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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-shoulder-dystocia.html
July 01, 2023 - with fetal condition per National Institute for Child Health and Human Development electronic fetal monitoring … decide its approach to debriefing events based on seriousness of event, expertise available, and data monitoring … risk awareness for all patients, timely recognition of a shoulder dystocia diagnosis, awareness and monitoring … 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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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-facilitator-guide.docx
June 01, 2021 - SBAR stands for Situation, Background, Assessment, and Recommendation. … First, the Situation. State who you are calling about and why. Provide a 5- to 10-second summary. … Situation: Hello Dr. K., I am calling about Ms. R., the 92-year-old resident in room 332. … Situation: “Hello, I am calling about Mr. B. in room 214. … Together, the nurse and on-call clinician decided on a plan of active monitoring to include vital signs
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
July 01, 2023 - Errors and slips in medication administration, fetal and maternal monitoring, and delays in responding … Uniform parameters for maternal and fetal monitoring and provider notification prior to initiation of … Use of standard NICHD* nomenclature to document and communicate electronic fetal monitoring findings … Maternal and fetal monitoring using uniform parameters at regular intervals. … Parameters for monitoring and provider notification.
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www.ahrq.gov/hai/cusp/modules/implement/teamwork.html
December 01, 2012 - Situation Monitoring:
STEP.
I’M Safe.
Mutual Support:
Task Assistance.
Feedback. … Heightens awareness of the situation.
Permits the team to plan for the unexpected. … D escribe the specific situation.
E xpress your concerns about the action.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses3.html
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
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses.pdf
April 01, 2022 - • Limited monitoring of the protocol by staff and leadership after implementation reduces the
ability … Program for ICUs: Preventing CLABSI and CAUTI
Empowering Nurses
Conversation Starters
Using SBAR (Situation-Background-Assessment-Recommendation … ) To Bring Awareness to ICU Team
Situation: We worked as a unit team to reduce urinary catheter utilization … Protocol
Clinical Resources
Electronic Medical Record Opportunities
Conversation Starters
Using SBAR (Situation-Background-Assessment-Recommendation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
May 01, 2015 - To
rectify the situation, they held several meetings with information technology staff and
incorporated … section transfer to the operating room, and a mock code to simulate a
cardiac or pulmonary arrest situation … As a hospital leader noted, “If we
don’t fix the problems…we’re not going to get out of the situation … provider did not perceive the message as urgent and
did not respond right away, which escalated the situation … nurse, the assistant nurse manager, or physician and use the SBAR tool to
communicate their current situation
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-slides.html
July 01, 2023 - Slide 10: Selected TeamSTEPPS Tools 2
Leadership
Situation Monitoring
Mutual Support … Heightens awareness of the situation.
Permits the team to plan for the unexpected. … D escribe the specific situation.
E xpress your concerns about the action.
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care-updated.pdf
October 01, 2016 - Goals and Objectives for Training
The overall goal of training is to learn how to apply the Situation … Review the SBAR communication approach (Situation, Background, Assessment Input,
Request) and discuss … — SBAR stands for: Situation, Background, Assessment Input, and Request. … Task: Briefly describe a request to a clinician for the situation described.
Instructor: Provide … Discuss how nursing staff might respond in this case, such as closely monitoring the
resident’s temperature
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/tracking-measuring-data-slides.pptx
June 01, 2021 - meetings
to monitor improvement and
share successes
11
Tracking and Measuring
.
11
Key Points
12
Monitoring … professional judgment and standards of care in regard to the unique circumstances that may apply in each situation
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care-updated.docx
October 01, 2016 - Goals and Objectives for Training
The overall goal of training is to learn how to apply the Situation … Review the SBAR communication approach (Situation, Background, Assessment Input, Request) and discuss … SBAR stands for: Situation, Background, Assessment Input, and Request. … Task: Briefly describe a request to a clinician for the situation described. … Discuss how nursing staff might respond in this case, such as closely monitoring the resident’s temperature
-
www.ahrq.gov/teamstepps-program/curriculum/team/teach/two-day.html
February 01, 2024 - and assigning tasks: 4 minutes
Sharing the plan (brief): 4 minutes
Exercise: Brief: 15 minutes
Monitoring … Properly structured patient care teams facilitate effective communication, leadership, situation monitoring … Monitoring and Modifying the Plan (Huddle)
Introduce the huddle as a tool for communicating adjustments … to a care plan that is already in place ( Slide 31, “Monitoring and Modifying the Plan: Huddle ”). … that information is being shared, all team members have the resources they need to do their job, the situation
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-slides.pptx
June 01, 2021 - Can we try symptomatic treatment and active monitoring?
What type of infection is it? … Can we try symptomatic treatment and active monitoring?
What type of infection is it? … Can we try symptomatic treatment and active monitoring?
What type of infection is it? … Place on speech/swallow precautions and start active monitoring for at least 48 hours. … professional judgment and standards of care in regard to the unique circumstances that may apply in each situation
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-selfpaced-roadmap.pdf
February 01, 2022 - Module 5: Situation Monitoring
Module 6: Mutual Support
■ Exercise: Two-Challenge Rule.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support-speaker-notes.pdf
July 01, 2023 - These
supportive behaviors are facilitated by continuous situation monitoring, which
keeps teammates … We
continue monitoring her
now.
Dr. … We
can continue monitoring her for now.”
17
… What was the situation?
What was the result? … I
would like to discuss a situation that occurred with your patient, Ms.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support.pptx
July 01, 2023 - These supportive behaviors are facilitated by continuous situation monitoring, which keeps teammates … We can continue monitoring her for now.
Dr. … We can continue monitoring her for now.”
14
Obstetric Hemorrhage
Power Words & Two-Challenges
15 … What was the situation? What was the result? … I would like to discuss a situation that occurred with your patient, Ms.
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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 … The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal monitoring … The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal monitoring
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
May 01, 2017 - 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 … approach to debriefing events based on the seriousness of the event, expertise available, and data monitoring … Using SBAR (Situation, Background, Assessment, and Recommendation), callouts, huddles, and closed-loop
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/just-in-case-mindset.pdf
April 01, 2022 - • Limited monitoring/evaluation by staff and leadership after implementation of policy and
procedures … Conversation Starters
Using the Situation, Background, Assessment, and Recommendation (SBAR) approach … Situation: We have implemented and monitored our insertion and maintenance bundles to reduce
CLABSIs
-
www.ahrq.gov/teamstepps-program/curriculum/team/implement/teach-coach.html
February 01, 2024 - It requires routine monitoring and ongoing assessment of performance. … Faced with an individual whose personal situation is interfering with their performance, however, you … of professional assistance and adjust the coaching process to support getting through the personal situation … Monitoring outcomes of the coaching process and providing additional assistance when needed.