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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/2025-02/castle-report.pdf
January 01, 2025 - Final Progress Report: Incident Reporting Practices in Nursing Homes
FINAL PROGRESS REPORT
Incident … Data from this reporting system has led to significant improvements in airline
safety.16 A shift in … Use of Incident Reports for Quality Improvement: Incident reports document
clinical errors and other … As noted in the AHRQ evidence reports,
incident reports also can target “no-harm” events and “near misses … Implementation of rules based
computerised bedside prescribing and administration: Intervention study
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/urine-culture-practices-icu.pptx
March 01, 2015 - Determine how bedside staff are feeling related to communication and recognizing defects
Diagnose and … Feedback and Communication about Error
We are given feedback about changes put into place based on event reports … Evidence Based Local Solutions:
Teamwork “If-Then”
If staffing levels inadequate/info lost at shift … change:
Then Morning/Shift Briefings
If interdisciplinary patient management issues:
Then Daily Goals
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www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
May 01, 2017 - 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/hai/universal-icu-decolonization/universal-icu-ape.html
September 01, 2013 - Standard skin preps prior to a surgical procedure or for a bedside procedure should be utilized on patients … The cost burden of decolonization is a shift from lab costs (MRSA swab, nurse time, technician time,
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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/es/hai/universal-icu-decolonization/universal-icu-ape.html
September 01, 2013 - Standard skin preps prior to a surgical procedure or for a bedside procedure should be utilized on patients … The cost burden of decolonization is a shift from lab costs (MRSA swab, nurse time, technician time,
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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/2025-03/hinson-levin-report.pdf
January 01, 2025 - Final Progress Report: Connected Emergency Care (CEC) Patient Safety Learning Lab
• Title of Project … EM has historically been
a bedside specialty, yet ED clinicians now spend more than half their time … DURING EARLY PHASES OF THE COVID-19 PANDEMIC: When COVID-19
emerged in 2020, our team was forced to shift … There were over a hundred reports of ML models intended to guide decision making during the
COVID-19 … Accessibility Report
Filename:
26640-Hinson-V1-508.pdf
Report created by:
Rhea Jones, 508
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www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.html
December 01, 2017 - No matter what process you put in place, it's communication at the bedside.” … So when you have a culture that there's dialogue about patients, there's dialogue at the bedside about … So Nurse ED gives report to Nurse Med on the medical floor and she says, “Patient A is an 87-year-old … When discussing the issue with the front line staff, they report that the chief of surgery has created … And I also came from the trenches, having worked at the bedside for over 20 years, nights and days.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.doc
August 12, 2014 - No matter what process you put in place, it’s communication at the bedside.” … So when you have a culture that there’s dialogue about patients, there’s dialogue at the bedside about … So Nurse ED gives report to Nurse Med on the medical floor and she says, “Patient A is an 87-year-old … When discussing the issue with the front line staff, they report that the chief of surgery has created … And I also came from the trenches, having worked at the bedside for over 20 years, nights and days.
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www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
July 01, 2018 - This shift of authority led to a significant drop in the number of reported birth complications. … and nurses with a structured approach to review problems that may have occurred during the previous shift … , assess the anticipated workload for the coming shift (such as new patients, patient discharges, and … Executives, physicians, nurse managers, infection preventionists, bedside clinicians, and unit support
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
January 01, 2004 - In the ER it refers to bed availability, adequate staff,
acceptable turnaround times for reports, and … Following the publication of IOM’s report,15
there was a palpable shift away from blaming individuals … autopsy also has the potential as a useful teaching
tool62 and may be an important adjunct to clinical bedside … A report of
the Committee on Health Quality in America, Institute
of Medicine. … A diurnal type scale:
construction, consistency, and validation in shift work.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapc.html
December 01, 2017 - Sample of documentation q shift X 72 hours or until stable using both SOAP and occurrence based documentation … Staff assistance to toilet or bedside commode.
Use of monitoring devices. … and Transfer Assessment
Unsafe Behavior Worksheet
Fax Alert
Fax Cover Sheet
Falls Assessment Report
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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/hai/cauti-tools/archived-webinars/urine-culture-practices-icu-transcript.html
December 01, 2017 - We did a lot of work empowering the bedside nurse to help educate the residents on our proper culturing … As far as sustainability, our IPs collaborated with our IS Department, and they created a daily report … As well as, even within a unit, the day-shift culture is often different than the night-shift culture … You need to determine how the bedside staff are feeling related to communication, errors, teamwork and … or shift briefing.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/urine-culture-practices-icu-transcript.docx
January 01, 2015 - We did a lot of work empowering the bedside nurse to help educate the residents on our proper culturing … As far as sustainability, our IPs collaborated with our IS Department, and they created a daily report … As well as, even within a unit, the day-shift culture is often different than the night-shift culture … You need to determine how the bedside staff are feeling related to communication, errors, teamwork and … or shift briefing.
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www.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
February 01, 2025 - Collaborative Healthcare Patient Safety Organization, Patient Safety Authority) and medical malpractice reports … Impact of clinician training background and stroke location on bedside diagnostic test accuracy in the … Development and external validation of an artificial intelligence model for identifying radiology reports … 09/30/22 - 09/29/26 Goals: The goal of the Patient-Partnered Diagnostic Center of Excellence is to shift … Develop site-level and groupwide benchmarking reports of error rates, diagnostic processes, and diagnostic
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www.ahrq.gov/research/findings/studies/index.html?page=306
January 01, 2024 - The purpose of this study was to analyze published reports of unintentional cannabis ingestions in children … by children is a serious public health concern and is well-documented in numerous studies and case reports … reconciliation program by which pharmacy technicians engaged newly admitted patients and their caregivers at the bedside
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-event-reporting.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