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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/node/49858/psn-pdf
April 01, 2019 - ) a telephone system with continuously
updated nurse assignments that were reviewed each change of shift … How often and through what means (e.g., telephone, in person, electronic
health record) is report given … from remote telemetry monitoring staff to
bedside nurse? … Readers should not interpret any statement in this report as an official position of AHRQ or
of the … has any affiliation or financial
involvement that conflicts with the material presented in this report
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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/issue/ensuring-effective-care-transition-communication-implementation-electronic-medical-record
July 12, 2023 - December 21, 2017
Bedside shift reports: what does the evidence say? … January 18, 2013
Task uncertainty and communication during nursing shift handovers.
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psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action
July 07, 2021 - Related Resources From the Same Author(s)
Barriers to and facilitators of bedside … August 26, 2020
ISMP medication error report analysis. … October 11, 2012
The ins and outs of change of shift handoffs between nurses: a communication
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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/news/newsroom/case-studies/201701.html
March 01, 2017 - "We wanted to sustain quality improvement efforts at the bedside. … The mobile technology platform included CAUTI modules from the AHRQ toolkit for shift-to-shift reporting
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psnet.ahrq.gov/issue/disparate-perspectives-exploring-healthcare-professionals-misaligned-mental-models-older
May 11, 2022 - August 7, 2019
Bedside shift report improves patient safety and nurse accountability.
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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.
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www.ahrq.gov/diagnostic-safety/tools/index.html
June 01, 2025 - Implement safe continuity of care by keeping the patient and family informed through nurse bedside change-of-shift … reports. … Resources To Facilitate Communication Between Patients and Clinicians : From the IOM report, "Improving
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psnet.ahrq.gov/issue/validating-patient-safety-endoscopy-unit-using-joint-commission-standards
March 02, 2011 - March 25, 2020
Bringing change-of-shift report to the bedside: a patient- and family-centered
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psnet.ahrq.gov/issue/effects-weekend-admission-and-hospital-teaching-status-hospital-mortality
September 12, 2011 - July 22, 2009
Impact of structured interdisciplinary bedside rounding on patient outcomes … December 19, 2009
The content and context of change of shift report on medical and surgical
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psnet.ahrq.gov/issue/when-5-rights-go-wrong-medication-errors-nursing-perspective
June 27, 2018 - February 15, 2017
Bringing change-of-shift report to the bedside: a patient- and family-centered
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psnet.ahrq.gov/issue/patient-safety-nicu-comprehensive-review
September 12, 2016 - July 6, 2011
Bringing change-of-shift report to the bedside: a patient- and family-centered
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psnet.ahrq.gov/issue/implementation-standardized-postanesthesia-care-handoff-increases-information-transfer
February 03, 2011 - June 15, 2011
Implementing bedside handover: strategies for change management. … October 27, 2010
The content and context of change of shift report on medical and surgical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
March 03, 2008 - • Did the patient undergo a procedure during the previous shift? … Keep assistive devices at bedside within reach. … Establish elimination schedule, including use of bedside
commode, if appropriate.
9. … Obtain and use bedside commode PRN.
5. Reorient confused patients as necessary.
6. … report and staff
10
breaks.
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psnet.ahrq.gov/issue/measuring-nursing-error-psychometrics-misscare-and-practice-and-professional-issues-items
October 17, 2012 - March 30, 2016
Bedside shift-to-shift handoffs: a systematic review of the literature
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdf
December 01, 2024 - ISHAPED Patient-Centered Approach to Nurse Shift Change Bedside Report
https://staff.ihi.org/resources … shift reports more patient and family
centered. … The goal is to always include patients in the ISHAPED nursing shift-to-shift handoff
process at the … bedside to add a layer of safety by enabling the patient to communicate potential
safety concerns. … Change Bedside Report
SOPS Hospital Survey Version 2.0 Resource List 23
ISMP Medication Safety
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psnet.ahrq.gov/issue/association-registered-nurse-and-nursing-support-staffing-inpatient-hospital-mortality
September 09, 2011 - improvement: the American Organization of Nurse Executives implementation of Transforming Care at the Bedside … October 6, 2016
Nurses' shift length and overtime working in 12 European countries: the … March 26, 2015
Staffing matters—every shift.