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Total Results: 376 records

Showing results for "bedside shift report".

281. Right Patient, Wrong Sample | PSNet
     psnet.ahrq.gov/web-mm/right-patient-wrong-sample
     June 01, 2004 - As it was the change of nursing shift, the bedside nurse for the patient was not available and there … Classifying laboratory incident reports to identify problems that jeopardize patient safety. … Direct interfacing of LIS to electronic medical record with elimination of printed 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

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33837/psn-pdf
     July 01, 2017 - Many malpractice attorneys even started using the Institute of Medicine's report on medical error in … to explain a bad outcome in the hospital became much more common after the publicity over the IOM report … RW: I want to shift to one of the other trends in the field, which is apology and disclosure. … It is a massive culture shift for institutions to move from a traditional "deny-and-defend" posture to … They have to see and deal with these patients at the bedside after something goes wrong.

283. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49527/psn-pdf
     December 01, 2006 - As it was the change of nursing shift, the bedside nurse for the patient was not available and there … Classifying laboratory incident reports to identify problems that jeopardize patient safety. … Direct interfacing of LIS to electronic medical record with elimination of printed reports. … 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

284. Right Regimen, Wrong Cancer: Patient Catches Medical Error | PSNet
     psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
     August 01, 2006 - In the morning his bedside nurse for the day came in and stated that she would be giving him his fourth … A national trend, in place for more than a decade, has resulted in a shift in the setting in which chemotherapy … The shift of oncology inpatient care to outpatient care: the challenge of retaining expert oncology nurses … 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

285. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74713/psn-pdf
     January 26, 2022 - When the morning shift started, the new nursing assistant called the team to bedside as the patient … repeat opioid dosing in a narrow period of time may not relieve the patient’s pain and can dramatically 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

286. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865655/psn-pdf
     April 24, 2024 - The patient was discharged that afternoon despite continuing to report extreme pain. … Diagnosis Historically, CS has been diagnosed by bedside assessment using various clinical signs and … Did resident duty hours or shift work play a role in the delayed diagnosis, and if so, how? … In addition, we recommend concurrent bedside patient examination of patients who are being evaluated … Readers should not interpret any statement in this report as an official position of AHRQ or of the

287. The LifePoint National Quality Program Provides Structured Framework for Reducing Inpatient Harm | PSNet
     psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-reducing-inpatient-harm
     February 26, 2025 - can easily be replicated across hospitals (e.g., TeamSTEPPS, the use of interdisciplinary care teams, bedside … shift reports, prioritizing patient engagement) and providing guidance on how to implement and master

288. Video to Improve Patient Safety: Clinical and Educational Uses | PSNet
     psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
     March 01, 2004 - EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Perspective Reports … equipment, and team interactions.( 5 ) In contrast to administrative records, patient charts, and incident reports … addition to illustrating technical procedures, video is used for dissemination of best practices, such as bedside … shift change reporting, and for instructions of how to operate devices (such as infusion pumps) safely … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S

289. Despite Clues, Failed to Rescue | PSNet
     psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
     August 02, 2015 - Bedside evaluation revealed she was hypotensive (blood pressure 75/45 mm Hg), tachycardic (heart rate … The intensive care unit (ICU) team consulted at the bedside and made plans to transfer her to the ICU … Early warning scores use risk prediction, typically generated each shift, based on vital signs and information … Natl Health Stat Report. 2010;29:1-20, 24. [go to PubMed] 3. … December 5, 2018 Using incident reports to assess communication failures and patient

290. Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. | PSNet
     psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
     November 25, 2020 - The patient was discharged that afternoon despite continuing to report extreme pain. … Diagnosis Historically, CS has been diagnosed by bedside assessment using various clinical signs and … Did resident duty hours or shift work play a role in the delayed diagnosis, and if so, how? … In addition, we recommend concurrent bedside patient examination of patients who are being evaluated … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S

291. Too Many Cooks in the Kitchen | PSNet
     psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
     March 07, 2018 - deterioration before the outcome became inevitable, a hospital-wide  Early Warning System  based on networked 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

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49694/psn-pdf
     October 01, 2013 - there are other examples of wrong patient errors that led to death.(8) Although there are no published reports … recommended strategies for reducing the risk of wrong patient errors based on expert consensus and analyzing reports … A patient verification process is needed everywhere, not just at the bedside. … MEDMARX 5th Anniversary Data Report: A Chartbook of 2003 Findings and Trends 1999–2003. … Readers should not interpret any statement in this report as an official position of AHRQ or of the

293. Mismanagement of Delirium | PSNet
     psnet.ahrq.gov/web-mm/mismanagement-delirium
     February 13, 2014 - loved one's care and requested alternate ward placement that allowed a 24-hour family caregiver at the bedside … The patient continued to act out dreams, but having a family caregiver at the bedside prevented escalation … 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

294. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy | PSNet
     psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
     September 30, 2020 - Abnormal findings should trigger more thorough bedside evaluation, including history-taking and physical … An alert with the institution's protocol for abnormal obstetric vital signs could help prompt urgent bedside … Obstet Gynecol . 2015;126:155–62. [ Free full text ] R 3 Report – Requirement, Rationale, Reference … The Joint Commission. [ Available at ] R 3 Report: Provision of Care, Treatment, and Services standards … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S

295. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836939/psn-pdf
     April 27, 2022 - Covering these duties freed up the onsite team to see more patients and focus on bedside clinical management … virtual-hospitalist-program-address-hospitals-challenges-start-covid-19-pandemic https://psnet.ahrq.gov//#1 In their published article, the team report … Lessons from other countries and early reports from the United States showed that staff at sites treating … 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

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838972/psn-pdf
     October 27, 2022 - During the night shift, the hospital unit was short- staffed, and her external catheter system fell … By the time the nurse came to the bedside to change the patient’s urine-soaked bed pads and sheets, the … 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

297. Don't Dismiss the Dangerous: Obstetric Hemorrhage | PSNet
     psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
     August 21, 2024 - may actually precede hypotension) that does not respond immediately to a fluid bolus needs careful bedside … Often, a bedside sonogram will identify a significant intra-abdominal fluid collection. … 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 … May 23, 2018 The radiology impact of healthcare errors during shift work.

298. One Dose, Two Errors | PSNet
     psnet.ahrq.gov/web-mm/one-dose-two-errors
     September 29, 2017 - The report was received by the nurse and relayed to the covering resident. … revealed that the information about the positive yeast culture had been correctly called in to the bedside … pharmacists.( 10 ) Team members are aware of key aspects of each patient's medical problems and laboratory reports … quality by rapidly notifying radiologist of report errors. … Benign April 1, 2009 WebM&M Cases Dangerous Shift

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33786/psn-pdf
     May 01, 2015 - psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses Perspective Reports … equipment, and team interactions.(5) In contrast to administrative records, patient charts, and incident reports … addition to illustrating technical procedures, video is used for dissemination of best practices, such as bedside … shift change reporting, and for instructions of how to operate devices (such as infusion pumps) safely

300. Patient Safety Events Involving Opioid Dose Stacking | PSNet
     psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
     July 08, 2022 - When the morning shift started, the new nursing assistant called the team to bedside as the patient was … repeat opioid dosing in a narrow period of time may not relieve the patient’s pain and can dramatically 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