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Total Results: 375 records

Showing results for "bedside shift report".

221. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49565/psn-pdf
     July 01, 2008 - The LPN on the night shift mistakenly hooked up the total nutrient fluid prepared for the central line … Recognizing the mistake, the LPN returned to the patient's bedside to correct the error, disconnected … The Commentary We interpret reports of medical error through the prism of our own underlying assumptions … Final Report to Agency for Healthcare Research and Quality; 2007. 6. … Readers should not interpret any statement in this report as an official position of AHRQ or of the

222. Right Place, Right Drug, Wrong Strength | PSNet
     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

223. Complications of ECMO During Transport | PSNet
     psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
     January 27, 2021 - 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 U.S … authors has any affiliation or financial involvement that conflicts with the material presented in this report

224. Psn-Pdf (pdf file)
     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

225. Medication Administration Errors | PSNet
     psnet.ahrq.gov/primer/medication-administration-errors
     December 15, 2024 - Background Medication errors have been a key target for improving safety since Bates and colleagues' reports … documentation, and use of standardized administration practices such as dual nurse verification at the bedside … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S … in Medication Safety December 15, 2024 Editor's Picks An analysis of incident reports … March 15, 2017 Shift-to-shift handoff effects on patient safety and outcomes: a systematic

226. Bowel Injury After Laparoscopic Surgery | PSNet
     psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
     January 19, 2016 - The night resident was called to the patient's bedside multiple times overnight by the charge nurse to … The patient remained in sustained pain and the surgical team was called to the bedside multiple times … knows what needs to be done at different stages), address some of the issues that invariably arise with 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

227. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72836/psn-pdf
     January 26, 2021 - edn1 https://psnet.ahrq.gov//#_edn2 https://psnet.ahrq.gov//#_edn3 https://www.ahrq.gov/patient-safety/reports … Shift Change Huddles/Bedside Reporting with Patients and Families 3.

228. Spotlight Case July 2008 (ppt file)
     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?

229. Microsoft PowerPoint - FINAL Feb 2021 Spotlight_Delay in Appropriate DX.pptx - Read-Only (pdf file)
     psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
     January 01, 2021 - to the ICU after becoming hemodynamically unstable with hypotension and increasing tachycardia • Bedside … • Miscommunication may occur verbally, in written reports, or both. … Case Reports in Orthopedics. 2013;2013(3):1-3. doi:10.1155/2013/401968. 5. … Pulmonary Embolism and Severe Asthma: Case Report and Literature Review. … The radiology report - Are we getting the message across?

230. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49615/psn-pdf
     December 01, 2010 - patients, staff members place a SKIN ALERT sticker on the outside of the chart, along with signs at the bedside … repositioned at a minimum of every 2 hours.(10) Cues for repositioning have included clocks at the bedside … Empowerment of the bedside nurse as the focal point for protecting patients along with strong support … 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

231. A Virtual Hospitalist Program to Address a Hospital’s Challenges at the Start of the COVID-19 Pandemic | PSNet
     psnet.ahrq.gov/innovation/virtual-hospitalist-program-address-hospitals-challenges-start-covid-19-pandemic
     October 30, 2024 - Covering these duties freed up the onsite team to see more patients and focus on bedside clinical management … In their published article, the team report anecdotal evidence that the innovation helped address challenges … Additionally, implementing clinicians need to be flexible and able to shift direction throughout the … Also, the pairing of two clinicians helped to reduce the feeling of isolation, the team reports. 1 The … Additionally, implementing clinicians need to be flexible and able to shift direction throughout the

232. Diffusion of Responsibility Leads to Danger | PSNet
     psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
     November 08, 2013 - 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 hemodialysis … 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 U.S

233. Informed or Misled? | PSNet
     psnet.ahrq.gov/web-mm/informed-or-misled
     April 24, 2018 - The role of clinical guidelines in medical negligence litigation: a shift from the Bolam standard? … 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 … Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside

234. In Conversation With... Libby Hoy and Stephen Hoy | PSNet
     psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
     March 10, 2021 - it doesn't affect the bedside. … Or, how many times did they participate in bedside rounding during their stay? … Initiative PFE Measures PfP PFE Measures: Planning Checklist for Scheduled Admissions 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

235. Miscommunication During the Interhospital Transport of a Critically Ill Child | PSNet
     psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
     March 27, 2024 - Her parents demanded transfer to a specialty hospital, but there was a shift change and the new emergency … A telehealth connection to bring the pediatric intensivist and transport team to the child’s bedside … The use of I-PASS for patient handoffs during inpatient pediatric shift changes was found to decrease … Family members report experiences of poor information sharing and little shared decision-making during … Brief report: the impact of maternal posttraumatic stress disorder symptoms and child gender on risk

236. Rescue Improvement Conference Innovation Summary | PSNet
     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

237. Patient as a Team Member in Clinical Care | PSNet
     psnet.ahrq.gov/curated-library/patient-team-member-clinical-care
     March 15, 2025 - This report... … Physician reviewers evaluated parents' reports and designated incidents as errors or quality issues or … The study team's clinician review panel assessed patient concerns and shared reports deemed to be safety … clinicians and patients, the guide emphasizes four strategies—working with patients as advisors, improving bedside … communication, integrating patients and families into shift changes, and using patient input to improve

238. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837913/psn-pdf
     August 31, 2022 - Her parents demanded transfer to a specialty hospital, but there was a shift change and the new emergency … Second, the shift change introduced a new treating physician who did not recognize the necessity of … A telehealth connection to bring the pediatric intensivist and transport team to the child’s bedside … The use of I-PASS for patient handoffs during inpatient pediatric shift changes was found to decrease … Brief report: the impact of maternal posttraumatic stress disorder symptoms and child gender on risk

239. In Conversation with…Donald M. Berwick, MD, MPP | PSNet
     psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
     November 01, 2005 - Speed and agility are values, which are to keep up with the industry, keep up with the needs, to shift … when we have to shift, and to change when we've done something wrong. … Others report that standing by a deteriorating patient with no resources to help—in the absence of an … If a response is defined as a thorough bedside evaluation by a team member who possesses some critical … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33803/psn-pdf
     January 01, 2015 - The 2014 report showed progress in a variety of areas—most notably access to care. … As noted in the recent IOM report, we don't yet have good measures of diagnostic accuracy. … and Safety focuses on four https://psnet.ahrq.gov/issue/national-healthcare-quality-and-disparities-reports … Third, enhancing continuity of care by keeping the patient and family informed through nurse bedside … change-of-shift reports, assuring that during shift changes it is not simply one nurse talking with