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Total Results: 376 records

Showing results for "bedside shift report".

81. Emergency nursing and medical error—a survey of two states. | PSNet
    psnet.ahrq.gov/issue/emergency-nursing-and-medical-error-survey-two-states
    January 25, 2010 - August 4, 2010 Bedside shift report improves patient safety and nurse accountability.

82. Failures in communication through documents and documentation across the perioperative pathway. | PSNet
    psnet.ahrq.gov/issue/failures-communication-through-documents-and-documentation-across-perioperative-pathway
    August 07, 2013 - Improving Diagnostic Safety and Quality April 26, 2023 Using incident reports … November 16, 2015 Nurses discuss bedside handover and using written handover sheets. … February 13, 2013 The ins and outs of change of shift handoffs between nurses: a communication … January 7, 2011 Implementing bedside handover: strategies for change management.

83. How to master the new art of training: teamwork on the fly. | PSNet
    psnet.ahrq.gov/issue/how-master-new-art-training-teamwork-fly
    June 28, 2011 - November 2, 2010 Bedside shift report improves patient safety and nurse accountability

84. Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. | PSNet
    psnet.ahrq.gov/issue/diagnostic-errors-and-abnormal-diagnostic-tests-lost-follow-source-needless-waste-and-delay
    December 22, 2008 - frames diagnostic errors and missed test results within the context of the Crossing the Quality Chasm report … December 22, 2008 Readiness to report medical treatment errors: the effects of safety … September 14, 2022 Bringing change-of-shift report to the bedside: a patient- and family-centered … September 18, 2013 Root cause analysis reports help identify common factors in delayed

85. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49503/psn-pdf
    February 01, 2006 - insulin from the refrigerator and place them in portable medication carts that are then taken to the bedside … improvise to save time and steps by using portable carts instead of making trips back and forth from the bedside … In one study, nurses were interrupted approximately six times per hour during their shift, and most … Because of this, a recent Institute of Medicine (IOM) report recommended that hospitals should scale … IOM report: Hospitals must cut back workload and hours of nurses to maintain patient safety.

86. Double Dosing, by the Rules | PSNet
    psnet.ahrq.gov/web-mm/double-dosing-rules
    February 03, 2010 - Conduct a nursing education program that stresses the importance of bringing the MAR to the bedside and … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S … February 3, 2010 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside

87. Deploying med reconciliation. | PSNet
    psnet.ahrq.gov/issue/deploying-med-reconciliation
    January 06, 2017 - February 17, 2011 Bedside shift report improves patient safety and nurse accountability

88. Fatigue in nurses and medication administration errors: a scoping review. | PSNet
    psnet.ahrq.gov/issue/fatigue-nurses-and-medication-administration-errors-scoping-review
    December 01, 2021 - Thirty-one studies reported that long hours , shift work , overtime, and/or poor sleep quality contributed … February 10, 2021 Nursing bedside clinical handover—an integrated review of issues and … calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports … November 25, 2020 Nurses' shift length and overtime working in 12 European countries:

89. Towards an understanding of the information dynamics of the handover process in aged care settings—a prerequisite for the safe and effective use of ICT. | PSNet
    psnet.ahrq.gov/issue/towards-understanding-information-dynamics-handover-process-aged-care-settings-prerequisite
    August 19, 2016 - This study reports on the development of a process map for the nursing shift handoff at a geriatric … March 11, 2013 Nurses discuss bedside handover and using written handover sheets. … April 6, 2011 Implementing bedside handover: strategies for change management.

90. Examining the meaning of the language used to communicate the nursing hand-off. | PSNet
    psnet.ahrq.gov/issue/examining-meaning-language-used-communicate-nursing-hand
    July 07, 2021 - Using natural language processing, researchers analyzed ten audio-recorded change of shift handoffs to … Related Resources From the Same Author(s) Barriers to and facilitators of bedside … September 15, 2021 Shift-to-shift nursing handover interventions associated with improved

91. Lapse in Antibiotics Leads to Sepsis | PSNet
    psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
    November 21, 2021 - A recent systematic study suggested that bedside handoffs during nursing shift transition is a potential … solution to the communication errors associated with shift-to-shift handoffs.( 10 ) Problems arising … Nursing staff, physicians in the receiving units, and pharmacy staff all report reminding physicians … Bedside shift-to-shift handoffs: a systematic review of the literature. … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S

92. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation | PSNet
    psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
    June 28, 2023 - Describe how high-quality communication is essential, especially during shift changes and/or difficult … attempts, the NGT was replaced, but X-ray was not performed due to miscommunication at the change of shift … A case report of esophageal perforation: Complication of nasogastric tube placement. … 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

93. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/846171/psn-pdf
    July 26, 2022 - Describe how high-quality communication is essential, especially during shift changes and/or difficult … hour delay in X-ray confirmation of NGT placement, apparently due to miscommunication at change-of-shift … A case report of esophageal perforation: Complication of nasogastric tube placement. … 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

94. A review of verbal order policies in acute care hospitals. | PSNet
    psnet.ahrq.gov/issue/review-verbal-order-policies-acute-care-hospitals
    January 03, 2017 - Related Resources From the Same Author(s) Making the transition to nursing bedside … shift reports. … August 31, 2022 ISMP medication error report analysis. … December 3, 2008 Medication-related patient safety incidents in critical care: a review of reports

95. Patient Safety and Quality. | PSNet
    psnet.ahrq.gov/issue/patient-safety-and-quality
    January 19, 2022 - July 6, 2011 Bringing change-of-shift report to the bedside: a patient- and family-centered

96. Misplaced Nasogastric Tube Resulting in Aspiration | PSNet
    psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
    August 01, 2009 - During nursing shift change, the incoming nurse was told that the NG tube was ready for use. … breakdown of closed loop communication between the physician and the nurse, and between nurses at change of shift … communication between the provider and initial nurse, inaccurate information was conveyed to the oncoming shift … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

97. On the Other Hand | PSNet
    psnet.ahrq.gov/web-mm/other-hand
    December 12, 2012 - During the night shift, the midnight BP measurement using the right arm revealed a very low pressure … Methods of alerting the bedside practitioner are promising, yet they introduce new safety concerns. … The use of any bedside or applied patient alert (e.g., allergy bracelets, overhead signs, tattoos) relies … Allow time for a comprehensive report at nursing change of shift and during physician "hand-offs." … History March 21, 2009 WebM&M Cases Dangerous Shift

98. The admission conference call: a novel approach to optimizing pediatric emergency department to admitting floor communication. | PSNet
    psnet.ahrq.gov/issue/admission-conference-call-novel-approach-optimizing-pediatric-emergency-department-admitting
    December 21, 2022 - This project report describes a novel procedure for handoffs from the emergency department to the inpatient … December 5, 2018 Bedside shift report improves patient safety and nurse accountability

99. Racial and ethnic harm in patient care is a patient safety issue. | PSNet
    psnet.ahrq.gov/issue/racial-and-ethnic-harm-patient-care-patient-safety-issue
    October 21, 2020 - Analysis of incident reports from a patient safety organization. … August 17, 2018 Bedside shift-to-shift handoffs: a systematic review of the literature

100. The Safety Challenges of Supervision and Night Coverage in Academic Residency | PSNet
     psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
     February 21, 2024 - The bedside nurse paged the intern night float, who was cross-covering this patient, to come to the bedside … colleagues, which is rare on the inpatient wards of academic hospitals where trainee rotations and shift … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S … May 22, 2024 Care home safety incidents and safeguarding reports relating to hospital … History March 21, 2009 WebM&M Cases Dangerous Shift