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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case1.html
November 01, 2014 - An organizational culture shift had taken place. … experience (n=7), integrate process improvement into the culture (n=4), and increase clinician time at the bedside … Increase clinician time at the bedside. … During this meeting, weekly reports on project status were given. … report.
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www.ahrq.gov/sites/default/files/2025-02/feeney-report.pdf
January 01, 2025 - Final Progress Report: The National Quality Forum National Annual Policy Conference 2007
The National … in the
University of Michigan’s medical malpractice exposure but also, more
importantly, a culture shift … • Interactive, multi-functional devices at the patient’s bedside would help
improve care … CMS reports that hospitalization costs account for approximately 40% of
the cost to Medicare for healthcare … of
the activities above and propose a final set of candidate measures for future
testing in public reports
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vaesurveillance-facguide.docx
January 01, 2017 - Slide 7
Why the Shift? … data in person, you can help staff focus on these interventions during conversations with them at the bedside
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-oxytocin.html
July 01, 2023 - Units can use cognitive aids at the bedside, internal training, and external certification courses to … Educate the patient and family about concerning signs and symptoms to report to nursing staff. … http://www.ahrq.gov/research/findings/evidence-based-reports/eiltp.html . Accessed May 2, 2016. … The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal … The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP_Patient_Family_Engagement_Facilitator_Notes.docx
June 02, 2025 - members are invited to partner with their health care team throughout their stay
· Conducting change-of-shift … report at the bedside so patients and families can participate
· Involving patients and families in … Caring for the patient’s physical needs after an event is the first step a provider must take.
· Report … Providers report the incident to the unit manager and the risk management department according to the
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications-notes.docx
April 01, 2022 - .
· Second, recruit—not assign—an ICU nurse and physician as bedside champions to lead the project for … OR
· Is DAILY/shift urine volume measurement being used to provide treatment and volume status cannot … one where a catheter was being considered to manage incontinence, but there was no skin issue and no report
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facguide.html
December 01, 2017 - During QAPI meetings, the Delayed Healing report can be added to introduce discussion of patients with … Jones didn't like to get out of bed to go to the bathroom at night and a commode at the bedside at night … More engaged staff are more likely to feel empowered to report resident changes because they feel their … Resident information was available from the Risk for Delayed Healing Report. … The report provides enough detail to help the team begin their root cause investigation of the actual
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www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-transcript.html
December 01, 2017 - On the genitourinary shift assessment, the same thing is there and this is required every shift. … We have to report out to infection prevention council.
This is our analysis tools that we have. … From the bedside of the boardroom, it matters. … This is quick screenshot of our shift huddle. This is how we start each shift. … CUSP improvement tools are designed for the bedside caregivers easy for the staff to use.
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www.ahrq.gov/sites/default/files/2025-03/chaudhry-report.pdf
January 01, 2025 - Final Progress Report: Yale Center for Healthcare Innovation, Redesign, and Learning (CHIRAL)
Final … Progress Report
Project Title: Yale Center for Healthcare Innovation, Redesign, and Learning (CHIRAL … Problem
analysis data were collected through observations (n=21), safety reports (n=25), semi-structured … transitions across providers and facilities, including the
introduction of structured interdisciplinary bedside … Final Progress Report
CHIRAL Center
Goals & Accomplishments
CHIRAL Administrative and Operations
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.pdf
January 01, 2004 - 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/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
March 01, 2020 - General methods for this report are described in the Methods section of the full report. … and a
central station to reduce potential alert fatigue.3,7
Good communication between the bedside … General methods for this report are described in the Methods section of the full report. … education and training but
also technical care so as not to create alert fatigue, as well as a cultural shift … team members to
monitor patients and
review patients at risk,
rather than relying
exclusively on bedside
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
May 01, 2017 - Units can use cognitive aids at the bedside, internal training, and external certification courses to … Evidence Report/Technology Assessment No. 176 (Prepared by the Stanford University-UCSF Evidenced-based … March 2009. http://www.ahrq.gov/research/findings/evidence-based-reports/eiltp.html. … The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal … The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-factraining-guide.pdf
June 02, 2025 - o During QAPI meetings, the Delayed Healing report can
be added to introduce discussion of patients … Jones didn’t like to
get out of bed to go to the bathroom at night and a
commode at the bedside at … o More engaged staff are more likely to feel empowered
to report resident changes because they feel … In the case of the
Dietitian, the report was not printed out but was
accessed electronically via a … o Resident information was available from the Risk for
Delayed Healing Report.
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www.ahrq.gov/workingforquality/events/webinar-introducing-nine-levers-to-support-the-aims-and-priorities.html
November 01, 2016 - When we wrote about these levers in the original 2011 National Quality Strategy report, we labeled this … section of the report "Policies and Infrastructure" needed to support the priorities. … using risk scores and dispatches proactive response team members before an emergency call from the bedside … There was a March Government Accountability Office report that highlighted some of our feedback processes … There will also be a shift to considering cost.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/snac-final-report-mar2023.pdf
January 01, 2025 - • HHS will convene human factors engineers, safety science experts, bedside
clinicians, and technology … Transforming concepts in patient
safety: a progress report. BMJ Qual Saf, 27:1019-1026, 2018. … data,
independent healthcare worker reports, and
reports from patients/family/caregivers. … data,
independent healthcare worker reports, and
reports from patients/family/caregivers.
5.1 3 … data,
independent healthcare worker reports, and
reports from patients/family/caregivers.
5.3 5
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
January 01, 2004 - This paper reports the results of a recently completed AHRQ project, IDS
Solutions for Medication Information … • What are the short-term strategies for bedside clinicians to use with
nonintegrated IT? … The situation is exacerbated by the need
for physician cross coverage and shift work among various disciplines … place greater value on their historical knowledge
of the patient.56 Finally, it will take a cultural shift … Evidence Report/Technology
Assessment No. 43, AHRQ Publication No. 01-E058.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle.pptx
December 01, 2017 - voices are heard, and that they are appreciated for the work they do.
5
Translating Evidence into Bedside … Safety Program for Surgery – Implementation
SAY:
Now we will discuss how to translate evidence into bedside … Check one):
Observe the Process Discuss the Process Walk the Process Investigator: Shift … request for additional resources.
34
Evaluate
An equally important and challenging task
Essential to report … 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/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
December 01, 2017 - a surgical site infection, wrong-site surgery, missing equipment, nursing time spent away from the bedside … Residents report receiving inaccurate information during rounds: An electronic progress note system was … on the Science of Safety – providers will have lenses to see system problems
To encourage staff to report … forms are readily available so staff members can complete the PSSA whenever they have something to report … important to consider and plan how you will train staff and others who work off-hours such as the overnight shift
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www.ahrq.gov/news/events/nac/2020-11-nac/nacmtg111020-minutes.html
March 01, 2021 - so proud to have Tina and the others co-authoring the blog is that, to me, it represents a paradigm shift … Those included engaging bedside clinicians to use the Four Moments of Antibiotic Decision Making. … Meyers responded that the reports include references to tools for determining such factors and that AHRQ … Evidence-based Practice Center (EPC) reports recently produced the following reviews:
Masks for Prevention … It will report out at the spring NAC meeting.
Discussion
Dr.
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www.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
September 01, 2013 - members are invited to partner with their health care team throughout their stay
Conducting change-of-shift … report at the bedside so patients and families can participate
Involving patients and families in … Report. … Providers report the incident to the unit manager and the risk management department following the hospital's