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psnet.ahrq.gov/node/865540/psn-pdf
April 11, 2024 - During nursing shift change, the incoming nurse was told that the NG tube was ready for use. … of closed loop communication between the physician and the
nurse, and between nurses at change of shift … communication
between the provider and initial nurse, inaccurate information was conveyed to the oncoming 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
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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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digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-mild-traumatic-brain-injury
January 01, 2023 - Clinical Decision Support for Mild Traumatic Brain Injury
Project Final Report ( … No statement in this report should be construed as an official position of AHRQ or of the U.S. … This project aimed to shift paradigms for CDS and the ED patient encounter by bringing CDS to the point-of-care … Clinical Decision Support for Mild Traumatic Brain Injury - Final Report. … Back to the bedside: developing a bedside aid for concussion and brain injury decisions in the emergency
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psnet.ahrq.gov/issue/challenges-and-opportunities-agency-healthcare-research-and-quality-ahrq-research-summit
October 04, 2020 - recognition as a patient safety concern with the publication of the Improving Diagnosis in Health Care report … 2021
- October 6, 2021
Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside
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psnet.ahrq.gov/issue/symposium-simulation-science-health-and-medicine
April 03, 2017 - April 3, 2017
Bringing change-of-shift report to the bedside: a patient- and family-centered
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psnet.ahrq.gov/issue/risk-and-event-assessment
August 12, 2020 - January 3, 2017
Bringing change-of-shift report to the bedside: a patient- and family-centered
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psnet.ahrq.gov/issue/perinatal-patient-safety-and-quality
January 19, 2022 - July 6, 2011
Bringing change-of-shift report to the bedside: a patient- and family-centered
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psnet.ahrq.gov/issue/health-it-implementation-stories-hands-care-plan-tool-seeks-improve-nurse-communication
December 24, 2008 - August 21, 2019
Using Kotter's change model for implementing bedside handoff: a quality … February 4, 2011
The content and context of change of shift report on medical and surgical
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www.ahrq.gov/hai/cusp/toolkit/daily-goals.html
December 01, 2012 - checklist is completed, the attending signs it and gives it to the patient's nurse so it can be kept at the bedside … Care 2003; 18(2):71–75
Daily Goals
Room Number____________ Date ___/___/___
AM Shift … PM Shift (7 p.m.)
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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/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/web-mm/lapse-antibiotics-leads-sepsis
November 21, 2021 - A recent systematic study suggested that bedside handoffs during nursing shift transition is a potential … solution to the communication errors associated with shift-to-shift handoffs.( 10 ) Problems arising … Nursing staff, physicians in the receiving units, and pharmacy staff all report reminding physicians … Bedside shift-to-shift handoffs: a systematic review of the literature. … 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/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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pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/slides.html
September 01, 2017 - Renal Disease (ESRD) Clinics
Pharmacy
Multiple Settings
Quality Measures
Reports … Slide 10: Environmental Safety Hazard Report
Images: A sample Environmental Safety Hazard Report … Slide 38: Practice Insight
Convene safety huddles at every shift change. … Identify top 3 patients at risk for falling on next shift. … Document your findings in the medical record, and report the incident.
-
pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/slides.html
September 01, 2017 - Renal Disease (ESRD) Clinics
Pharmacy
Multiple Settings
Quality Measures
Reports … Slide 10: Environmental Safety Hazard Report
Images: A sample Environmental Safety Hazard Report … Slide 38: Practice Insight
Convene safety huddles at every shift change. … Identify top 3 patients at risk for falling on next shift. … Document your findings in the medical record, and report the incident.
-
psnet.ahrq.gov/issue/admission-conference-call-novel-approach-optimizing-pediatric-emergency-department-admitting
December 21, 2022 - This project report describes a novel procedure for handoffs from the emergency department to the inpatient … December 5, 2018
Bedside shift report improves patient safety and nurse accountability
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psnet.ahrq.gov/issue/patient-handoffs-0
November 23, 2024 - January 18, 2017
Bedside shift reports: what does the evidence say?
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psnet.ahrq.gov/issue/mixed-methods-systematic-review-interventions-address-incivility-nursing
December 02, 2020 - March 2, 2022
Barriers to and facilitators of bedside nursing handover: a systematic … August 4, 2021
Shift-to-shift nursing handover interventions associated with improved
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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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psnet.ahrq.gov/issue/diagnostic-errors-and-abnormal-diagnostic-tests-lost-follow-source-needless-waste-and-delay
December 22, 2008 - frames diagnostic errors and missed test results within the context of the Crossing the Quality Chasm report … December 22, 2008
Readiness to report medical treatment errors: the effects of safety … September 14, 2022
Bringing change-of-shift report to the bedside: a patient- and family-centered … September 18, 2013
Root cause analysis reports help identify common factors in delayed