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  1. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
    November 01, 2019 - Slide 5 Case, Continued SAY: His nurse asks whether he needs a PICC, or peripherally inserted … Educate nurses about reviewing culture results. … Although nurses may not feel comfortable suggesting antibiotics to prescribe, if they notice their patient … The comfort level of nurses to review culture results may vary but they should feel secure voicing … Nurses can provide an invaluable resource in informing prescribers if they notice concerning decreases
  2. www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
    May 01, 2017 - Slide 7: System-Level Factors Can Predict Performance Say: When nurse-to-patient ratios exceed … team working on a L&D unit, hierarchy issues plagued the unit, disrupting the abilities of the unit nurses … The nurses were able to alleviate these hierarchical issues by engaging hospital administration with … With the support of the executive staff at their hospital, the nurses were empowered to enforce the labor
  3. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-march2016.pptx
    January 01, 2016 - ICU Triage TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® OR to ICU Transfer Slide ‹#› PACU nurse … boarder problem” is “A triage problem” Current triage system lacks standardized patient handoff PACU nurses … re-education of specific patient populations for when boarders are necessary No easy system to alert PACU nurses … interruptions during rounds regarding PACU triage Improved handoff “Less angry” and more confident PACU nurses
  4. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/dailygoals-rounds-facguide.docx
    January 01, 2017 - care rounds in the ICU by using a daily goals form, this graph shows an increase in residents’ and nurses … Over 6 weeks, the residents and the nurses developed a greater understanding of and appreciation for … Slide 10 Daily Goals and Outcomes SAY: In addition, when residents and nurses understood and used … Supply real-time feedback by having the nurse read back the goals.
  5. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
    May 01, 2017 - Slide 6 SAY: When nurse-to-patient ratios exceed best practice based on the unit’s acuity and rate … team working on a L&D unit, hierarchy issues plagued the unit, disrupting the abilities of the unit nurses … The nurses were able to alleviate these hierarchical issues by engaging hospital administration with … With the support of the executive staff at their hospital, the nurses were empowered to enforce the labor
  6. www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
    May 01, 2017 - Slide 6 SAY: When nurse-to-patient ratios exceed best practice based on the unit’s acuity and rate … team working on a L&D unit, hierarchy issues plagued the unit, disrupting the abilities of the unit nurses … The nurses were able to alleviate these hierarchical issues by engaging hospital administration with … With the support of the executive staff at their hospital, the nurses were empowered to enforce the labor
  7. www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
    May 01, 2017 - Slide 6 SAY: When nurse-to-patient ratios exceed best practice based on the unit’s acuity and rate … team working on a L&D unit, hierarchy issues plagued the unit, disrupting the abilities of the unit nurses … The nurses were able to alleviate these hierarchical issues by engaging hospital administration with … With the support of the executive staff at their hospital, the nurses were empowered to enforce the labor
  8. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
    May 01, 2017 - Slide 6 SAY: When nurse-to-patient ratios exceed best practice based on the unit’s acuity and rate … team working on a L&D unit, hierarchy issues plagued the unit, disrupting the abilities of the unit nurses … The nurses were able to alleviate these hierarchical issues by engaging hospital administration with … With the support of the executive staff at their hospital, the nurses were empowered to enforce the labor
  9. pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-march2016.pptx
    January 01, 2016 - ICU Triage TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® OR to ICU Transfer Slide ‹#› PACU nurse … boarder problem” is “A triage problem” Current triage system lacks standardized patient handoff PACU nurses … re-education of specific patient populations for when boarders are necessary No easy system to alert PACU nurses … interruptions during rounds regarding PACU triage Improved handoff “Less angry” and more confident PACU nurses
  10. pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-march2016.pptx
    January 01, 2016 - ICU Triage TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® OR to ICU Transfer Slide ‹#› PACU nurse … boarder problem” is “A triage problem” Current triage system lacks standardized patient handoff PACU nurses … re-education of specific patient populations for when boarders are necessary No easy system to alert PACU nurses … interruptions during rounds regarding PACU triage Improved handoff “Less angry” and more confident PACU nurses
  11. cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-march2016.pptx
    January 01, 2016 - ICU Triage TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® OR to ICU Transfer Slide ‹#› PACU nurse … boarder problem” is “A triage problem” Current triage system lacks standardized patient handoff PACU nurses … re-education of specific patient populations for when boarders are necessary No easy system to alert PACU nurses … interruptions during rounds regarding PACU triage Improved handoff “Less angry” and more confident PACU nurses
  12. healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-march2016.pptx
    January 01, 2016 - ICU Triage TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® OR to ICU Transfer Slide ‹#› PACU nurse … boarder problem” is “A triage problem” Current triage system lacks standardized patient handoff PACU nurses … re-education of specific patient populations for when boarders are necessary No easy system to alert PACU nurses … interruptions during rounds regarding PACU triage Improved handoff “Less angry” and more confident PACU nurses
  13. monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-march2016.pptx
    January 01, 2016 - ICU Triage TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® OR to ICU Transfer Slide ‹#› PACU nurse … boarder problem” is “A triage problem” Current triage system lacks standardized patient handoff PACU nurses … re-education of specific patient populations for when boarders are necessary No easy system to alert PACU nurses … interruptions during rounds regarding PACU triage Improved handoff “Less angry” and more confident PACU nurses
  14. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
    May 01, 2017 - Slide 6 SAY: When nurse-to-patient ratios exceed best practice based on the unit’s acuity and rate … team working on a L&D unit, hierarchy issues plagued the unit, disrupting the abilities of the unit nurses … The nurses were able to alleviate these hierarchical issues by engaging hospital administration with … With the support of the executive staff at their hospital, the nurses were empowered to enforce the labor
  15. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-march2016.pptx
    January 01, 2016 - ICU Triage TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® OR to ICU Transfer Slide ‹#› PACU nurse … boarder problem” is “A triage problem” Current triage system lacks standardized patient handoff PACU nurses … re-education of specific patient populations for when boarders are necessary No easy system to alert PACU nurses … interruptions during rounds regarding PACU triage Improved handoff “Less angry” and more confident PACU nurses
  16. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-march2016.pptx
    January 01, 2016 - ICU Triage TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® OR to ICU Transfer Slide ‹#› PACU nurse … boarder problem” is “A triage problem” Current triage system lacks standardized patient handoff PACU nurses … re-education of specific patient populations for when boarders are necessary No easy system to alert PACU nurses … interruptions during rounds regarding PACU triage Improved handoff “Less angry” and more confident PACU nurses
  17. psnet.ahrq.gov/issue/virtual-ambulatory-cusp-training
    June 05, 2024 - self-reported quality of patient care and adverse events during COVID-19: a cross-sectional online survey among nurses … September 22, 2010 Training Program for Nurses on Shift Work and Long Work Hours. … March 23, 2022 Cracking the code for quality: the interrelationships of culture, nurse … The power of collaboration with patient safety programs: building safe passage for patients, nurses
  18. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
    January 01, 2003 - Based on a combination of observations and interviews with nurses, Aitken17 analyzed the nurses’ use … To participate, nurses had to be active Registered Nurse license holders, currently working in an ICU … Due to the high workload of ICU nurses (e.g., nurse-to-patient ratios ranging from 1:1 to 1:3), nurses … In the absence of an integrated display, a nurse faced with a low oxygen saturation alarm must remember … As one nurse put it, “Trends kill people.”
  19. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-a.docx
    January 01, 2016 - Facility personnel include: surgeons, physicians, proceduralists, anesthesiologists, nurse anesthetists … , anesthesia technicians, nurses, scrub technicians, gastroenterologists, and all others who work in
  20. www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-a.docx
    January 01, 2016 - Facility personnel include: surgeons, physicians, proceduralists, anesthesiologists, nurse anesthetists … , anesthesia technicians, nurses, scrub technicians, gastroenterologists, and all others who work in