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Total Results: 384 records

Showing results for "bedside shift report".

361. Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action (pdf file)
     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.

362. Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief (pdf file)
     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]?

363. Making Healthcare Safer Practices: 13. Alarm Fatigue (pdf file)
     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.

364. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)
     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.

365. Specific Tools To Support Change (pdf file)
     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

366. Specific Tools To Support Change (pdf file)
     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

367. Improving Healthcare Safety by Enhancing Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
     September 30, 2024 - 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.

368. Making Healthcare Safer Practices: 12. Infusion Pumps (pdf file)
     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.

369. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)
     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.

370. Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care (pdf file)
     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?

371. Low Tidal Volume Ventilation Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-mvpguide.pdf
     January 01, 2017 - Research Into Practice (TRIP), designed to close the gap between evidence-based guidelines and clinical bedside … In order to learn from defects, we need a shift in perspective—an attitude that errors and near misses … To accomplish this, we recommend that you monitor and report back to your staff each month. … In addition, she aligns her schedule to the next shift of those providers to reeducate and address lingering

372. Universal ICU Decolonization: An Enhanced Protocol (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
     September 01, 2013 - The impact of healthcare-associated infections in Pennsylvania, 2010. 2012. http://www.phc4.org/reports … the process and important logistical considerations for universal decolonization, such as bathing shift … 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, … In rare case reports, anaphylaxis can occur (difficulty breathing; tightness in the chest; swelling

373. Preventing CAUTI in Specialized Patient Populations: The ICU | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu.html
     December 01, 2017 - asked our chief financial officer to be our executive champion and to kind of bridge the C-suite to the bedside … And we were also doing daily bundle checklists that the nurse at her shift change would complete when

374. Paul Tedrick (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-transcript.doc
     May 13, 2014 - asked our chief financial officer to be our executive champion and to kind of bridge the C-suite to the bedside … And we were also doing daily bundle checklists that the nurse at her shift change would complete when

375. Two More “Es” and How To Spread (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/how-to-spread.html
     April 01, 2013 - So let’s shift gears here a little bit, and on slide 9, we’re going to start talking about why you might … There are all kinds of these things going on, safety action teams, advance performing care at the bedside

376. AHRQ Safety Program for Surgery: Final Report (pdf file)
     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

377. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
     September 01, 2015 - patient outcomes related to not following best practices o Conducting a brief at the beginning of a shift … National Healthcare Safety Network (NHSN) Report, data summary for 2013 device-associated module. … National Healthcare Safety Network (NHSN) Report, data summary for 2013 device-associated module. … Sustained reductions in urinary catheter use over 5 years: The bedside nurses view themselves responsible

378. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
     September 01, 2015 - patient outcomes related to not following best practices o Conducting a brief at the beginning of a shift … National Healthcare Safety Network (NHSN) Report, data summary for 2013 device-associated module. … National Healthcare Safety Network (NHSN) Report, data summary for 2013 device-associated module. … Sustained reductions in urinary catheter use over 5 years: The bedside nurses view themselves responsible

379. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
     September 01, 2015 - patient outcomes related to not following best practices o Conducting a brief at the beginning of a shift … National Healthcare Safety Network (NHSN) Report, data summary for 2013 device-associated module. … National Healthcare Safety Network (NHSN) Report, data summary for 2013 device-associated module. … Sustained reductions in urinary catheter use over 5 years: The bedside nurses view themselves responsible

380. Diagnostic Issue Brief 19 Electronic Test Result Communication in the Era of the 21st Century Cures Act (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/diagnostic-safety-issue-brief-test-result-communication.pdf
     July 01, 2024 - ■ We haven’t had many [reports of adverse outcomes]. … their organizations implemented the Cures Act with little guidance for clinicians despite the “culture shift … Most patients report a preference to receive results, normal or abnormal, through the patient portal … Feasibility and acceptability of ChatGPT generated radiology report summaries for cancer patients. … Provider experiences with offering families bedside health record access across a children’s hospital