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psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
January 19, 2016 - The night resident was called to the patient's bedside multiple times overnight by the charge nurse to … The patient remained in sustained pain and the surgical team was called to the bedside multiple times … knows what needs to be done at different stages), address some of the issues that invariably arise with shift … 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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-121013.pptx
January 01, 2006 - years ago, a series of studies about the education of health professionals, led by the 1910 Flexner report … Bedside Calculations as “Shame and Blame”
“My name is Greg.”
10
Plasticity vs.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ch-hospital-webcast-122223-toomey.pdf
December 01, 2022 - Pediatric Quality
Measurement at Boston Children’s Hospital as part of the PQMP
• Parent/guardian reports … communicate with your child
70%
Attention to Safety and Comfort:
Preventing mistakes & helping you report … 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/72836/psn-pdf
January 26, 2021 - edn1
https://psnet.ahrq.gov//#_edn2
https://psnet.ahrq.gov//#_edn3
https://www.ahrq.gov/patient-safety/reports … Shift Change Huddles/Bedside Reporting with
Patients and Families
3.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.185_slideshow.ppt
October 01, 2008 - *
*
Issues in Present Case
Case report does not mention whether patient’s primary physician received … with access to patient’s medication record in hospital may become aware of a missed dose
Prompting bedside … Available at: http://pewhispanic.org/reports/report.php?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/engagement.pptx
May 01, 2017 - and family members to partner with their health care team throughout their stay
Conducting change-of-shift … report at the bedside so patients and families can participate
Involving patients and families in discharge … for Perinatal Care
Patient & Family
Immediate Response to an Adverse Event4
Care for the patient
Report
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
May 01, 2017 - Bedside staff,
providers, and lab personnel should
agree on one unit for reporting and
communicating … This may include
bedside review by nursing team of
pump settings, mainline intravenous
fluids, and … and families
regarding the frequency of nursing
assessment and monitoring, signs
and symptoms to report
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psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
January 01, 2021 - to the ICU after becoming
hemodynamically unstable with hypotension and increasing
tachycardia
• Bedside … • Miscommunication may occur verbally, in written reports, or both. … Case
Reports in Orthopedics. 2013;2013(3):1-3. doi:10.1155/2013/401968.
5. … Pulmonary Embolism and Severe Asthma: Case Report and Literature Review. … The radiology report - Are we getting the message across?
-
psnet.ahrq.gov/node/49615/psn-pdf
December 01, 2010 - patients,
staff members place a SKIN ALERT sticker on the outside of the chart, along with signs at the bedside … repositioned at a minimum of every 2 hours.(10)
Cues for repositioning have included clocks at the bedside … Empowerment of the bedside nurse as the focal point for protecting
patients along with strong support … 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
-
www.ahrq.gov/hai/cusp/modules/implement/teamwork-notes.html
December 01, 2012 - Shift changes.
Resource barriers include:
Lack of time.
Workload.
Processes. … Executives, physicians, nurse managers, infection preventionists, bedside clinicians, and unit support … Briefings are conducted:
At the beginning of the day shift. … During reporting-off breaks and shift changes. … And the second S stands for safety concerns—Provide critical lab values or reports, socioeconomic factors
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digital.ahrq.gov/electronic-medical-record-systems
January 01, 2023 - The use of bedside terminals and central station desktops saved nurses, respectively, 24.5 percent and … 23.5 percent of their overall time spent documenting during a shift. … Using bedside or point-of-care systems increased documentation time of physicians by 17.5 percent. … inefficient, increasing the work time from 98.1 percent to 328.6 percent of physician's time per working shift
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psnet.ahrq.gov/innovation/virtual-hospitalist-program-address-hospitals-challenges-start-covid-19-pandemic
October 30, 2024 - Covering these duties freed up the onsite team to see more patients and focus on bedside clinical management … In their published article, the team report anecdotal evidence that the innovation helped address challenges … Additionally, implementing clinicians need to be flexible and able to shift direction throughout the … Also, the pairing of two clinicians helped to reduce the feeling of isolation, the team reports. 1 The … Additionally, implementing clinicians need to be flexible and able to shift direction throughout the
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/best-practices.html
April 01, 2013 - And we all out there probably have gotten in our bedside kits, our carts and try to standardize the whole … So I’m happy to report at least on a statewide basis, in about a year we’ve been able to reduce our CLABSI … And one thing I would just report, too, we have one of our NICUs at East Tennessee Children’s Hospital-Knoxville … So, Mari, I think that’s pretty much what I wanted to report on. … all day or in there with that patient, so at the beginning it was a different, a difficult culture shift
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case6.html
November 01, 2014 - The cultural transformation initiative was launched to shift its culture to one where patient care became … An organizational culture shift had taken place. … Increase clinician time at the bedside. … Reducing staff movements or distance traveled to increase time at the bedside. … Additional beds were being added to the hospital, and there was a shift to individual rooms from a large
-
www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-fac-guide.html
February 01, 2017 - study on restricted activity among community-living older persons, and data were collected by self-report … end of the bed—meaning their legs dangled over the edge—11 percent involved patients standing at the bedside
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-early-mobility-facguide.docx
January 01, 2017 - study on restricted activity among community-living older persons, and data were collected by self-report … end of the bed—meaning their legs dangled over the edge—11 percent involved patients standing at the bedside
-
psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
November 08, 2013 - The intensivist came to the bedside promptly, but the patient rapidly went into cardiac arrest. … At that point, the nephrologist arrived at the bedside and was surprised to find that the patient's hemodialysis … Published reports indicate that geographic localization can reduce the perception of wasted time, increase … The long road to patient safety: a status report on the patient safety systems. … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S
-
psnet.ahrq.gov/web-mm/informed-or-misled
April 24, 2018 - The role of clinical guidelines in medical negligence litigation: a shift from the Bolam standard? … 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 … Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside
-
psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
March 10, 2021 - it doesn't affect the bedside. … Or, how many times did they participate in bedside rounding during their stay? … Initiative PFE Measures
PfP PFE Measures:
Planning Checklist for Scheduled Admissions
Shift … 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
-
psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
March 27, 2024 - Her parents demanded transfer to a specialty hospital, but there was a shift change and the new emergency … A telehealth connection to bring the pediatric intensivist and transport team to the child’s bedside … The use of I-PASS for patient handoffs during inpatient pediatric shift changes was found to decrease … Family members report experiences of poor information sharing and little shared decision-making during … Brief report: the impact of maternal posttraumatic stress disorder symptoms and child gender on risk