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psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
January 31, 2024 - During the night shift, the hospital unit was short-staffed, and her external catheter system fell off … 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 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/untimely-end-despite-end-life-care-planning
February 01, 2012 - However, this occurred at the end of shift, and the resident did not verbally communicate the order change … and suggests that transitions to comfort care in the ICU should not occur unless the family is 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/web-mm/resuscitation-errors-shocking-problem
October 19, 2022 - Drug Administration (FDA) reviewed data from the FDA's Medical Device Reporting System (including 1327 reports … With regard to equipment problems such as those described by the case in question, a daily (or per shift … Cardiopulmonary resuscitation of adults in the hospital: a report of 14,720 cardiac arrests from the … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S … June 7, 2017
A dynamic risk management approach for reducing harm from invasive bedside
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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - A bedside point of care ultrasound (POCUS) demonstrated marked right heart strain. … pain and dyspnea. 32 POCUS or formal transthoracic echocardiogram are rapid and can be performed at bedside … Miscommunication may occur verbally, in written reports, or both. … Case Reports in Orthopedics . 2013;2013(3):1-3. doi:10.1155/2013/401968. … The radiology report - Are we getting the message across?
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psnet.ahrq.gov/node/49613/psn-pdf
November 01, 2010 - Develop bedside point-of-care bar code scanning, and support or champion other system
improvements that … Shift the paradigm from reactive risk management to proactive management. … Promptly report
results to parents. … 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/unfinished-patient-safety-agenda
August 01, 2005 - safety among their top three concerns in 2004—no significant change over previous years.( 1 )
The IOM report … Efforts to transform care at the bedside, including improved nurse staffing and working conditions, must … 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 … 2020
View More
Related Resources
Training Program for Nurses on Shift
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - .
• When the morning shift started, the new nursing assistant called
the team to bedside as the patient … opioid
dosing in a narrow period of time may not relieve the patient’s pain
and can dramatically shift
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psnet.ahrq.gov/web-mm/mobility-lost-icu
August 01, 2018 - It's also important that the PT communicate with the patient's bedside nurse or physician(s) about changes … Early patient mobility in the ICU requires a culture shift that embraces mobilization and collaboration … 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/72739/psn-pdf
February 10, 2021 - A bedside point of care
ultrasound (POCUS) demonstrated marked right heart strain. … Miscommunication may occur verbally, in written reports, or
both. … Case Reports in Orthopedics.
2013;2013(3):1-3. doi:10.1155/2013/401968.
5. … Excluding pulmonary embolism at the bedside without
diagnostic imaging: management of patients with … The radiology report - Are we getting the message across?
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psnet.ahrq.gov/node/49721/psn-pdf
December 01, 2014 - 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 … 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/are-you-mrs-issue-identification-over-telephone
January 01, 2016 - 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 U.S
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psnet.ahrq.gov/node/49621/psn-pdf
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 … Tools to assist in managing children, such as computerized bedside management systems (that can
both … 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/852700/psn-pdf
August 30, 2023 - engagement, and feeling valued, as
well as attrition from jobs and healthcare professions, and a shift … One trend that I hope we’ll sustain is the shift to rapid communities of learning across local, regional … We
can’t simply legislate our way into putting more colleagues at the bedside as the determinant that
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psnet.ahrq.gov/node/860050/psn-pdf
January 04, 2024 - small (5mm)
subdural hemorrhage overlying the left frontal convexity without mass effect or midline shift … The bedside parent may
not give an accurate history or may not even know the accurate history. … 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 … View AHRQ Disclaimers
https://psnet.ahrq.gov//mailto:jnmagana@ucdavis.edu
https://www.acf.hhs.gov/cb/report
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psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
November 15, 2023 - Develop bedside point-of-care bar code scanning, and support or champion other system improvements that … Shift the paradigm from reactive risk management to proactive management. … Promptly report results to parents. … 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/49663/psn-pdf
September 01, 2012 - The bedside nurse asked the covering
physician if the peripheral IV could be extended for an additional … documentation to include the date of
peripheral IV insertion and a description of the site during each 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/node/33660/psn-pdf
December 01, 2007 - The state of Maine has mandated that all hospitals
publicly report care transition measure scores, and … psnet.ahrq.gov/issue/care-transitions-intervention-results-randomized-controlled-trial
cabinet, by the bedside … The first key attribute is easier to say and much
harder to do, and that is to make that shift from … In Chapter 5 of the June 2007 report, they outlined two fundamental steps. … The first step
would be to begin to mandate that hospitals publicly report their risk-adjusted 30-day
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psnet.ahrq.gov/perspective/emergence-application-based-healthcare
August 05, 2022 - https://www.iqvia.com/insights/the-iqvia-institute/reports/digital-health-trends-2021 . … I was at the bedside with my father experiencing what patients go through every day. … I wonder if we could shift the conversation to thinking about safety implications. … issues including heart attacks, hypertension, being a cigarette smoker, and working late nights as a 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/perspective/conversation-francoise-marvel-md
August 05, 2022 - I was at the bedside with my father experiencing what patients go through every day. … I wonder if we could shift the conversation to thinking about safety implications. … issues including heart attacks, hypertension, being a cigarette smoker, and working late nights as a shift … https://www.iqvia.com/insights/the-iqvia-institute/reports/digital-health-trends-2021 . … 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/842919/psn-pdf
February 01, 2023 - The ED can be a hectic
environment with many provider hand-offs and shift changes between bedside nurses … National Diabetes Statistics Report website. Centers for Disease Control and Prevention. … Readers should not interpret any statement in this report as an official position of AHRQ or
https:/ … /bmjopen-2017-016587
https://doi.org/10.1111/dme.14788
https://www.cdc.gov/diabetes/data/statistics-report … authors has any affiliation or financial
involvement that conflicts with the material presented in this report