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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/nursing-home/2025-nursing-home-database-report-pt1.pdf
January 01, 2025 - Administrator/Manager 440 11%
Administrative Support Staff 329 8%
Direct Care Staff 501 13%
Licensed Nurse
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psnet.ahrq.gov/issue/how-hospital-leaders-contribute-patient-safety-through-development-trust
January 22, 2014 - January 22, 2014
The association of patient safety climate and nurse-related organizational … March 28, 2012
Errors in nurse-led triage: an observational study.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
February 01, 2014 - The patient experienced nausea with pills but told the bedside nurse he had taken liquid opioids in the … The nurse informed the physician that the patient was having significant pain and liquid opioids had … pharmacist personally retrieved, labeled, and delivered the drug and a calibrated syringe to the bedside nurse … typically be delivered).
6
Case: Multifactorial Medication Mishap (4)
Shortly thereafter, the nurse … A covering nurse checked on the patient and found him unconscious—a code blue was called.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/dailygoals-rounds-slides.pptx
January 01, 2017 - Safety Program for Mechanically Ventilated Patients
Daily Goals and Outcomes
Percentage of residents and nurses … Complete during rounds
Nurse should read back to ensure agreement
Modify to fit your unit
Daily Goals … Improving nurse-physician communication and satisfaction in the intensive care unit with a daily goals … Crit Care Nurse. 2009 Dec;29(6):58-69. PMID: 19952337.
11. Agarwal S, Frankel L, Tourner S, et al. … Crit Care Nurse. 2009 Dec;29(6):58-69. PMID: 19952337.
Agarwal S, Frankel L, Tourner S, et al.
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psnet.ahrq.gov/node/47288/psn-pdf
December 21, 2018 - systems-thinking-and-incivility-nursing-practice-integrative-review
https://psnet.ahrq.gov/issue/creating-nurse-led-culture-minimize-horizontal-violence-acute-care-setting-multi
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psnet.ahrq.gov/node/60363/psn-pdf
March 01, 2021 - Initial meeting in hospital: The Transitions Coach, who can be a registered nurse or social worker, … Resources Used and Skills Needed
Staffing: The program relies on registered nurses, social workers, … Costs: In 2014, the annual costs to support one advanced practice nurse during the research study
totaled
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide7.html
May 01, 2016 - Education programs for nurses and patients. Engage patients in the process. Audit and feedback. … Targeted education of nurses can be modestly effective in improving mechanical prophylaxis adherence … Generally, this daily screening is performed by a nurse, although in some institutions a pharmacist or … The color coding for this situation (orange) makes this acceptable combination known to the nurse at … These cases may represent under-prophylaxis and an opportunity for intervention if the nurse does not
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide7.html
May 01, 2016 - Education programs for nurses and patients. Engage patients in the process. Audit and feedback. … Targeted education of nurses can be modestly effective in improving mechanical prophylaxis adherence … Generally, this daily screening is performed by a nurse, although in some institutions a pharmacist or … The color coding for this situation (orange) makes this acceptable combination known to the nurse at … These cases may represent under-prophylaxis and an opportunity for intervention if the nurse does not
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psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
October 06, 2021 - baby's health, about what to watch for, and oh, by the way, this has to happen in 36 hours, and your nurse … We're going to do workshops with nurses and providers and then with patients to think about how we’re … One of the really heartbreaking video sequences was a Spanish-speaking family where the nurse came in … Hang up the phone and tell your nurse.” But those instructions were not provided in Spanish. … We are here to change the way it's done in the community with those who are doing it, with the nurses
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psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - We're going to do workshops with nurses and providers and then with patients to think about how we’re … One of the really heartbreaking video sequences was a Spanish-speaking family where the nurse came in … Hang up the phone and tell your nurse.” But those instructions were not provided in Spanish. … We are here to change the way it's done in the community with those who are doing it, with the nurses … April 21, 2021
The impact of critical incidents on nurses and midwives: a systematic
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www.ahrq.gov/evidencenow/model/profiles/walkers-point.html
March 01, 2021 - Steve Ohly, registered nurse practitioner and manager at Walker's Point Community Clinic.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-shoulder-dystocia.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. … Expected behavior/performance:
Nurse introduces self to the patient and begins assessment. … Nurse continues to assist patient with pushing. … Nurse clearly demonstrates leadership role until other team members arrive.
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psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
September 27, 2017 - transfusion protocol order ( Patient 1’s "Doe" name) did not match the name they had been given by the ED nurse … room nursing staff and the emergency department, the blood bank, the surgeons and, ultimately the OR nurse … The OR nurse then looked Patient 1 up by his real name in the hospital system and found a medical record … of the EHR can produce confusion, especially at the level of the most immediate caregivers (bedside nurses
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
April 30, 2025 - This publication has been well received by state policymakers
and building-based school nurses. … Nurse leaders were critical to
improvement and varied in their skills, suggesting that nurse leader … CDS use was affected by both nurse
and patient characteristics. … executive summary of the report was published within the March 2005 issue of
AJN, which went to 344,000 registered … nurse subscribers.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/huddle-emergency-dept-guide.pdf
June 02, 2025 - .
• Nurse Autumn will start an IV, draw labs, and give medications.
• Nurse Julie will document.
• Nurse
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digital.ahrq.gov/sites/default/files/docs/page/Participant%20List_0.pdf
June 16, 2021 - University
robert.dittus@Vanderbilt.Edu
Ilaina Edison, RN, MBA
Vice President for Operations
Visiting Nurse
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.263_slideshow.ppt
March 01, 2012 - (All patients discharged from medicine service at this hospital are called by a nurse within 3 days.) … The nurse learned about the worsening symptoms and contacted the discharging team. … *
*
Case: Postdischarge Phone Call (4)
The nurse who had called previously called again 2 days … The discharging team was convinced that the follow-up phone call from the nurse had definitely prevented … phone call using a focused script elicited the patient’s new symptoms
The nurse was able to reach the
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digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-52a-sample-task-table-no-delegation
January 01, 2023 - Prescriber retrieve message with record
Prescribing physician or nurse practitioner
Research, review … Prescriber approve or decline request or change medication
Prescribing physician or nurse practitioner … Give prescription and record to office staff
Prescribing physician or nurse practitioner
Handoffs
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
November 01, 2014 - Nurse workstation and code area organization.
Chart billing and scanning enhancement. … Further, Lean had to be halted at times in the ED because of staffing issues with nurses and an H1N1 … nurses, physicians, schedulers, and other staff from key areas. … She indicated that Lean offers additional opportunities for nurses to provide input. … A nurse leader noted that involvement of nurses in RIE-related decisions created ownership in support
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effectivehealthcare.ahrq.gov/sites/default/files/ebc-challenge-webinar-transcript.pdf
June 01, 2014 - Nurse practitioners and PAs are an important emerging audience for
AHRQ products and they were
the … between
AHRQ and the nursing
community and providing insights on how we can effectively involve nurses … example, generating topics for the research we do, sharing research findings and
communicating with nurses … That convention
would
provide
access to about 5,000 nurse practitioners. … Also looking at the Ohio Association of Advanced
Practice Nurses Convention and meeting in the fall of