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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed.pptx
October 01, 2015 - Engagement
Milisa Manojlovich PhD, RN, CCRN
Associate Professor
University of Michigan, School of Nursing … and expertise (r/t CAUTI prevention, catheter use and safety culture)
2
The Scope of the Problem
Guidelines … Use a variety of checklists.
5
Lack of Importance
Activities strictly within the nursing domain … Think in terms of nursing practice components rather than a set of tasks to be completed.
7
Lack … Several evidence-based practice models are available to choose from;
they all provide guidelines for
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www.ahrq.gov/research/findings/studies/index.html?page=297
January 01, 2024 - Nearly all have a formal process for reviewing and refining guidelines, developing clinician support, … and disseminating the approved guidelines. … Keywords: Primary Care, Guidelines, Evidence-Based Practice, Prevention, Implementation, Healthcare … team used to prevent falls in short-stay nursing home patients. … Keywords: Falls, Nursing Homes, Prevention, Provider, Risk
Li Q , Trivedi AN , Galarraga
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www.ahrq.gov/hai/tools/mvp/modules/technical/sat-sbt-lit-review.html
January 01, 2017 - National Nursing Survey
(Guttormson, 2010) 12
PRO: Survey focused on members of the American Association … Findings showed that positive nursing attitudes toward the effectiveness of sedation in relieving the … Reasons for lack of protocol use include no physician order (35%), lack of nursing support (11%), and … Barriers to DIS included lack of nursing acceptance (22%), concern about risk of patient-initiated device … Effect of a nursing-implemented sedation protocol on the duration of mechanical ventilation.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/stewardship-slides.pptx
June 01, 2021 - outcomes in long-term care
Interventions with sustained changes:
Compared local policy with published guidelines … case-based audit and feedback of treatment for presumed CAUTIs
Control sites:
3 acute care units
2 nursing … home units
Providers given didactic
slides and emailed
guidelines about CAUTI
treatment
4
Sustaining … education
To all staff, at least annually
Antibiotic use protocols
Distribute to all prescribers and nursing … staff
At least biannually, update when new policies or guidelines are released
Residents and caregivers
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www.ahrq.gov/research/findings/studies/index.html?page=88
January 01, 2024 - (SNFs) and 23% knew how frequently nursing services are provided. … The investigators concluded that consensus based guidelines produced more recommendations violating the … evidence based medicine principles than evidence based guidelines. … Discordant and inappropriate discordant recommendations in consensus and evidence based guidelines: empirical … Keywords: Guidelines, Evidence-Based Practice, Research Methodologies
Hsueh L , Huang J ,
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/nhguide/nhguide.pdf
August 01, 2016 - ii
This guide may be used, in whole or in part, as the basis for development of clinical practice
guidelines … staff, you may wish to survey
only a subset or sample of staff (see the Hospital User’s Guide for guidelines … If you plan to hire a vendor, the following guidelines may help you to select the right one:
• Look … We suggest the following printing guidelines:
• If you are conducting an anonymous survey and plan … Table 3 provides guidelines for reverse coding negatively worded items.
Table 3.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
April 01, 2023 - Resource List - AHRQ Nursing Home Survey
Improving Patient Safety in Nursing Homes: A
Resource List … Healthcare Settings
provides healthcare workers and patients with a variety of resources, including guidelines … This downloadable tool from IHI contains two documents:
• “Guidelines for Communicating With Physicians … The panel developed guidelines to help health professionals
standardize the process and improve the way … Nursing Home Antimicrobial Stewardship Guide
19. Nursing Home Quality Initiative
20.
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www.ahrq.gov/research/findings/final-reports/ptmgmt/design2.html
July 01, 2018 - Programs may use non-nursing staff in the call centers, along with nursing staff; staff with less medical … Some characterized nursing education and the nursing profession as hierarchical and prescriptive and … Knowledge of the applicable clinical practice guidelines. … Protocols
What are the guidelines for self-management support programs? … Self-Management Support Provisions of the American Diabetes Association (ADA) Guidelines
ADA guidelines
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T1-Gather_a_Team_final.docx
October 01, 2016 - Depending on the size of the nursing home, the team may be very small (two or three members) or large … stewardship program team should include several individuals with different responsibilities in the nursing … home, such as charge nurses, the director of nursing, the assistant director of nursing, the medical … Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines … Antibiotic use in nursing homes. 2014 Oct. Publication P-00886.
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www.ahrq.gov/news/newsletters/e-newsletter/835.html
October 01, 2022 - Larger Metro-Area Nursing Homes More Advanced in Health Information Technology . … Larger Metro-Area Nursing Homes More Advanced in Health Information Technology
Larger nursing homes … Of the 719 nursing homes around the country that responded to the survey, researchers found that the … EPC Program projects has resulted in more than 800 evidence reports, and over 400 clinical practice guidelines … qualitative interviews with clinical leaders in general emergency departments on motivations, processes, and guidelines
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T3-Not_all_Infections_need_antibiotics-_final.pdf
May 01, 2014 - Assessment, and Recommendation
form (the UTI SBAR form) is intended
to guide communication between
nursing … home staff and prescribing
clinicians about the potential need for
antibiotics for nursing home … SBAR form is based on criteria developed by an expert consensus panel and modified
clinical practice guidelines … Unnecessary use of antibiotics in nursing home residents
ranges from 17 percent to 89 percent. … • The UTI SBAR form facilitates
communication between nursing staff
and prescribing clinicians.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-091013.ppt
January 01, 2010 - and after guidelines
ED physician champion involved
Minimal nursing education/ intervention
Pre- … Establish clear guidelines for UC insertion in the ED. … *
Nursing Considerations in the Emergency Department
Lisa Wolf, PhD, RN, CEN, FAEN
Problem
The … What’s different about ED nursing? … *
Physician Task 2:
Address Specific Clinical Patterns
Have ED physician champion work with nursing
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www.ahrq.gov/research/findings/studies/index.html?page=486
January 01, 2024 - to successfully achieving broad quality improvements across nursing homes. … agent use among Medicare beneficiaries with myelodysplastic syndromes and consistency with clinical guidelines … assess population-based patterns of erythropoiesis-stimulating agents (ESA) use relative to treatment guidelines … agent use among Medicare beneficiaries with myelodysplastic syndromes and consistency with clinical guidelines … Keywords: Guidelines, Healthcare Utilization, Medicare, Practice Patterns, Registries
Clancy
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www.ahrq.gov/research/findings/studies/index.html?page=493
January 01, 2024 - agent use among Medicare beneficiaries with myelodysplastic syndromes and consistency with clinical guidelines … assess population-based patterns of erythropoiesis-stimulating agents (ESA) use relative to treatment guidelines … agent use among Medicare beneficiaries with myelodysplastic syndromes and consistency with clinical guidelines … Keywords: Guidelines, Healthcare Utilization, Medicare, Practice Patterns, Registries
Clancy … The authors investigated how quality of care affects nursing home choice.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.pdf
July 01, 2016 - The newest guidelines suggest that if the surface area
doesn’t decline over a 2-week period that is … We need to pay attention to the new
guidelines and be able to make care changes as soon as we have … What guidelines are used in your facility protocol regarding evaluating pressure ulcer 2.
healing? … a. AMDA – The Society for Post-Acute and Long-Term Care Medicine’s Pressure Ulcer
Guidelines
b. … The criteria that put a
resident on this report come from recognized guidelines.
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www.ahrq.gov/prevention/guidelines/guide/appendix-d.html
June 01, 2014 - including internal medicine, family medicine, pediatrics, behavioral health, obstetrics and gynecology, and nursing … Preventive Services Task Force; the Bright Futures Guidelines; the Centers for Disease Control and
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www.ahrq.gov/research/findings/studies/index.html?page=423
January 01, 2024 - Health, Ambulatory Care and Surgery
Kiyoshi-Teo H , Blegen M Influence of institutional guidelines … The purpose of this study was to explore how characteristics of institutional guidelines for oral hygiene … It concluded that the content and dissemination method of institutional guidelines on oral hygiene do … Influence of institutional guidelines on oral hygiene practices in intensive care units. … Keywords: Intensive Care Unit (ICU), Nursing, Critical Care, Prevention, Guidelines
Rock C ,
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2O-Comprehensive_Antibiogram_Toolkit_Phase_2_Development.pdf
May 01, 2014 - home, but experience shows that such development can be accomplished by a nursing home using existing … The antibiogram development group should include, at a minimum, a program champion, the
nursing home … ISBN Number: 1-56238-692-1
Nursing Home/Clinical Laboratory Nursing Home/Clinical Laboratory Agreement … For sensitivity guidelines, see the Clinical and Laboratory Standards Institute at http://www. … , the antibiogram draft should be modified to address the nursing home’s specific needs.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2O-Comprehensive_Antibiogram_Toolkit_Phase_2_Development.doc
February 05, 2009 - Developing an antibiogram can appear initially to be a complex task beyond the scope of the average nursing … home, but experience shows that such development can be accomplished by a nursing home using existing … Nursing Home/Clinical Laboratory Nursing Home/Clinical Laboratory Agreement on Request for Specific Laboratory … For sensitivity guidelines, see the Clinical and Laboratory Standards Institute at http://www.clsi.org … be modified to address the nursing home’s specific needs.
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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 - As needed, the antimicrobial stewardship program team should request the nursing home’s management or … following information and should be provided to staff prior to a new intervention:
A statement of the nursing … Start an Antimicrobial Stewardship Program
A description of how and when training for nursing staff … This program includes tools, policies, and procedures that aim to guide nursing home staff toward more … home]
Documentation
[List and attach any documents that will be used, including clinical guidelines,