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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-2-team-leadership-facilitator-guide.pdf
June 28, 2023 - The patient’s daughter is upset by the situation. … ● How could the team benefit from a debrief after this situation? … How could the team benefit from a debrief after this situation? … Discuss tactics for leadership ~3 minutes
▪ Who was the leader during this situation? … Monitoring and Modifying the Plan
● Huddle—Ad hoc meeting to ensure continual progression of care to
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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/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
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
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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/patient-safety/resources/liability/baker.html
August 01, 2017 - common set of failures by the phases of the L&D care process (e.g., pre-hospital, triage/assessment, monitoring … Monitoring / Laboring
Clinician does not properly assess patient’s condition. … Delivery
Clinician fails to communicate patient risk factors/situation to new clinical team members … medications
3.30
2.76
2.33
2.50
Delivery
Clinician fails to communicate mother's risk factors/situation … medications
3.70
4.33
2.67
1.67
Delivery
Clinician fails to communicate mother's risk factors/situation
-
www.ahrq.gov/patient-safety/reports/liability/baker.html
August 01, 2017 - common set of failures by the phases of the L&D care process (e.g., pre-hospital, triage/assessment, monitoring … Monitoring / Laboring
Clinician does not properly assess patient’s condition. … Delivery
Clinician fails to communicate patient risk factors/situation to new clinical team members … medications
3.30
2.76
2.33
2.50
Delivery
Clinician fails to communicate mother's risk factors/situation … medications
3.70
4.33
2.67
1.67
Delivery
Clinician fails to communicate mother's risk factors/situation
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module9/ts2-0ltc_module9_slides_coaching.pdf
April 24, 2017 - prompting
� Includes demonstrating, reinforcing, motivating, and
providing feedback
� Requires monitoring … formal/structured or informal
� Examples include:
� Ask team members how they might have
approached a situation
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www.ahrq.gov/teamstepps/instructor/fundamentals/module9/igcoaching.html
March 01, 2014 - It requires routine monitoring and ongoing assessment of performance. … practice TeamSTEPPS in a number of ways, such as:
Asking team members how they might have approached a situation … Faced with an individual whose personal situation is interfering with his or her performance, however … 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 necessary.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
May 01, 2017 - for Perinatal Care
L&D Unit Safety
6
SPPC Key Perinatal Safety Elements
for L&D Unit Safety
Situation … 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/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
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care_Final.pdf
October 01, 2016 - Goals and Objectives for Training
The overall goal of training is to learn how to apply the Situation … — SBAR stands for: Situation, Background, Assessment Input, and Request. … Task: Briefly describe an assessment input of your sample situation. … 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/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/patient-safety/resources/match/matchap5.html
August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, Develop a Flowchart of Your Current Medication Reconciliation Process
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit …
-
www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-5.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, Develop a Flowchart of Your Current Medication Reconciliation Process
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Rec…
-
www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-5.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, Develop a Flowchart of Your Current Medication Reconciliation Process
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Rec…
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-obhemorrhage.html
July 01, 2023 - decide its approach to debriefing events based on seriousness of event, expertise available, and data monitoring … context of obstetric hemorrhage, this includes using standard prevention approaches per unit protocol, 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.
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care_Final_0.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/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/sites/default/files/wysiwyg/teamstepps-program/video/module-2-team-leadership-facilitator-worksheet.pdf
June 28, 2023 - Who was the leader during this situation? Who else could have taken on the role of
leader? … How could the team benefit from a debrief after this situation?
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/024-assessing-evc-webinar-slides.pptx
October 01, 2024 - on fluorescent gel (FG) monitoring systems
Discuss essential steps when implementing an EVC monitoring … 5
The time and resources for FG monitoring is often cited as a barrier. … Set up random and blinded monitoring. … Who Should Take on the Task of EVC Monitoring? … professional judgment and standards of care in regard to the unique circumstances that may apply in each situation