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psnet.ahrq.gov/perspective/conversation-maureen-bisognano
February 26, 2025 - It was well before the publication of the IOM reports on safety and quality. … It was a shift from a sense of seeing events as only very rare lapses to seeing the whole system. … And they very much took their eye off the ball of what was happening at the bedside. … attention to the little everyday events (like a unit that doesn't have enough staffing on the night shift … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
April 01, 2011 - Care Transitions from
Hospital to Home:
IDEAL Discharge Planning
Implementation Handbook
Strategy 3: Bedside … Shift Report (Implementation Handbook)
Strategy 4: IDEAL Discharge Planning (Implementation Handbook … shift report or bedside rounds
Share a written list of medicines every morning
Go over medicines at … the patient and family’s goals for the hospital stay
Bedside nurse
Inform the patient and family … about steps toward discharge
Bedside nurse
Daily activities
Blank cell.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/implementation-guide.pdf
April 01, 2022 - However,
these tools are a shortened list of questions intended to be used at the bedside with the care … The PDF can be accessed at a computer near the bedside and used as the care team
discusses the case.
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psnet.ahrq.gov/web-mm/infused-not-ingested
February 01, 2017 - The Commentary
Medication errors by nurses occur frequently, largely due to their bedside role in patient … floating” and the underlying challenge of assuring staff competence, and (ii) the nurse’s failure to report … Workers’ reluctance to report errors may stem from a punitive work environment and the stigma that error … Take-Home Points
Due to their proximity at the bedside, nurses are frequently involved in medication … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S
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psnet.ahrq.gov/node/50842/psn-pdf
January 29, 2020 - The next day, the night shift RN discovered the child had another patient’s identification (ID) band … A qualitative
analysis performed on 227 RCA (root cause analysis) reports from the Veterans Health Administration … To improve communication between the ED and CT suite, a cultural shift away from using room numbers to … Technological advances, such as point-of-care 2D barcode scanning, use of workstations on wheels
(WOWs) at the bedside … Patient misidentification in laboratory medicine: a qualitative analysis of 227 root
cause analysis reports
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/coaching.html
December 01, 2013 - 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
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www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/coaching.html
December 01, 2013 - 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
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023613-choi-final-report-2017.pdf
January 01, 2017 - Personalized Engagement Tool for Pediatric BMT Patients and Caregivers - Final Report
FINAL PROGRESS … REPORT
Title of Project: Personalized Engagement Tool for Pediatric BMT Patients and Caregivers … Currently, bedside rounds occur in the early morning when parents are generally still asleep. … Participants: Greater emphasis on earlier hospital discharges and burden shift of self-management falling … Our goal is to shift current practice with a health IT platform that
provides better information access
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psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
April 09, 2014 - her brain (done for cancer staging) showed a right subdural hematoma with a very small (5 mm) midline shift … The patient was alert and oriented when she arrived in the ED, but she did report falling and hitting … On that study, the radiologist noted that the subdural hematoma had enlarged and the midline shift had … Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a … Checking it twice: an evaluation of checklists for detecting medication errors at the bedside
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-obstetric-hemorrhage-scenarios.pptx
July 01, 2023 - signs, fundal massage, and perineal checks every 15 minutes. 45 minutes following delivery, the patient reports … Frontline
SPPC-II
SCRIPT
During a shift change, the off-going nurse, Amy, is turning over the care of … Her blood pressures have remained normotensive, and she has had good reflexes throughout the shift. … Her blood pressures have remained normotensive, and she has had good reflexes throughout the shift.” … Williams’ bedside nurse, aims to grab the cart.
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psnet.ahrq.gov/web-mm/monitoring-fetal-health
September 08, 2010 - 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 of … 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 U.S
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/partnering-patients-family.pdf
April 01, 2022 - Partnering With Patients/Families
team member ask the patient and family if they were included in bedside … change-of-shift report
and if removal of the central line and/or catheter was discussed. … https://www.ahrq.gov/patient-safety/reports/engage/interventions/teachback.html. … resources/for-consumers/speak-up-campaigns/to-prevent-infection/
https://www.ahrq.gov/patient-safety/reports … www.ahrq.gov/professionals/systems/hospital/engagingfamilies/guide.html
https://www.ahrq.gov/patient-safety/reports
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
January 01, 1995 - A turning schedule should be written and placed at the bedside.
13. … Persons who can be taught should shift their weight every 30 minutes while sitting in a chair. … A turning schedule should be written and placed at the bedside.
True
13. … Persons who can be taught should shift their weight every 30 minutes while sitting in a chair. … RN of any skin issues
CNA
· Checks skin each time person is turned or cleaned or bed is changed
· Reports
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psnet.ahrq.gov/web-mm/eptifibatide-epilogue
March 04, 2011 - 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. … June 16, 2019
ISMP medication error report analysis.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.html
December 01, 2017 - Bedside urinals, commodes. … We would then shift attention and give some guidance on moving into the Tier 2 protocol. … Are they able to use a bedside commode or bedpan or urinal? … Then also, every day and ideally every shift that the bedside nurse is asking the questions to themselves … It’s more every day or perhaps every 8-hour shift or 12-hour shift where you kind of want to have a general
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.doc
November 04, 2014 - Bedside urinals, commodes. … We would then shift attention and give some guidance on moving into the Tier 2 protocol. … Are they able to use a bedside commode or bedpan or urinal? … Then also, every day and ideally every shift that the bedside nurse is asking the questions to themselves … It’s more every day or perhaps every 8-hour shift or 12-hour shift where you kind of want to have a general
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www.ahrq.gov/sites/default/files/2024-01/mcalearney-report.pdf
January 01, 2024 - Final Progress Report: The Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS … Gray
Agency of Healthcare Research and Quality
Grant Award Number: P30HS024379
The research in this report … Project 3 explored how the hospital-wide use of MyChart
Bedside (MCB) – an inpatient EHR portal – impacted … Project 3 explored how the hospital-wide use of MyChart Bedside (MCB), an inpatient patient
portal, … Training to Optimize Collaborative Use of an
Inpatient Portal: A Case Report.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.398_slideshow.ppt
February 01, 2017 - an MRI of her brain (done for cancer staging) showed a right subdural hematoma with a 5 mm midline shift … The patient was alert and oriented when she arrived in the ED, but she did report falling and hitting … On that study, the radiologist noted that the subdural hematoma had enlarged and the midline shift had … Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a
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www.ahrq.gov/sites/default/files/2024-01/barnsteiner-report.pdf
January 01, 2024 - Final Progress Report: : State of the Science on Safe Medication Administration
Title of Project: State … responding to unanticipated
changes in patient acuity and volume
• Return clinical nurse specialists to the bedside … environments
• Encourage comments from staff nurses
• Invite administrators and policymakers to observe bedside … As of
April 2005, over 2,500 viewers had accessed the report. … Nursing School Curricula
We have received reports that the work of the symposium and the report is being
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022894-pratt-final-report-2020.pdf
January 01, 2020 - provider shift change occurs) and most recent … The Team Activity section
shows shift changes and other
care team actions.
Figure 1. … AHRQ Final Report
Figure 3. … hybridizing the presentation of medical information optimizes the
information’s usefulness at the bedside … However, we identified potential
risks from of having NURI at the bedside of hospitalized patients.