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psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
March 01, 2004 - EndNote 7 XML Endnote tagged PubMedId RIS
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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
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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
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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
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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
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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/issue/patient-safety-synonymous-quality-nursing-care-should-it-be-brief-discourse
July 15, 2020 - October 19, 2016
The ins and outs of change of shift handoffs between nurses: a communication … August 28, 2019
The courage to speak out: a study describing nurses' attitudes to report … 14, 2019
Nurses' safety motivation: examining predictors of nurses' willingness to report … January 30, 2019
Implementing bedside handoff in the emergency department: a practice
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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/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/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
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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
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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
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Related Resources
Training Program for Nurses on Shift
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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/periodic-issue/periodic-issue-382
March 15, 2023 - issue highlights what's new this week in patient
safety literature, news, conferences, reports … This review summarizes 13 articles published since 2010 that report on the use of artificial intelligence … Only 60% of pharmacies submitted at least one report, indicating compliance with and participation in … The bedside and charge nurses had difficulty placing the NGT and the X-ray confirmation was not done. … and treating acute agitation secondary to delirium, and the importance of clear communication during shift
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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/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/periodic-issue/periodic-issue-383
March 15, 2023 - issue highlights what's new this week in patient
safety literature, news, conferences, reports … Book/Report
National Healthcare Quality and Disparities Report Chartbook on Patient … The bedside and charge nurses had difficulty placing the NGT and the X-ray confirmation was not done. … and treating acute agitation secondary to delirium, and the importance of clear communication during shift
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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/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/issue/distractors-obstetric-ultrasound-do-sonographers-have-safety-concerns
March 08, 2023 - May 19, 2021
Using event reports in real-time to identify and mitigate patient safety … February 14, 2018
The Institute of Medicine report on medical errors—could it do harm … April 14, 2021
Nursing bedside clinical handover—an integrated review of issues and tools … November 13, 2019
Dynamic pocket card for implementing ISBAR in shift handover communication … Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports
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psnet.ahrq.gov/issue/free-lessons-aviation-safety
October 19, 2022 - 2023
Excess cost and length of stay associated with voluntary patient safety event reports … September 22, 2021
A dynamic risk management approach for reducing harm from invasive bedside … October 14, 2020
Rapid-cycle improvement during the COVID-19 pandemic: using safety reports … or alongside emergency departments: incorporating realist methodology into patient safety incident report