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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/hai/tools/clabsi-cauti-icu/icu-assessment.docx
April 01, 2022 - to proper central line maintenance procedures inclusive of assessment of dressing integrity at each shift … Absorbent pads with scale to weigh urine output
O
O
O
O
External male catheters
O
O
O
O
Bedside … Know
Absorbent pads with scale to weigh urine output
O
O
O
External male catheters
O
O
O
Bedside … Statement
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Staff members anecdotally report … Briefings
Huddles
Daily patient goals
Multidisciplinary rounds
Targeted Assessment for Prevention (TAP) Reports
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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-Montgomery_42.pdf
March 05, 2008 - More staff know how to report events and near misses and can describe
how the information is used. … Subsequently, executives provided
quarterly reports detailing actions taken to address the events. … An additional
objective was to demonstrate that safety walk rounds led by bedside providers can achieve … a near miss or
actual event or what was done with the information if a report was made. … • Do you know how the information from occurrence reports is used in this hospital?
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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.
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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
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www.ahrq.gov/hai/cauti-tools/ena-slides/part2a.html
October 01, 2015 - Practice Change (continued)
Case Study
Conclusion
Nurse Champions
Nurses, both as bedside … communication
Communication
Nurse-to-nurse communication often centers around handoffs, either to the next shift … Report on a Bad Day on the Floor (sample handoff)
ED RN: Hey there! … I’ll pass along your report and you can send him up when you’re ready. … linen changes, toileting needs, or documentation of intake and output
Slide 129
Standardized reports
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www.ahrq.gov/hai/cusp/cusp-success/stjoe.html
September 01, 2012 - The nurses in each of Saint Joe's Critical Care Units report to a Nurse Manager, who in turn report to … “They are the change agents responsible for coordinating care at the bedside in their unit.” … During shift handoffs, nurses overlap briefly to have direct conversations about the patient at the bedside
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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/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/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
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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
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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/sites/default/files/2024-07/mazor-report.pdf
January 01, 2024 - Final Progress Report: Detecting, Assessing, and Learning from Patient-Perceived Breakdowns in Care … AHRQ Grant Final Progress Report
Mazor, Kathleen M
Grant Award Number: 5 R18 HS022757
Project Title … The ITS did not detect any positive impact of the program.
11
AHRQ Grant Final Progress Report
Mazor … We also examined the extent to
16
AHRQ Grant Final Progress Report
Mazor, Kathleen M
Grant … PMID: 17678514.
19
AHRQ Grant Final Progress Report
Mazor, Kathleen M
Grant Award Number: 5 R18
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www.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf
September 01, 2015 - CAUTI Event Report Template
Appendix P. … Bedside commode, urinal, incontinence garments for both sexes and external condom
catheter for males … Listen to their concerns and suggestions and report your findings at team
meetings. … drainage and to prevent stasis of urine.
• Urine in drainage bags should be emptied at least once each shift … 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/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
September 01, 2015 - CAUTI Event Report Template
Appendix P. … Bedside commode, urinal, incontinence garments for both sexes and external condom
catheter for males … Listen to their concerns and suggestions and report your findings at team
meetings. … drainage and to prevent stasis of urine.
• Urine in drainage bags should be emptied at least once each shift … 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/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.
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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/tools/mvp/modules/technical/intro-early-mobility-slides.html
February 01, 2017 - Illness 3
Data from longitudinal prospective study, pre-baseline information collected by self-report … sitting.
11 percent involved sitting over the edge of the bed.
11 percent involved standing at the bedside