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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
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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
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psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - 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. … Organization Inadequate handoff communication between physicians and between nurses upon change of shift … 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/node/867206/psn-pdf
December 18, 2024 - Imprecision in patient reports of dizziness
symptom quality: a cross-sectional study conducted in an … Acute dizziness: A personal journey through a paradigm shift. Acad Emerg Med.
2023;30(5):598-602. … Major neurological deficit following neck hyperextension during
dental treatment: report of 2 cases … Beauty parlor stroke syndrome: report of five cases. JAMA. 1993;269(16):2085-2086. … 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/ebola-are-we-ready
July 01, 2012 - moment three different elevators arrived on the ground floor, more than 30 staff members (at their shift … the closest elevator, but this was a bay designated for staff—who were just leaving at the end of a shift … Clinical outcomes after bedside and interventional radiology paracentesis procedures. … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S … , 2012
Process changes to increase compliance with the Universal Protocol for bedside
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psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
October 30, 2019 - One of our leading theories has to do with presence at the bedside. … Changing the "routine care" paradigm requires a cultural shift and a reorientation of thinking focused … POKE scores are discussed by the 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/web-mm/forgotten-turn
August 01, 2018 - 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 U.S … May 1, 2004
Letter
In response to "Failure to Report
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psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
April 26, 2023 - If a nurse is hearing lots of alarms, and they interrupt what they are doing to go to the bedside, and … I need to go now to the patient’s bedside.” … traditional ICU levels, or even a more condition-specific level, you get thousands of alarms per nurse per 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/perspective/conversation-sharon-k-inouye-md-mph
December 01, 2012 - No one even understood what it was, how you recognized it at the bedside, what patients were vulnerable … 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 … Large-scale implementation of sedation and delirium monitoring in the intensive care unit: a report from … 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/node/49808/psn-pdf
October 01, 2017 - The bedside nurse received education about treprostinil, with special instructions
not to flush the … However, research to date has primarily concentrated on intradisciplinary sign-offs among physicians, shift … report among nurses, and interdisciplinary communication among primary clinical team members. … An analysis of the reports submitted to the Australian Incident Monitoring
Study in Intensive Care. … 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/wrong-route-nutrients
September 04, 2010 - 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 U.S
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psnet.ahrq.gov/web-mm/air-side-caution
April 21, 2015 - Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a … 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/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
October 30, 2019 - Changing the "routine care" paradigm requires a cultural shift and a reorientation of thinking focused … POKE scores are discussed by the bedside nurse. … One of our leading theories has to do with presence at the bedside. … 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/perspective/rapid-response-teams-lessons-early-experience
November 01, 2005 - the intervention is that an RRT program brings individuals with critical care skills promptly to the bedside … 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 … 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.
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psnet.ahrq.gov/node/49783/psn-pdf
February 01, 2017 - brain (done for cancer staging)
showed a right subdural hematoma with a very small (5 mm) midline shift … The patient was alert and
oriented when she arrived in the ED, but she did report falling and hitting … On that study,
the radiologist noted that the subdural hematoma had enlarged and the midline shift had … 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
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psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
March 10, 2021 - Initiative PFE Measures
PfP PFE Measures:
Planning Checklist for Scheduled Admissions
Shift … it doesn't affect the bedside. … Or, how many times did they participate in bedside rounding during their stay? … 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/neurological-red-flags-missed-stroke-after-intermittent-episodes-dizziness-and-headache
February 08, 2023 - Imprecision in patient reports of dizziness symptom quality: a cross-sectional study conducted in an … Acute dizziness: A personal journey through a paradigm shift. … Major neurological deficit following neck hyperextension during dental treatment: report of 2 cases and … Beauty parlor stroke syndrome: report of five cases. … 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/perspective/safety-prehospital-emergency-medical-services-setting
May 01, 2019 - most frequent partner.( 20 ) The risk of injury is greatest among EMS partnerships working just one shift … together are 75% less likely to experience a work-related injury than are partnerships with just one shift … Shorter versus longer shift duration to mitigate fatigue and fatigue-related risks in Emergency Medical … Services personnel and related shift workers: a systematic review. … We do this in the trauma bay, but we don't do this very often at the bedside when we're transferring
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psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
October 30, 2024 - The RRT nurse is then responsible for following up with the bedside clinical team to determine next steps … The RRT nurse then collaborates with the clinical team, which can include the hospitalist, bedside nurse … associated with the intervention has consistently been over 90%. 7 The virtual quality nurse consultants report
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psnet.ahrq.gov/node/850678/psn-pdf
June 14, 2023 - The RRT nurse is then responsible for following up with the bedside clinical team to
determine next … The RRT nurse then collaborates
with the clinical team, which can include the hospitalist, bedside nurse … associated with the
intervention has consistently been over 90%.7 The virtual quality nurse consultants report