NUSING AbstractHealthcare-Associated Infections (HAI) are the ones that are caught by the patient when they are at the hospital for the treatment of another medical condition. One of the common infections is urinary tract infection, which majorly affects the urinary tract system and causes pain and distress for the patients for the rest of their lives. If no proper precautions are taken during catheter insertion, which is considered one of the leading causes of UTI, and no timely treatment is given to the patient, consequences could be severe.The current project seeks to employ a quality improvement project by studying a similar retrospective project from literature. With the deployment of a PDSA cycle, need identification is made, and running a literature review and exploring the evidence-based practices for supporting the change. Further, the paper discusses the application of change theory and its various stages, selecting an inter-professional team for reviewing the…...

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ReferencesAgency for Healthcare Research and Quality. (2017, March). Guide to implementing a program to reduce catheter-associated urinary tract infections in long-term care.   T., Eliakim-Raz, N., Turjeman, A., Pujol, M., Carratala, J., Shaw, E., Grange, A.G., Vuong, C., Addy, I., Wiegand, I., Grier, S., MacGowan, A., Vank, C., Heuvel, L., & Leibovici, L. (2021). Risk factors for hospital re-admission following complicated urinary tract infection. Scientific Reports, 11.  https://doi.org/10.1038/s41598-021-86246-7 Center for Disease Control and Prevention. (2015, October 16). Healthcare-associated infections: Catheter-associated urinary tract infection. https://www.cdc.gov/hai/ca_uti/uti.htmlGoldfield, N.I., McCullough, E.C., Hughes, J.S., Tang, A.M., Eastman, B., Rawlins, L.K. & Averill, R.F. (2008). Identifying potentially preventable re-admissions. Healthcare Financing Review, 30(1), 75-91. Hines, S.C. (2014). Strengthening national efforts to reduce healthcare-associated infections. Agency for Healthcare Research and Quality.  https://www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article2.html  Huston, K. (2018, April 16). Blame your anatomy: Women are more prone to UTI than men. Norton Healthcare.  https://nortonhealthcare.com/news/uti-ecare/ Magers, T.L. (n.a.). Using evidence-based practice to reduce catheter-associated urinary tract infections. Lippincott Nursing Center.  https://www.nursingcenter.com/ce_articleprint?an=00000446-201306000-00027 Manchester, J., Gray-Miceli, D.L., Metcalf, J.A., Paolini, C.A., Napier, A.H., Coogle, C.L. & Owens, M.G. (2014). Facilitating Lewin’s change model with collaborative evaluation in promoting evidence-based practices of health professionals. Available at: Scholars Compass,  http://scholarscompass.vcu.edu/vcoa_pubs/3  Manojlovich, M., Martin, S. & Carraway, S. (2017). Breaking down barriers to aseptic catheter insertion [PowerPoint slides]. Agency for Healthcare Research and Quality, AHRQ.  https://www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-slides.html Medinngs, J., Rogers, M.A.M., Krein, S.L., Fakih, M.G., Olmsted, R.N. & Saint, S. (2014). Reducing unnecessary urinary catheter use and other strategies to prevent catheter-associated urinary tract infection: An integrative view. BMJ Quality and Safety Journal, 23(4), 277-289.  https://doi.org/10.1136/bmjqs-2012-001774 Montalvo, I. (2007). The national database of nursing quality indicators (NDNQI). OJIN: The Online Journal of Issues in Nursing, 12(3).  https://doi.org/10.3912/OJIN.Vol12No03Man02 Nicastri, E. & Leone, S. (2021). Guide to infection control in the healthcare setting: healthcare-associated urinary tract infections. International Society for Infectious Diseases.  https://isid.org/guide/hospital/urinary-tract-infections/  Nicolle, L.E. (2008). Healthcare-acquired urinary tract infection: The problem and solutions. Patient Safety Network (PS Net).  https://psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions Pandey, D., Mehta, S., Grover, A., & Goel, N. (2015). Indwelling Catheterization in Caesarean Section: Time To Retire It! Journal of Clinical and Diagnostic Research: JCDR, 9(9), QC01–QC4.  https://doi.org/10.7860/JCDR/2015/13495.6415 Raynaldo, M. (2020). Implementing hospital-acquired pressure injury (HAPI) prevention program [Doctoral dissertation, University St. Augustine for Health Sciences]. SOAR.  https://doi.org/10.46409/sr.RIDN4317https://www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html#core Babich,

Quality Improvement Plan: Implementing and evising
Authority, structure, and organization for the Mayo Clinic

Board of directors

The implementation of quality improvement initiatives require a detailed authority designation, structure, and organization of the compete project. Mayo clinic is known for its quality and technology initiatives. The programs are conceived and implemented using progressive technological approaches. The project management and organizational oversight structures are developed in accordance with the requirements. As a result the coordinated and coherent efforts of the clinic provide an overall governance model for successful project completion. The authority, structure, and organizational roles are discussed in the following sections.

Authority, structure, and organization for the Mayo Clinic:

Board of directors:

Board of directors is responsible for review and approval of the plan. The pros and cons of the plan are discussed in the broad meetings. The financial requirements and capital investment requirements are also elaborated and approved by the board members. The investment requirements…...

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References:

Chute, C.G., Beck, S.A., Fisk, T.B., & Mohr, D.N. (2010). The Enterprise Data Trust at Mayo Clinic: a semantically integrated warehouse of biomedical data. Journal of the American Medical Informatics Association, 17(2), 131-135.

Kolker, A., & Story, P. (2011). Management Engineering for Effective Healthcare Delivery: Principles and Applications. USA: Medical Info Science Reference.

Mueller, P.S. (2009). Incorporating professionalism into medical education: the Mayo Clinic experience. The Keio journal of medicine, 58(3), 133-143.

Sawatsky, A.P., Rosenman, D.J., Merry, S.P., & McDonald, F.S. (2010, August). Eight years of the Mayo International Health Program: what an international elective adds to resident education. In Mayo Clinic Proceedings (Vol. 85, No. 8, pp. 734-741). Elsevier.

Success in several high-profile areas, such as stroke prevention, acute coronary intervention, or nosocomial infection have the benefits of focusing the organization on a task which can bring tangible results, measured in clinically-relevant ways.
Specific Program for our Institution

This memo recommends that we choose five treatment areas, and implement specific quality improvement programs for each one. The focus on each should include procedures which are important to the overall quality of this institution's morbidity and mortality results. Given the hospital's focus on acute care, the following procedures might be candidates for quality improvement programs:

Ischemic stroke treatment

ACS treatment (acute coronary syndrome).

Trauma in the ER related to gunshot wounds.

Maternal ward delivery performance

Nosocomial infection reduction.

In each case, the procedures should proceed as outlined above: (1) an identification of the problem, (2) identification of best practices as demonstrated in peer-reviewed clinical trials, (3) adoption of the best practices procedures, and (4) measuring and monitoring…...

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Bibliography

CancerCenter. (2007). Cancer Treatment Centers of America. Retrieved November 23, 2007, from CCA: www.cancercenter.com

Civitarese, L.A. (1999). Congestive Heart Failure Clinical Outcomes Study in a Private Community Medical Group. Journal of American Board of Family Practice, 467-472.

Dana Farber. (2005). Dana-Farber attains nation's highest honor for nursing excellence; first cancer center in New England to earn Magnet recognition. Boston: Dana Farber Cancer Institute.

Katzan, I.L. (2003). Quality Improvement and Tissue-Type Plasminogen Activator for Acute Ischemic Stroke. JAHA, 799-800.

Efforts should be made to meet these needs and strive harder to excess those expectations. Second principle is the proper leadership within an organization. Good leaders develop unity of purpose and direction of any organization, Leaders should make an effort to create such an environment within an organization that every member works hard to meet the goals. Third principle suggests the involvement of every member of an organization. Their abilities and full involvement will enable the organization to reach high. Fourth principle involves the activities and resource management as a process. Fifth principle says about the systematic approach to management which involves proper identification, management and understanding of interrelated processes for the efficiency and effectiveness of an organization. Sixth principle states that continuous improvement should be the primary objective. Seventh principle involves the proper decision-making which should be based on the collected data and information. Last principle is about…...

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References

Anton, D. And Carole, a. (2006). ISO 9001 Survival Guide, Third Edition. AEM Consulting Group, Inc.

Cianfrani, C.A.; West, J.E. (2009). Cracking the Case of ISO 9001:2008 for Service: A Simple Guide to Implementing Quality Management to Service Organizations. Milwaukee: American Society for Quality.

Rose, K.H. (2005). Project Quality Management: Why, What and How. Fort Lauderdale, Florida: J. Ross Publishing.

Thareja, P. (2008). Total Quality Organization Thru' People, Each one is Capable. Foundry Publications.

Quality Improvement
Comparison of Graphical Tools used in Quality Improvement

Quality Improvement Tool Comparison Matrix

Quality Improvement Tool

Uses

Bar Graph (StatSoft, 2014a)

Values for a single variable is represented by bars or columns

Each bar represents a single case and the value of the variable (time, temperature, etc.…) is denoted by the Y-axis

Histogram (StatSoft, 2014b)

Graphical representation of a frequency distribution for a variable, with columns or bars representing the distribution of class intervals and the height of the columns representing the frequency of each class

Control Chart (StatSoft, 2014c; Trusko, Pexton, Harrington, & Gupta, 2007, p. 146-149)

Compares the means and ranges for a variable using two line charts, although vertical histograms can be incorporated into the chart as well to facilitate visualization of how much values are deviating from the expected norm

Bar graphs are seemingly ubiquitous, in part because of the inherent simplicity of the data representation. Bar graphs can be used to represent the value…...

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References

Corniello, A.L., Moyse, T., Bates, J., Karafa, M., Hollis, C., & Albert, N.M. (2014). Predictors of pressure ulcer development in patients with vascular disease. Journal of Vascular Nursing, 32(2), 55-62.

StatSoft. (2014a). Bar/column plots, 2D. Retrieved from   Plot.http://www.statsoft.com/Textbook/Statistics-Glossary/B/button/b#Bar-Column 

StatSoft. (2014b). Histograms, 2D. Retrieved from   2D.http://www.statsoft.com/Textbook/Statistics-Glossary/H/button/h#Histograms ,

StatSoft. (2014c). What is quality control and quality control charts? Retrieved from  http://www.statsoft.com/Textbook/Quality-Control-Charts .

The caregiver role includes those activities that assist the client physically, mentally, and emotionally, while still preserving the client's dignity. In order for a nurse to be an effective caregiver, the patient must be treated in a holistic manner. Patient advocacy is another role that the modern nurse assumes when providing quality care. Advocacy is the active support of an important cause, supporting others, or speaking on behalf of those who cannot speak for themselves (Kozier, Erb and Blais, 1997).
For the Ns to be more satisfied then, we need a new paradigm or process that is more inclusive, more active between management and staff, and provides more lines of open communication between the groups. Taking into account that the Ns job is hectic, hospital schedules are always frenzied, and there always seems to be a shortage of people, it will take considerable commitment and effort from management to sort…...

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REFERENCES

Memorial Herman - About Us. (2010, January). Retrieved October 2010, from Memorial Herman Hospital:  http://www.memorialhermann.org/ 

Allen and Wilburn. (2002). Linking Customer and Employee Satisfaction. Milwaukee, WI: American Society for Quality Press.

Bowen, B. (2000). Recognizing and Rewarding Employees. New York: McGraw-Hill.

Corrigan, Greiner and Erickson. (2003). Fostering Rapid Advances in Health Care: Learning From System Demonstrations. Washington, DC: National Academies Press.

In this regard, it is vitally important that leadership communicate effectively with staff, with particular focus on the fact that quality improvement in patient databases means improved quality in health care. This is good not only for patients, but also for the reputation of the Center, and by association for the staff working with patients as well.
In order to further increase the effectiveness of the PDCA model, the Hospital Corporation of America (ansom et al., 2008, p. 69) went a step further in creating the FOCUS PDCA Model. This model involves the addition of five steps, as indicated by the FOCUS acronym: Find a process to improve; Organize a team that knows the process; Clarify current knowledge of the existing or redesigned process; Understand the variables and causes of process variation within the chosen process; and Select the process improvement and identify the potential action for improvement.

Because of its…...

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References

Dlugacz, Y.D. (2006). Measuring Health Care: Using Quality Data for Operational, Financial, and Clinical Improvement. San Francisco: John Wiley & Sons.

Ransom, E.R., Joshi, M.S., Nash, D.B., and Ransom, S.B. (Eds.). (2008). The Healthcare Quality Book: Vision, Strategy, and Tools. Chicago: Health Administration Press.

West Central Georgia Regional Hospital (2010). FOCUS P-D-C-A: Performance Improvement Model to Identify and Solve Problems and Processes. Retrieved from:  http://www.nccpeds.com/FOCUSPDCA.pdf

There are a variety of techniques utilized for quality improvement, each with its own characteristic role in the completion of the procedure as a whole (Methods for Quality Improvement, 2010).
Product improvement is one of the major methods used. The proposal behind this is that the more goods that are improved, the better they will sell. As time progresses, so do significant features of customer approval. Consumers anticipate the essential alterations to be made and will keep making purchases from a particular corporation if their offers change right along with everything else. Enhancements are therefore made to goods that facilitate them to be prepared with the latest features and basics that will help them persist to sell (Methods for Quality Improvement, 2010).

Process improvement is an additional significant aspect of quality improvement. This technique covers the procedures utilized to carry out everyday business operations. This can be everything from the procedures…...

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References

Just in time production (JIT). (n.d.). Retrieved December 4, 2010, from Tutor2U Web site:  http://tutor2u.net/business/production/just-in-time.html 

Methods for Quality Improvement. (2010). Retrieved December 4, 2010, from Aveta Business Institute Web site:  http://www.sixsigmaonline.org/six-sigma-training-certification-information/methods-for-quality-improvement-2.html 

Six Sigma. (2010). Retrieved December 4, 2010, from TopBits Web site:  http://www.tech-faq.com/six-sigma.html 

Statistical Six Sigma Definition. (2010). Retrieved December 4, 2010, from Web site:  http://www.isixsigma.com/index.php?option=com_k2&view=item&layout=item&id=1254&Itemid=110

represents a needs assessment for quality improvement scenario. The report will assess the need for a quality improvement process within "a manufacturing organization." The report will include a description of the problem and process as well as a flow chart of the process to be analyzed. The report will also describe the relationship of the process to the organization's overall strategic plan and will identify both the internal and external customers of the organization. The paper concludes with an estimate of the level of improvement that could be realized and the value of implementing the new quality improvement process.
The TiaPei Manufacturing Company designs, manufactures and exports small toys that are exported to the United States for sales. The organization has decided to implement a Six Sigma manufacturing quality control program so as to reap the benefits of added efficiency and quality. The company's version of the Sigma process provides…...

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References

The Professional Journal. (1998). Changing Company Culture: Six Sigma Focuses on Total Customer Satisfaction [Research Study]. Retrieved on January 20, 2005 from http://www.afsmi.org/journal/nov98/nov-002.htm

Erwin, Jane. (2003). "Changing Company Culture: Six Sigma Focuses on Total Customer Satisfaction," as Retrieved on January 20, 2005, http://www.afsmi.org/journal/nov98/nov-002.htm

Drag the side handles to change the width of the text block.

Preliminary Investigation

Evidence-Based Practice (EBP), esearch, and Quality Improvement (QI) in Nursing Evidence-Based Practice (EBP), esearch, and Quality Improvement (QI) in Nursing PracticeAbstractThis paper differentiates Evidence-Based Practice, esearch, and Quality Improvement as used in nursing. Evidence-Based Practice, esearch, and Quality Improvement are considered the key to improving patient outcomes and healthcare quality (Carter et al., 2017). Evidence-based practice involves translating the evidence and using it in clinical decision-making. Evidence-based practice consistently enhances healthcare delivery, cuts costs, diminishes differences in care that are geographic-oriented and strengthens outcomes. esearch studies include a scientific inquiry to respond to particular research questions or test the hypothesis through rigorous and disciplined methods. On the other hand, primary care practices with substantial-quality improvement also continue to seek enhancement of their patient outcomes and performance. This quality improvement orientation influences activities to give priorities for places to improve and the work required to attain such targets.Significance and BackgroundWithout new…...

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ReferencesCarter, E. J., Mastro, K., Vose, C., Rivera, R., & Larson, E. L. (2017). Clarifying the conundrum: Evidence-based practice, quality improvement, or research?: The clinical scholarship continuum. JONA: The Journal of Nursing Administration, 47(5), 266-270.Hain, D. J. (2017). Focusing on the fundamentals: Comparing and contrasting nursing research and quality improvement. Nephrology Nursing Journal, 44(6), 541-545.Hashish, A., Aly, E., & Alsayed, S. (2020). Evidence-Based Practice and its Relationship to Quality Improvement: A Cross-Sectional Study among? Egyptian Nurses. The Open Nursing Journal, 14(1).LoBiondo-Wood, G., Haber, J., & Titler, M. G. (2018). Evidence-based practice for nursing and healthcare quality improvement. Elsevier Health Sciences.

Improvement in an Organization That Can Benefit a Customer
An improvement to the organization, which will benefit the customer

The best porter's generic strategy is the distinction strategy; this will help the business to differentiate its service delivery in some way that will help to attract customers. This will overcome the wave of supernumerary services and challenger access. This strategy is the best because it will allow the company to institute changes in line with the desired technological requirements. At this point, differentiation of products and services will increase entrance obstacles in terms of technology and other technical requirements and thus eliminate the threat of new entrants. In other terms, a distinctive product or service will also attract clients and reduce the threat of alternative or substitute service provision (Henderson, 2011).

The selected strategic business approach relates with the business components. This is suitable because it goes in line with the porter's standard…...

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References

Abraham, B. (2008). Quality improvement through statistical methods. Boston, MA: Birkha-user.

Anderson, D.R. (2011). An introduction to management science: Quantitative approaches to decision making. Mason, OH: Cengage South-Western.

Baker, H.K., & Powell, G.E. (2005). Understanding Financial Management: A Practical Guide. Oxford: Blackwell Pub.

Helfert, E.A. (2007). Financial analysis: tools and techniques: A guide for managers. Boston [etc.: McGraw-Hill.

Quality Circles
ORGANIZATIONAL EHAVIOR: ARE QUALITY CIRCLES EFFECTIVE

Quality Circles became popular during the mid 1980s, when buzzwords such as Total Quality Management and efficiency teams became popularized in U.S. companies seeking to gain a competitive advantage over international production giants including Japanese manufacturers. A great deal of controversy exists however, as to whether or not quality circles truly accomplish what they are set out to do: improve organizational efficiency, worker productivity and performance. While many companies have argued that quality circles have resulted in dramatic cost savings, a large body of research suggests that quality circles have generally failed in a majority of companies that have implemented them. The aim of this study is to examine the nature of quality circles, and to ascertain whether or not they are effective mechanisms for organizational improvement.

ORGANIZATIONAL EHAVIOR: ARE QUALITY CIRCLES EFFECTIVE

INTRODUCTION

According to research, more than 50% of the population at large believes that…...

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Bibliography

Ahire, S.L. (1996). "TQM Age vs. Quality. An Empirical Investigation." Production and Inventory Management Journal" 18-23.

Blair, John D. And Whitehead, Carlton J. (1984). "Can Quality Circles Survive in the United States?" Business Horizons, 27 (September-October): 17-23

Buehler, Vernon; Shetty, Y.K. "The Quest for Competitiveness: Lessons from America's Productivity and Quality Leaders." Quorom Books, New York: 1991.

Bowman, James S. "Quality Circles: Promise, Problems, and Prospects in Florida." Public Personnel Management, Vol. 18, 1989.

Caregiving to Elderly People
In this document, interactive caregiving training is briefly discussed.

Caregiving to Elder People

ecent developments at the medical industry and more health conscious diet increase the life expectancy. According to the Census, 36.3 million Americans were 65 and over in 2004 and the numbers are expected to increase as 71.5 million in 2030. Aging brings serious memory problems, emotional and physical declines along with the natural changes of inner and outer organs. Taking a good care of an elderly person with memory loss, dementia and Alzheimer's disease is a very demanding job requiring serious physical and mental efforts. Therefore, intellectual and mental training of the caregivers is very important. The physical work caregivers undertake is very hard including bathing elderly people, feeding them, running errands and trying to understand what they really need. The result of this long-term care is exhaustion, anxiety and depression. egardless of the relationship of…...

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References

Practice Guideline for the Treatment of Patients with Alzheimer's disease and Other Dementias" American Psychiatric Association. October 2007.   Retrieved 2007-12-28.http://www.psychiatryonline.com/pracGuide/loadGuidelinePdf.aspx?file=AlzPG101007 .

According to his concepts the quality control can be done without too much emphasis on inspection if the process is smooth and can easily rum by the operations. It is today that we recognize the importance of customer's point-of-view but it was Juran who many years ago gave the idea that the perception of quality lies in the mind of customers rather than the producer. "According to the founders of TQM, the five interventions define the core of total quality management. Knowledge of customer requirements provides a test for considering and evaluating process changes. Supplier partnerships ensure that materials entering the organization are of acceptable quality. Cross-functional teams bring the full spectrum of relevant information and expertise to bear on decisions about system wide problems. Scientific methods and statistical analyses provide teams with trustworthy data to use in their decision making. And process management heuristics can improve the quality…...

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References

Miller, Alex. Strategic Management. 3. Irwin/McGraw Hill, 1998.

Witzel, Morgen. "Quality put into practice - guru guide: Joseph Juran." Quality put into practice - guru guide: Joseph Juran. 19 August 2003. RICS. 20 Oct 2006  http://www.rics.org/Management/Qualitymanagement/FT%20SUMMER%20SCHOOL%20Quality%20put%20into%20practice%20Guru%20Guide%20JOSEPH%20JURAN%20 (Financial%20Times).html.

Paton, Scott M.. "An interview with Joseph M. Juran." A Century of Quality: An Interview with Quality Legend Joseph M. Juran. 1999. QCI International. 20 Oct 2006  http://www.qualitydigest.com/feb99/html/body_juran.html .

Feo, Joe De. "Juran Institute Helps Organization Improve." OUR FOUNDER. Juran Institute. 20 Oct 2006  http://www.juran.com/lower_2.cfm?article_id=21 .

Quality & Safety
The quality and safety of health care services has been a major issue in the recent past because of the significance of these factors in the improvement of patient outcomes and enhancing the effectiveness of the health care system. Health care professionals and practitioners have increasingly focused on the need to improve the quality and safety of their services given the constant increase in patient population. As a result, various measures have been developed and implemented in attempts to enhance the quality and safety of care services and improvement of practices. These measures include delivery of patient-centered care, safety initiatives, teamwork and collaboration, informatics, quality improvement, and evidence-based practice. There are several ways with which incidents or interactions in each of these components are handled and can be improved based on leadership/management theory content.

Patient Centered Care -- Interaction

A bedside report was not done at bedside and did not…...

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Works Cited

Evanoff, Bradley, Patricia Potter, Laurie Wolf, Deborah Grayson, Clay Dunagan, and Stuart Boxerman. "Can We Talk? Priorities for Patient Care Differed Among Health Care Providers." Advances in Patient Safety 1 (n.d.): 5-14. AHRQ -- Agency for Healthcare Research and Quality: Advancing Excellence in Health Care. Hhs-logoU.S. Department of Health & Human Services. Web. 20 Apr. 2015. .

"How Fast Is Too Fast For IV Push Medications." ISMP Medication Safety Alert. Institute for Safe Medication Practices, 15 May 2003. Web. 20 Apr. 2015. .

Laws, Dawn, and Shelly Amato. "Incorporating Bedside Reporting into Change-of-Shift Report." Rehabilitation Nursing 35.2 (2010): 70-74. Rehabilitation NURSING. Rehabilitation NURSING, Mar.-Apr. 2010. Web. 20 Apr. 2015. .