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pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/implementation.html
January 01, 2013 - and nonclinical staff:
Reaching all nurses with fall prevention education, particularly night shift … Reports task completion to the nurse. … Reports any changes in the patient's condition to the nurse. … Ideally, there should be at least one champion per shift to provide guidance to other staff. … Clinical bedside rounds and patient case review are excellent ways to translate abstract knowledge into
-
pcmh.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - topics in this section
Research
Publications & Products
Research Findings & Reports … 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. … https://www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
-
pcmh.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
-
pcmh.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
October 01, 2014 - Renal Disease (ESRD) Clinics
Pharmacy
Multiple Settings
Quality Measures
Reports … prevention, it is necessary to recognize at the outset that implementing these best practices at the bedside … In some settings, though, it may be done as frequently as every shift. … Positive reinforcement will help when nursing assistants do find and report new abnormalities. … Including results as part of patient report or handover.
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pcmh.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.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
May 01, 2017 - Units can use cognitive aids at the bedside, internal training, and external certification courses to … Evidence Report/Technology Assessment No. 176 (Prepared by the Stanford University-UCSF Evidenced-based … March 2009. http://www.ahrq.gov/research/findings/evidence-based-reports/eiltp.html. … The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal … The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal
-
pcmh.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
September 01, 2013 - Spread
Patient and Family Engagement
Downloads
National Implementation Project Reports … 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. … Providers report the incident to the unit manager and the risk management department following the hospital's
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pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module5/igsitmonitor.html
March 01, 2019 - It is a shift change, and everyone is busy, so you check the medication record and note that the patient … 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
-
pcmh.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
-
pcmh.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
May 01, 2017 - Provider Bedside Manner
Health care providers who dismiss a patient’s or family member’s concerns or … Providing information about patient privacy in written preoperative materials, as well as sharing discharge summary … reports with the patient (and family members at the discretion of the patient). … ASC setting and a hospital surgery environment is that the responsibility of postoperative care may shift … Report to appropriate parties – Providers will use their facility’s policies to report adverse events
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule5.pptx
February 06, 2006 - Environment, it is a shift change and everyone is busy, so you check the medication record, and note … fellow team members, similarly to the way I start my day when I'm waiting for members of my section to report … Judy, a nurse at the bedside, is inserting an IV. Nancy, another nurse, is drawing up meds. … Judy, a nurse at the bedside, is inserting an IV. Nancy, another nurse, is drawing up meds.
-
pcmh.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]?
-
pcmh.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
-
pcmh.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
September 01, 2013 - The impact of healthcare-associated infections in
Pennsylvania, 2010. 2012. http://www.phc4.org/reports … the process and
important logistical considerations for universal decolonization, such as bathing
shift … Standard skin preps prior to a surgical procedure or for a bedside procedure should be
utilized on patients … The cost burden of decolonization is a shift from lab costs
(MRSA swab, nurse time, technician time, … In rare
case reports, anaphylaxis can occur (difficulty breathing; tightness in the chest; swelling
-
pcmh.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