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www.qualitymeasures.ahrq.gov/teamstepps/instructor/fundamentals/module9/coachscenarios.html
March 01, 2014 - Scenario 3
The on-call third-year internal medicine resident was sitting in the break room talking … with the chief resident when an Intensive Care Unit (ICU) code was announced over the intercom. … The chief resident arrived first and was receiving information about the patient while examining the … patient, when the on-call resident reached the room and began calling out orders to the nurses without … The OR nurse approaches the resident to discuss what happened.
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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/infographic.html
March 01, 2017 - Every resident deserves a chance to be catheter-free and infection-free. … Use the smallest catheter size that will allow good drainage for the resident. … T
Training for Catheter Care
Train staff, resident, and family. … Incontinence Care Planning
Consider alternatives to using a urinary catheter when developing individual resident
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www.qualitymeasures.ahrq.gov/talkingquality/measures/setting/long-term-care/nursing-home/examples.html
April 01, 2019 - Percentage of family members of long-stay residents reporting how often the resident looked and smelled … Average resident rating of how quickly the staff come when they call for help. … Whether the facility has resident councils, family councils, or both.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-facilitator-guide.docx
June 01, 2021 - Adaptive skills help improve the patient safety climate by putting the resident at the center of decision … consulting pharmacist mentions that it took the lab 3 days to return results of an elevated INR for a resident … A nurse reports concerns about a resident who had an increase in their creatinine after being on an antibiotic … Because the lab result took 4 days to come back, the resident was exposed to an additional 4 days of … stewardship team continues to hear about pressure from family members, including complaints to the resident
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures-key.docx
March 01, 2017 - to practice using SBAR (situation-background-assessment-recommendation) to effectively communicate resident … Infographic
· NSHN Definitions CAUTI Criteria Pocket Card
2) Using Resident Scenarios to Practice SBAR … Staff can work individually, in partners, or in small groups to work through two fictional resident scenarios … Mullins, a resident of Sunny Terrace Long-Term Care, has just been transferred back from a stay in the … Bell is an 85-year-old resident with dementia who has a chronic indwelling urinary catheter. Mr.
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www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man6.html
December 01, 2017 - It includes inspection of:
Resident rooms and bathrooms.
Canes, walkers and wheelchairs. … If the answer to a question is "yes" or "does not apply to this resident or room," the nursing assistant … If the resident has a cane or walker, the nursing assistant should inspect it carefully. … If the resident has a wheelchair, "Inspect wheelchair" should be checked. … This is an important step in assuring resident safety.
5.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/Workplace-Safety-Supplemental-Item-Set-NursingHomes.docx
January 01, 2023 - , Transferring, or Lifting Residents (3 items) (Cronbach’s alpha = 0.84)
· Addressing Inappropriate Resident … transfer, or lift residents
☐ 1
☐ 2
☐ 3
☐ 4
☐ 5
☐ 9
Section C: Addressing Inappropriate Resident … Behavior Toward Staff
Inappropriate resident behavior toward staff includes:
· Inappropriate physical … Staff are trained to identify triggers or situations that could lead to inappropriate resident behavior … There are good procedures to keep staff safe from inappropriate resident behavior
☐ 1
☐ 2
☐ 3
☐
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-slides.pptx
June 01, 2021 - Case 1: Options for Male Residents
Collection of Specimens
6
7
Case 2: Bernard
Resident … urinary symptoms
Collection of Specimens
14
15
Case 3: Continued
How could you have—
Prevented the resident … Ask the resident to rinse her mouth with water prior to collection. … Explain to the resident that you need phlegm from her lungs, not just spit from her mouth.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures-worksheet.docx
March 01, 2017 - of Nurse Nohai’s communication using the following prompts:
· Situation – What is going on with the resident … Bell is an 85-year-old resident with dementia who has a chronic indwelling urinary catheter. Mr.
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www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc.html
November 01, 2018 - Such changes may represent a patient safety problem, and they can be a signal that the resident is at … changes is one tool nursing home administrators can employ to improve patient safety, create a more resident-centered
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
January 01, 2023 - Addressing Inappropriate Resident Behavior Toward Staff ..................... 5
Composite Measure 4 … Addressing Inappropriate Resident Behavior
Toward Staff
1. … behavior and de-escalating resident behavior crises and aggressive
behaviors. … Staff & Resident Well-Being
https://www.ahrq.gov/nursing-home/materials/well-being/index.html
Nursing … Addressing Inappropriate Resident Behavior Toward Staff
Composite Measure 4.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/NH-WPS-Pilot-Study-Overall-Results-2023.pdf
January 01, 2023 - Addressing Inappropriate Resident Behavior Toward Staff 51% 42% 77%
6. … Addressing Inappropriate Resident Behavior Toward Staff 74% 61% 42% 53%
6. … Addressing Inappropriate Resident Behavior Toward Staff 66% 66% 67% 64%
6. … Addressing Inappropriate Resident Behavior Toward Staff 64% 70%
6. … Addressing Inappropriate Resident Behavior Toward Staff 68% 64% 67%
6.
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www.qualitymeasures.ahrq.gov/sops/webcasts/nursing-home-survey.html
June 01, 2022 - on use of the Surveys on Patient Safety Culture™ (SOPS®) Nursing Home Survey to assess and improve resident … Speakers described the importance of resident safety culture, the survey and its administration, and
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/guide.docx
March 01, 2017 - effective communication and teamwork
· Describe why teamwork training and improved communication optimizes resident … safety team can assist with this education by taking each poster around the facility during breaks in resident … How was the resident informed of the situation? Discuss how the residents responded.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-care/catheter-care-quiz.docx
March 01, 2017 - If a resident lives in a single-occupant room, there is no need to include their name or identifier on … Leg bags can be used to improve resident comfort, mobility, and/or dignity.
☐ True ☐ False
8.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-may2015.pptx
January 01, 2015 - TeamSTEPPS®
I-PASS
Slide ‹#›
11
Shorter Shifts - Increased Frequency of Handoffs
2008 IOM Report on Resident … 16 consecutive hours of work and requires programs to:
Ensure and monitor structured handoffs
Teach resident … Page ‹#›
TeamSTEPPS®
I-PASS
Slide ‹#›
Handoff Bundle Intervention:
Boston Children’s Hospital
Resident … TeamSTEPPS®
I-PASS
Slide ‹#›
17
Pilot Intervention Study:
Key Limitations
Single Site Study
Resident … study
Review of I-PASS handoff techniques
Introduction to the observation tools
Video simulations of resident
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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/mod2-facguide.html
March 01, 2017 - Discusses resident risks identified in the Staff Safety Assessment with team members. … Senior leaders need to hold themselves and staff members accountable for reducing resident risks. … As a result, their interest in and the skills they contribute to the resident safety project will vary … Remember to appeal to his or her interests both in maintaining resident safety and the financial gains … Answer: Increased resident safety and improved quality of life, improved resident and family satisfaction
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www.qualitymeasures.ahrq.gov/nursing-home/resources/compassionate-care.html
July 01, 2021 - information on supporting the psychological, social, physical, emotional, and spiritual needs of the resident … Source: AHCA/NCAL Topic(s): Patient-Centered Care; Infection Control & Prevention; Staff and Resident
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www.qualitymeasures.ahrq.gov/nursing-home/materials/prevention/im-injections.html
July 01, 2021 - COVID-19
COVID-19 Vaccination
Leadership, Management, and Quality Improvement
Staff & Resident … It also includes steps to take before administering an injection to a resident with cognitive impairment
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3f.docx
January 29, 2013 - Sometimes it may be difficult to determine if the resident/patient has orthostatic hypotension when checking … If the resident/patient does not show evidence of orthostatic hypotension during the assessment but has … complained of lightheadedness or dizziness, perform the measurements when the resident/patient complains