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psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
June 01, 2003 - 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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psnet.ahrq.gov/issue/kentucky-institute-patient-safety-and-quality
July 09, 2019 - October 11, 2017
Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to … January 11, 2017
Training Program for Nurses on Shift Work and Long Work Hours.
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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - ii) 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 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/issue/point-care-medication-error-prevention-best-practices-action
December 24, 2007 - The author describes the new generation of barcode technologies that support safe bedside medication
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.116_slideshow.ppt
February 01, 2006 - Effective shift handover: a literature review. Health and Safety Executive. June 1996. … Offshore technology report-OTO 96 003. … Shift changes among emergency physicians: best of times, worst of times. … Emergency Department Transitions
May occur at bedside or in remote location
May be interactional or … =15051706
Case (cont.): Lost in Transition
Four hours after arrival, the lab called the ED to report
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psnet.ahrq.gov/issue/factors-influencing-patient-safety-during-postoperative-handover
March 03, 2021 - November 20, 2015
Bedside shift reports: what does the evidence say?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4i_pdi11-dehiscence-bestpractices.pdf
May 17, 2016 - occur 48 hours after surgery to establish a
baseline.3-5
• Repeat assessment should occur every shift … Bedside emergency: wound dehiscence. Modern Medicine: 2007 June 1. … http://www.modernmedicine.com/content/bedside-emergency-wound-dehiscence . June 1,
2007. … http://www.modernmedicine.com/content/bedside-emergency-wound-dehiscence
http://www.jpmi.org.pk/index.php
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4w_combo_pdi11-dehiscence-bestpractices.pdf
May 17, 2016 - occur 48 hours after surgery to establish a
baseline.3-5
• Repeat assessment should occur every shift … Bedside emergency: wound dehiscence. … Modern Medicine: 2007 June
1. http://www.modernmedicine.com/content/bedside-emergency-wound-dehiscence … http://www.modernmedicine.com/content/bedside-emergency-wound-dehiscence
http://www.jpmi.org.pk/index.php
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.docx
April 30, 2013 - Shift Report (Implementation Handbook)
[Type text] [Type text] [Type text]
Strategy 2: Communicating … needs and adapt the strategy, the trainers to prepare and conduct the training, staff champions per shift … strategies (Communicating to Improve Quality, Nurse Bedside Shift Report, or IDEAL Discharge Planning … Shift Report, and IDEAL Discharge Planning strategies. … Improving America’s hospitals: the Joint Commission’s annual report on quality and safety; 2007.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/Improving_diagnosis_flyer.pdf
April 01, 2019 - patients will experience at least one diagnostic error in their lifetime, according to the AHRQ-
sponsored report … Health Care, published by the National Academy of Medicine:
http://www.nationalacademies.org/hmd/Reports … http://www.nationalacademies.org/hmd/Reports/2015/Improving-Diagnosis-in-Healthcare
https://www.ahrq.gov … ■ Implement safe continuity of care by keeping the patient and family informed through nurse bedside … change-of-shift reports
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www.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
January 01, 2024 - AHRQ Grant Final Progress Report: Improving Patient Safety Through Provider Communication Strategy Enhancements … AHRQ GRANT FINAL PROGRESS REPORT
Title: Improving Patient Safety through Provider Communication Strategy … This report focuses on specific outcome measures based on Phase 1 results. … provider or to find information (e.g., finding the on-call physician’s phone number
or gathering the bedside … www.ahrq.gov/qual/hospculture/
https://www.ahrq.gov/patient-safety/resources/index.html
AHRQ GRANT FINAL PROGRESS
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psnet.ahrq.gov/node/49581/psn-pdf
March 21, 2009 - The
medications were administered by the night-shift nurse when they arrived on the unit at 6:00 AM, … The nurse assigned to this patient for the day shift also administered the two medications at 9:00 AM … Conduct a nursing education program that stresses the importance of bringing the MAR to the
bedside … 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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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/child-hcahps-benefits-participation.pdf
January 01, 2019 - nurse-child
communication scores above 75th
percentile
Intervention:
• Communication bundle
► Bedside … nurse shift reporting, whiteboards,
scripting
Outcome Measures:
• Child HCAHPS scores for two
communication
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psnet.ahrq.gov/node/866622/psn-pdf
August 28, 2024 - We have conducted learning teams on early ambulation, bedside medications, oxygen safety, and care of … However, as we shift our culture, we have also shifted to referring
to great catches and patient care … Anything we can
do to enhance learning and bring the walls down, such as a shift in language, is what … performing a success cause analysis after care is provided and a
https://www.ahrq.gov/patient-safety/reports … If
you ask registration, perioperative techs, or bedside nurses, you'll hear about things that folks
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psnet.ahrq.gov/issue/saying-goodbye
September 11, 2019 - January 23, 2019
The Research on Adverse Drug Events and Reports (RADAR) project. … May 30, 2018
Innovative approach to reconstruct bedside handoff: using simple rules of … January 25, 2017
Transfer of accountability: transforming shift handover to enhance patient
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-mgso4.html
July 01, 2023 - Bedside staff, providers, and lab personnel should agree on one unit for reporting and communicating … Typically, a nurse should remain at the bedside during the loading dose to monitor initial response and … patient and family concerning frequency of nursing assessment and monitoring, signs and symptoms to report … Verify seizure precautions:
Oxygen and suction available at the bedside. … Discuss how patient and family can request urgent assistance if nurse is not at bedside.
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www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
January 01, 2024 - Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer … Final Progress Report
Producing Evidence: Coordination within a Multiteam System Makes Healthcare … from one department to another.†
59 50 .04
Important patient care information is often lost during shift … Overview of hospital stays in the united states, 2012. http://www.hcup-
us.ahrq.gov/reports/statbriefs … Int J Qual Health Care. 1998;10(1):15-26.
22 | P a g e
http://www.hcup-us.ahrq.gov/reports/statbriefs
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psnet.ahrq.gov/issue/nurses-role-causation-compensable-injury
March 24, 2011 - April 30, 2014
Hospital staff nurses' shift length associated with safety and quality … December 7, 2011
Detection and prevention of medication errors using real-time bedside
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digital.ahrq.gov/care-setting/hospital-inpatient
January 01, 2023 - 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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar3_pu_staffroles.pdf
January 01, 2014 - 11
Assigning Unit Champions
• Number of Unit Champions depends on
hospital needs, but one per shift … • Try to have at least one main bedside RN. It’s
better to have more than one. … • Share risk and skin assessment information
during shift reports … • Integrate pressure ulcer risk data
into your regular communication,
such as shift handoffs. … long-term-care facilities: A pilot study
implementing standardized nurse aide documentation and feedback reports