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psnet.ahrq.gov/issue/interview-audrey-nelson-interviewed-steven-berman
January 19, 2022 - Surgical residents, duty hours restrictions, and shift transitions. … July 13, 2016
Educational quality improvement report: outcomes from a revised morbidity … December 12, 2018
Shift-to-shift handoff effects on patient safety and outcomes: a systematic … April 9, 2014
Duty-hours monitoring revisited: self-report may not be adequate. … October 29, 2008
Detection and prevention of medication errors using real-time bedside
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psnet.ahrq.gov/issue/how-do-nurses-use-early-warning-scoring-systems-detect-and-act-patient-deterioration-ensure
June 16, 2021 - November 10, 2010
Implementing bedside handover: strategies for change management. … the bedside." … March 15, 2017
Characterising the nature of primary care patient safety incident reports … bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports … July 21, 2021
Shift-to-shift nursing handover interventions associated with improved
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psnet.ahrq.gov/issue/transformational-leadership-nursing-and-medication-safety-education-discussion-paper
July 11, 2018 - detecting medication errors: a secondary analysis of medication administration errors using incident reports … The relationship between patient safety culture and the intentions of the nursing staff to report … August 4, 2021
Shift-to-shift nursing handover interventions associated with improved … October 14, 2020
Barriers to and facilitators of bedside nursing handover: a systematic … March 20, 2019
Nursing bedside clinical handover—an integrated review of issues and tools
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psnet.ahrq.gov/issue/interruptions-and-multitasking-nursing-care
July 05, 2006 - November 10, 2021
Patient and caregiver factors in ambulatory incident reports: a mixed-methods … February 29, 2012
Adverse effects of computers during bedside rounds in a critical care … November 11, 2020
Does a unit shift report "blackout" period improve patient safety? … November 19, 2014
Bedside shift reports: what does the evidence say? … September 11, 2013
Nurses discuss bedside handover and using written handover sheets.
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psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient-safety
March 08, 2017 - This commentary describes an initiative to address experience and competency shortcomings for bedside … March 15, 2017
Bedside shift-to-shift handoffs: a systematic review of the literature … August 26, 2015
Shift-to-shift handoff effects on patient safety and outcomes: a systematic
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psnet.ahrq.gov/issue/literature-review-do-rapid-response-systems-reduce-incidence-major-adverse-events
March 04, 2015 - the bedside." … June 29, 2011
Hospital patients' reports of medical errors and undesirable events in … July 13, 2016
The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports … May 29, 2019
Does a unit shift report "blackout" period improve patient safety?
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psnet.ahrq.gov/issue/nurse-bias-and-nursing-care-disparities-related-patient-characteristics-scoping-review
March 17, 2021 - This scoping review identified 215 research reports on nurse bias and/or care disparities. … March 23, 2022
Nursing bedside clinical handover—an integrated review of issues and tools … Defining diagnostic error: a scoping review to assess the impact of the National Academies' report … December 16, 2020
Barriers to and facilitators of bedside nursing handover: a systematic … December 8, 2021
Shift-to-shift nursing handover interventions associated with improved
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psnet.ahrq.gov/issue/improving-nursing-unit-teamwork
February 21, 2007 - consecutive 12-hour shifts on cognition, sleepiness, and domains of nursing performance in day and night shift … August 24, 2022
Barriers to and facilitators of bedside nursing handover: a systematic … Defining diagnostic error: a scoping review to assess the impact of the National Academies' report … improvement: the American Organization of Nurse Executives implementation of Transforming Care at the Bedside … December 19, 2012
Staffing matters—every shift.
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psnet.ahrq.gov/issue/applying-lessons-social-psychology-transform-culture-error-disclosure
September 29, 2021 - July 20, 2022
The impact of a nursing-led intervention bundle with a bedside checklist … December 6, 2017
Effect of sleep deprivation after a night shift duty on simulated crisis … Response of practicing chiropractors during the early phase of the COVID-19 pandemic: a descriptive report … October 17, 2018
Identifying health information technology related safety event reports … from patient safety event report databases.
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psnet.ahrq.gov/issue/clinical-nurse-specialists-leaders-rapid-response
July 19, 2023 - June 1, 2022
Medication prescribing and monitoring errors in primary care: a report from … August 13, 2008
Transfer of accountability: transforming shift handover to enhance patient … March 30, 2022
Bedside clinicians' perceptions on the contributing role of diagnostic … March 24, 2021
Does a unit shift report "blackout" period improve patient safety? … February 27, 2019
Implementing bedside handoff in the emergency department: a practice
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psnet.ahrq.gov/issue/changing-and-sustaining-medical-students-knowledge-skills-and-attitudes-about-patient-safety
December 19, 2012 - Surgical residents, duty hours restrictions, and shift transitions. … November 12, 2014
Change‐of‐shift nursing handoff interruptions: implications for evidence‐based … June 28, 2023
The Research on Adverse Drug Events and Reports (RADAR) project. … August 17, 2011
Bedside handover: quality improvement strategy to "transform care at … the bedside."
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psnet.ahrq.gov/issue/results-enhanced-clinic-handoff-and-resident-education-resident-patient-ownership-and-patient
March 28, 2018 - February 15, 2017
Resident shift handoff strategies in US internal medicine residency … November 8, 2006
Professionalism in the era of duty hours: time for a shift change? … March 23, 2011
Systematic review: association of shift length, protected sleep time, … May 26, 2021
Making the transition to nursing bedside shift reports. … October 30, 2019
Effect of patient-centred bedside rounds on hospitalised patients' decision
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psnet.ahrq.gov/issue/12-h-shifts-and-rates-error-among-nurses-systematic-review
October 20, 2021 - This systematic review of nursing errors found that shift lengths of 12 or more hours are associated … July 11, 2018
Should I report? … October 19, 2022
Barriers to and facilitators of bedside nursing handover: a systematic … Defining diagnostic error: a scoping review to assess the impact of the National Academies' report … October 10, 2021
Shift-to-shift nursing handover interventions associated with improved
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - During nursing shift change, the incoming nurse was told that the NG tube was ready for use. … breakdown of closed loop communication between the physician and the nurse, and between nurses at change of shift … communication between the provider and initial nurse, inaccurate information was conveyed to the oncoming shift … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S … authors has any affiliation or financial involvement that conflicts with the material presented in this report
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psnet.ahrq.gov/issue/patient-handoffs-and-multi-specialty-trainee-perspectives-across-institution-informing
September 23, 2020 - November 15, 2017
Change‐of‐shift nursing handoff interruptions: implications for evidence‐based … August 5, 2009
Can patient safety incident reports be used to compare hospital safety … same direction": A qualitative study of attending and resident physician impressions of structured bedside … Physician behaviors associated with increased physician and nurse communication during bedside … January 26, 2022
Descriptive analysis of patient misidentification from incident report
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psnet.ahrq.gov/issue/use-appreciative-inquiry-approach-improve-resident-sign-out-era-multiple-shift-changes
February 27, 2013 - Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift … March 1, 2017
Association of patient and family reports of hospital safety climate with … August 30, 2017
Ten years after the IOM report: engaging residents in quality and patient … nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report … December 14, 2016
Using Kotter's change model for implementing bedside handoff: a quality
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psnet.ahrq.gov/issue/detecting-medication-administration-errors
August 17, 2022 - June 12, 2019
Implementing bedside handover: strategies for change management. … November 19, 2008
Bedside handover: quality improvement strategy to "transform care at … the bedside." … February 6, 2019
Implementing bedside handoff in the emergency department: a practice
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psnet.ahrq.gov/issue/2008-annual-national-patient-safety-foundation-congress-conference-proceedings
October 21, 2009 - September 8, 2010
Transforming concepts in patient safety: a progress report. … April 11, 2012
Improving patient safety by repeating (read-back) telephone reports of … July 16, 2014
Patient safety and diagnostic error: tips for your next shift. … February 10, 2016
Bedside shift reports: what does the evidence say? … Report of a meeting sponsored by the Anesthesia Patient Safety Foundation.
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psnet.ahrq.gov/issue/model-developing-high-reliability-teams
February 08, 2017 - Surgical residents, duty hours restrictions, and shift transitions. … January 21, 2015
Bedside shift-to-shift handoffs: a systematic review of the literature … February 8, 2017
Using Kotter's change model for implementing bedside handoff: a quality … improvement: the American Organization of Nurse Executives implementation of Transforming Care at the Bedside
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psnet.ahrq.gov/issue/project-boost-implementation-lessons-learned
August 21, 2013 - February 28, 2007
Effect of patient-centred bedside rounds on hospitalised patients' … October 8, 2008
The impact of duty hours on resident self reports of errors. … detecting medication errors: a secondary analysis of medication administration errors using incident reports … January 20, 2020
Using incident reports to assess communication failures and patient … August 31, 2016
Using Kotter's change model for implementing bedside handoff: a quality