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Showing results for "situation monitoring".

101. Implement Teamwork and Communication Alternative Text | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/implement/alt-text.html
     April 01, 2013 - Monitoring: STEP I’M Safe Mutual Support: Task Assistance Feedback Advocacy … In the first column, Leadership tools include brief, huddle, debrief In the second column, Situation … Monitoring tools include STEP and I'M Safe In the third column, Mutual Support tools include Task … the care plan Identifies each team member’s role and responsibilities Heightens awareness of the situation … D escribe the specific situation E xpress your concerns about the action S uggest other alternatives

102. Organizations and Diagnostic Performance: How to End Up with ‘Fewer Misses & More Hits’ that Mean Something to Patients and Their Families (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/mcdonald-summit2016-breakout.pdf
     June 02, 2025 - 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

103. Rapidresponse Facguide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.docx
     May 01, 2017 - It involves feedback and monitoring to continually improve overall care. … 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 … its approach to learning from defects based on seriousness of event, expertise available, and data monitoring … Use SBAR or Situation, Background, Assessment, and Recommendation as well as callouts, huddles, and closed-loop

104. Taxonomic Guidance for Remedial Actions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
     December 23, 2004 - subpaths for qualifications, verification, coordination (as in communication), intervention, and monitoring … A skill-based error can also occur when the situation deviates from the normal routine. … Automation and computerization Bar codes Computer entry Computer feedback Automatic monitoring … Independent review Redundant measurement Operational checks Comparison with standards Increased monitoring … Monitoring behavior and supervisory control. New York: Plenum Press; 1976. pp. 371–83. 9.

105. Toolkits | Agency for Healthcare Research and Quality
     www.ahrq.gov/nhguide/toolkits.html
     September 01, 2017 - improving the use of antibiotics for urinary tract infections (UTIs) in nursing home residents based on the Situation … It includes a readiness assessment, timeline, policies and procedures, and monitoring tools specific

106. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Umbilical Cord Prolapse (doc file)
     www.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

107. TeamSTEPPS Learning Benchmarks (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-learning-benchmarks.pdf
     June 02, 2025 - 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. … An action of cross-monitoring that makes teamwork safer. d. … the “time-out” policy on behalf of patient safety • Anyone can call for clarification 14 C • Cross-monitoring

108. Safemed Facguide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
     May 01, 2017 - Errors and slips in medication administration, fetal and maternal monitoring, and delays in responding … Slide 10 SAY: Maternal and fetal monitoring using uniform parameters at regular intervals. … status, 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 to … maternal or fetal status to the care team, for checking back on orders given and received in an urgent situation

109. Mod5-Comm-Assessment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
     April 01, 2016 - Read each description carefully and try to imagine yourself actually being in the situation. … 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 … or minimizes the severity of the problem/difficult situation. … We called the code blue to have the quickest and best response to her situation.

110. ASTD Coaching Self-Assessment Form (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/astd-coaching-self-assessment-form.pdf
     June 02, 2025 - Monitoring outcomes of the coaching process and providing additional assistance when necessary. … Faced with an individual whose personal situation is interfering with his or her performance, however … sources of professional assistance and adjust the coaching process to support getting through the situation … Monitoring outcomes of the coaching process and providing additional assistance when necessary. … This requires continual assessment and reassessment of the person and situation.

111. Error Producing Conditions in the Intensive Care Unit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
     February 26, 2008 - Reason’s model of error (modified after Dean et al)14 4 Devices Potential problems with monitoring … Testing the monitoring equipment revealed that it had been inadvertently placed in “pulse mode,” which … Unfamiliarity with a situation. 2. Time pressure in error detection. 3. … The selection of specific devices was driven by their function (e.g., therapeutic or monitoring devices … Moderate Therapeutic Feeding pumps Low Pulmonary artery catheters Moderate Oximeter probes Low Monitoring

112. AHRQ Safety Program for Perinatal Care: Implement Teamwork and Communication
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement.pptx
     May 01, 2017 - Selected TeamSTEPPS Tools2 Leadership Situation Monitoring Mutual Support Communication Brief STEP … out the care plan Identifies each team member’s role and responsibilities Heightens awareness of the situation … Describe the specific situation Express your concerns about the action Suggest other alternatives Consensus … Provides a framework for effective communication between team members for the following information— Situation―What … to ask questions, clarify, and confirm Tool used: I PASS the BATON Introduction Patient Assessment Situation

113. Implement Teamwork and Communication for Perinatal Safety (pdf file)
     www.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.

114. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
     May 01, 2017 - It involves feedback and monitoring to continually improve overall care. … • An acute situation that the physician or nurse, or patient or family members believe need immediate … responders, who serve as a second opinion, additional resources, and another set of “eyes” on the situation … its approach to learning from defects based on seriousness of event, expertise available, and data monitoring … • Use SBAR or Situation, Background, Assessment, and Recommendation as well as callouts, huddles

115. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching.pptx
     July 01, 2023 - direction, and 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.

116. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching.pptx
     July 01, 2023 - direction, and 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.

117. Teamworknotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamworknotes.docx
     June 02, 2025 - . · It avoids compromising a patient’s situation by promptly relaying information. · It notes times of … Slide 20 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: · Status of the patient, including … Slide 27 SAY: CUS is an acknowledgment of an unsafe situation. … In phrasing a conversation with another member of the team, consider the following: · Situation—What

118. AHRQ Safety Program for Perinatal Care: Safe Medication Administration (pdf file)
     www.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,

119. Rapid Response for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
     July 01, 2023 - It involves feedback and monitoring to continually improve overall care. … 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 … its approach to learning from defects based on seriousness of event, expertise available, and data monitoring … collecting data for quality improvement to refine the unit approach to the safe use of electronic fetal monitoring

120. Module 4: Teamwork and Communication | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-slides.html
     March 01, 2017 - Misinterpretation of Cues Lack of Role Clarity Brief Huddle Debrief STEP Cross-Monitoring … Reestablish situation awareness. Reinforce plans already in place. … Situation awareness maintained? Workload distribution equitable? … Slide 16: Practicing SBAR 3 Situation —  What is going on with the resident? … E xpress how the situation makes you feel/what your concerns are.