedside nurse and rapid response nurse implement the orders within 1-hour … signs and
laboratory values filed into the electronic medical record (EMR) to generate an alert to nurses … When the patient's chart is subsequently entered by a nurse or
other provider, the alert stating the … To be successful, it must
have a multidisciplinary approach involving nurses, providers, and hospital
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3a.html
October 01, 2014 - Referrals from physicians, nurses, family, or friends. … Educational mailings, nurse call line, audio health libraries. … (The member receives a call from a nurse care manager at weeks 6 and 26.)
Level Two. … All Level One services plus more frequent calls from a nurse care manager.
Level Three. … These nurses enroll and provide more information to members who were hospitalized for chronic conditions
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_antepart-hemorrhage.docx
May 01, 2017 - Clinical Context
The facilitator provides the clinical context to person in the role of nurse. … This can be done using a verbal report and handoff from one nurse to another nurse during change of shift … Trigger #1:
Patient volunteers information to assessing nurse:
“I feel something wet between my legs … Nurse calls for additional help, provider, or rapid response team. … Nurse calls for additional help, provider, or rapid response team.
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-antepart-hemorrhage.html
July 01, 2023 - Clinical Context
The facilitator provides the clinical context to person in the role of nurse. … This can be done using a verbal report and handoff from one nurse to another nurse during change of shift … Expected behavior/performance (not in any particular order):
Nurse introduces self to the patient … Nurse calls for additional help, provider, or rapid response team. … Nurse calls for additional help, provider, or rapid response team.