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preventiveservices.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
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsinstructmod.ppt
January 01, 2008 - S Safety Concerns—Critical lab values/reports, socio-economic factors, allergies, alerts (falls, isolation … 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 analyst responsible felt that most of the reports prepared in the past were not used by or of interest … The patient’s stroke remained unidentified during evening shift.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
July 01, 2023 - transitions, and
recommending
changes to the
established care plan
Use SBAR to:
• Frame event reports … Finally, SBAR might be useful at the
Reporting stage to frame event reports, structure case scenarios … Sonentag, comes to check on patient Danielle Williams at her bedside nurse’s request. … As you read through this expanded section from our scenario, think about how the bedside
nurse, Allison … status, level of uncertainty,
recent changes, and response to treatment
• Safety: Critical lab values/reports
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
July 01, 2023 - communications, care transitions, and recommending changes to the established care plan Use SBAR to:
Frame event reports … Finally, SBAR might be useful at the Reporting stage to frame event reports, structure case scenarios … Sonentag, comes to check on patient Danielle Williams at her bedside nurse’s request. … As you read through this expanded section from our scenario, think about how the bedside nurse, Allison … status, level of uncertainty, recent changes, and response to treatment
Safety: Critical lab values/reports
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preventiveservices.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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preventiveservices.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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preventiveservices.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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preventiveservices.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/implementation.html
January 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 … Reports task completion 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
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preventiveservices.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
July 01, 2018 - 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 … This shift of authority led to a significant drop in the number of reported birth complications. … Executives, physicians, nurse managers, infection preventionists, bedside clinicians, and unit support
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preventiveservices.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.
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preventiveservices.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.
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preventiveservices.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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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-factraining-guide.pdf
December 20, 2016 - o During QAPI meetings, the Delayed Healing report can
be added to introduce discussion of patients … Jones didn’t like to
get out of bed to go to the bathroom at night and a
commode at the bedside at … o More engaged staff are more likely to feel empowered
to report resident changes because they feel … In the case of the
Dietitian, the report was not printed out but was
accessed electronically via a … o Resident information was available from the Risk for
Delayed Healing Report.
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preventiveservices.ahrq.gov/workingforquality/events/webinar-introducing-nine-levers-to-support-the-aims-and-priorities.html
November 01, 2016 - Evidence-based Practice Center (EPC) Reports
Fact Sheets
Grantee Final Reports: Patient Safety … Making Healthcare Safer Report
National Healthcare Quality and Disparities Reports
Technology … section of the report "Policies and Infrastructure" needed to support the priorities. … using risk scores and dispatches proactive response team members before an emergency call from the bedside … There will also be a shift to considering cost.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-hypertension-scenarios.pptx
July 01, 2023 - Severe Hypertension
I PASS the BATON
27
I PASS the BATON can be used during a nursing handoff at shift … Johnson asks Beth, the L&D bedside nurse, to start off the huddle. … Larsen, the anesthesiologist on the team, commends the L&D bedside nurse, Beth, for identifying Ms. … Smith’s bedside nurse, Beth, a quieter teammate, who hasn’t yet contributed her thoughts.
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preventiveservices.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.
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preventiveservices.ahrq.gov/patient-safety/resources/learning-lab/index.html
April 01, 2024 - 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 … Using incident reports to assess communication failures and patient outcomes . … The learning lab represents an innovative paradigm shift in safety research by focusing on the home as
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preventiveservices.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.html
April 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 … I'm happy to report at the end we’re up to 99 percent. … And, again, time sometimes keeps the unit from sharing with others or even a shift on a unit sharing … Our final meeting focused on applying CUSP to doing cranial taps at the bedside.
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preventiveservices.ahrq.gov/sites/default/files/publications/files/ptflowguide.pdf
January 01, 2014 - Testing changes on a small scale (e.g., during a single shift) has several advantages. … The strategy that was least time-consuming to plan and implement was
bedside registration, which was … The open-bed policy gradually gained acceptance during the day shift. … It is the hope of ED
leadership that the night shift will soon follow in acceptance. … National Health Statistics Reports, No. 7.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
December 01, 2017 - Enrollment by hospital bedside is provided in Figure 6.
Table 3. … program teams with an opportunity to ask
questions, share challenges and triumphs, and review SSI data reports … The CUSP intervention required
perhaps too significant a shift in the way those hospitals performed … Final Report. … Barriers
and motivators for making error reports
from family medicine offices: a report from
the American