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psnet.ahrq.gov/node/49772/psn-pdf
October 01, 2016 - A recent
systematic study suggested that bedside handoffs during nursing shift transition is a potential … solution to
the communication errors associated with shift-to-shift handoffs.(10)
Problems arising … Nursing staff, physicians in the receiving units, and pharmacy staff all report
reminding physicians … Bedside shift-to-shift handoffs: a systematic review of the literature. … Readers should not interpret any statement in this report as an official position of AHRQ or
of the
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psnet.ahrq.gov/issue/mindful-path-nursing-accuracy-quasi-experimental-study-minimizing-medication-administration
March 03, 2019 - July 12, 2010
Shift-to-shift nursing handover interventions associated with improved … consecutive 12-hour shifts on cognition, sleepiness, and domains of nursing performance in day and night shift … December 30, 2014
Detection and prevention of medication errors using real-time bedside
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psnet.ahrq.gov/issue/emergency-nursing-and-medical-error-survey-two-states
January 25, 2010 - August 4, 2010
Bedside shift report improves patient safety and nurse accountability.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs027894-kelly-final-report-2023.pdf
January 01, 2023 - AHRQ Grant Final Progress Report
Title of Project: Getting on the Same Page: Leveraging an … We
used mixed methods (electronic health record audit reports, surveys, interviews) to assess use of … Measures and data collection
EHR audit reports were used to assess note use by parents. … when
you’re here longer for your hospital stay, it’s just flooded then with
like all the nursing shift … Accessibility Report
Filename:
r21hs027894-kelly-final-report-2023.pdf
Report created by:
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psnet.ahrq.gov/issue/failures-communication-through-documents-and-documentation-across-perioperative-pathway
August 07, 2013 - Improving Diagnostic Safety and Quality
April 26, 2023
Using incident reports … November 16, 2015
Nurses discuss bedside handover and using written handover sheets. … February 13, 2013
The ins and outs of change of shift handoffs between nurses: a communication … January 7, 2011
Implementing bedside handover: strategies for change management.
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psnet.ahrq.gov/issue/how-master-new-art-training-teamwork-fly
June 28, 2011 - November 2, 2010
Bedside shift report improves patient safety and nurse accountability
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psnet.ahrq.gov/issue/diagnostic-errors-and-abnormal-diagnostic-tests-lost-follow-source-needless-waste-and-delay
December 22, 2008 - frames diagnostic errors and missed test results within the context of the Crossing the Quality Chasm report … December 22, 2008
Readiness to report medical treatment errors: the effects of safety … September 14, 2022
Bringing change-of-shift report to the bedside: a patient- and family-centered … September 18, 2013
Root cause analysis reports help identify common factors in delayed
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psnet.ahrq.gov/node/49503/psn-pdf
February 01, 2006 - insulin from the refrigerator and
place them in portable medication carts that are then taken to the bedside … improvise to save time and steps
by using portable carts instead of making trips back and forth from the bedside … In one study, nurses were
interrupted approximately six times per hour during their shift, and most … Because of this, a recent Institute of Medicine (IOM) report recommended that hospitals should scale … IOM report: Hospitals must cut back workload and hours of nurses to
maintain patient safety.
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psnet.ahrq.gov/web-mm/double-dosing-rules
February 03, 2010 - Conduct a nursing education program that stresses the importance of bringing the MAR to the bedside and … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S … February 3, 2010
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside
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psnet.ahrq.gov/issue/deploying-med-reconciliation
January 06, 2017 - February 17, 2011
Bedside shift report improves patient safety and nurse accountability
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psnet.ahrq.gov/issue/fatigue-nurses-and-medication-administration-errors-scoping-review
December 01, 2021 - Thirty-one studies reported that long hours , shift work , overtime, and/or poor sleep quality contributed … February 10, 2021
Nursing bedside clinical handover—an integrated review of issues and … calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports … November 25, 2020
Nurses' shift length and overtime working in 12 European countries:
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psnet.ahrq.gov/issue/towards-understanding-information-dynamics-handover-process-aged-care-settings-prerequisite
August 19, 2016 - This study reports on the development of a process map for the nursing shift handoff at a geriatric … March 11, 2013
Nurses discuss bedside handover and using written handover sheets. … April 6, 2011
Implementing bedside handover: strategies for change management.
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www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
January 01, 2024 - Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety
Final Progress Report … quantify work hours and sleep in interns during a traditional work schedule;
2) to compare subjective reports … Activity was defined as any bedside patient
interaction with the immediate surroundings; an average … of two nurse chart reviewers and six physician observers collected data,
supplemented by voluntary reports … In Press N Engl J Med 2005.
15
Final Progress Report
Abstract
Purpose
Scope
Methods
Results
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psnet.ahrq.gov/issue/examining-meaning-language-used-communicate-nursing-hand
July 07, 2021 - Using natural language processing, researchers analyzed ten audio-recorded change of shift handoffs to … Related Resources From the Same Author(s)
Barriers to and facilitators of bedside … September 15, 2021
Shift-to-shift nursing handover interventions associated with improved
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psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
November 21, 2021 - A recent systematic study suggested that bedside handoffs during nursing shift transition is a potential … solution to the communication errors associated with shift-to-shift handoffs.( 10 ) Problems arising … Nursing staff, physicians in the receiving units, and pharmacy staff all report reminding physicians … Bedside shift-to-shift handoffs: a systematic review of the literature. … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S
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psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - Describe how high-quality communication is essential, especially during shift changes and/or difficult … attempts, the NGT was replaced, but X-ray was not performed due to miscommunication at the change of shift … A case report of esophageal perforation: Complication of nasogastric tube placement. … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S … authors has any affiliation or financial involvement that conflicts with the material presented in this report
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psnet.ahrq.gov/node/846171/psn-pdf
July 26, 2022 - Describe how high-quality communication is essential, especially during shift changes and/or difficult … hour delay in X-ray confirmation of NGT
placement, apparently due to miscommunication at change-of-shift … A case report of esophageal perforation: Complication of nasogastric
tube placement. … Readers should not interpret any statement in this report as an official position of AHRQ or
of the … authors has any affiliation or financial
involvement that conflicts with the material presented in this report
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psnet.ahrq.gov/issue/review-verbal-order-policies-acute-care-hospitals
January 03, 2017 - Related Resources From the Same Author(s)
Making the transition to nursing bedside … shift reports. … August 31, 2022
ISMP medication error report analysis. … December 3, 2008
Medication-related patient safety incidents in critical care: a review of reports
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digital.ahrq.gov/technology/data
January 01, 2023 - IMProving Outcomes Related to Patients Through Advanced Nursing Technology (IMPORTANT) – Final Report … IMProving Outcomes Related to Patients Through Advanced Nursing Technology (IMPORTANT) – Final Report … study assessed an advanced technology-based intervention’s impact on nurse surveillance, improving bedside … shift reporting and hourly rounding completion rates and establishing a baseline for the average time … American Medical Informatics Association Health Policy Conference - Final Report.
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psnet.ahrq.gov/issue/patient-safety-and-quality
January 19, 2022 - July 6, 2011
Bringing change-of-shift report to the bedside: a patient- and family-centered