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www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - Hospital Survey on Patient Safety Culture: Comparative Database Reports give benchmark data collected … The full report contains detailed comparative data for various medical office characteristics (number … The report consists of a narrative description of the findings and four appendixes presenting data by … with patients and families throughout their hospital stay to improve quality, implementing nursing bedside … change of shift report, and engaging patients and families in discharge planning.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
February 06, 2008 - professionals is one
of the leading causes of medical errors and patient harm.1, 2, 3 A review of reports … two most highly contributing factors,
according to the National Council of State Boards of Nursing reports … Team huddles during each shift. … and were led by a shift supervisor or department head. … with a
provider or to find information (e.g., the on-call physician’s phone number or a patient’s bedside
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www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
December 01, 2017 - Slide 55
GU Shift Assessment
Image: Screen shot of GU Assessment form. … Medical Director, and Frontline staff notification – email and huddle
Infection Prevention Council report … Slide 70
Shift Huddle
Image: Screen shot of a Critical Care Huddle Sheet form. … vs. what managers/directors think are priority areas
CUSP improvement tools are designed for bedside … We use it as the framework for post fall/skin huddles, morbidity and mortality conference, voice reports
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
May 01, 2017 - Conducting change-of-shift report at the bedside so patients and families can participate. … Report. … Providers report the incident to the unit manager and the risk-management department, according to the
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
July 01, 2023 - Conducting change-of-shift report at the bedside so patients and families can participate. … Report. … Providers report the incident tot he unit manager and the risk-management department, according tot he
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
July 01, 2023 - communications, care transitions, and recommending changes to the established care plan Use SBAR to:
Frame event reports … Finally, SBAR might be useful at the Reporting stage to frame event reports, structure case scenarios … Sonentag, comes to check on patient Danielle Williams at her bedside nurse’s request. … As you read through this expanded section from our scenario, think about how the bedside nurse, Allison … status, level of uncertainty, recent changes, and response to treatment
Safety: Critical lab values/reports
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
July 01, 2023 - transitions, and
recommending
changes to the
established care plan
Use SBAR to:
• Frame event reports … Finally, SBAR might be useful at the
Reporting stage to frame event reports, structure case scenarios … Sonentag, comes to check on patient Danielle Williams at her bedside nurse’s request. … As you read through this expanded section from our scenario, think about how the bedside
nurse, Allison … status, level of uncertainty,
recent changes, and response to treatment
• Safety: Critical lab values/reports
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pptx
July 23, 2010 - Doing change of shift report at the bedside, where patients and families can participate. … and physiologic measures such as blood pressure and blood sugar levels.3
• Improved scores on public reports … Improving America’s hospitals: the Joint Commission’s annual report on quality and safety; 2007. … Some tips for Teach Back:
Start slowly – try on 1 or 2 patients, maybe toward the end of your shift to … The first person who comes into his room is his bedside nurse, Angela.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/ena-slides.pdf
September 01, 2015 - • The patient with urinary retention or obstruction
Use a bladder scanner or bedside ultrasound … Nurse Champions
Nurses, both as bedside staff and as unit leaders, create the care environment. … 42
Communication
Nurse-to-nurse communication often centers around handoffs, either to the next shift … AHRQ Safety Program for Reducing CAUTI in Hospitals Transcript 45
Report on a Bad Day on … I’ll pass along your
report and you can send him up when you’re ready.
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www.ahrq.gov/sites/default/files/publications/files/ena-slides.pdf
September 01, 2015 - • The patient with urinary retention or obstruction
Use a bladder scanner or bedside ultrasound … Nurse Champions
Nurses, both as bedside staff and as unit leaders, create the care environment. … 42
Communication
Nurse-to-nurse communication often centers around handoffs, either to the next shift … AHRQ Safety Program for Reducing CAUTI in Hospitals Transcript 45
Report on a Bad Day on … I’ll pass along your
report and you can send him up when you’re ready.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Goeschel_24.pdf
January 01, 2008 - we
encouraged teams to acknowledge and support both formal (e.g., CEO) and informal leaders
(e.g., bedside … • Analyzing data and generating reports. … Problem-solving
responsibility must shift from authoritative experts to those required to change their … This shift in authority has the potential to create conflict between the nurse and physician or
other … Similar
to clinical research, we committed to describe, conduct, and report the analyses appropriately
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-event-reporting-revised.docx
April 01, 2022 - CLABSI Event Reporting Tool
CAUTI Event Report Tool: Data for Event Analysis
This event report tool … Lastly, do not wait too far out to complete the event report tool as it may be difficult to fill in the … (e.g., tamper-evident seal intact, no documentation or staff reports of breach in system) ☐ YES ☐ NO … Is the presence of a urinary catheter and date of insertion included on all transfer/shift report checklists … Applying mindful evidence-based practice at the bedside using catheter-associated urinary tract infection
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-062723.pdf
July 25, 2023 - changing or different professional roles or values and power differentials among staff, and staff and shift … Key findings were bedside nursing program participants felt more confident and capable of managing aggressive … Formal reports of patient aggression episodes did not increase during the study. … Continuous
improvement should be the goal
Cultural shift and
empowering colleagues
Communication … the Healthcare Industry
“The reality is if you ask emergency nurses, they will tell you every single shift
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www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-slides.html
October 01, 2020 - Slide 6: AHRQ Safety Program for Surgery—Implementation
Translating Evidence Into Bedside Practice … The next columns provide space to record the Investigator and the Shift
Second section of the BIM tool … Essential to report progress to your team:
Track your surgical site infection rates and detect trends … Impact of preoperative briefings on operating room delays: a preliminary report.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-transcript.doc
December 10, 2013 - I keep getting reports from my committee members who are in house today about not being able to get back … It’s the 1910 Flexner Report. … I know for me that that time was back in the early ‘90s when I was part of a, mostly an evening shift … It was during resident rounds at the bedside. … we report that we caught a mistake just in time.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-transcript.html
December 01, 2017 - I keep getting reports from my committee members who are in house today about not being able to get back … It's the 1910 Flexner Report. … I know for me that that time was back in the early '90s when I was part of a, mostly an evening shift … It was during resident rounds at the bedside. … we report that we caught a mistake just in time.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
May 05, 2008 - must be balanced by the necessity of conducting in situ simulations for all shifts, not
just the day shift … When patients’ families and staff have been exposed to an extensive daily bedside “rolling
refresher … provision of information to patients and
families, integration of in situ simulation (even at the bedside … Still, we report these findings to fortify
those embarking on what can be classified as field research … Incorporation
of a computerized human patient simulator in critical
care training: A preliminary report
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
October 01, 2014 - The information loop should be closed by having the Implementation Team report to the unit what it did … Clinical bedside rounds, patient case review, or "spend a day with the WOC [wound, ostomy, and continence … On-Time nursing home initiative used 5-minute standup meetings to integrate the use of a nutrition report
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
October 01, 2014 - The information loop should be closed by having the Implementation Team report to the unit what it did … Clinical bedside rounds, patient case review, or "spend a day with the WOC [wound, ostomy, and continence … On-Time nursing home initiative used 5-minute standup meetings to integrate the use of a nutrition report
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/embrace.html
April 01, 2013 - She has numerous roles in health care ranging from bedside ICU nursing to director of a Medicare-certified … We have at least two separate times for that so that individuals on shift schedules, et cetera, can get … So for folks like EVS, dietary, rehab, respiratory who really don’t congregate except for maybe reports … discussions about increasing their par levels, and had changed their process to stop the pillowcases at the bedside … I also report walkabout issues and resolutions regularly to our physician performance improvement committee