-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Clair.pdf
January 01, 2004 - Well-designed, quasi-experimental studies
Level IV Well-designed, non-experimental studies
Level V Case reports … was assessed with the use of an inventory of the
tracheostomy supplies available at each patient’s bedside … Aspiration with cuffed tube II E
Peruzzi, et al. (2001) Aspiration with dye III A
Henrich, et al. (1997) Bedside … A report of
the Committee on Quality of Health Care in America,
Institute of Medicine.
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - This change also automated data
outputs and reports. … For example, the team
conducts each shift report in front of the patient and
concludes the report by … new behaviors by initiating huddles and debriefs during
and after a cesarean section and requesting reports … Under the protocol change, the bedside nurse notifies
the rapid response nurse and attending physician … The
bedside nurse now focuses on providing immediate care
to the patient and providing a report of
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - This change also automated data
outputs and reports. … For example, the team
conducts each shift report in front of the patient and
concludes the report by … new behaviors by initiating huddles and debriefs during
and after a cesarean section and requesting reports … Under the protocol change, the bedside nurse notifies
the rapid response nurse and attending physician … The
bedside nurse now focuses on providing immediate care
to the patient and providing a report of
-
www.cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-slides.html
July 01, 2023 - Evidence-based Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety … Making Healthcare Safer Report
National Healthcare Quality and Disparities Reports
Technology … Program
AHRQ Research Studies
National Healthcare Quality and Disparities Report … Conducting change-of-shift report at the bedside so patients and families can participate. … Report to the appropriate parties.
-
www.cahps.ahrq.gov/teamstepps/rrs/instructor_slides/rrsinstructmod.html
October 01, 2014 - Evidence-based Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety … Making Healthcare Safer Report
National Healthcare Quality and Disparities Reports
Technology … Physician shift change (responsibility).
Evolving patient condition. … The keys for effective sensemaking can be found in the Battles, et al., Health Services Research report … The patient's stroke remained unidentified during evening shift.
-
www.cahps.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
December 01, 2017 - Evidence-based Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety … Making Healthcare Safer Report
National Healthcare Quality and Disparities Reports
Technology … Slide 55
GU Shift Assessment
Image: Screen shot of GU Assessment form. … Slide 70
Shift Huddle
Image: Screen shot of a Critical Care Huddle Sheet form. … care vs. what managers/directors think are priority areas
CUSP improvement tools are designed for bedside
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
May 01, 2017 - Conducting change-of-shift report at the bedside so patients and families can participate. … Report. … Providers report the incident to the unit manager and the risk-management department, according to the
-
www.cahps.ahrq.gov/teamstepps-program/curriculum/situation/tools/index.html
June 01, 2023 - Evidence-based Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety … Making Healthcare Safer Report
National Healthcare Quality and Disparities Reports
Technology … Program
AHRQ Research Studies
National Healthcare Quality and Disparities Report … In view of the patient’s admission diagnosis, the eICU nurse notifies the bedside nurse of possible signs … Team members change each shift or day; patients’ conditions evolve; staff workloads change in response
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - example, nursing work is structured so
that nurses have frequent patient interactions throughout a shift … Another artifact is the paper-based task sheet nurses frequently develop at the beginning of a shift. … Cognition
+
+
4
Nurses’ Role in Diagnosis, Through the Lens of
Distributed Cognition
The landmark report … Finally, dyad combinations are not fixed and may change frequently during an ED shift, with one physician … Impact of altered medica-
tion administration time on interdisciplinary bedside rounds on academic medical
-
www.cahps.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - Evidence-based Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety … Making Healthcare Safer Report
National Healthcare Quality and Disparities Reports
Technology … Hospital Survey on Patient Safety Culture: Comparative Database Reports give benchmark data collected … with patients and families throughout their hospital stay to improve quality, implementing nursing bedside … change of shift report, and engaging patients and families in discharge planning.
-
www.cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
July 01, 2023 - Evidence-based Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety … Making Healthcare Safer Report
National Healthcare Quality and Disparities Reports
Technology … Program
AHRQ Research Studies
National Healthcare Quality and Disparities Report … Conducting change-of-shift report at the bedside so patients and families can participate. … Report.
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
May 01, 2017 - • Conducting change-of-shift report at
the bedside so patients and families
can participate. … • Report. … Providers report the incident to
the unit manager and the risk-
management department, according to
the
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_tools.docx
November 16, 2011 - Unit manager, staff nurses, and nursing assistants
3C – Tool Covering Environmental Safety at the Bedside … Are performance reports used regularly for decisionmaking? … Accurate completion of fall incident report form by all staff?
2. … Monthly falls analysis by:
location and time of fall
shift and day of week
type … All staff trained to inspect and report environmental and equipment safety problems?
3.
-
www.cahps.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
September 01, 2013 - Evidence-based Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety … Making Healthcare Safer Report
National Healthcare Quality and Disparities Reports
Technology … members are invited to partner with their health care team throughout their stay
Conducting change-of-shift … report at the bedside so patients and families can participate
Involving patients and families in … Report.
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/igsitmonitor.pdf
February 12, 2014 - • It is a shift change, and everyone is busy, so you check the
medication record and note that … Judy, a nurse at the bedside, is inserting an
IV. Nancy, another nurse, is drawing up meds. … • After 5 minutes, ask a representative from each team to report
his or her team’s conclusions … DO:
Ask a few individuals to report on issues they have identified as
related to Situation Monitoring
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
September 02, 2022 - Diagnostic errors are common and costly, and they pose risk for serious patient harm.1-3 In its landmark
report … Because nurses spend most of their time providing direct patient care, they have the greatest bedside … Encourage nurses to report any identified diagnostic errors through established safety reporting
mechanisms … The nurse assesses the patient’s shift intake and
output, noting that the patient has not voided in … • How and to whom would you report this error [or missed opportunity]?
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
January 01, 2011 - Venture
Philanthropy
Partners
Assessment
Tool
McKinsey
Capacity
Assessment Grid
(appendix of a
report … http://www.vppartners.or
g/sites/default/files/report
s/full_rpt.pdf
Agency for
Healthcare
Research … quality
• Safe handoff of care between nurses by
involving the patient and family in the change
of shift … Assessing Bedside Bar-Coding Readiness
http://www.ismp.org/tool
s/pathwaysection1.pdf
Health Services … quality-
resources/tools/hroadvice
/hroadvice.pdf
Canadian Health
Services
Research
Foundation
Report
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/implementation-guide-making-informed-consent-informed-choice.pdf
January 01, 2017 - Quick Starts
If your hospital is not yet ready for a comprehensive QI initiative to shift from informed … to hospital staff the importance of
the initiative and meet regularly with the change lead to get progress … reports. … approaches
Data on patient safety events and their impact (e.g., near
miss, harm caused).5
Patient reports … proficiency without qualified language assis-
tance.
• Consent not consistently obtained prior to performing bedside
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-fullreport.pdf
November 02, 2017 - Survey – Parent/caregiver report. … The Child HCAHPS survey reports on aspects of
family-centered care, such as how much providers involve … Future Directions for the National Healthcare Quality and Disparities
Reports. … How asking patients a simple question enhances care at the
bedside: Medical students as agents of quality … Available at https://hcup-
us.ahrq.gov/reports/statbriefs/sb118.jsp. Accessed November 1, 2017.