-
psnet.ahrq.gov/node/33611/psn-pdf
July 01, 2005 - of direct observations of the interns,
daily chart reviews by ICU nurse data abstractors, voluntary reports … CL: A number of mistakes were largely due to failure to remain vigilant throughout the long shift in … turned into the night shift on our intervention
schedule, that follow up of tests and those types of … CL: Well, I personally don't think that a shift-work mentality has much to do with the number of hours … part of the century has
been that, in order to be well trained as a physician, you need to be at the bedside
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psnet.ahrq.gov/node/49581/psn-pdf
March 21, 2009 - The
medications were administered by the night-shift nurse when they arrived on the unit at 6:00 AM, … The nurse assigned to this patient for the day shift also administered the two medications at 9:00 AM … Conduct a nursing education program that stresses the importance of bringing the MAR to the
bedside … Readers should not interpret any statement in this report as an official position of AHRQ or
of the … authors has any affiliation or financial
involvement that conflicts with the material presented in this report
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - 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/periodic-issue/periodic-issue-409
September 27, 2023 - issue highlights what's new this week in patient
safety literature, news, conferences, reports … Diagnostic errors were associated with longer interpretation times, higher shift volume, and weekend … are also summarized, ranging from low-cost measures such as breaks for physical activity during the shift … victims and fear of the peers who knew of the situation and were not psychologically safe enough to report … Before discharge, medications intended for home use were delivered to the patient’s bedside, but the
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psnet.ahrq.gov/issue/there-light-well-it-depends-grounded-theory-study-nurses-lighting-and-medication
June 29, 2011 - This qualitative study found that bedside nurses frequently experienced difficulty with medication administration … points of care: linking handover strategies to treatment errors in the patient care in the following shift
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psnet.ahrq.gov/issue/operational-failures-and-interruptions-hospital-nursing
November 03, 2021 - This study discovered that nurses experienced more than eight work system failures during an 8-hour shift … The authors advocate for continued efforts to differentiate between tactics taken by bedside nurses to
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psnet.ahrq.gov/node/33741/psn-pdf
November 01, 2012 - perspective/evidence-based-physical-examination-patient-safety-practice
Perspective
Near the end of his shift … laboratory
tests, electrocardiograms, cross-sectional body images, endoscopic findings, microscopic reports … For a surprising number of diseases, diagnosis still rests entirely on empiric observation at the bedside … Bedside differentiation of vestibular neuritis
from central "vestibular pseudoneuritis." … HINTS to diagnose stroke in the acute
vestibular syndrome: three-step bedside oculomotor examination
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psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
March 15, 2021 - 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/issue/developing-standardized-receiver-driven-handoffs-between-referring-providers-and-emergency
June 03, 2020 - December 19, 2018
Association of patient and family reports of hospital safety climate … June 18, 2019
Implementing bedside handoff in the emergency department: a practice improvement … Implementation of an emergency department sign-out checklist improves transfer of information at shift
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.203_slideshow.ppt
August 01, 2009 - , two nurses had called in sick, and only one patient care assistant was scheduled for this weekend shift … Efforts to Standardize RN Staffing
Reports from IOM, NQF, and ANA have emphasized importance of adequate … Washington, DC: National Quality Forum; 2004. http://www.rwjf.org/reports/grr/047479.htm. … Nationwide State Legislative Agenda, 2008-2009 Reports. … The nurse then rushed to the bedside of the acutely ill patient with the pulmonary embolism.
*
Case
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psnet.ahrq.gov/node/72586/psn-pdf
December 23, 2020 - When a new medical
team arrived Monday morning to receive sign-out report from the weekend team, they … of his illness and his needs for around the clock nursing care at
the time the decision was made to shift … misunderstanding, that code status is not care
status, is pervasive, even in health care providers who report … Readers should not interpret any statement in this report as an official position of AHRQ or
of the … authors has any affiliation or financial
involvement that conflicts with the material presented in this report
-
psnet.ahrq.gov/periodic-issue/periodic-issue-410
September 27, 2023 - issue highlights what's new this week in patient
safety literature, news, conferences, reports … Study
Effects of work shift or shift length on radiation safety perception. … Psychological safety to report errors stems from a robust safety culture. … Before discharge, medications intended for home use were delivered to the patient’s bedside, but the … and another pharmacy was contacted to provide the insulin pen, which was delivered to the patient’s bedside
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psnet.ahrq.gov/issue/evaluation-nurse-led-safety-program-critical-care-unit
June 03, 2013 - improvement: the American Organization of Nurse Executives implementation of Transforming Care at the Bedside … January 15, 2014
Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative
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psnet.ahrq.gov/node/33736/psn-pdf
September 01, 2012 - research you've done but also your
evaluation of the Robert Wood Johnson "Transforming Care at the Bedside … RW: From your work in evaluating "Transforming Care at the Bedside," what did you learn about the
bedside … onto a med–surg unit has 4 to 8 patients assigned, each of whom has a to-do list at
the start of the shift … need to make sure that they're able to meet the nursing needs of those patients
every day of their shift … When the Institute of Medicine (IOM) studied this and issued a report in 1996, the
committee basically
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psnet.ahrq.gov/web-mm/code-status-vs-care-status
September 30, 2020 - When a new medical team arrived Monday morning to receive sign-out report from the weekend team, they … of his illness and his needs for around the clock nursing care at the time the decision was made to shift … misunderstanding, that code status is not care status, is pervasive, even in health care providers who report … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S … April 1, 2009
An analysis of incident reports related to electronic medication
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psnet.ahrq.gov/issue/rn-assessments-excellent-quality-care-and-patient-safety-are-associated-significantly-lower
August 20, 2018 - August 20, 2018
Nurses' shift length and overtime working in 12 European countries: the … May 20, 2020
Nurses' shift length and overtime working in 12 European countries: the … January 12, 2011
Nursing 2006 Patient-safety survey report.
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psnet.ahrq.gov/issue/we-cant-get-along-without-each-other-qualitative-interviews-physicians-about-device-industry
March 07, 2018 - Checking it twice: an evaluation of checklists for detecting medication errors at the bedside
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.257_slideshow.ppt
December 01, 2011 - *
*
Background: Mobile Device Use
Health care provider use of smartphones is increasing
Reports … Report: 94 percent of docs have smartphones, but communication gaps persist. … ’s clinical condition changes rapidly
Enhance communication among health care providers
Allow for bedside … 2011;28:29-32. http://www.ncbi.nlm.nih.gov/pubmed/21036794
Horng S, Nathanson, L. iPad use at the bedside … Investigating possibility of providing mobile devices to health care workers that can be checked out for a shift
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psnet.ahrq.gov/node/863650/psn-pdf
February 28, 2024 - metric tracking through dashboards; and (3) ongoing and real-time data literacy
training to enhance bedside … It
fosters performance data report comprehension in about 15 minutes in day-to-day casual conversation … Efficient communication and shared responsibility for patient outcomes between daytime and
evening shift … Both IT and clinical staff should
share a common understanding of needed EHR fields, and report outputs … This can be part of
building and delivering a structured data literacy training program to engage bedside
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psnet.ahrq.gov/issue/adverse-events-among-emergency-department-patients-cardiovascular-conditions-multicenter
December 01, 2021 - April 15, 2020
ISMP medication error report analysis. … December 1, 2012
WebM&M Cases
Near Miss with Bedside … 2011
Healthcare provider complaints to the emergency department: a preliminary report