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psnet.ahrq.gov/node/49760/psn-pdf
May 01, 2016 - loved one's care and requested
alternate ward placement that allowed a 24-hour family caregiver at the bedside … The patient continued to act out
dreams, but having a family caregiver at the bedside prevented escalation … 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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pptx
July 23, 2010 - Doing change of shift report at the bedside, where patients and families can participate. … and physiologic measures such as blood pressure and blood sugar levels.3
• Improved scores on public reports … Improving America’s hospitals: the Joint Commission’s annual report on quality and safety; 2007. … Some tips for Teach Back:
Start slowly – try on 1 or 2 patients, maybe toward the end of your shift to … The first person who comes into his room is his bedside nurse, Angela.
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psnet.ahrq.gov/node/72624/psn-pdf
January 05, 2021 - easily be replicated across hospitals (e.g., TeamSTEPPS, the use of
interdisciplinary care teams, bedside … shift reports, prioritizing patient engagement) and providing
guidance on how to implement and master
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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - The pandemic accelerated a shift from healthcare in the hospital toward healthcare in the home and … https://www.nursingworld.org/~4a209f/globalassets/covid19/anf-2022-workforce-written-report-final.pdf … We can’t simply legislate our way into putting more colleagues at the bedside as the determinant that … 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/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - One trend that I hope we’ll sustain is the shift to rapid communities of learning across local, regional … We can’t simply legislate our way into putting more colleagues at the bedside as the determinant that … https://www.nursingworld.org/~4a209f/globalassets/covid19/anf-2022-workforce-written-report-final.pdf … 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/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
July 01, 2023 - communications, care transitions, and recommending changes to the established care plan Use SBAR to:
Frame event reports … Finally, SBAR might be useful at the Reporting stage to frame event reports, structure case scenarios … Sonentag, comes to check on patient Danielle Williams at her bedside nurse’s request. … As you read through this expanded section from our scenario, think about how the bedside nurse, Allison … status, level of uncertainty, recent changes, and response to treatment
Safety: Critical lab values/reports
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
July 01, 2023 - transitions, and
recommending
changes to the
established care plan
Use SBAR to:
• Frame event reports … Finally, SBAR might be useful at the
Reporting stage to frame event reports, structure case scenarios … Sonentag, comes to check on patient Danielle Williams at her bedside nurse’s request. … As you read through this expanded section from our scenario, think about how the bedside
nurse, Allison … status, level of uncertainty,
recent changes, and response to treatment
• Safety: Critical lab values/reports
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/ena-slides.pdf
September 01, 2015 - • The patient with urinary retention or obstruction
Use a bladder scanner or bedside ultrasound … Nurse Champions
Nurses, both as bedside staff and as unit leaders, create the care environment. … 42
Communication
Nurse-to-nurse communication often centers around handoffs, either to the next shift … AHRQ Safety Program for Reducing CAUTI in Hospitals Transcript 45
Report on a Bad Day on … I’ll pass along your
report and you can send him up when you’re ready.
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www.ahrq.gov/sites/default/files/publications/files/ena-slides.pdf
September 01, 2015 - • The patient with urinary retention or obstruction
Use a bladder scanner or bedside ultrasound … Nurse Champions
Nurses, both as bedside staff and as unit leaders, create the care environment. … 42
Communication
Nurse-to-nurse communication often centers around handoffs, either to the next shift … AHRQ Safety Program for Reducing CAUTI in Hospitals Transcript 45
Report on a Bad Day on … I’ll pass along your
report and you can send him up when you’re ready.
-
psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - Bedside evaluation revealed she was hypotensive
(blood pressure 75/45 mm Hg), tachycardic (heart rate … The intensive care unit (ICU) team consulted at the bedside and made plans to transfer her to the ICU … Early warning scores use risk prediction,
typically generated each shift, based on vital signs and information … Natl Health Stat Report. 2010;29:1-20, 24. [go to PubMed]
3. … 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/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
December 01, 2012 - Large-scale implementation of sedation and delirium monitoring in the intensive care unit: a report from … All these little things happen on the night shift because it's when things are otherwise quieter. … have to do major room switches, if someone comes up VRE or MRSA positive, they often do them on night 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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psnet.ahrq.gov/node/74713/psn-pdf
January 26, 2022 - When the morning shift started, the new
nursing assistant called the team to bedside as the patient … repeat opioid dosing in a narrow
period of time may not relieve the patient’s pain and can dramatically 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/node/49636/psn-pdf
October 01, 2011 - It's also important that the PT communicate with the patient's
bedside nurse or physician(s) about changes … Early patient mobility in the ICU requires a culture shift that embraces mobilization and collaboration … 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/node/33837/psn-pdf
July 01, 2017 - Many malpractice attorneys even started using the Institute of Medicine's
report on medical error in … to explain a bad outcome in the hospital
became much more common after the publicity over the IOM report … RW: I want to shift to one of the other trends in the field, which is apology and disclosure. … It is a massive culture shift for institutions to move from a traditional "deny-and-defend" posture to … They have to see and
deal with these patients at the bedside after something goes wrong.
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psnet.ahrq.gov/web-mm/right-patient-wrong-sample
June 01, 2004 - As it was the change of nursing shift, the bedside nurse for the patient was not available and there … Classifying laboratory incident reports to identify problems that jeopardize patient safety. … Direct interfacing of LIS to electronic medical record with elimination of printed reports. … 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/node/49527/psn-pdf
December 01, 2006 - As it was the change of nursing shift, the bedside nurse for the patient was not available and there … Classifying laboratory incident reports to identify
problems that jeopardize patient safety. … Direct interfacing of LIS to electronic medical record with
elimination of printed reports. … 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/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
August 01, 2006 - In the morning his bedside nurse for the day came in and stated that she would be giving him his fourth … A national trend, in place for more than a decade, has resulted in a shift in the setting in which chemotherapy … The shift of oncology inpatient care to outpatient care: the challenge of retaining expert oncology nurses … 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/node/865655/psn-pdf
April 24, 2024 - The patient was discharged that afternoon despite continuing to report extreme pain. … Diagnosis
Historically, CS has been diagnosed by bedside assessment using various clinical signs and … Did resident duty hours or shift work play a role in the delayed diagnosis, and if so, how? … In addition, we recommend concurrent bedside patient examination of patients
who are being evaluated … 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/web-mm/despite-clues-failed-rescue
August 02, 2015 - Bedside evaluation revealed she was hypotensive (blood pressure 75/45 mm Hg), tachycardic (heart rate … The intensive care unit (ICU) team consulted at the bedside and made plans to transfer her to the ICU … Early warning scores use risk prediction, typically generated each shift, based on vital signs and information … Natl Health Stat Report. 2010;29:1-20, 24. [go to PubMed]
3. … December 5, 2018
Using incident reports to assess communication failures and patient
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psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
March 01, 2004 - EndNote 7 XML Endnote tagged PubMedId RIS
Download Citation
Perspective
Reports … equipment, and team interactions.( 5 ) In contrast to administrative records, patient charts, and incident reports … addition to illustrating technical procedures, video is used for dissemination of best practices, such as bedside … shift change reporting, and for instructions of how to operate devices (such as infusion pumps) safely … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S