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9581. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-facguide.docx
      January 01, 2017 - SAY: Solicit feedback from all stakeholders, such as the charge nurse, unit nurses, respiratory therapists … Slide 11 Unit-Based GAP Analysis SAY: The American of Association of Critical Care Nurses, or AACN … SAY: Your nurse might respond, “Well, because I don’t have a standard order. … Start your test very small, such as a single nurse, shift, or patient. … One patient room or one nurse? When will the test occur? One week or one shift?

9582. Adverse events in intensive care and continuing care units during bed-bath procedures: the prospective observational NURSIng during critical carE (NURSIE) study. | PSNet
      psnet.ahrq.gov/issue/adverse-events-intensive-care-and-continuing-care-units-during-bed-bath-procedures
      March 05, 2025 - May 5, 2021 Errors in nurse-led triage: an observational study. … June 3, 2020 Worries and concerns experienced by nurse specialists during inter-hospital

9583. Using health information technology in residential aged care homes: an integrative review to identify service and quality outcomes. | PSNet
      psnet.ahrq.gov/issue/using-health-information-technology-residential-aged-care-homes-integrative-review-identify
      July 06, 2022 - August 26, 2020 Nurse workarounds in the electronic health record: an integrative review … About The Topic Researchers Long-Term Care Information Professionals Geriatrics Nurse

9584. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73377/psn-pdf
      June 09, 2021 - This study found that perioperative nurse engagement (e.g., energy, dedication, resilience) and perioperative … nurse certification were significantly associated with self-reported safety culture in the operating … room, but length of perioperative nurse experience was not.

9585. On-Time Pressure Ulcer Assessment | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/assessment.html
      December 01, 2017 - Ulcer Assessment was developed by a multistate multidisciplinary design team that consisted of wound nurses … , nurse leaders, and consultants from standalone nursing homes, large nursing home chains, and wound …   Suspected Deep Tissue Injury (sDTI)             Followup Ulcer Status Per Nurse … PT, OT, SLP, or restorative nursing)             Wound, ostomy, and/or continence nurse … (in-house)             Wound, ostomy, and/or continence nurse (consultant)    

9586. Puh-Assessment (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.docx
      June 02, 2025 - Ulcer Assessment was developed by a multistate multidisciplinary design team that consisted of wound nurses … , nurse leaders, and consultants from standalone nursing homes, large nursing home chains, and wound … Unstageable Suspected Deep Tissue Injury (sDTI) Followup Ulcer Status Per Nurse … Rehabilitation (PT, OT, SLP, or restorative nursing) Wound, ostomy, and/or continence nurse … (in-house) Wound, ostomy, and/or continence nurse (consultant) Wound clinic

9587. 2022 Updated Results for the AHRQ Surveys on Patient Safety CultureTM (SOPS®) Diagnostic Safety Supplemental Items for Medical Offices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/DxSftyRpt-Updated-2022.pdf
      January 01, 2022 - Administrative or clerical staff 286 27% Other clinical staff or clinical support staff 276 26% Registered … nurse (RN), licensed vocational nurse (LVN), licensed practical nurse (LPN) 176 16% Physician ( … M.D. or D.O.) 110 10% Physician assistant, nurse practitioner, clinical nurse specialist, nurse midwife … Nurse (RN/LVN/ LPN) PA/NP/CNS/ Midwife/APN, etc. Physician (M.D. or D.O.) … Nurse (RN/LVN/ LPN) PA/NP/CNS/ Midwife/APN, etc. Physician (M.D. or D.O.)

9588. Modeling and Analysis of Clinical Care for HIT Improvement - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs021233-butler-final-report-2016.pdf
      January 01, 2016 - interval a doctor will issue the new orders from a work stream that is parallel to the nurse’s and the nurse … The extra work of entering referrals into Epic Care then fell to nurses. … and displaying commonly used procedure information, equipment, labs, and instructions for the intake nurse … organizing the necessary information in one place where the financial care coordinator and procedure nurse … Patient Safety and Quality: An Evidence-Based Handbook for Nurses.

9589. Menu of Implementation Strategies - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximplstrat.pdf
      June 02, 2025 - Nurse Shift Change Report 4. Root Cause Analysis for New Falls 5.

9590. Peer Review of a Report on Strategies to Improve Patient Safety. | PSNet
      psnet.ahrq.gov/issue/peer-review-report-strategies-improve-patient-safety
      May 19, 2021 - May 31, 2023 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act … 2019 View More See More About The Topic General Public Medicine Nurse

9591. Lap Burn | PSNet
      psnet.ahrq.gov/web-mm/lap-burn
      March 01, 2018 - laparoscope from the body and placed it on the surgical drapes, she should have handed it to the scrub nurse … May 31, 2023 The association between nurse staffing and quality of care in emergency … March 20, 2024 Estimating the economic cost of nurse sensitive adverse events amongst … December 21, 2017 Nurse staffing, nursing assistants and hospital mortality: retrospective … December 19, 2018 The association between nurse staffing and omissions in nursing care

9592. Critical Radiology Alert Process | PSNet
      psnet.ahrq.gov/innovation/critical-radiology-alert-process
      November 16, 2022 - process also places patients on a  critical radiology alert weekly report, which is reviewed by ED nurse … ensure all patients with critical alerts receive proper follow up. 3 For out-of-network patients, ED nurse … If the patient doesn’t have a PCP, the nurse case managers work with a system of outpatient clinics to … case managers, nurse navigator, and necessary modifications to the EHR. … This role is best served by someone with a healthcare background, like a nurse navigator or nurse case

9593. Cauti-Sustainability-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability-transcript.docx
      January 01, 2014 - critical care nurse, educator, and education department manager. … means physicians that come on board, new assistant if you have nursing assistants, new assistants, new nurses … In 2013, we could call all of our critical care nurses back through a documentation review. … They sent that to infection prevention and to the nurse manager. … It's on every charge nurse meeting agenda.

9594. Figure 1: Medication Reconciliation Upon Admission: High Level Process Map Before Redesign (Text Description) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-txt.html
      July 01, 2022 - Information flows from three directions: Nurse obtains medication history and documents in the nursing … Nurse reviews medication orders prior to administration. … At the final step, nurse administers medications to patient.

9595. Figure 1: Medication Reconciliation Upon Admission: High Level Process Map Before Redesign (Text Description) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/match/figure-txt.html
      July 01, 2022 - Information flows from three directions: Nurse obtains medication history and documents in the nursing … Nurse reviews medication orders prior to administration. … At the final step, nurse administers medications to patient.

9596. Puh-Assessment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.pdf
      June 02, 2025 - Ulcer Assessment was developed by a multistate multidisciplinary design team that consisted of wound nurses … , nurse leaders, and consultants from standalone nursing homes, large nursing home chains, and wound … Stage 4 Unstageable Suspected Deep Tissue Injury (sDTI) Followup Ulcer Status Per Nurse … Rehabilitation (PT, OT, SLP, or restorative nursing) Wound, ostomy, and/or continence nurse … (in-house) Wound, ostomy, and/or continence nurse (consultant) Wound clinic Surgical

9597. Managers' perceptions of the factors affecting resident and patient safety work in residential settings and nursing homes: a qualitative systematic review. | PSNet
      psnet.ahrq.gov/issue/managers-perceptions-factors-affecting-resident-and-patient-safety-work-residential-settings
      October 25, 2023 - 2021 View More See More About The Topic Long-Term Care Geriatrics Nurse

9598. Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread of COVID-19 in nursing facilities for the elderly. | PSNet
      psnet.ahrq.gov/issue/assisting-beginners-root-cause-analysis-operations-analysis-and-recommendations-regarding
      June 08, 2022 - July 20, 2022 Promoting patient and nurse safety: testing a behavioural health intervention

9599. Exhibit 1.13. Project Team Composition—Clinic Flow Project | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-13.html
      November 01, 2014 - Process owner: nurse. Physician. Nurse practitioner (one). Medical records staff (one).

9600. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60267/psn-pdf
      March 01, 2021 - Assessment by wellness nurse: Using a modified version of the state's Independent Living Assessment … Tool used by Medicaid, the nurse conducts a functional and cognitive assessment in the resident's home … The nurse works in collaboration with the senior's local providers in the community. … As the team members who often care for these high-risk residents, the visiting nurse and area agency … The wellness nurse and care coordinator conduct the assessment at a participant's home, and the data