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Total Results: 731 records

Showing results for "bedside shift report".

281. In Conversation with…Christopher P. Landrigan, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
     April 01, 2005 - of direct observations of the interns, daily chart reviews by ICU nurse data abstractors, voluntary reports … part of the century has been that, in order to be well trained as a physician, you need to be at the bedside … , To Err is Human, placed the issue of medical errors squarely in the public eye.( 1 ) The report led … reporting system, the Web site allowed clinicians from around the country (and the world) to safely submit reports … dozens of studies on patient safety are published every month, along with books, tools, surveys, and reports

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49810/psn-pdf
     November 01, 2017 - On the night shift, the bedside nurse went to see the patient at 3:00 AM to administer the next scheduled … He died peacefully with his family at the bedside. … adequate documentation convey the crucial information to everybody on the care team, including the night shift … 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

283. High-Risk Medications, High-Risk Transfers | PSNet
     psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers
     December 21, 2017 - The bedside nurse received education about treprostinil, with special instructions not to flush the line … However, research to date has primarily concentrated on intradisciplinary sign-offs among physicians, shift … An analysis of the reports submitted to the Australian Incident Monitoring Study in Intensive Care. … December 21, 2017 The content and context of change of shift report on medical and surgical … September 1, 2016 WebM&M Cases Dangerous Shift

284. Making Healthcare Safer IV_Rapid Review: Use of Structured Handoff Protocols for Intrahospital Within-Unit Transitions (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/structured-handoff-rapid-research.pdf
     January 01, 2025 - Error reports from clinicians and formal incident reports were solicited daily. … Nursing bedside clinical handover - an integrated review of issues and tools. … Shift-to- shift handoff effects on patient safety and outcomes. … report*"[tiab] OR "bedside report*"[tiab] OR "Patient Handoff"[Mesh]) 6,486 3 "patient safety"[ … report*':ti,ab OR 'bedside report*':ti,ab OR 'clinical handover'/de) AND [embase]/lim 8,694 3 (

285. Final Progress Report: HIV/HCV Support Team to Improve Medication Safety and Engagement in Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/berry-report.pdf
     January 01, 2024 - Final Progress Report: HIV/HCV Support Team to Improve Medication Safety and Engagement in Care Final … Progress Report HIV/HCV Support Team to Improve Medication Safety and Engagement in Care Principal … report 2014). … Peers: Hopkins HIV clinic-based peer advocates will come to bedside Connection to Outpatient Provider … This nurse may then visit patients at the bedside or communicate by phone to promote engagement in outpatient

286. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49635/psn-pdf
     September 01, 2011 - Before leaving, she prepared a new bottle of lipids and left it at the bedside, as the current bottle … The problem was not discovered until the nurses on the next shift made rounds and checked the patient's … Numerous reports have documented unintentional failures to connect the correct tubing between intravenous … tubing connection is a routine, familiar, and common task in nursing, often performed many times on one shift … Readers should not interpret any statement in this report as an official position of AHRQ or of the

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33615/psn-pdf
     June 01, 2005 - There is a dichotomy—some quality experts are far removed from the bedside. … Their theories, which are often very elegant, are just not always applicable to bedside reality. … One real benefit that physicians working in this area bring is that we still practice at the bedside … As a matter of fact, the goal is to put my team out of business—to shift the work to the caregivers

288. 3. What Are the Best Practices in Pressure Ulcer Prevention that We Want to Use? (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
     October 01, 2014 - You can shift his or her body weight this way even with the head of the bed elevated. … The care plan also needs to be shared through discussion in all shift reports, during patient assignments … include: Time: Acuity of the patient population may mean the staff's time must be spent at the bedside … The plan of care, including addressing pressure ulcer risk, should be routinely included in shift reports … Key elements of a comprehensive skin assessment have been identified Approaches to document and report

289. 3. What Are the Best Practices in Pressure Ulcer Prevention that We Want to Use? (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
     October 01, 2014 - You can shift his or her body weight this way even with the head of the bed elevated. … The care plan also needs to be shared through discussion in all shift reports, during patient assignments … include: Time: Acuity of the patient population may mean the staff's time must be spent at the bedside … The plan of care, including addressing pressure ulcer risk, should be routinely included in shift reports … Key elements of a comprehensive skin assessment have been identified Approaches to document and report

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49583/psn-pdf
     April 01, 2009 - The night shift nurse continued the infusion at this rate, as did the nurse on the following day shift … The day shift nurse was curious about the low dose and queried the intern, but the nurse was distracted … networks will help to maximize the value of electronic system double checks in the pharmacy and at the bedside … Safe Practices for Better Healthcare: 2009 Update: A Consensus Report. [Available at] 14. … SentinelEvents/Statistics/ http://www.ncbi.nlm.nih.gov/pubmed/15465961 http://www.qualityforum.org/publications/reports

291. Transitioning Newborns from NICU to Home: A Resource Toolkit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicutoolkit.pdf
     January 01, 2004 - This connection, void of bedside clinician responsibilities, offers the parent/caretaker an environment … Also, the Health Coach may have a mid-shift of 11:00 a.m. to 7:00 p.m., as opposed to a traditional … ■ If families of new patients are not at the bedside, make telephone contact as soon as possible. … ■ Available hospital resources (e.g., daily rounds, primary nursing, change of shift report, lactation … To do this, the Health Coach will need equipment to create a PHR, family information, and bedside reminders

292. Final Progress Report: Enhanced Patient Safety Intervention to Optimize Medical (EPITOME) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/sirio-report.pdf
     January 01, 2024 - Final Progress Report: Enhanced Patient Safety Intervention to Optimize Medical (EPITOME) Enhanced … intervals, advanced medication problems Pharmacist recommends medication change Medication orders Progress … reports Cerner® Clinical Information System Assess patient’s educational efforts Writes admission … medication and prints the required documents to be placed in the educational folder at the patient’s bedside … was encouraged to independently read the medication information leaflets in his or her personalized bedside

293. Resident Sign-Out: A Precarious Exchange of Critical Information in a Fast-Paced World (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Borowitz_4.pdf
     January 22, 2008 - With respect to reporting, customized reports were requested based upon time of day, acuity of patients … Surprisingly, resident physicians were no more likely to report an event they were unprepared for if … Similarly, residents were as likely to report an event for which they were not prepared whether they … physician note _____ a fellow _____ consultant note _____ the chief resident _____ the bedside … physician note _____ a fellow _____ consultant note _____ the chief resident _____ the bedside

294. Strategy 2: Communicating to Improve Quality (Implementation Handbook) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.pdf
     April 30, 2013 - The bedside nurse will review the materials with the patient and family on the first day of admission … needs and adapt the strategy, the trainers to prepare and conduct the training, staff champions per shift … Quality, Nurse Bedside Shift Report, or IDEAL Discharge Planning), carefully consider whether and … Shift Report, and IDEAL Discharge Planning strategies. … Improving America’s hospitals: the Joint Commission’s annual report on quality and safety; 2007.

295. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49819/psn-pdf
     February 01, 2018 - After discussions with her family, care was withdrawn, and she died with her family at her bedside. … Handoffs occur in the hospital every time providers change shift and whenever a patient changes locations … improvement was accomplished without any time cost; resident time conducting handoffs, time at the bedside … Adapting the I-PASS handoff program for emergency department inter-shift handoffs. … Readers should not interpret any statement in this report as an official position of AHRQ or of the

296. Medication Mix-Up Leads to Patient Death | PSNet
     psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
     July 08, 2022 - new barcode label and administered about 8 ounces of the dialysis liquid orally before the end of her shift … need for improvement, and how serious medication errors can occur despite obvious “red flags” at the bedside … hand-off, where one individual hands off a medication to another for administration, either at a change of shift … that medications are verified by a pharmacy staff member before a replacement label is issued for the bedside … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S

297. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/857259/psn-pdf
     November 30, 2023 - barcode label and administered about 8 ounces of the dialysis liquid orally before the end of her shift … https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us https://psnet.ahrq.gov//#2 bedside … , where one individual hands off a medication to another for administration, either at a change of shift … that medications are verified by a pharmacy staff member before a replacement label is issued for the bedside … Readers should not interpret any statement in this report as an official position of AHRQ or of the

298. Appendix D: Alternate Care Facility Questionnaire—Summary of Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/shuttered/acfselection/appendixd.html
     July 01, 2018 - Transfer of Command Verbal report Other Verbal report Written report Verbal report Verbal … We always held change of shift reports within nursing - including numbers of pts., etc. … [name] question No No No—[college] students went bedside to bedside with laptops to develop database … Transfer of Command Verbal report Verbal report Written report Verbal report Verbal report … Midlevel on Shift? 1-2 5 3 2-3 . Nurses on Shift?

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49723/psn-pdf
     January 01, 2015 - Traditionally, FHR monitors were analog devices located at the patient's bedside.(5) Signals were traced … Previously when FHR tracings occurred only at the bedside, a nurse or physician would have to visit … the bedside frequently, and it was not possible to continuously monitor all patient tracings for signs … The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal … Readers should not interpret any statement in this report as an official position of AHRQ or of the

300. National Web-Based Teleconference on Health IT and Safety - Using Health IT to Prevent Adverse Events (pdf file)
     digital.ahrq.gov/sites/default/files/docs/Health_IT_and_Safety_070910_comp.pdf
     July 13, 2010 - , resident signout, ancillary reports • Work flow information – Order entry, coded documentation … Calibrate database to literature • Look for evidence of a fall – severe enough to warrant a radiology report … CVA‖ Dx: Admitted for DVT CVA time Protamine Given Elevated INR Head CT: ―midline shift … each diagnosis) Self reporting in the EHR Self reporting in the EHR • Do clinicians report … IT Solutions by Stage Barcode/eMAR at the Bedside Barcode Medication Scanning at the Bedside: Components