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ce.effectivehealthcare.ahrq.gov/teamstepps-program/resources/additional/check-back-long.html
July 01, 2023 - Delivery
Check Back (Long-Term Care)
Check-Back in Inpatient Surgical Teams
Cross Monitoring … Inpatient Medical Teams
SBAR on Inpatient Medical Unit
STEP for Inpatient Medical Teams
Situation … Monitoring in Office-Based Care
Using CUS and SBAR in Rural Community Clinic
TeamSTEPPS
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ce.effectivehealthcare.ahrq.gov/teamstepps-program/resources/additional/leadership.html
July 01, 2023 - Delivery
Check Back (Long-Term Care)
Check-Back in Inpatient Surgical Teams
Cross Monitoring … Inpatient Medical Teams
SBAR on Inpatient Medical Unit
STEP for Inpatient Medical Teams
Situation … Monitoring in Office-Based Care
Using CUS and SBAR in Rural Community Clinic
TeamSTEPPS
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ce.effectivehealthcare.ahrq.gov/teamstepps-program/resources/additional/callout.html
July 01, 2023 - Delivery
Check Back (Long-Term Care)
Check-Back in Inpatient Surgical Teams
Cross Monitoring … Inpatient Medical Teams
SBAR on Inpatient Medical Unit
STEP for Inpatient Medical Teams
Situation … Monitoring in Office-Based Care
Using CUS and SBAR in Rural Community Clinic
TeamSTEPPS
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ce.effectivehealthcare.ahrq.gov/teamstepps-program/resources/additional/feedback.html
July 01, 2023 - Delivery
Check Back (Long-Term Care)
Check-Back in Inpatient Surgical Teams
Cross Monitoring … Inpatient Medical Teams
SBAR on Inpatient Medical Unit
STEP for Inpatient Medical Teams
Situation … Monitoring in Office-Based Care
Using CUS and SBAR in Rural Community Clinic
TeamSTEPPS
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ce.effectivehealthcare.ahrq.gov/teamstepps-program/resources/additional/hand-off.html
July 01, 2023 - Delivery
Check Back (Long-Term Care)
Check-Back in Inpatient Surgical Teams
Cross Monitoring … Inpatient Medical Teams
SBAR on Inpatient Medical Unit
STEP for Inpatient Medical Teams
Situation … Monitoring in Office-Based Care
Using CUS and SBAR in Rural Community Clinic
TeamSTEPPS
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ce.effectivehealthcare.ahrq.gov/teamstepps-program/resources/additional/mutual.html
July 01, 2023 - Delivery
Check Back (Long-Term Care)
Check-Back in Inpatient Surgical Teams
Cross Monitoring … Inpatient Medical Teams
SBAR on Inpatient Medical Unit
STEP for Inpatient Medical Teams
Situation … Monitoring in Office-Based Care
Using CUS and SBAR in Rural Community Clinic
TeamSTEPPS
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.html
August 01, 2022 - Read each description and imagine yourself actually being in the situation. … After you read the description, write in your own words what you would say in response to the situation … Contents
Scenario 1: Non-Clinical Situation, Group Project Scenario 2: Disclosure Immediately After … During the resuscitation efforts, information obtained from the devices monitoring Mary's EKG, blood … The nurse involved in monitoring Mary appears visibly shaken and states that she was distracted during
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
May 01, 2017 - Administration 8
SAY:
• Maternal and fetal monitoring using
uniform parameters at regular
intervals … and knowing the plan for a timely
response to prevent further
deterioration
• The use of SBAR or Situation … • Establishing uniform parameters for
maternal and fetal monitoring and
provider notification prior … maternal
or fetal status to the care team, for
checking back on orders given and
received in an urgent situation … • Educating patients and families
regarding the frequency of nursing
assessment and monitoring,
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.pdf
May 01, 2017 - .
• It avoids compromising a patient’s
situation by promptly relaying
information. … Implement Teamwork
AHRQ Safety Program for Perinatal Care & Communication 10
SAY:
STEP is a tool for monitoring … The components of
situation monitoring to be aware of and assess
the following:
• Status of the patient … DESC is a mnemonic device:
• D stands for describe—Describe the
specific situation. … SAY:
CUS is an acknowledgment of an unsafe
situation.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-slides.html
July 01, 2023 - Perinatal Care
Slide 1: Monitoring for Perinatal Safety: Electronic Fetal Monitoring
Monitoring … Slide 3: Electronic Fetal Monitoring
Electronic fetal monitoring (EFM) is a commonly used practice … System errors in intrapartum electronic fetal monitoring: a case review. … Fetal monitoring: creating a culture of safety with informed choice. … for Perinatal Safety: Electronic Fetal Monitoring: Slide Presentation.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
July 01, 2023 - It avoids compromising a patient's situation by promptly relaying information. … Slide 14: STEP
Say:
STEP is a tool for monitoring situations in the delivery of health care. … The components of situation monitoring to be aware of and assess the following:
Status of the patient … DESC is a mnemonic device:
D stands for describe—Describe the specific situation. … Slide 21: CUS
Say:
CUS is an acknowledgment of an unsafe situation.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-may2015.pptx
January 01, 2015 - Function
Brief Plan team activities
Debrief Analyze an interim event
Huddle
Solve a problem
Cross monitoring … TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
TeamSTEPPS®
I-PASS
Slide ‹#›
32
Feedback
Essential for Cross Monitoring … learning opportunity
TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
TeamSTEPPS®
I-PASS
Slide ‹#›
33
Cross-Monitoring … TeamSTEPPS®
I-PASS
Slide ‹#›
I-PASS Study
I Illness Severity
P Patient Summary
A Action List
S Situation … TeamSTEPPS®
I-PASS
Slide ‹#›
I-PASS Study
I Illness Severity
P Patient Summary
A Action List
S Situation
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching-speaker-notes.pdf
July 01, 2023 - prompting
• Includes demonstrating, reinforcing, motivating, and providing
feedback
• Requires monitoring … It requires routine monitoring and ongoing assessment of
performance. … Monitoring outcomes of
the coaching process and providing additional assistance when necessary. … Monitoring outcomes of
the coaching process and providing additional assistance when necessary. … This requires continual assessment and reassessment of the
person and situation.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching-speaker-notes.pdf
July 01, 2023 - prompting
• Includes demonstrating, reinforcing, motivating, and providing
feedback
• Requires monitoring … It requires routine monitoring and ongoing assessment of
performance. … Monitoring outcomes of
the coaching process and providing additional assistance when necessary. … Monitoring outcomes of
the coaching process and providing additional assistance when necessary. … This requires continual assessment and reassessment of the
person and situation.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
May 30, 2013 - The use of uniform parameters for fetal and maternal monitoring and provider notification before and … Use uniform parameters for maternal and fetal monitoring at regular time intervals per unit-established … TeamSTEPPS®) (continued)
Key Perinatal Safety Elements
Examples/customizable components
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.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/mcdonald-summit2016-breakout.pdf
October 05, 2016 - University
What We Know:
Key Shaping Factors for
Cognitive Work
Organizational context is powerful
Situation … x person
Situation = processes, structures, culture, feedback loops, org
boundaries (single vs … real-time use
H3: National measures designed for improvement
applications
High Risk Outpatient Monitoring … Work
What We Know:�Changes Tried
What We Don’t Know:�Exact Targets for Action
High Risk Outpatient Monitoring
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module6.pptx
March 07, 2019 - They lose their situation awareness, and in doing so, they drop or abandon the plan. … Task assistance is guided by situation monitoring, because situation awareness allows team members to … It should be specific: Feedback should be related to a specific situation or task. … As with leadership and situation monitoring, mutual support can also be practiced by everyone within … Monitoring
STEP
Mutual Support
Task Assistance
Feedback
Assertive Statement
Two-Challenge Rule
CUS
DESC
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
May 01, 2017 - (continued)
Development electronic fetal monitoring nomenclature at standard intervals.1
· Use callouts … Use SBAR (Situation, Background, Assessment, and Recommendation), callouts, huddles, and closed-loop … 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 … Earlier studies, prior to the advent of continuous fetal monitoring, showed association with increased
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module4.pptx
March 07, 2019 - huddle, the leader changes the
plan and shares the change with the team
It is an important tool for monitoring … Because information changes over time, the huddle is an important tool for monitoring and updating the … Situation awareness maintained?
Workload distribution?
Did we ask for or offer assistance? … How did the team leader improve the situation? … Can you think of any other way the situation could have been resolved?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module3/3_ts_office_comm-ig.pptx
January 01, 2008 - The nonverbal cues from the nurse’s face communicate the urgency of a situation and the need to interrupt … SBAR stands for situation, background, assessment, recommendation, an easy-to-remember mechanism useful … Opportunity—Handoffs are a good time to review and have a new pair of eyes evaluate the situation for … Ask participants if anything else could have been done to improve the situation. … monitoring, and mutual support.