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www.cpsi.ahrq.gov/sites/default/files/publications/files/ena-slides.pdf
September 01, 2015 - • The patient with urinary retention or obstruction
Use a bladder scanner or bedside ultrasound … Nurse Champions
Nurses, both as bedside staff and as unit leaders, create the care environment. … 42
Communication
Nurse-to-nurse communication often centers around handoffs, either to the next shift … AHRQ Safety Program for Reducing CAUTI in Hospitals Transcript 45
Report on a Bad Day on … I’ll pass along your
report and you can send him up when you’re ready.
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www.cpsi.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.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pptx
July 23, 2010 - Doing change of shift report at the bedside, where patients and families can participate. … and physiologic measures such as blood pressure and blood sugar levels.3
• Improved scores on public reports … Improving America’s hospitals: the Joint Commission’s annual report on quality and safety; 2007. … Some tips for Teach Back:
Start slowly – try on 1 or 2 patients, maybe toward the end of your shift to … The first person who comes into his room is his bedside nurse, Angela.
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www.cpsi.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-fac-guide.html
February 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 … Program
AHRQ Research Studies
National Healthcare Quality and Disparities Report … Slide 8: Why the Shift? … data in person, you can help staff focus on these interventions during conversations with them at the bedside
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www.cpsi.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
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www.cpsi.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-fac-guide.html
February 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 … Program
AHRQ Research Studies
National Healthcare Quality and Disparities Report … study on restricted activity among community-living older persons, and data were collected by self-report … end of the bed—meaning their legs dangled over the edge—11 percent involved patients standing at the bedside
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www.cpsi.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.cpsi.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
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.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 … Program
AHRQ Research Studies
National Healthcare Quality and Disparities Report … The information loop should be closed by having the Implementation Team report to the unit what it did … Clinical bedside rounds, patient case review, or "spend a day with the WOC [wound, ostomy, and continence
-
www.cpsi.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
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www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapc.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 … Program
AHRQ Research Studies
National Healthcare Quality and Disparities Report … Sample of documentation q shift X 72 hours or until stable using both SOAP and occurrence based documentation … Staff assistance to toilet or bedside commode.
Use of monitoring devices.
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www.cpsi.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.cpsi.ahrq.gov/hai/cauti-tools/ena-slides/part2a.html
October 01, 2015 - Evidence-based Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety … Making Healthcare Safer Report
National Healthcare Quality and Disparities Reports
Technology … Practice Change (continued)
Case Study
Conclusion
Nurse Champions
Nurses, both as bedside … communication
Communication
Nurse-to-nurse communication often centers around handoffs, either to the next shift … Report on a Bad Day on the Floor (sample handoff)
ED RN: Hey there!
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www.cpsi.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.cpsi.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.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.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 … 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. … Including results as part of patient report or handover.
-
www.cpsi.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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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.pdf
January 01, 2004 - Are performance reports used regularly for
decisionmaking?
4. … A turning schedule should be written and placed at the
bedside.
13. … A turning schedule should be written and placed at the bedside. True
13. … What should you report to your patient’s RN every shift?
A. Skin tears
B. … What should you report to your patient’s RN every shift?
A. Skin tears
B.
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www.cpsi.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.cpsi.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