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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/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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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
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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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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
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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
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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/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
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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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
March 26, 2008 - In the medication use process, the nurse at the bedside is most
vulnerable to errors.2 Compared with … was revised to require respiratory therapy to round on every PCA patient at
least once per 12-hour shift … This value is
the number of instances for which there are documented case reports. … However, no case reports were submitted. … ISMP medication
error report analysis. Hosp Pharm 2005; 40: 210-12.
32.
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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.
-
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
-
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
-
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
-
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
-
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
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www.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-fac-guide.html
February 01, 2017 - Slide 8: Why the Shift? … data in person, you can help staff focus on these interventions during conversations with them at the bedside
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
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 at … If an article reports improvements in these ranges, scrutinize it closely.
-
psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
June 01, 2005 - If an article reports improvements in these ranges, scrutinize it closely. … 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 at