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psnet.ahrq.gov/issue/validating-patient-safety-endoscopy-unit-using-joint-commission-standards
March 02, 2011 - March 25, 2020
Bringing change-of-shift report to the bedside: a patient- and family-centered
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psnet.ahrq.gov/issue/effects-weekend-admission-and-hospital-teaching-status-hospital-mortality
September 12, 2011 - July 22, 2009
Impact of structured interdisciplinary bedside rounding on patient outcomes … December 19, 2009
The content and context of change of shift report on medical and surgical
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psnet.ahrq.gov/issue/when-5-rights-go-wrong-medication-errors-nursing-perspective
June 27, 2018 - February 15, 2017
Bringing change-of-shift report to the bedside: a patient- and family-centered
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psnet.ahrq.gov/issue/patient-safety-nicu-comprehensive-review
September 12, 2016 - July 6, 2011
Bringing change-of-shift report to the bedside: a patient- and family-centered
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psnet.ahrq.gov/issue/implementation-standardized-postanesthesia-care-handoff-increases-information-transfer
February 03, 2011 - June 15, 2011
Implementing bedside handover: strategies for change management. … October 27, 2010
The content and context of change of shift report on medical and surgical
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psnet.ahrq.gov/issue/point-care-medication-error-prevention-best-practices-action
December 24, 2007 - The author describes the new generation of barcode technologies that support safe bedside medication
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psnet.ahrq.gov/issue/factors-influencing-patient-safety-during-postoperative-handover
March 03, 2021 - November 20, 2015
Bedside shift reports: what does the evidence say?
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psnet.ahrq.gov/issue/documenting-quality-improvement-and-patient-safety-efforts-quality-portfolio-statement
January 13, 2021 - Improving resident engagement in quality improvement and patient safety initiatives at the bedside … January 2, 2013
Professionalism in the era of duty hours: time for a shift change? … December 12, 2012
Ten years after the IOM report: engaging residents in quality and patient
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psnet.ahrq.gov/node/49573/psn-pdf
January 01, 2009 - Dangerous Shift
November 1, 2008
Patterson ES. Dangerous Shift. PSNet [internet]. 2008. … Approximately 45 minutes later, the unit clerk called the infant's
bedside nurse to report that the … https://psnet.ahrq.gov/web-mm/dangerous-shift
The Commentary
Challenges at Shift Change
Shift change … Institute for Healthcare Improvement, which was
originally designed for nurses calling physicians to report … Readers should not interpret any statement in this report as an official position of AHRQ or
of the
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psnet.ahrq.gov/primer/nursing-and-patient-safety
September 07, 2019 - Nurses are a constant presence at the bedside and regularly interact with physicians, pharmacists, families … Nurse staffing and patient safety Nurse staffing ratios Nurses' vigilance at the bedside is essential … Determining adequate nurse staffing is a very complex process that changes on a shift-by-shift basis. … The process of establishing nurse staffing on a unit-by-unit and shift-by-shift basis is discussed in … Can nurses’ shift work jeopardize the patient safety? A systematic review.
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psnet.ahrq.gov/node/33580/psn-pdf
April 01, 2022 - Nurses are a constant presence at the bedside and regularly interact with physicians,
pharmacists, families … Nurse staffing and patient safety
Nurse staffing ratios
Nurses' vigilance at the bedside is essential … Determining adequate nurse staffing is a very complex
process that changes on a shift-by-shift basis … The process of establishing nurse staffing on a unit-by-unit and shift-by-shift basis is discussed in … Can nurses’ shift work jeopardize the patient safety? A
systematic review.
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psnet.ahrq.gov/node/49642/psn-pdf
December 01, 2011 - The literature on the widespread adoption comes largely from news stories and
market research reports … physicians using an iPad spent
39 minutes less at a computer workstation per 8-hour emergency department shift … e.g., remote telemetry monitoring) as well as patient devices (e.g.,
pacemakers).(17) Although such reports … investigating the possibility of providing mobile devices to health care workers that can be checked out
for a shift … Report: 94 percent of docs have smartphones, but communication gaps persist.
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psnet.ahrq.gov/issue/thats-way-we-do-things-around-here
June 10, 2018 - A patient verification process is needed everywhere, not just at the bedside.
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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - ii) a telephone system with continuously updated nurse assignments that were reviewed each change of shift … How often and through what means (e.g., telephone, in person, electronic health record) is report given … from remote telemetry monitoring staff to bedside nurse? … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S … authors has any affiliation or financial involvement that conflicts with the material presented in this report
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psnet.ahrq.gov/node/49588/psn-pdf
August 01, 2009 - Nursing
Outcomes Coalition (CalNOC), the National Database for Nursing Quality Indicators (NDNQI), and
research … reports, the National Quality Forum (NQF) introduced the 15 nursing-sensitive quality measures
that … It is important to mitigate the stressors of short
staffing on a shift to shift basis. … The nurse then hurriedly returned to the bedside of the acutely ill patient
with the pulmonary embolism … Nationwide State Legislative Agenda, 2008-2009 Reports.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.116_slideshow.ppt
February 01, 2006 - Effective shift handover: a literature review. Health and Safety Executive. June 1996. … Offshore technology report-OTO 96 003. … Shift changes among emergency physicians: best of times, worst of times. … Emergency Department Transitions
May occur at bedside or in remote location
May be interactional or … =15051706
Case (cont.): Lost in Transition
Four hours after arrival, the lab called the ED to report
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psnet.ahrq.gov/issue/saying-goodbye
September 11, 2019 - January 23, 2019
The Research on Adverse Drug Events and Reports (RADAR) project. … May 30, 2018
Innovative approach to reconstruct bedside handoff: using simple rules of … January 25, 2017
Transfer of accountability: transforming shift handover to enhance patient
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psnet.ahrq.gov/node/866622/psn-pdf
August 28, 2024 - We have conducted learning teams on early ambulation, bedside medications, oxygen safety, and care of … However, as we shift our culture, we have also shifted to referring
to great catches and patient care … Anything we can
do to enhance learning and bring the walls down, such as a shift in language, is what … performing a success cause analysis after care is provided and a
https://www.ahrq.gov/patient-safety/reports … If
you ask registration, perioperative techs, or bedside nurses, you'll hear about things that folks
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psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
September 01, 2017 - At the beginning of a new shift, the oncoming nurses listen to the taped report for each patient in their … The nurse made rounds on each of the patients for whom she had a report at the beginning of the shift … Near the end of the shift, the nurse recorded a report on her four patients. … At the end of the shift, the charge nurse asked why there wasn't a taped report on the fifth assigned … Incorporating bedside reporting into change-of-shift report. Rehabil Nurs. 2010;35:70-74.
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psnet.ahrq.gov/issue/nurses-role-causation-compensable-injury
March 24, 2011 - April 30, 2014
Hospital staff nurses' shift length associated with safety and quality … December 7, 2011
Detection and prevention of medication errors using real-time bedside