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Total Results: 731 records

Showing results for "bedside shift report".

121. Emergency nursing and medical error—a survey of two states. | PSNet
     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.

122. Psn-Pdf (pdf file)
     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.

123. How to master the new art of training: teamwork on the fly. | PSNet
     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

124. Double Dosing, by the Rules | PSNet
     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

125. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36021/psn-pdf
     September 24, 2016 - This study discovered that nurses experienced more than eight work system failures during an 8-hour shift … The authors advocate for continued efforts to differentiate between tactics taken by bedside nurses

126. Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. | PSNet
     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

127. Team Roster (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/team-roster.docx
     April 01, 2022 - CUSP team members identified as the team leader, nurse manager, physician champion, nurse champion and bedside … List: Bedside Nurses · Resourceful · Problem solver · Inspire others to commit to project goals and … Collaborative · Meet regularly with the team to review data/progress. · Educate and engage physicians and bedside … safety, conducting and learning from PDSAs, and defects analyses. · Oversee, drive, and compile and report … process audits to the CUSP team and bedside nurses. · Provide expertise in designing interventions and

128. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. | PSNet
     psnet.ahrq.gov/issue/nursephysician-communication-through-sensemaking-lens-shifting-paradigm-improve-patient
     June 05, 2024 - Related Resources From the Same Author(s) Oncology patients' willingness to report … December 19, 2018 Using incident reports to assess communication failures and patient … July 13, 2010 The Medication Manager: results of a medication at the bedside pilot in

129. Final Progress Report: A Memory-Based Approach to Reducing Medication Errors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/kazi-report.pdf
     January 01, 2024 - Final Progress Report: A Memory-Based Approach to Reducing Medication Errors A Memory-Based Approach … ; and (2) planning medications that you are responsible for during the shift) 1. … (e.g., if the patient takes a home med, if home med is stored at bedside or in Pyxis?) 2. … What tasks get added during the shift? … off stat med, 4) go to pharmacy personally, 5) send someone else to pharmacy, 6) patient bedside

130. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation | PSNet
     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

131. Lapse in Antibiotics Leads to Sepsis | PSNet
     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

132. Psn-Pdf (pdf file)
     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

133. Deploying med reconciliation. | PSNet
     psnet.ahrq.gov/issue/deploying-med-reconciliation
     January 06, 2017 - February 17, 2011 Bedside shift report improves patient safety and nurse accountability

134. Failures in communication through documents and documentation across the perioperative pathway. | PSNet
     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.

135. Misplaced Nasogastric Tube Resulting in Aspiration | PSNet
     psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
     August 01, 2009 - During nursing shift change, the incoming nurse was told that the NG tube was ready for use. … breakdown of closed loop communication between the physician and the nurse, and between nurses at change of shift … communication between the provider and initial nurse, inaccurate information was conveyed to the oncoming shift … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

136. Final Progress Report: Making Acute Care More Patient Centered, Patient Safety Learning Laboratory (PSLL) (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/bates3-report.pdf
     January 01, 2024 - Final Progress Report: Making Acute Care More Patient Centered, Patient Safety Learning Laboratory (PSLL … For example, despite the toolkit recommendation for planned assistance, incident reports indicated that … It was hospital policy for nurses to perform the fall risk assessment once per shift at both BWH and … were that nurses on general medicine typically pulled up the dashboard periodically throughout their shift … Results List of PSLL Manuscripts References PSLL Final Report References

137. On the Other Hand | PSNet
     psnet.ahrq.gov/web-mm/other-hand
     December 12, 2012 - During the night shift, the midnight BP measurement using the right arm revealed a very low pressure … Methods of alerting the bedside practitioner are promising, yet they introduce new safety concerns. … The use of any bedside or applied patient alert (e.g., allergy bracelets, overhead signs, tattoos) relies … Allow time for a comprehensive report at nursing change of shift and during physician "hand-offs." … History March 21, 2009 WebM&M Cases Dangerous Shift

138. A review of verbal order policies in acute care hospitals. | PSNet
     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

139. Towards an understanding of the information dynamics of the handover process in aged care settings—a prerequisite for the safe and effective use of ICT. | PSNet
     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.

140. Patient Safety and Quality. | PSNet
     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