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www.ahrq.gov/research/findings/studies/index.html?page=238
January 01, 2024 - JC Likelihood of cesarean birth among parous women after applying leading active labor diagnostic guidelines … American College of Obstetricians and Gynecologists/Society for Maternal-Fetal Medicine (ACOG/SMFM) guidelines … Active labor diagnostic guidelines were applied retrospectively to cervical examination data. … Likelihood of cesarean birth among parous women after applying leading active labor diagnostic guidelines … Keywords: Decision Making, Guidelines, Hospitalization, Labor and Delivery, Pregnancy, Women
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www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
January 01, 2013 - Consider implementing a 2-week
observation-only phase during which nursing staff observe physicians … Based on the results, you can then modify the form and provide in-service training to
the nursing staff … physicians
o The physicians’ perception that their credibility and authority would be challenged if
nursing … staff were to critique or correct them
Unit leaders met with nursing and physician staff to stress … Guidelines for the management of intravascular
catheter-related infections.
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/bim.html
December 01, 2017 - Mitigation Tool
AHRQ Safety Program for Surgery
Introduction
Problem Statement
Guidelines … However, adherence to these evidence-based guidelines remains highly variable both within and between … Barriers to achieving consistent adherence to evidence-based guidelines are commonly related to provider … barriers, develop an action plan to overcome these difficulties, and achieve consistent compliance with guidelines … problems they face and any ideas they have regarding potential solutions for improving compliance to guidelines
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/ena-slides.pdf
September 01, 2015 - Nursing Study
A recent nursing study explored individual and environmental factors that positively and … There are still health care facilities that have
no CAUTI reduction initiatives or guidelines. … AHRQ Safety Program for Reducing CAUTI in Hospitals Transcript 37
Beneficence
Guidelines … for appropriate catheter use exist, but the translation of those guidelines to practice has proven … Decision-making
based on sound evidence, best practice, and established guidelines can foster positive
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www.ahrq.gov/sites/default/files/publications/files/ena-slides.pdf
September 01, 2015 - Nursing Study
A recent nursing study explored individual and environmental factors that positively and … There are still health care facilities that have
no CAUTI reduction initiatives or guidelines. … AHRQ Safety Program for Reducing CAUTI in Hospitals Transcript 37
Beneficence
Guidelines … for appropriate catheter use exist, but the translation of those guidelines to practice has proven … Decision-making
based on sound evidence, best practice, and established guidelines can foster positive
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www.ahrq.gov/research/findings/studies/index.html?page=208
January 01, 2024 - Most nurses did report that staffing guidelines were adhered to. … Grabowski DC Assessing the impact of Minnesota's return to community initiative for newly admitted nursing … Return to Community Initiative (RTCI) program which facilitates community discharge of non-Medicaid nursing … Success increased with time as nursing home facilities increased their participation. … Keywords: Care Coordination, Long-Term Care, Nursing Homes, Transitions of Care
Lor M , Koleck
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4h_pdi10-sepsis-bestpractices.pdf
May 17, 2016 - Use Surviving Sepsis Campaign’s evidence-based guidelines;
include the 3-hour and 6-hour bundles.5 … • Pilot the screening tool with 1 or 2 nursing units. … o Use the American College of Critical Care Medicine-Pediatric Advanced Life Support
(PALS) guidelines … • Provide feedback to all stakeholders (physicians and other providers, nursing, and ancillary
staff … Surviving Sepsis Campaign: international
guidelines for management of severe sepsis shock: 2012.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
May 17, 2016 - Use Surviving Sepsis Campaign’s evidence-based guidelines;
include the 3-hour and 6-hour bundles.5 … • Pilot the screening tool with 1 or 2 nursing units. … o Use the American College of Critical Care Medicine-Pediatric Advanced Life Support
(PALS) guidelines … • Provide feedback to all stakeholders (physicians and other providers, nursing, and ancillary
staff … Surviving Sepsis Campaign: international
guidelines for management of severe sepsis shock: 2012.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/care/resources/ontime/pruprev/saworksheet.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Self-Assessment Worksheet … The self-assessment tool is intended to help identify the current processes and structures the nursing … Communication to care team
___
___
Does your facility provide training to nursing staff on how … ___ Admitting nurse
___ Nursing assistant
___ Wound/skin care nurse
___ Nurse manager
___ Nursing … Development
Do you investigate each new in-house pressure ulcer according to your facility's policies and guidelines
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm4.html
October 01, 2014 - Guideline Sources
Guidelines and Measures, https://www.ahrq.gov/gam/index.html
National Heart, … Evidence-based guidelines and protocols. … States have faced barriers to provider incorporation of guidelines into practice protocols. … :
Employ cross-payer, statewide guidelines. … Keep guidelines brief .
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www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
December 01, 2017 - Physician Resistance
Nursing Resistance
Real or perceived need for accurate I and O
Unit culture … tradition
Slide 7
The Culture of Safety and Assessment of Harm
Believe that failure to follow guidelines … Are evidence based guidelines implemented, shared and incorporated into practice? … Slide 37
Lessons Learned
We all own this: Infection Control, Nursing, Physicians …..
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www.ahrq.gov/research/findings/studies/index.html?page=279
January 01, 2024 - Facility and state variation in hip fracture in U.S. nursing home residents. … control despite individual patient factors that warranted higher glycemic targets based on existing guidelines … Patient-centered guidelines for geriatric diabetes care: potential missed opportunities to avoid harm … Keywords: Diabetes, Elderly, Patient-Centered Healthcare, Guidelines, Evidence-Based Practice, Decision … drive time of an ED with high pediatric readiness, as defined by collaboratively developed published guidelines
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www.ahrq.gov/news/newsletters/e-newsletter/858.html
April 01, 2023 - Hospitals With More Vulnerable Maternity Patients, Study Finds
Most hospitals adhere to nurse staffing guidelines … In the study, published in Nursing Outlook , researchers estimated the relationship between hospital … characteristics and adherence with nurse staffing guidelines published by the Association of Women’s … They found that nurses reported strong adherence to staffing guidelines in their hospitals; but higher
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www.ahrq.gov/research/findings/studies/index.html?page=166
January 01, 2024 - Factors influencing uptake of changes to clinical preventive guidelines. … Researchers examined how nursing home characteristics, particularly the racial and socioeconomic composition … inappropriate antipsychotic use, facility-level socioeconomic disparities continued to persist among nursing … Inappropriate antipsychotic use: the impact of nursing home socioeconomic and racial composition. … Keywords: Nursing Homes, Long-Term Care, Elderly, Medication, Medication: Safety, Social Determinants
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4e_pdi06-heartsurgery-bestpractices.pdf
May 16, 2016 - o Analyzes problems with guidelines compliance, identifies opportunities for improvement,
and communicates … prior to surgical incision.4,5
• Administer appropriate antibiotic selection based on evidence-based guidelines … • Provide feedback to all stakeholders (physicians and other providers, nursing, and ancillary
staff … Additional Resources
Systems/Processes
• Guidelines for pediatric cardiovascular centers. … infections
Authority/Accountability
• Senior leaders such as chief/chairs of surgery and medicine, nursing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4s_combo_pdi06-heartsurgery-bestpractices.pdf
May 16, 2016 - o Analyzes problems with guidelines compliance, identifies opportunities for improvement,
and communicates … prior to surgical incision.4,5
• Administer appropriate antibiotic selection based on evidence-based guidelines … • Provide feedback to all stakeholders (physicians and other providers, nursing, and ancillary
staff … Additional Resources
Systems/Processes
• Guidelines for pediatric cardiovascular centers. … infections
Authority/Accountability
• Senior leaders such as chief/chairs of surgery and medicine, nursing
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www.ahrq.gov/research/findings/studies/index.html?page=199
January 01, 2024 - Perceived patient safety culture in nursing homes associated with "Nursing Home Compare" performance … of opioids and benzodiazepines after the release of the Centers for Disease Control and Prevention guidelines … Researchers sought to determine whether the release of the CDC guidelines was associated with changes … of opioids and benzodiazepines after the release of the Centers for Disease Control and Prevention guidelines … Keywords: Opioids, Medication, Practice Patterns, Pain, Evidence-Based Practice, Guidelines
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www.ahrq.gov/news/blog/ahrqviews/ahrq-in-2020.html
January 01, 2021 - In September, as part of a multi-pronged initiative to support nursing homes, the Agency invested $237 … Given the success of the project, nursing home recruitment has been extended through January to allow … additional nursing homes to participate. … Seven comprehensive reports developed by our EPC program were used to update Federal opioid-prescribing guidelines … While clinical guidelines need to be refined through the experience of real-world implementation, we
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex9.html
July 01, 2018 - One study noted a decrease in time over shift by 100 hours in first two pay periods. 172
Increased nursing … Patients told at admission with verbal review of guidelines. … Team response includes nursing supervisor; others such as physician, unit nurse, or patient relations
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www.ahrq.gov/research/findings/studies/index.html?page=94
January 01, 2024 - Adverse Events
Powell KR , Alexander GL Consequences of rapid telehealth expansion in nursing … Expectations regarding use and potential benefits of telehealth (TH) in nursing homes (NHs) are high; … Consequences of rapid telehealth expansion in nursing homes: promise and pitfalls. … study’s objective was to explore differences between low- and high-performing hospitals and skilled nursing … Keywords: Transitions of Care, Hospitals, Nursing Homes, Hospital Readmissions, Hospital Discharge