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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-transcript.html
February 01, 2023 - It is important to first engage care providers and connect the situation directly to the impact on the … What elements of the situation led Sally to make her decision? … Sally: I’m sorry you had such a difficult night, but I did run the situation by the team and they all … What might the manager do to mitigate this situation? … Slide 10
What might the manager do to mitigate this situation?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Riley_58.pdf
April 02, 2008 - unpredictable circumstances, assembling for a limited time, based on
the task requirements of the emergent situation … prompt behavioral markers or nontechnical behaviors
that contribute to a team’s performance in a given situation … A “shared mental model” is a common
understanding of the situation and plan by all members of the team … reformation, a critical events team assembles and
then adds and releases members as appropriate to the situation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/case-study.docx
March 01, 2017 - Using the TeamSTEPPS tool SBAR (Situation, Background, Assessment, Recommendation), develop a response
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/learnbench.pdf
February 28, 2014 - Introduce herself, briefly describe the situation, plan, and potential pitfalls and ask for input from … For the real-life situation in question 4 above, a nurse in the same circumstances, but NOT confident … Situation, Background, Assessment, Recommendations
b. Sleep, Bathroom Activities, Results
c. … decisionmaking needs input
from the whole team
B-6 B • Need to have the same understanding of
the plan and situation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.docx
May 01, 2017 - .
· SBAR, or Situation, Background, Assessment, and Recommendation, as well as callouts, huddles, and … The provider, RN, or other delegated staff speaks to patient and partner regarding the urgency of the situation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
December 01, 2017 - ASK:
What if the same situation occurred on a different shift? … Approach your frontline staff for input on how to eliminate this situation. … Put your team into the situation, reconstruct the timeline, and reenact what happened. … What happened that actually may have helped ameliorate the situation? … You do not need data on every single patient or in every single situation.
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www.ahrq.gov/hai/tools/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
May 01, 2017 - An acute situation that the physician or nurse, or patient or family members believe need immediate evaluation … rapid responders, who serve as a second opinion, additional resources, and another set of "eyes" on the situation
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/16463-Gurwitz-report.pdf
January 01, 2011 - Intervention facilities received a warfarin management communication protocol
using the “Situation, … The intervention built on an established approach for situation briefing drawn from the
3
US Armed … Forces: SBAR – an acronym standing for Situation, Background, Assessment, and
Recommendation. … The approach was standardized communication
of Situation, Background, Assessment, and Recommendation … (SBAR).
4
SBAR was originally developed by the US Armed Forces to structure situation briefings
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module10/slmeasure.pptx
February 03, 2006 - agreement with items on a 5-point Likert scale
Measures attitudes toward:
Team Structure
Leadership
Situation … agreement with items on a 5-point Likert scale
Measures staff perceptions of:
Team Structure
Leadership
Situation
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www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict-resolution-slides/slides.html
October 01, 2014 - D Describe the specific situation
E Express your concerns about the action
S Suggest other alternatives … Conflict with Clinicians
L--Can you help me understand how you see the situation, how you are weighing
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
July 01, 2023 - checklist or references or links to available checklists and other cognitive aids are provided for each situation … In this presentation, the six principles are presented by focusing first on situation-specific elements
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
May 01, 2017 - Teamwork Training (TeamSTEPPS®) (continued)
Key Perinatal Safety Elements
Examples
Use SBAR (Situation … positive approach to emphasize “what is right, not who is right”:
· D: Describe the specific behavior or situation … .
· E: Express how the situation makes you feel or concerns you.
· S: Suggest other alternatives.
· C
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_2_Nurse_Chklst_508.pdf
June 04, 2013 - S = Situation. What is going on with the patient? What are the current vital signs?
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt3.html
December 01, 2017 - PM - 4 AM
Frequency: 3-4 time per week
Location: Room
Persons present: Often alone
Situation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
March 12, 2008 - The high
rates of complications in this situation suggest
a need for greater control of utilization … importance
of utilizing the electronic medication barcoding
technology, especially in the “override”
situation
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www.ahrq.gov/sites/default/files/wysiwyg/chain/practice-tools/suggested-training-format.pdf
March 19, 2017 - is the same, so feel free to use these training materials in
a way that best suits your individual situation
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod2.html
October 01, 2014 - If the case reflects a situation that's familiar to participants, with a problem they want to solve, … You lead a discussion that brings in what they know and how they might handle the situation. … It can help them see a situation from different points of view. … Tell them their goals are to: 1. get all the information across; 2. communicate about the situation in … have handled the situation differently.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
May 01, 2017 - status, and knowing the plan for a timely response to prevent further deterioration
The use of SBAR or Situation … maternal or fetal status to the care team, for checking back on orders given and received in an urgent situation
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
July 01, 2023 - Slide 7: SPPC Key Perinatal Safety Elements for L&D Unit Safety
Situation specific:
Standardize
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide108.html
October 01, 2014 - 108. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Common elements of practical counseling (problem-solving/skills training)
Practical counseling (problem solving/ skills training) treatment component
Exampl…