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psnet.ahrq.gov/perspective/application-safety-ii-principles
August 28, 2024 - system and recognition of the importance of evaluating successes in addition to failures yielded a shift … 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 … If you ask registration, perioperative techs, or bedside nurses, you'll hear about things that folks
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psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
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 … If you ask registration, perioperative techs, or bedside nurses, you'll hear about things that folks … system and recognition of the importance of evaluating successes in addition to failures yielded a shift
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psnet.ahrq.gov/node/33742/psn-pdf
December 01, 2012 - No one even understood what it was, how you recognized it at the bedside, what
patients were vulnerable … In terms of recognizing it at the
bedside, you really do need to do some formal cognitive testing even … All these little things happen on the night shift because it's when things are otherwise
quieter. … have to do major room switches, if someone comes up VRE or MRSA positive, they
often do them on night shift … But right now the only way to reliably identify
the delirium is from someone going to the bedside.
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psnet.ahrq.gov/perspective/conversation-abraham-verghese-md
November 01, 2012 - As we come to the bedside more, we will in a sense come together from both ends. … Examination as a Patient Safety Practice
November 1, 2012
Perspective
Near the end of his shift … laboratory tests, electrocardiograms, cross-sectional body images, endoscopic findings, microscopic reports … 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/web-mm/patient-identification-errors-systems-challenge
February 23, 2011 - The next day, the night shift RN discovered the child had another patient’s identification (ID) band … A qualitative analysis performed on 227 RCA (root cause analysis) reports from the Veterans Health Administration … To improve communication between the ED and CT suite, a cultural shift away from using room numbers to … Technological advances, such as point-of-care 2D barcode scanning, use of workstations on wheels (WOWs) at the bedside … Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports
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psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
November 01, 2012 - Endnote tagged PubMedId RIS
Download Citation
Perspective
Near the end of his shift … laboratory tests, electrocardiograms, cross-sectional body images, endoscopic findings, microscopic reports … As we come to the bedside more, we will in a sense come together from both ends. … 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/49732/psn-pdf
May 01, 2015 - She died on hospital day 4 with
her family at her bedside. … They also help the
primary bedside nurse and rapid response nurse implement the orders within 1-hour … to complete a checklist at least once a shift. … 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/perspective/preparing-health-reform-federal-government-and-nursing-workforce
September 01, 2012 - This report will compile a wide range of data on the nursing workforce. … 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
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psnet.ahrq.gov/node/49759/psn-pdf
May 01, 2016 - In addition, the team had not communicated with the bedside nurse
about when they would be performing … Use of bedside tools to communicate the tailored fall prevention plan to all team members, including … Data & Statistics (WISQARS): Cost of Injury Reports. … references
Previous fall
Safety precautions
Communicate risk status via plan of care,
change of shift … 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/node/49749/psn-pdf
December 01, 2015 - organizational use of glycemic control
protocols through their role in administering these protocols at the bedside … This raises the
question of what information was covered in the change of shift handoff regarding glucose … Fact Sheet—Report on the Operational Use of Flight Path Management
Systems. … www.ncbi.nlm.nih.gov/pubmed/25869408
http://www.ncbi.nlm.nih.gov/pubmed/23903479
https://www.nae.edu/Publications/Reports … Organization
Inadequate handoff communication
between physicians and between
nurses upon change of shift
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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - The intensivist came to the
bedside promptly, but the patient rapidly went into cardiac arrest. … At that point, the nephrologist arrived at the
bedside and was surprised to find that the patient's … Published reports indicate that
geographic localization can reduce the perception of wasted time, increase … The long road to patient safety: a status report on the patient
safety systems. … 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/web-mm/falling-through-crack-bedrails
February 19, 2020 - In addition, the team had not communicated with the bedside nurse about when they would be performing … Use of bedside tools to communicate the tailored fall prevention plan to all team members, including … Data & Statistics (WISQARS): Cost of Injury Reports. … Interventions: Previous fall Safety precautions Communicate risk status via plan of care, change of shift … report, and signage Document circumstances of previous fall Medication adverse effects
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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - of the Innovation
The Institute for Healthcare Policy and Innovation at the University of Michigan reports … injury, deterioration following issues with
postoperative fluid management, and decompensation during bedside … This shift in mindset can
promote patient safety.
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
June 14, 2023 - We hear from staff, clinicians, and leaders positive reports about the power of these educational sessions … I’m going to shift your question a little bit. … The guide emphasizes two care processes in particular when families can impact safety—nurse bedside shift … report and planning for care transitions from hospital to home. … Conducting nurse change of shift at the patient’s bedside with families creates an opportunity for bidirectional
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psnet.ahrq.gov/perspective/patient-and-family-roles-safety
June 14, 2023 - The guide emphasizes two care processes in particular when families can impact safety—nurse bedside shift … report and planning for care transitions from hospital to home. … Conducting nurse change of shift at the patient’s bedside with families creates an opportunity for bidirectional … We hear from staff, clinicians, and leaders positive reports about the power of these educational sessions … I’m going to shift your question a little bit.
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psnet.ahrq.gov/node/60268/psn-pdf
April 29, 2020 - It is feasible for use at bedside, with ambulating patients, and for mobile ECMO. … is also used as part of the patient survey the ECMO specialist nurse performs when beginning
every shift … SBAR improves communication and
safety climate and decreases incident reports due to communication errors … 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/errors-sepsis-management
November 03, 2015 - She died on hospital day 4 with her family at her bedside. … They also help the primary bedside nurse and rapid response nurse implement the orders within 1-hour … to complete a checklist at least once a shift. … 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/web-mm/preventing-picc-complications-whose-line-it
October 01, 2017 - internationally, per year.( 1,2 ) This rapid growth in PICC utilization has been fueled by ease of bedside … increase placement success, obviate the need for fluoroscopic guidance, and can be done safely at the bedside … throughout; and (v) daily evaluation for catheter necessity with prompt removal.( 10 ) In a recent report … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S … December 18, 2014
Transfer of accountability: transforming shift handover to enhance
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.338_slideshow.ppt
January 01, 2015 - The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal … The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal … 18757666
8
Remote Monitoring of FHR
Traditionally, FHR monitors have been located at the patient's bedside … The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal … that it facilitates monitoring of all patients at once
Previously, a nurse or physician had to visit bedside
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.236_slideshow.ppt
March 01, 2011 - communicated the minimal intake of fluids and poor urine output to the day nurse at the 7:00 AM change of shift … for their children and ask questions on their behalf
Yet parents or guardians may need to leave the bedside … Tools to assist in managing children, such as computerized bedside management systems (that can both