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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/23464-Crystal-draft-1.pdf
February 13, 2019 - Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care
Title of Project: … Such a shift would imply that facilities “taught to the test” and responded to pressures
to reduce … lights that I bought at Wal-Mart that come on when you walk by, and
I stuck it to the back of the bedside … commode and he began to use the bedside commode instead of
urinating in the hallway.” … Available from: https://oig.hhs.gov/oei/reports/oei-07-08-00150.pdf.
9. Ralph SJ, Espinet AJ.
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www.ahrq.gov/sites/default/files/2024-02/berry-report.pdf
January 01, 2024 - Final Progress Report: HIV/HCV Support Team to Improve Medication Safety and Engagement in Care
Final … Progress Report
HIV/HCV Support Team to Improve Medication Safety and Engagement in Care
Principal … report 2014). … Peers: Hopkins HIV clinic-based peer advocates will come to bedside
Connection to Outpatient
Provider … This nurse may then visit patients at the bedside or
communicate by phone to promote engagement in outpatient
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/partnering-patients-family.pdf
April 01, 2022 - Partnering With Patients/Families
team member ask the patient and family if they were included in bedside … change-of-shift report
and if removal of the central line and/or catheter was discussed. … https://www.ahrq.gov/patient-safety/reports/engage/interventions/teachback.html. … resources/for-consumers/speak-up-campaigns/to-prevent-infection/
https://www.ahrq.gov/patient-safety/reports … www.ahrq.gov/professionals/systems/hospital/engagingfamilies/guide.html
https://www.ahrq.gov/patient-safety/reports
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
May 01, 2017 - Bedside staff, providers, and lab personnel should agree on one unit for reporting and communicating … This may include bedside review by nursing team of pump settings, mainline intravenous fluids, and written … patients and families regarding the frequency of nursing assessment and monitoring, signs and symptoms to report
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www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-facguide.html
February 01, 2017 - Initiate any therapy beyond feet dangling with the respiratory therapist at the patient’s bedside and … Educate your providers, either formally through lectures and demonstrations or informally at the bedside … Be sure to add the patient’s mobility level to the report sheet and nursing handoff. … This visual aid can be laminated and placed in the patient’s room on the white board, at the bedside, … initial mobility screen within 8 hours of ICU admission and reassess the patient mobility level every shift
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www.ahrq.gov/sites/default/files/2024-01/barnsteiner-report.pdf
January 01, 2024 - Final Progress Report: : State of the Science on Safe Medication Administration
Title of Project: State … responding to unanticipated
changes in patient acuity and volume
• Return clinical nurse specialists to the bedside … environments
• Encourage comments from staff nurses
• Invite administrators and policymakers to observe bedside … As of
April 2005, over 2,500 viewers had accessed the report. … Nursing School Curricula
We have received reports that the work of the symposium and the report is being
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.docx
February 16, 2011 - Are performance reports used regularly for decisionmaking?
4. … A turning schedule should be written and placed at the bedside.
13. … A turning schedule should be written and placed at the bedside.
True
13. … What should you report to your patient’s RN every shift?
A. Skin tears
B. … What should you report to your patient’s RN every shift?
A. Skin tears
B.
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/guide.html
September 01, 2017 - Tool 3C: Environmental Safety at the Bedside.
Tool 3D: Hazard Report Form. … Slide 10
Say: Tool 3D is a sample hazard report form for reporting any detected environmental … Step 2: The education plan is then placed on a white board or at the patient bedside as a visual tool … The shift huddle process was examined, and it was determined that this huddle could be used to enhance … All findings should be documented in the medical record, and an incident report should be filled out.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_fall-prevention.docx
January 01, 2013 - Inpatient Falls Clinical Pathway
Tool 3B: Scheduled Rounding Protocol
Tool 3C: Environmental Safety at the Bedside … Tool 3D: Hazard Report Form
Tool 3G: STRATIFY Fall Risk Scale
Tool 3H: Morse Fall Scale (to use for … Slide 10
SAY: Tool 3D is a sample hazard report form for reporting any detected environmental hazards … Step 2: The education plan is then placed on a white board or at the patient bedside as a visual tool … All findings should be documented in the medical record, and an incident report should be filled out.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
January 01, 2012 - Tool 3D: Environmental Safety Hazard Report
Tool 3G: Stratify Fall Scale
Tool 3H: Morse Fall Scale to … Hazard Report Form 13: 248. Reprinted with permission. … :
Action Taken to Eliminate Future Occurrences:
Hazard Reported at:
Staff Meeting (date):
Shift … Reports (date):
Posting on Bulletin Boards (date):
Copies of this form must be forwarded to the Risk … This report is based on Healey F, Monro A, Cockram A, et al.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamworknotes.docx
August 08, 2012 - Executives, physicians, nurse managers, infection preventionists, bedside clinicians, and unit support … The checklist helps staff move away from divergent thinking and shift toward convergent thinking when … Briefings are conducted:
· At the beginning of the day shift,
· Before any procedure in any setting, … Here is an example of a huddle:
On a very busy evening shift, the ICU Green Team has four patients. … · And the second S stands for safety concerns—Provide critical lab values or reports, socioeconomic
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrs_slides/rrsslides.pdf
January 01, 2008 - Medical
Emergency Team – is a team of clinicians who
bring critical care expertise to the patient’s bedside … Notes�
�
TEAMSTEPPS 05.2Mod 1 05.2 Page 12Page 12
RRS
Responder(s)
Responders come to the bedside … The
analyst responsible felt that most of the reports prepared in the past were not
used by or of interest … the patient was usually responsive and
animated, she did not seem as responsive during the evening shift … The patient’s stroke remained unidentified
during evening shift.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsslides.ppt
January 01, 2008 - Medical Emergency Team – is a team of clinicians who bring critical care expertise to the patient’s bedside … The analyst responsible felt that most of the reports prepared in the past were not used by or of interest … 05.2
Mod 1 05.2 Page *
Page *
RRS
Scenario 4
The RRT was called to the outpatient (OP) area for a report … the patient was usually responsive and animated, she did not seem as responsive during the evening shift … The patient’s stroke remained unidentified during evening shift.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtools.docx
January 01, 2013 - No event reports
d. 6 to 10 event reports
b. 1 to 2 event reports
e. 11 to 20 event reports … c. 3 to 5 event reports
f. 21 event reports or more
SECTION H: Background Information
This information … Hazard Report Form 13: 248. Reprinted with permission. … Background: The purpose of this tool is to audit incident reports of falls to see if the reports provide … below is captured in the report.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing.html
April 01, 2013 - It's always optimal to include both the nurses from night shift and day shift, so that nobody has to … and the other nurses going on shift. … So new and ongoing – so we just pass this off from shift to shift until something is completed and, then … David Thompson: Well, as I said I've been away from the bedside every day for a while. … So usually the report is finished sometime between 7:30 and 8 a.m. and the night nurse is gone.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-facguide.docx
January 01, 2017 - Initiate any therapy beyond feet dangling with the respiratory therapist at the patient’s bedside and … Educate your providers, either formally through lectures and demonstrations or informally at the bedside … Be sure to add the patient’s mobility level to the report sheet and nursing handoff. … This visual aid can be laminated and placed in the patient’s room on the white board, at the bedside, … initial mobility screen within 8 hours of ICU admission and reassess the patient mobility level every shift
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_postop-csection.docx
May 01, 2017 - This can be done using a verbal report and handoff from one nurse to another nurse during change of shift … Dad is at the bedside with the baby.” … Dad is at the bedside with the baby.”
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www.ahrq.gov/hai/cauti-tools/archived-webinars/defining-critically-ill-icu-slides.html
December 01, 2017 - HAPU
Self Extubation
Infection Control
CLABSI/CAUTI/VAE
Medication Error
RN Shift Handoff
Missed … Slide 24
Finding the Defects
Staff feedback:
Shift huddles, staff meetings
Event reporting … :
Root Cause Analysis, hospital reporting system
Quality and safety measures:
Monthly data reports … Two questions for bedside staff:
Please describe how you think the next patient in your unit/clinical
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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
October 01, 2015 - CAUTI Event Report Template
Appendix P. … diagnostic testing that cannot be obtained by other urine collection strategies, such as urinal, bedside … Listen to their concerns and suggestions and report your findings at team meetings. … Urine in drainage bags should be emptied at least once each shift and before any transfer off the unit … CAUTI Event Report Template
When a CAUTI occurs in a unit, teams can use this tool by the North Carolina
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/practices.html
January 01, 2013 - Hazard report form to alert the unit manager that items require fixing ( Tool 3D, "Hazard Report Form … The hospital reports the program has been successful in reducing fall rates and improving patient and … The oral shift handoff should include any change in fall risk factors during the shift, including relevant … The plan of care, including addressing fall risk factors, should be routinely included in shift reports … Transforming care at the bedside how-to guide: reducing patient injuries from falls.