Results

Total Results: 743 records

Showing results for "bedside shift report".

481. Implementing Your Surgical Site Infection Prevention Bundle: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-slides.html
     October 01, 2020 - Slide 6: AHRQ Safety Program for Surgery—Implementation Translating Evidence Into Bedside Practice … The next columns provide space to record the Investigator and the Shift Second section of the BIM tool … Essential to report progress to your team: Track your surgical site infection rates and detect trends … Impact of preoperative briefings on operating room delays: a preliminary report.

482. The LifePoint National Quality Program Provides Structured Framework for Reducing Inpatient Harm | PSNet
     psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-reducing-inpatient-harm
     February 26, 2025 - can 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

483. Harnessing the Potential of Health Care Collaboratives: Lessons from the Keystone ICU Project (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Goeschel_24.pdf
     January 01, 2008 - we encouraged teams to acknowledge and support both formal (e.g., CEO) and informal leaders (e.g., bedside … • Analyzing data and generating reports. … Problem-solving responsibility must shift from authoritative experts to those required to change their … This shift in authority has the potential to create conflict between the nurse and physician or other … Similar to clinical research, we committed to describe, conduct, and report the analyses appropriately

484. Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. | PSNet
     psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
     November 25, 2020 - 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 U.S

485. Navigating-Hierarchy-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-transcript.doc
     December 10, 2013 - I keep getting reports from my committee members who are in house today about not being able to get back … It’s the 1910 Flexner Report. … I know for me that that time was back in the early ‘90s when I was part of a, mostly an evening shift … It was during resident rounds at the bedside. … we report that we caught a mistake just in time.

486. Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others (December 10, 2013) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-transcript.html
     December 01, 2017 - I keep getting reports from my committee members who are in house today about not being able to get back … It's the 1910 Flexner Report. … I know for me that that time was back in the early '90s when I was part of a, mostly an evening shift … It was during resident rounds at the bedside. … we report that we caught a mistake just in time.

487. In Situ Simulation: Challenges and Results (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
     May 05, 2008 - must be balanced by the necessity of conducting in situ simulations for all shifts, not just the day shift … When patients’ families and staff have been exposed to an extensive daily bedside “rolling refresher … provision of information to patients and families, integration of in situ simulation (even at the bedside … Still, we report these findings to fortify those embarking on what can be classified as field research … Incorporation of a computerized human patient simulator in critical care training: A preliminary report

488. The National Action Alliance to Advance Patient Safety Summer Webinar Series: CDC Presentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-062723.pdf
     July 25, 2023 - changing or different professional roles or values and power differentials among staff, and staff and shift … Key findings were bedside nursing program participants felt more confident and capable of managing aggressive … Formal reports of patient aggression episodes did not increase during the study. … Continuous improvement should be the goal Cultural shift and empowering colleagues Communication … the Healthcare Industry “The reality is if you ask emergency nurses, they will tell you every single shift

489. Too Many Cooks in the Kitchen | PSNet
     psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
     March 07, 2018 - deterioration before the outcome became inevitable, a hospital-wide  Early Warning System  based on networked 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

490. Mismanagement of Delirium | PSNet
     psnet.ahrq.gov/web-mm/mismanagement-delirium
     February 13, 2014 - 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 U.S … authors has any affiliation or financial involvement that conflicts with the material presented in this report

491. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy | PSNet
     psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
     September 30, 2020 - Abnormal findings should trigger more thorough bedside evaluation, including history-taking and physical … An alert with the institution's protocol for abnormal obstetric vital signs could help prompt urgent bedside … Obstet Gynecol . 2015;126:155–62. [ Free full text ] R 3 Report – Requirement, Rationale, Reference … The Joint Commission. [ Available at ] R 3 Report: Provision of Care, Treatment, and Services standards … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S

492. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49694/psn-pdf
     October 01, 2013 - there are other examples of wrong patient errors that led to death.(8) Although there are no published reports … recommended strategies for reducing the risk of wrong patient errors based on expert consensus and analyzing reports … A patient verification process is needed everywhere, not just at the bedside. … MEDMARX 5th Anniversary Data Report: A Chartbook of 2003 Findings and Trends 1999–2003. … Readers should not interpret any statement in this report as an official position of AHRQ or of the

493. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838972/psn-pdf
     October 27, 2022 - During the night shift, the hospital unit was short- staffed, and her external catheter system fell … By the time the nurse came to the bedside to change the patient’s urine-soaked bed pads and sheets, the … 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

494. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836939/psn-pdf
     April 27, 2022 - Covering these duties freed up the onsite team to see more patients and focus on bedside clinical management … virtual-hospitalist-program-address-hospitals-challenges-start-covid-19-pandemic https://psnet.ahrq.gov//#1 In their published article, the team report … Lessons from other countries and early reports from the United States showed that staff at sites treating … 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

495. Don't Dismiss the Dangerous: Obstetric Hemorrhage | PSNet
     psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
     August 21, 2024 - may actually precede hypotension) that does not respond immediately to a fluid bolus needs careful bedside … Often, a bedside sonogram will identify a significant intra-abdominal fluid collection. … 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 … May 23, 2018 The radiology impact of healthcare errors during shift work.

496. One Dose, Two Errors | PSNet
     psnet.ahrq.gov/web-mm/one-dose-two-errors
     September 29, 2017 - The report was received by the nurse and relayed to the covering resident. … revealed that the information about the positive yeast culture had been correctly called in to the bedside … pharmacists.( 10 ) Team members are aware of key aspects of each patient's medical problems and laboratory reports … quality by rapidly notifying radiologist of report errors. … Benign April 1, 2009 WebM&M Cases Dangerous Shift

497. Patient Safety Events Involving Opioid Dose Stacking | PSNet
     psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
     July 08, 2022 - When the morning shift started, the new nursing assistant called the team to bedside as the patient was … 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 U.S … authors has any affiliation or financial involvement that conflicts with the material presented in this report

498. An Untimely End Despite End-of-Life Care Planning | PSNet
     psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
     February 01, 2012 - However, this occurred at the end of shift, and the resident did not verbally communicate the order change … and 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 U.S … authors has any affiliation or financial involvement that conflicts with the material presented in this report

499. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33786/psn-pdf
     May 01, 2015 - psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses 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

500. A National Conference on the Role of Health IT to Improve Medication Management - Slides (pdf file)
     digital.ahrq.gov/sites/default/files/docs/improve-medication-management-slides-091318.pdf
     September 27, 2018 - • Complete bedside medication delivery form. – Provide estimated date and time of discharge. – Note … Role of Outpatient Providers • Encouraged PCPs (or practice managers) to review the adherence reports … arm patients. – Proportion of regimen in pill trays. – On-time delivery of trays. – Use of adherence reports … • Former pharmacies may object to loss of business. • Paradigm shift for patients and providers: regimen … Viewing Adherence Report Adherence Report: Time Trends Adherence Report: Dose Times Role of Outpatient