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Showing results for "situation monitoring".

121. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36348/psn-pdf
     March 09, 2009 - The program consists of teaching core skills in leadership, situation monitoring, team support, and

122. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33592/psn-pdf
     December 15, 2024 - unintended physical injury resulting from or contributed to by medical care that requires additional monitoring … A near miss is defined as "an event or situation that did not produce patient injury, but only because … This situation involved a high potential for harm, as a cognitively impaired or less aware patient may … Two other terms define hazards to patients that do not result in harm: Near miss: an unsafe situation … A patient is exposed to a hazardous situation, but does not experience harm either through luck or early

123. Section 2: Explanation of Mutual Support Key Concepts and Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/index.html
     June 01, 2023 - Mutual support is: Derived from careful situation monitoring through the ability to anticipate patient … Have you encountered a similar situation in your team? If so, how did you resolve it?

124. Alarm burden and the nursing care environment: a 213-hospital cross-sectional study. | PSNet
     psnet.ahrq.gov/issue/alarm-burden-and-nursing-care-environment-213-hospital-cross-sectional-study
     October 25, 2023 - 3,986 registered nurses, the majority (83%) reported alarm fatigue and over half (55%) experienced a situation … Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring April 26, 2023 … Perspective Surveillance Monitoring to Improve Patient Safety … Acute Hospital Care Units April 26, 2023 Health system redesign of cardiac monitoring

125. Implement-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.docx
     May 01, 2017 - It avoids compromising a patient’s situation by promptly relaying information. … Slide 13 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 20 SAY: CUS is an acknowledgment of an unsafe situation.

126. Strategies To Promote Psychological Safety and Organizational Safety Culture Related to Diagnosis | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-4.html
     September 01, 2023 - Teamwork principles promote a culture of cooperation, coordination, communication, situation monitoring … The focus on safety huddles and situation awareness promotes shared vision and fosters a team engaged … Optimal systems will build capacity for measuring and monitoring diagnostic quality in support of quality

127. TeamSTEPPS Team Leadership Module 2
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-2-slides.pptx
     June 02, 2025 - Monitoring and reporting changes in the patient’s condition. … together Ensures a plan is conveyed, reviewed, and updated Is facilitated by communicating, continuously monitoring … the situation, and fostering an environment of mutual support 22 22 Types of Team Leaders … communication and teamwork among team members Situational: Any team member with the skills to manage the situation … At the end of the exercise, present and discuss your plans with the class. 30 Monitoring and

128. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33589/psn-pdf
     September 15, 2024 - reluctance to simplify explanations for operations, successes, and failures; sensitivity to operations (situation … This sensitivity is often referred to as "big picture understanding" or "situation awareness." … Thus, people in HROs know that in a crisis or emergency the person with greatest knowledge of the situation … Deference to local and situation expertise results in a spirit of inquiry and de-emphasis on hierarchy … Teams cultivate situation assessment and cross monitoring so they may identify potential safety threats

129. Racial and ethnic disparities in the treatment of chronic pain. | PSNet
     psnet.ahrq.gov/issue/racial-and-ethnic-disparities-treatment-chronic-pain
     December 16, 2020 - between non-White race and treatment of chronic pain as well as racial differences in long-term monitoring … Resources From the Same Author(s) Alternatives to opioid education and a prescription drug monitoring … February 8, 2023 View More Related Resources Teamwork matters: team situation

130. Project Report - Lean Sigma
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamwork.pptx
     January 01, 2007 - 14 14 15 Using the Daily Goals Checklist Four Components of Effective Teams Leadership Situation … Monitoring Mutual Support Communication Brief STEP Task Assistance SBAR Huddle I’M Safe Feedback Call-Out … 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 … the BATON 33 As seen in TeamSTEPPS® 33 I PASS the BATON1 34 Introduction Patient Assessment Situation

131. 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

132. 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

133. 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

134. The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. | PSNet
     psnet.ahrq.gov/issue/ritualisation-surgical-safety-checklist-and-its-decoupling-patient-safety-goals
     January 19, 2022 - Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation … April 30, 2014 Measuring patient safety: the Medicare Patient Safety Monitoring System … Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation

135. Epstein (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/epstein.pdf
     January 01, 2011 - which rule to break, and exactly  in what way  and how much to break  it to accommodate to the situation … networks o Autonomy depends on and emerges in relationships o Decisions don’t appear real until the situation … o Use the whole mind – deliberative/intuitive o Self-­‐monitoring … Slide  25: An approach (2) • Clinician interoception, attentiveness, self-­‐monitoring, situational

136. 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.

137. 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

138. 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

139. 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

140. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49696/psn-pdf
     December 01, 2013 - Although this patient did not experience any harm, the above situation would be characterized as a near … Two factors increased the likelihood of error in this situation: (i) the limited clinical experience … TSOACs may also not be appropriate for patients who have a very high bleeding risk, such as in the situation … Indications, Dosing, and Monitoring for Anticoagulant Medications. … Drug FDA-approved indications Dosing Coagulation monitoring? Reversible?