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psnet.ahrq.gov/issue/how-long-and-how-much-are-nurses-now-working
October 10, 2021 - October 10, 2021
Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses. … November 25, 2020
Decreasing mislabeled laboratory specimens using barcode technology and bedside … September 1, 2021
Effect of social influences on pharmacists' intention to report adverse … January 19, 2022
Barriers to and facilitators of bedside nursing handover: a systematic … September 21, 2011
Should I report?
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psnet.ahrq.gov/issue/risky-business-navigating-shifting-health-care-landscape
December 22, 2021 - July 21, 2021
Barriers to and facilitators of bedside nursing handover: a systematic … 2024
- September 17, 2024
The impact of a nursing-led intervention bundle with a bedside … Using community detection techniques to identify themes in COVID-19-related patient safety event reports … January 12, 2022
Harnessing event report data to identify diagnostic error during the
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psnet.ahrq.gov/issue/hospital-discharge-and-readmission
March 27, 2005 - March 1, 2023
Health Care Quality and Disparities: Lessons from the First National Reports … March 1, 2023
Access to Clinical Information at the Bedside. … March 27, 2005
The Institute of Medicine report on medical errors—could it do harm? … February 3, 2016
Bedside shift-to-shift handoffs: a systematic review of the literature … November 12, 2014
Bedside shift reports: what does the evidence say?
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psnet.ahrq.gov/issue/work-arounds-observed-fourth-year-nursing-students
July 30, 2014 - August 17, 2022
Report on the Safe Use of Pick Lists in Ambulatory Care Settings. … September 15, 2021
Call-shift fatigue and use of countermeasures and avoidance strategies … August 7, 2019
Nurses' safety motivation: examining predictors of nurses' willingness to report … March 30, 2016
Bedside shift-to-shift handoffs: a systematic review of the literature … December 10, 2014
Should I report?
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psnet.ahrq.gov/issue/adverse-effects-computers-during-bedside-rounds-critical-care-unit
August 27, 2014 - Study
Adverse effects of computers during bedside rounds in a critical care unit. … Adverse Effects of Computers During Bedside Rounds in a Critical Care Unit. … Adverse Effects of Computers During Bedside Rounds in a Critical Care Unit. … Surgical residents, duty hours restrictions, and shift transitions.
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psnet.ahrq.gov/issue/decreasing-30-day-readmission-rates
July 14, 2021 - October 19, 2022
Pathology trainees rarely report safety incidents: a review of 13,722 … safety reports and a call to action. … July 8, 2015
Call-shift fatigue and use of countermeasures and avoidance strategies by … When the Meds Don’t Reach the Bed
August 26, 2020
Does a unit shift … report "blackout" period improve patient safety?
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psnet.ahrq.gov/issue/innovative-approach-reconstruct-bedside-handoff-using-simple-rules-complexity-science-promote
November 16, 2022 - Commentary
Innovative approach to reconstruct bedside handoff: using simple rules … Innovative Approach to Reconstruct Bedside Handoff: Using Simple Rules of Complexity Science to Promote … This commentary describes how one hospital redesigned the bedside handoff process to engage patients … November 11, 2009
The association of shift-level nurse staffing with adverse patient … March 21, 2018
Resident shift handoff strategies in US internal medicine residency programs
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psnet.ahrq.gov/issue/impact-structured-interdisciplinary-bedside-rounding-patient-outcomes-large-academic-health
December 09, 2020 - Study
Impact of structured interdisciplinary bedside rounding on patient outcomes … Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health … This study explored the influence of structured interdisciplinary bedside rounding (SIBR) on readmissions … Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health … September 2, 2020
Patient and caregiver factors in ambulatory incident reports: a mixed-methods
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psnet.ahrq.gov/issue/understanding-situation-awareness-nursing-work-hybrid-concept-analysis
December 09, 2009 - semistructured interviews with nurses to attempt to define the concept of situational awareness in bedside … or alongside emergency departments: incorporating realist methodology into patient safety incident report … December 9, 2020
Descriptive analysis of patient misidentification from incident report … October 20, 2021
Shift-to-shift nursing handover interventions associated with improved … September 13, 2017
Decreasing mislabeled laboratory specimens using barcode technology and bedside
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.188_slideshow.ppt
November 01, 2008 - Spotlight Case [MONTH] 2003
Spotlight Case November 2008
Dangerous Shift
Source and Credits … changes
Understand the limits of standardizing handoffs in preventing errors at shift change
Explain … This transfer happened to coincide with a shift change for both the nursing staff and the physicians … Case: Dangerous Shift (2)
The off-going nurse assumed the transfer would take place immediately and … Approximately 45 minutes later, the unit clerk called the infant’s bedside nurse to report that the infant
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psnet.ahrq.gov/issue/development-checklist-documenting-team-and-collaborative-behaviors-during-multidisciplinary
October 03, 2012 - Development of a checklist for documenting team and collaborative behaviors during multidisciplinary bedside … Development of a checklist for documenting team and collaborative behaviors during multidisciplinary bedside … Development of a checklist for documenting team and collaborative behaviors during multidisciplinary bedside … consecutive 12-hour shifts on cognition, sleepiness, and domains of nursing performance in day and night shift … December 4, 2013
Improving America's Hospitals: The Joint Commission's Annual Report
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psnet.ahrq.gov/issue/veterans-affairs-shift-change-physician-physician-handoff-project
November 10, 2010 - Study
The Veterans Affairs shift change physician-to-physician handoff project. … The Veterans Affairs shift change physician-to-physician handoff project. … The Veterans Affairs shift change physician-to-physician handoff project. … Incorrect surgical procedures within and outside of the operating room: a follow-up report … February 7, 2007
From board to bedside: how the application of financial structures to
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psnet.ahrq.gov/issue/impact-interruptions-duration-nursing-interventions-direct-observation-study-academic
February 13, 2019 - December 23, 2020
Patient safety concerns in COVID-19–related events: a study of 343 event reports … July 8, 2020
Detection and prevention of medication errors using real-time bedside nurse … September 23, 2015
Bedside shift-to-shift handoffs: a systematic review of the literature … March 23, 2022
Bedside clinicians' perceptions on the contributing role of diagnostic … September 18, 2019
Does a unit shift report "blackout" period improve patient safety?
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psnet.ahrq.gov/issue/nursing-guidelines-comprehensive-harm-prevention-strategies-adult-patients-acute-hospitals
August 10, 2022 - November 25, 2020
Barriers to and facilitators of bedside nursing handover: a systematic … April 20, 2022
Shift-to-shift nursing handover interventions associated with improved … June 2, 2021
Nursing bedside clinical handover—an integrated review of issues and tools … August 4, 2021
Barriers to and facilitators of bedside nursing handover: a systematic … July 7, 2021
Shift-to-shift nursing handover interventions associated with improved inpatient
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psnet.ahrq.gov/issue/three-missed-critical-nursing-care-processes-labor-and-delivery-units-during-covid-19
April 27, 2022 - Staffing and nursing time at the bedside play a role in missed nursing care . … April 7, 2022
Association of patient and family reports of hospital safety climate … Surgical residents, duty hours restrictions, and shift transitions. … July 20, 2022
The association of shift-level nurse staffing with adverse patient events … with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report
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psnet.ahrq.gov/issue/shifting-supervision-implications-safe-administration-medication-nursing-students
January 27, 2021 - September 12, 2018
Nursing bedside clinical handover—an integrated review of issues and … February 16, 2011
The Medication Manager: results of a medication at the bedside pilot … July 22, 2020
Patient safety education 20 years after the Institute of Medicine report … August 7, 2019
Nurses' safety motivation: examining predictors of nurses' willingness to report
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psnet.ahrq.gov/issue/dynamic-risk-management-approach-reducing-harm-invasive-bedside-procedures-performed-during
September 08, 2010 - August 26, 2020
Pathology trainees rarely report safety incidents: a review of 13,722 … safety reports and a call to action. … November 10, 2021
Bringing change-of-shift report to the bedside: a patient- and family-centered … Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports … March 17, 2021
Communicating certainty in pathology reports: interpretation differences
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psnet.ahrq.gov/web-mm/workaround-error
January 17, 2024 - insulin from the refrigerator and place them in portable medication carts that are then taken to the bedside … improvise to save time and steps by using portable carts instead of making trips back and forth from the bedside … Because of this, a recent Institute of Medicine (IOM) report recommended that hospitals should scale … IOM report: Hospitals must cut back workload and hours of nurses to maintain patient safety. … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S
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psnet.ahrq.gov/web-mm/what-happened-telemetry
October 31, 2023 - ii) a telephone system with continuously updated nurse assignments that were reviewed each change of shift … February 27, 2008
Health Care Quality and Disparities: Lessons from the First National Reports … September 19, 2018
Promote a culture of safety with good catch reports. … M Cases
The Need to Eat
December 18, 2019
Does a unit shift … report "blackout" period improve patient safety?
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psnet.ahrq.gov/issue/research-nursing-handoffs-medical-and-surgical-settings-integrative-review
October 19, 2011 - October 19, 2011
The content and context of change of shift report on medical and surgical … May 31, 2023
Association of patient and family reports of hospital safety climate with … November 10, 2021
Shift-to-shift nursing handover interventions associated with improved … December 14, 2016
Using Kotter's change model for implementing bedside handoff: a quality … October 22, 2014
Bedside shift reports: what does the evidence say?