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psnet.ahrq.gov/node/49642/psn-pdf
December 01, 2011 - The literature on the widespread adoption comes largely from news stories and
market research reports … physicians using an iPad spent
39 minutes less at a computer workstation per 8-hour emergency department shift … e.g., remote telemetry monitoring) as well as patient devices (e.g.,
pacemakers).(17) Although such reports … investigating the possibility of providing mobile devices to health care workers that can be checked out
for a shift … Report: 94 percent of docs have smartphones, but communication gaps persist.
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psnet.ahrq.gov/node/49607/psn-pdf
August 01, 2010 - At the beginning of a new shift, the oncoming nurses listen to the
taped report for each patient in … The nurse made rounds on each of the patients for whom she had a report at the beginning of the shift … Near the end of the shift, the nurse recorded a report on
her four patients. … At the end of the shift, the charge nurse asked why there wasn't a taped report on the fifth
assigned … Incorporating bedside reporting into change-of-shift report. Rehabil Nurs.
2010;35:70-74.
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psnet.ahrq.gov/issue/nursing-peer-review-developing-framework-patient-safety
January 15, 2020 - December 12, 2018
Bringing change-of-shift report to the bedside: a patient- and family-centered
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www.ahrq.gov/pqmp/implementation-qi/toolkit/child-hcahps/qi-strategies.html
August 01, 2021 - Additional Research Reports and Case Studies Using CAHPS Survey Data . … The use of best practice communication strategies, including nurse bedside shift reporting, whiteboards … , and scripting resulted in improved Child HCAHPS scores on communication at the bedside and parents’ … Additional Research Reports and Case Studies Using CAHPS Survey Data
Accessible on the AHRQ website … at https://www.ahrq.gov/cahps/quality-improvement/reports-and-case-studies/index.html .
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily4.html
July 01, 2018 - rounds, bedside change of shift reports, patient- or family-activated rapid response teams, specific … and definitions of patient flow and on hospital staff's scheduled interactions with patients (e.g., bedside … and family engagement efforts depend on the opportunities that the hospital makes available (e.g., bedside … patients and family members in processes that traditionally have been conducted out of sight (e.g., shift … change of shift), but they do not provide the individual-level support for that communication.
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psnet.ahrq.gov/issue/safe-handover
December 21, 2017 - View More
Related Resources
Innovative approach to reconstruct bedside … May 31, 2017
Patient handoffs: is cross cover or night shift better? … January 18, 2017
The most crucial half-hour at a hospital: the shift change. … November 4, 2015
Transfer of accountability: transforming shift handover to enhance patient
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.docx
March 13, 2013 - For example, in fiscal year 2012, implementing bedside shift report hospital-wide was an organizational … reports were happening at the bedside as planned and to obtain patients’ perspectives. … For example, when Advocate Trinity Hospital implemented its bedside change-of-shift report, all staff … Certified nursing assistants conducted their own bedside change-of-shift report, focusing on mobility … Unit secretaries met with patients at the beginning of their shift to make sure patient needs were met
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psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error
June 29, 2011 - July 20, 2022
Bedside shift-to-shift handoffs: a systematic review of the literature. … September 11, 2024
Care home safety incidents and safeguarding reports relating to hospital
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psnet.ahrq.gov/issue/evaluation-problem-specific-sbar-tool-improve-after-hours-nurse-physician-phone-communication
December 30, 2014 - Annual Perspective: Topics in Medication Safety
March 31, 2022
Using incident reports … December 30, 2014
Bedside shift reports: what does the evidence say? … December 19, 2014
Task uncertainty and communication during nursing shift handovers.
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-safe-nursing-care
January 01, 2023 - HIT Support for Safe Nursing Care - Final Report. … Incoming staff use this information to devise care for their shift.
Sounds simple? It isn't. … Essentially, it's a shift-by-shift update of the patient's care plan. … In the new unit, each patient room has a computer at the bedside. … Keenan's team is working with nurses in two other study units to train them to use the HANDS reports
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psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
May 01, 2012 - Arguably the bedside is the most important situation for the physician to perceive and understand. … Workflow must be redesigned to ensure adequate time for bedside assessments. … 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 … February 19, 2013
Professionalism in the era of duty hours: time for a shift change?
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psnet.ahrq.gov/issue/medication-safety-operating-room-survey-preparation-methods-and-drug-concentration
December 22, 2018 - of medications administered by anesthesiologists in 2012 were still prepared by the provider at the bedside … Related Resources From the Same Author(s)
Medication errors in pediatric anesthesia: a report … May 27, 2011
Medication administration in anesthesia: time for a paradigm shift.
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psnet.ahrq.gov/issue/guide-patient-and-family-engagement-hospital-quality-and-safety
December 24, 2008 - clinicians and patients, the guide emphasizes four strategies—working with patients as advisors, improving bedside … communication, integrating patients and families into shift changes, and using patient input to improve … December 18, 2008
Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative
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psnet.ahrq.gov/issue/interprofessional-clinical-event-debriefing-does-it-make-difference-attitudes-emergency
April 06, 2022 - errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports … August 4, 2010
Bedside shift report improves patient safety and nurse accountability.
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psnet.ahrq.gov/issue/racial-and-ethnic-harm-patient-care-patient-safety-issue
October 21, 2020 - Analysis of incident reports from a patient safety organization. … August 17, 2018
Bedside shift-to-shift handoffs: a systematic review of the literature
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psnet.ahrq.gov/issue/failure-rescue-neonatal-care
July 06, 2011 - August 18, 2021
Bringing change-of-shift report to the bedside: a patient- and family-centered
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects-revised.pdf
April 01, 2022 - Catheter-Associated Urinary Tract Infection (CAUTI)
This worksheet is designed to be used near the bedside … and is the shortened version of the CAUTI Event
Report Tool: Data for Event Analysis. … rounding
� Safety huddle
� CAUTI/CLABSI (central line-associated bloodstream infection) rounds
� Shift … Off
Neurogenic: Off
Multidisciplinary rounding: Off
Safety huddle: Off
CAUTI CLABSI rounds: Off
Shift
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psnet.ahrq.gov/primer/nursing-and-patient-safety
September 15, 2024 - Nurses are a constant presence at the bedside and regularly interact with physicians, pharmacists, families … Nurse staffing and patient safety Nurse staffing ratios Nurses' vigilance at the bedside is essential … Determining adequate nurse staffing is a very complex process that changes on a shift-by-shift basis. … The process of establishing nurse staffing on a unit-by-unit and shift-by-shift basis is discussed in … Can nurses’ shift work jeopardize the patient safety? A systematic review.
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psnet.ahrq.gov/node/49588/psn-pdf
August 01, 2009 - Nursing
Outcomes Coalition (CalNOC), the National Database for Nursing Quality Indicators (NDNQI), and
research … reports, the National Quality Forum (NQF) introduced the 15 nursing-sensitive quality measures
that … It is important to mitigate the stressors of short
staffing on a shift to shift basis. … The nurse then hurriedly returned to the bedside of the acutely ill patient
with the pulmonary embolism … Nationwide State Legislative Agenda, 2008-2009 Reports.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-slides.pptx
January 01, 2017 - of Critical Care Nurses (AACN)
Originally designed to be used in conjunction with one of the AACN’s bedside … Implementing the ABCDE Bundle at the Bedside: American Association of Critical-Care Nurses. http://www.aacn.org … Implementing the ABCDE Bundle at the Bedside: American Association of Critical-Care Nurses. http://www.aacn.org … Tests of Change6
Test to evaluate if a new idea or innovation will work
Test small (n=1)
One nurse
One shift … One patient
One shift change report
Engage an informed tester who is invested in the process
6.