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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-facguide.docx
January 01, 2017 - For example, test a new tool with one provider on a shift or two. … Ideally, data are available close to the bedside so that providers connect data with their daily actions
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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/teamstepps/instructor/fundamentals/module5/igsitmonitor.html
March 01, 2019 - It is a shift change, and everyone is busy, so you check the medication record and note that the patient … Judy, a nurse at the bedside, is inserting an IV. Nancy, another nurse, is drawing up meds. … After 5 minutes, ask a representative from each team to report his or her team's conclusions. … Do:
Ask a few individuals to report on issues they have identified as related to Situation Monitoring
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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/hai/cusp/toolkit/content-calls/small-hospitals.html
April 01, 2013 - And you want to have those supplies readily available at the bedside, if possible, but certainly readily … You can use the tools and the transforming care at the bedside. … You do it with one patient for one shift with one nurse and see if it works, if it does work or you tweak … And I do put out a report card. … We have two patients per nurse, so usually we’ll have three nurses staff the shift.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/igsitmonitor.pdf
February 12, 2014 - • It is a shift change, and everyone is busy, so you check the
medication record and note that … Judy, a nurse at the bedside, is inserting an
IV. Nancy, another nurse, is drawing up meds. … • After 5 minutes, ask a representative from each team to report
his or her team’s conclusions … DO:
Ask a few individuals to report on issues they have identified as
related to Situation Monitoring
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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/hai/cusp/toolkit/content-calls/zero-clabsi.html
April 01, 2013 - And now all the hospitals see these types of reports. … Now Virginia team report was a little bit of a different story. … I'm happy to report at the end we’re up to 99 percent. … And, again, time sometimes keeps the unit from sharing with others or even a shift on a unit sharing … Our final meeting focused on applying CUSP to doing cranial taps at the bedside.
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www.ahrq.gov/sites/default/files/publications/files/cretoolkit.pdf
April 01, 2014 - Who
receives the reports, and who takes action? … characteristics:
• Interdisciplinary: Infection control nurses, infectious disease specialists, and bedside … For example, in one hospital,
collecting samples from patients was initially assigned to day-shift nurses … revealed that it fit better into the patient care activities carried out
near the end of the night shift … Hand Hygiene Compliance Report – Please Fax To (Fax number)
(Infection Prevention Office) When Completed
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www.ahrq.gov/sites/default/files/publications2/files/cretoolkit_0.pdf
April 01, 2014 - Who
receives the reports, and who takes action? … characteristics:
• Interdisciplinary: Infection control nurses, infectious disease specialists, and bedside … For example, in one hospital,
collecting samples from patients was initially assigned to day-shift nurses … revealed that it fit better into the patient care activities carried out
near the end of the night shift … Hand Hygiene Compliance Report – Please Fax To (Fax number)
(Infection Prevention Office) When Completed
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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-Tupper_73.pdf
March 20, 2008 - Patient safety program x
X = Not fully implemented at participating hospital
production of reports … Hospital survey on patient safety culture: 2007 comparative database report. … handhelds at
nursing stations, hospital pharmacies, emergency departments, off-site clinics, and at the bedside … Although
the impact of the third intervention (ED protocols) was not quantitatively measured, reports … Hospital survey on patient safety
culture: 2007 comparative database report.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
May 01, 2017 - Provider Bedside Manner
Health care providers who dismiss a patient’s or family member’s concerns or … Providing information about patient privacy in written preoperative materials, as well as sharing discharge summary … reports with the patient (and family members at the discretion of the patient).
· When possible, encourage … ASC setting and a hospital surgery environment is that the responsibility of postoperative care may shift … Report to appropriate parties – Providers will use their facility’s policies to report adverse events
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/manage-change.html
January 01, 2013 - Including bedside staff as members will be key to tapping their practical knowledge and engaging them … Hospitals report it is important to include senior leadership to help secure resources and connect the … For more information, refer to Chapter 5 in the RAND report Putting Practice Guidelines to Work in the … For example, staff may report a policy of accompanying all patients with abnormal gait to the bathroom … Goals should be related to data the hospital already collects or can collect (e.g., through incident reports
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keyes.pdf
January 01, 2004 - Based on the IOM and QuIC reports, reviews of the literature, and AHRQ’s
use of the research agenda … • Use of bedside technology to improve medication safety in nursing
homes and residential care/assisted … However,
the release of that report catapulted patient safety to the forefront of attention. … A report of
the Committee on Quality of Health Care in America,
Institute of Medicine. … Shift work and its
impact upon nurse performance: current knowledge
and research issues.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_9_AdvisorTrain_508.docx
March 06, 2013 - Prepare for meetings as needed
by reviewing materials, reading a report,
or completing a task before … asked to help educate doctors, nurses, and other hospital staff about why it is important to conduct bedside … shift reports or involve patients and families in the discharge process. … statement
A list of hospital leaders and key personnel
Information on who patient and family advisors report
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_9_AdvisorTrain_508.pdf
March 06, 2013 - • Prepare for meetings as needed
by reviewing materials, reading a report,
or completing a task … asked to
help educate doctors, nurses, and other hospital staff
about why it is important to conduct bedside … shift reports
or involve patients and families in the discharge process. … • A list of hospital leaders and key personnel
• Information on who patient and family advisors report
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kleinpeter.pdf
January 01, 2004 - follows: surgical suites, ambulatory clinics,
emergency departments, or hospital rooms (patient’s bedside … In addition, a summary of
incident reports is provided to infection control to track any trends in infectious … Most studies that report on medical error are primarily focused on hospitalized
patients. … Interim Report to the
Senate Committee on Appropriations. AHRQ
Publication No. 04-RG005. … A report of
the Committee on Quality of Health Care in America,
Institute of Medicine.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/overall-antibiotic-stewardship-project-final-report.pdf
September 01, 2022 - Detailed reports for each cohort1 as well as the setting-specific toolkits2,3 and implementation guides … staffing dimension (i.e., there are enough staff to handle the
workload, meet residents’ needs during shift … Many participating sites had to shift their staff and resources to
the pandemic which led to less time … Integrating bedside nurses into antibiotic stewardship: a
practical approach. … Issue 23;
June 20, 2019. https://www.jointcommission.org/-/media/tjc/documents/standards/r3-
reports
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
June 01, 2015 - In this report, we present only findings. … increased attention to
controlling health care costs is well documented in the literature, a multitude of reports … This positive shift in payer mix has led the system to develop and remodel aspects of its
infrastructure … mentioned grants from RWJF, such as the Aligning Quality
collaboratives and the Transforming Care at the Bedside … Examples include grant-funded
initiatives, such as RWJF’s Transforming Care at the Bedside program,
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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-Meliones_40.pdf
January 01, 2006 - ”
• Situation-background-assessment-recommendation (SBAR) communication for nursing
reports and telephone … The BSC
has now become the methodology for how each operating unit reports performance to the senior … Finally, control of the process can be difficult as priorities in the organization shift. … The champions must include physicians, managers, senior operational staff, and
bedside staff, who are