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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/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/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
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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/issue/international-forum-quality-and-safety-healthcare
September 10, 2024 - IHI Innovation Report. … Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports … October 6, 2021
Ockenden Report. … February 3, 2021
Training Program for Nurses on Shift Work and Long Work Hours. … February 20, 2008
Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to
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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/49826/psn-pdf
April 01, 2018 - Checking it twice: an evaluation of
checklists for detecting medication errors at the bedside using … 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/periodic-issue/periodic-issue-397
June 28, 2023 - issue highlights what's new this week in patient
safety literature, news, conferences, reports … study in 2017 showed anesthesia residents performed worse when sleep-deprived after working a night shift … Few reported institutional support (e.g., training, fatigue monitoring) for night shift workers. … Importantly, this study reports on perceived risk to patients, not actual patient risk. … The care team performed a tracheostomy percutaneously at the bedside with some difficulty.
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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/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/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/60865/psn-pdf
August 31, 2020 - KH: I assume that it takes time to see the culture shift, over years. … Or is it just a paradigm
shift of how your thinking of the care you are providing? … EL: It’s a paradigm shift. … The paradigm shift about the value of who that person is in the bed is key. … But care at the bedside,
and of course I am a little bit biased, is very good.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.185_slideshow.ppt
October 01, 2008 - *
*
Issues in Present Case
Case report does not mention whether patient’s primary physician received … with access to patient’s medication record in hospital may become aware of a missed dose
Prompting bedside … Available at: http://pewhispanic.org/reports/report.php?
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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/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/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/innovation/rescue-improvement-conference-innovation-summary
September 23, 2024 - This shift in mindset can promote patient safety. … 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
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psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength
March 26, 2015 - Studies of ADC-related errors report on diverse patient populations with various control factors and … and barcode-assisted medication administration (BCMA) can provide yet another check at the patient bedside … These actions remove some of the possible errors that can occur in the process of bedside decision-making … Share and provide feedback on medication incident reports and experiences. … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S
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psnet.ahrq.gov/issue/virtual-ambulatory-cusp-training
June 05, 2024 - October 11, 2017
Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to … July 11, 2012
Guide to Patient and Family Engagement: Environmental Scan Report. … June 27, 2012
2012 User Comparative Database Report: Medical Office Survey on Patient … September 22, 2010
Training Program for Nurses on Shift Work and Long Work Hours. … April 28, 2021
National Healthcare Quality and Disparities Report Chartbook on Patient