Results

Total Results: 411 records

Showing results for "bedside shift report".

301. 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

302. Peripheral IV in Too Long | PSNet
     psnet.ahrq.gov/web-mm/peripheral-iv-too-long
     September 15, 2011 - 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 U.S … authors has any affiliation or financial involvement that conflicts with the material presented in this report … January 27, 2021 Impact of structured interdisciplinary bedside rounding on patient outcomes

303. 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

304. Cultural transformation toward patient safety: one conversation at a time. | PSNet
     psnet.ahrq.gov/issue/cultural-transformation-toward-patient-safety-one-conversation-time
     November 16, 2022 - Surgical residents, duty hours restrictions, and shift transitions. … July 20, 2022 WebM&M Cases Failure to Report March … July 1, 2008 Letter In response to "Failure to Report … across eight hospitals: who reports what about whom? … Diagnostic Failure: The Growing Deficit February 1, 2019 Implementing bedside

305. 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

306. A fatal case of iatrogenic hypercalcemia after calcium channel blocker overdose. | PSNet
     psnet.ahrq.gov/issue/fatal-case-iatrogenic-hypercalcemia-after-calcium-channel-blocker-overdose
     October 26, 2022 - This case report documents an adverse event that resulted from treatment intended to reverse the effects … August 31, 2016 Implementation of a modified bedside handoff for a postpartum unit. … January 11, 2017 Identifying health information technology related safety event reports … from patient safety event report databases. … January 18, 2017 Sleep deprivation and error in nurses who work the night shift.

307. 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

308. 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

309. 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

310. 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

311. 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

312. 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

313. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-275
     January 29, 2021 - issue highlights what's new this week in patient safety literature, news, conferences, reports … The shift to in situ training identified several latent safety threats (e.g., equipment access, lack … shares the author’s frustrations with the system of care observed during an overnight visit at the bedside … Book/Report Textbook of Patient Safety and Clinical Risk Management.

314. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49801/psn-pdf
     August 01, 2017 - 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. … Readers should not interpret any statement in this report as an official position of AHRQ or of the

315. Optimizing Medication Reconciliation and Transitions of Care: Insights from a Pharmacist and Pharmacy Technician. | PSNet
     psnet.ahrq.gov/issue/optimizing-medication-reconciliation-and-transitions-care-insights-pharmacist-and-pharmacy
     July 25, 2023 - Review into the Quality of Care and Treatment Provided by 14 Hospital Trusts in England: Overview Report … November 24, 2021 National Healthcare Quality and Disparities Report Chartbook on Patient … March 8, 2023 Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative … February 20, 2008 Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to

316. Interpreting the Patient Safety Literature | PSNet
     psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
     June 01, 2005 - If an article reports improvements in these ranges, scrutinize it closely. … There is a dichotomy—some quality experts are far removed from the bedside. … Their theories, which are often very elegant, are just not always applicable to bedside reality. … One real benefit that physicians working in this area bring is that we still practice at the bedside, … As a matter of fact, the goal is to put my team out of business—to shift the work to the caregivers at

317. 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

318. Psn-Pdf (pdf file)
     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

319. 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.

320. 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