-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
December 01, 2015 - Organizational, Departmental, and Personal Goal
Urinary Catheter Insertion Assessment
54
GU Shift … boards to communicate data
68
Real Time Reporting
69
Staff can access data
on intranet page
Shift … patient care vs. what managers/directors think are priority areas
CUSP improvement tools are designed for bedside … evidence
We use it as the framework for post fall/skin huddles, morbidity and mortality conference, voice reports … Main Report
Healthcare-Associated Infections Report
Critical Care March CY 2015
Infection Summary
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/alarm-fatigue-1.pdf
March 01, 2020 - General methods for this report are described in the Methods section of the full report. … General methods for this report are described in the Methods section of the full report. … Alarm management at
UPMC is viewed as a
team effort with
bedside and clinical
care nurses, clinical … management process
by constantly
monitoring and
responding to near
real-time alarm data in
the shift … report.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
October 01, 2017 - will receive these reports. … work with the manager of the pilot unit(s) prior to this training to identify Unit Champions for each shift … Description: The Implementation Team shared details about their initiative via a board report, a presentation … Description: The SWAT has a representative from each unit and shift. … Nurse leaders, the Pressure Injury Prevention Program Lead, and bedside nurses are available to answer
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/intro-overview.pdf
March 01, 2022 - In fact, anaphylaxis has only been reported in case reports.97,98 Estimates for
these effects are expected … Report.
https://www.cdc.gov/hai/pdfs/progress-report/2018-Progress-Report-Executive-
Summary-H.pdf. … https://www.cdc.gov/hai/pdfs/progress-report/2018-Progress-Report-Executive-Summary-H.pdf
https://www.cdc.gov … /hai/pdfs/progress-report/2018-Progress-Report-Executive-Summary-H.pdf
Decolonization of Non-ICU Patients … As an alternative
to using impregnated cloths, we also provide a substitute protocol for bedside
basin
-
www.ahrq.gov/sites/default/files/publications/files/cdifftoolkit.pdf
September 01, 2012 - provide evidence that support is needed from both the top-level
8
administration and those at the bedside … Are we mandated to report C. difficile? … Available
at:www.hcup-us.ahrq.gov/reports/statbriefs/sb50.jsp. Accessed July 10,2012.
3. … http://www.hcup-us.ahrq.gov/reports/statbriefs/sb50.jsp
http://www.cdc.gov/hai/stateplans/required-to-report-hai-NHSN.html … DO
Reports were generated using the SYBASE query listing all patients who received oral
azithromycin
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-guide.pdf
January 01, 2017 - Translate Research Into Practice (TRIP), designed
to close the gap between evidence-based guidelines and bedside … • Share reports of the unit’s compliance with process and policy measures with staff on
the unit … a surgical site
infection, wrong-site surgery, missing equipment, nursing time spent away from the bedside … In order to learn from defects, we need
a shift in perspective, an attitude that errors and near misses … National
Healthcare Safety Network (NHSN) report: data
summary for 2006 through 2008, issued
December
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
September 02, 2022 - Diagnostic errors are common and costly, and they pose risk for serious patient harm.1-3 In its landmark
report … Because nurses spend most of their time providing direct patient care, they have the greatest bedside … Encourage nurses to report any identified diagnostic errors through established safety reporting
mechanisms … The nurse assesses the patient’s shift intake and
output, noting that the patient has not voided in … • How and to whom would you report this error [or missed opportunity]?
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
March 01, 2020 - Food and Drug Administration (FDA) received
approximately 56,000 reports of adverse events related to … Making Health Care Safer II report. … In the context
of infusion pumps, workflow may include having a staff hand-off procedure for shift changes … General methods for this report are described in the
Methods section of the full report. … General methods for this report are described in the Methods section of the full report.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/043-vap-prevention-notes.docx
October 01, 2024 - Slide 23
Implementation
SAY:
This next section will shift the focus to implementation of interventions … requires purchasing a custom oral care kit that makes it easy for staff to have what they need at the bedside
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
September 26, 2019 - General methods for this report are described in the Methods section of the full report. … Rossi
Gonçalves
et al.,
201616
• Contact precautions
• Bedside alcohol gel
• Active screening … on CPE outbreaks
were included, with 53 reports from
Europe. … Although the risk of bias for selected
reports was high, the literature suggests
that CPE outbreaks … CP were implemented during
outbreak in addition to
bedside alcohol gel and
active screening.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
April 30, 2025 - Key Findings/Impact: The results reflect a national shift to simpler, safer HIV regimens
and indicate … These include
a dramatic shift toward single-tablet regimens with extremely low rates of side effects … and drug interactions and a progressive (and highly desirable) shift toward more PLWH
coming into … Purpose: Evaluate the use of bedside technology (One Touch eMAR System) and
the Quality Improvement … These reports are regularly
disseminated to more than 150 member practices in 40 states.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g2_pdi_specifictoolstosupportchange.pdf
January 01, 2011 - http://www.vppartners.or
g/sites/default/files/report
s/full_rpt.pdf
Agency for
Healthcare
Research … quality
• Safe handoff of care between nurses
by involving the patient and family in
the change of shift … SafetySM initiative:
• Leading a Strategic Planning Effort
• Looking Collectively at Risk
• Assessing Bedside … readmission
http://www.wahospitalqu
ality.org/
Agency for
Healthcare
Research and
Quality
Report … Organization
Type of
Resource Name Description Source
Children’s Hospital
of Philadelphia
Report
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
January 01, 2011 - Venture
Philanthropy
Partners
Assessment
Tool
McKinsey
Capacity
Assessment Grid
(appendix of a
report … http://www.vppartners.or
g/sites/default/files/report
s/full_rpt.pdf
Agency for
Healthcare
Research … quality
• Safe handoff of care between nurses by
involving the patient and family in the change
of shift … Assessing Bedside Bar-Coding Readiness
http://www.ismp.org/tool
s/pathwaysection1.pdf
Health Services … quality-
resources/tools/hroadvice
/hroadvice.pdf
Canadian Health
Services
Research
Foundation
Report
-
www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-fac-guide.html
February 01, 2017 - Does this kind of tidal volume strategy paradigm shift apply not only to ARDS patients, but potentially … want a physician to be the custodian of the process, respiratory therapists are knowledgeable about bedside
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
March 23, 2008 - Confidentiality of adverse event reports and their use as a feedback mechanism might be
Table 1. … Mechanisms that improve communication through
teamwork approaches for the reduction of bedside errors … Breaking point: Report calls for
congressional rescue of hospital emergency
departments. … The role of
clinical guidelines in medical negligence litigation: A
shift from the Bolam Standard? … The Institute of Medicine report on
medical errors – Could it do harm?
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
June 01, 2023 - diagnostic
uncertainty, and outstanding tasks.22
However, although synchronous, two-way, closed-loop bedside … diagnostic errors.60 Although substantial efforts have focused on improving
communication during end-of-shift … preventable harm.62
During the OR-to-ICU handoff, time pressure inherent in a critical care setting can shift … Diagnostic
error in the emergency department: learning from national patient safety incident report … Warm Handoff Plus. https://www.ahrq.gov/patient-
safety/reports/engage/warmhandoff.html.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
December 01, 2017 - Enrollment by hospital bedside is provided in Figure 6.
Table 3. … program teams with an opportunity to ask
questions, share challenges and triumphs, and review SSI data reports … The CUSP intervention required
perhaps too significant a shift in the way those hospitals performed … Final Report. … Barriers
and motivators for making error reports
from family medicine offices: a report from
the American
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
March 01, 2020 - General methods for this report are described in the Methods section of the full report. … Rossi
Gonçalves
et al.,
201616
• Contact precautions
• Bedside alcohol gel
• Active screening … on CPE outbreaks
were included, with 53 reports from
Europe. … Although the risk of bias for selected
reports was high, the literature suggests
that CPE outbreaks … CP were implemented during
outbreak in addition to
bedside alcohol gel and
active screening.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-facguide.docx
January 01, 2017 - Does this kind of tidal volume strategy paradigm shift apply not only to ARDS patients, but potentially … want a physician to be the custodian of the process, respiratory therapists are knowledgeable about bedside
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_11_PPT_508.pptx
January 01, 2008 - Doing change of shift report at the bedside, where patients and families can participate.