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teamstepps.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - Nurses are uniquely positioned to gather patient input because of the monitoring and surveillance functions … contact with patients and allow them to see and hear things the physician
does not.28 As part of the monitoring … study, for example, found that physicians and nurses had different perspectives on the same
clinical situation … jointly)
helps to develop a shared, common
language for diagnosis and a shared
mental model of a situation
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teamstepps.ahrq.gov/talkingquality/assess/evaluation-plan.html
January 01, 2023 - you are evaluating your results, you may also need to start early if you hope to collect data on the situation … Semi-structured interviews are more common; in such interviews, interviewers can reword the questions to fit the situation … When you are collecting primary data, you typically have to develop tools specifically for your situation
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module9/coachscenarios.pdf
March 20, 2014 - that the telemetry is not working correctly and that
several patients have had inadequate cardiac monitoring
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teamstepps.ahrq.gov/nhguide/toolkits/educate-and-engage/index.html
October 01, 2016 - Skip to main content
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teamstepps.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.html
January 01, 2020 - This step involves monitoring outcomes to test the validity of the plan for signs of progress and success … need to decide on your goals, strategies, and actions, and then move forward in implementing them and monitoring … , a hunch, an idea from the scientific literature, or an insight gained from a completely different situation … Most monitoring takes place on a monthly or quarterly basis.
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teamstepps.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
December 01, 2017 - Underneath the drawing is the phrase "What looks like a people problem is often a situation problem". … retention protocol
Insertion and maintenance competency evaluations
ED and OR -> ICU processes
Monitoring … Last patient of the morning (11:45 a.m.)
75 yo M
Hx of HTN, DM2
Admitted 24 hours earlier “for monitoring … are at high risk for a sacral decub”
“They are at risk for abdominal compartment syndrome and I’m monitoring
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-v2-resourcelist.pdf
April 01, 2023 - guiding them through the
process, from the first stage of self-assessment to the final stage of ongoing monitoring … Handoffs and Information Exchange, #6, SBAR Tool: Situation-
Background-Assessment-Recommendation
http … • “SBAR Report to Physician About a Critical Situation” is a worksheet/script a provider
can use to … where standardizing behavior is the goal, the primer notes that they
are not appropriate for every situation … SBAR Tool: Situation-Background-Assessment-Recommendation
7.
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
April 01, 2011 - Clinicians need to learn from the patient and family about their home situation (both what help and support … incorporate the steps into electronic health records, or use it as an observation sheet for continual monitoring … Continual feedback and monitoring is needed to make sure behaviors become more natural. … Periodically monitoring nurses gave nurses helpful and timely feedback.
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teamstepps.ahrq.gov/patient-safety/resources/learning-lab/index.html
February 01, 2024 - An electronic registry to improve adherence to active surveillance monitoring among men with prostate … The M-Safety Lab conducted two projects: Project 1 focused on developing a new monitoring system for … It also increased patient monitoring time (rate ratio 1.22) while reducing data collection time by 28 … resulted in the creation of:
A maternal data display for the obstetrical team designed to improve situation … Reengineer the system of monitoring infants with bronchopulmonary dysplasia at home, with a focus on
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4b
Selected Best Practices and Suggestions for Improvement
PSI 05: Retained Surgical Item or Unretrieved Device Fragment Count
Why Focus on Retained Fore…
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module8/igchangemgmt.pdf
February 25, 2014 - Unless individuals understand the urgency
of a situation, complacency sets in and change becomes very … Assessment
Phase 2: Making it happen—Training and implementation
Phase 3: Making it stick—Monitoring
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/liquid-biopsy-topicrefinement.pdf
July 29, 2021 - For use in a monitoring capacity (captured within KQ3), relevant comparators would include
imaging methods … Does the test identify people who should
undergo more intense monitoring or therapy. … applications (e.g., post-surgical minimal residual
disease (MRD) monitoring), followed by screening … National
Library of Medicine
38
Hamakawa T; “Monitoring Gastric Cancer Progression With Circulating … National Library of Medicine
Lipson EJ; “Circulating Tumor DNA Analysis as a Real-Time Method for Monitoring
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teamstepps.ahrq.gov/teamstepps/instructor/fundamentals/module9/coachscenarios.html
March 01, 2014 - nurse that the telemetry is not working correctly and that several patients have had inadequate cardiac monitoring
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part2.pptx
March 01, 2017 - Consider using TeamSTEPPS communication strategies to standardize communication about antibiotic use
S – Situation
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
August 01, 2010 - use it as a notes sheet during bedside shift report, or use it as an observation sheet for continual monitoring … You will need to provide continual feedback and monitoring to make sure behaviors become natural and … Support, monitoring, and education ensure continued success. … Periodic monitoring of nurses enabled hospitals to provide helpful and timely feedback.
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
June 21, 2021 - organisational policies and proce
dures; external rules, regulations and pressures; and
system measurement and monitoring … fulfil common feedback goals, be well
integrated into their workflow, allow for system meas
urement and monitoring … System measurement and monitoring How can effects of the feedback process be measured?
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teamstepps.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-2-slides.html
February 01, 2019 - using TeamSTEPPS communication strategies to standardize communication about antibiotic use
S – Situation
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
April 01, 2023 - SBARTrainingScenariosandCompetencyAssessment.
aspx (both pages require free account setup and login)
The SBAR (Situation-Background-Assessment-Recommendation … • “SBAR Report to Physician About a Critical Situation” is a worksheet/script a provider
can use … whether an organization is ready for e-prescribing, worksheets for planning the
implementation and monitoring
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
August 01, 2010 - use it as a notes sheet during bedside shift report, or use it as an observation
sheet for continual monitoring … You will
need to provide continual feedback and monitoring to make sure behaviors
become natural and … Support, monitoring, and education ensure continued success. … • Periodic monitoring of
nurses enabled hospitals
to provide helpful and
timely feedback.
-
teamstepps.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/indwelling-urinary-catheter-use/catheter-care/slides.html
March 01, 2017 - Monitoring other team members' performance to anticipate assistance requests.