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psnet.ahrq.gov/web-mm/forgotten-turn
August 01, 2018 - 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 U.S … May 1, 2004
Letter
In response to "Failure to Report
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psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
April 26, 2023 - If a nurse is hearing lots of alarms, and they interrupt what they are doing to go to the bedside, and … I need to go now to the patient’s bedside.” … traditional ICU levels, or even a more condition-specific level, you get thousands of alarms per nurse per 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/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
May 01, 2017 - Safety Program for Perinatal Care Electronic Fetal Monitoring 7
SAY:
Clinician pocket cards and bedside … policy for certain EFM findings if the
maternity care provider is not immediately
available at the bedside
-
www.ahrq.gov/hai/cauti-tools/ena-slides/part2a.html
October 01, 2015 - Practice Change (continued)
Case Study
Conclusion
Nurse Champions
Nurses, both as bedside … communication
Communication
Nurse-to-nurse communication often centers around handoffs, either to the next shift … Report on a Bad Day on the Floor (sample handoff)
ED RN: Hey there! … I’ll pass along your report and you can send him up when you’re ready. … linen changes, toileting needs, or documentation of intake and output
Slide 129
Standardized reports
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/patient-monitoring-systems-appendix-c.xlsx
January 01, 2024 - Team nurse were expanded as follows: 1) review Rothman Index graphs at the start of each 12-h shift to … Gallo, 2024 Arm 1 -Usual care/In person Maximum EDI <65 Clinical measures Continuously Notify bedside … Gallo, 2024 Arm 2 Maximum EDI ≥65 Clinical measures Intermittently (15min) Notify bedside staff first … Jensen, 2019 Arm 2 CDR PEWS Vital sign Intermittently (12 hours) Notify bedside staff first Change in … Levin, 2024 Arm 2 Intervention, Alert Vital sign, laboratory values Not reported Notify bedside staff
-
digital.ahrq.gov/sites/default/files/docs/citation/r03hs027689-orenstein-final-report-2023.pdf
January 01, 2023 - Improving Influenza Vaccine Uptake in Acute Care Settings - Final Report … Children discharged during
the day shift were more likely to get
the influenza vaccine with a 1.27 … (95% CI, 1.15 - 1.41) times higher
odds compared to children
discharged during night shift. … to vaccine counseling, integrated into influenza vaccine orders for
“Just In Time” education at the bedside … Accessibility Report
Filename:
r03hs027689-orenstein-final-report-2024.pdf
Report created by
-
psnet.ahrq.gov/node/49783/psn-pdf
February 01, 2017 - 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 … Readers should not interpret any statement in this report as an official position of AHRQ or
of the
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psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
October 30, 2019 - Changing the "routine care" paradigm requires a cultural shift and a reorientation of thinking focused … POKE scores are discussed by the bedside nurse. … One of our leading theories has to do with presence at the bedside. … 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/air-side-caution
April 21, 2015 - Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a … 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/neurological-red-flags-missed-stroke-after-intermittent-episodes-dizziness-and-headache
February 08, 2023 - Imprecision in patient reports of dizziness symptom quality: a cross-sectional study conducted in an … Acute dizziness: A personal journey through a paradigm shift. … Major neurological deficit following neck hyperextension during dental treatment: report of 2 cases and … Beauty parlor stroke syndrome: report of five cases. … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S
-
www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
January 01, 2024 - Final Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation … qualitative research, probabilistic risk assessment, embodied
conversational agents
Page 2 of 19
Progress … Report
Table Of Contents
1. … We envision using such agents in
bedside hospital kiosks for patient education prior to discharge. … Perspectives of Patient
Safety: Five years After the IOM Report.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment.docx
April 01, 2022 - to proper central line maintenance procedures inclusive of assessment of dressing integrity at each shift … Absorbent pads with scale to weigh urine output
O
O
O
O
External male catheters
O
O
O
O
Bedside … Know
Absorbent pads with scale to weigh urine output
O
O
O
External male catheters
O
O
O
Bedside … Statement
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Staff members anecdotally report … Briefings
Huddles
Daily patient goals
Multidisciplinary rounds
Targeted Assessment for Prevention (TAP) Reports
-
psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
March 10, 2021 - Initiative PFE Measures
PfP PFE Measures:
Planning Checklist for Scheduled Admissions
Shift … it doesn't affect the bedside. … Or, how many times did they participate in bedside rounding during their stay? … 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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Clair.pdf
January 01, 2004 - Well-designed, quasi-experimental studies
Level IV Well-designed, non-experimental studies
Level V Case reports … was assessed with the use of an inventory of the
tracheostomy supplies available at each patient’s bedside … Aspiration with cuffed tube II E
Peruzzi, et al. (2001) Aspiration with dye III A
Henrich, et al. (1997) Bedside … A report of
the Committee on Quality of Health Care in America,
Institute of Medicine.
-
www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilysum.html
July 01, 2018 - Purpose and Methods
This report presents the results of the environmental scan that serves as an evidence-based … Interventions and strategies used to engage patients and families as members of their health care team include bedside … rounds, bedside change of shift reports, patient- or family-activated rapid response teams, specific
-
psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
October 30, 2024 - The RRT nurse is then responsible for following up with the bedside clinical team to determine next steps … The RRT nurse then collaborates with the clinical team, which can include the hospitalist, bedside nurse … associated with the intervention has consistently been over 90%. 7 The virtual quality nurse consultants report
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
June 02, 2025 - This shift of authority led to a significant drop in the number of reported birth complications. … and nurses with a structured approach to review problems that may have occurred during the previous shift … , assess the anticipated workload for the coming shift (such as new patients, patient discharges, and … Executives, physicians, nurse managers, infection preventionists, bedside clinicians, and unit support
-
psnet.ahrq.gov/node/850678/psn-pdf
June 14, 2023 - The RRT nurse is then responsible for following up with the bedside clinical team to
determine next … The RRT nurse then collaborates
with the clinical team, which can include the hospitalist, bedside nurse … associated with the
intervention has consistently been over 90%.7 The virtual quality nurse consultants report
-
psnet.ahrq.gov/node/49838/psn-pdf
August 01, 2018 - However, this occurred at the end of shift, and the resident did not verbally communicate the order change … suggests that
transitions to comfort care in the ICU should not occur unless the family is at 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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
April 01, 2011 - shift report or bedside
rounds
• Share a written list of medicines every morning
• Go over medicines … • Identify the caregiver who will be at home with the patient Bedside nurse
• Let the patient and … • Elicit 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 … The hospital should identify a staff person, such as a
bedside nurse, case manager, discharge planner