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psnet.ahrq.gov/node/44676/psn-pdf
January 22, 2016 - Nursing assessment of continuous vital sign surveillance
to improve patient safety on the medical/surgical unit.
January 22, 2016
Watkins T, Whisman L, Booker P. Nursing assessment of continuous vital sign surveillance to improve
patient safety on the medical/surgical unit. J Clin Nurs. 2016;25(1-2):278-81. doi:10.…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.197_slideshow.ppt
April 01, 2009 - Several attempts were made to introduce feeds; however, the infant continued to have large residuals
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psnet.ahrq.gov/node/35888/psn-pdf
July 23, 2010 - Medication errors and patient complications with
continuous renal replacement therapy.
July 23, 2010
Barletta JF, Barletta G-M, Brophy PD, et al. Medication errors and patient complications with continuous
renal replacement therapy. Pediatr Nephrol. 2006;21(6):842-5.
https://psnet.ahrq.gov/issue/medication-errors-…
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psnet.ahrq.gov/node/37760/psn-pdf
May 14, 2008 - The role of continuous quality improvement and
psychological safety in predicting work-arounds.
May 14, 2008
Halbesleben JRB, Rathert C. The role of continuous quality improvement and psychological safety in
predicting work-arounds. Health Care Manage Rev. 2008;33(2):134-44.
doi:10.1097/01.HMR.0000304505.04932.62.…
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psnet.ahrq.gov/node/36490/psn-pdf
January 07, 2011 - A randomised controlled trial of the effect of continuous
electronic physiological monitoring on the adverse event
rate in high risk medical and surgical patients.
January 7, 2011
Watkinson PJ, Barber VS, Price JD, et al. A randomised controlled trial of the effect of continuous
electronic physiological monitoring…
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psnet.ahrq.gov/node/43064/psn-pdf
January 01, 2015 - Leadership, safety climate, and continuous quality
improvement: impact on process quality and patient
safety.
December 12, 2014
McFadden KL, Stock GN, Gowen CR. Leadership, safety climate, and continuous quality improvement:
impact on process quality and patient safety. Health Care Manage Rev. 2015;40(1):24-34.
d…
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psnet.ahrq.gov/node/34715/psn-pdf
February 18, 2011 - Continuous improvement as an ideal in health care.
February 18, 2011
Berwick D. Continuous improvement as an ideal in health care. New Engl J Med. 1989;320(1):53-56.
https://psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care
Two approaches to improving quality in health care are illustrated in this artic…
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psnet.ahrq.gov/node/43550/psn-pdf
October 15, 2014 - Contingency planning for electronic health record–based
care continuity: a survey of recommended practices.
October 15, 2014
Sittig DF, Gonzalez D, Singh H. Contingency planning for electronic health record-based care continuity: a
survey of recommended practices. Int J Med Inform. 2014;83(11):797-804.
doi:10.1016…
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psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
October 02, 2013 - Over the next month, the patient continued to feel well without a recurrence of his symptoms; however … A repeat MRI continued to show progression. … might choose to spend more time with his family in the coming year than he might otherwise, had he continued
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psnet.ahrq.gov/node/36988/psn-pdf
February 17, 2011 - An elusive balance — residents' work hours and the
continuity of care.
February 17, 2011
Okie S. An elusive balance--residents' work hours and the continuity of care. N Engl J Med.
2007;356(26):2665-2667.
https://psnet.ahrq.gov/issue/elusive-balance-residents-work-hours-and-continuity-care
The author discusses wo…
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psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
June 01, 2018 - relevant to this case presentation, patients with alcoholic liver disease who have stopped drinking have continued … alcohol levels should also be measured upon hospital admission since the presence of alcohol confirms continued
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psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
June 17, 2010 - different providers who all noted that the hemoglobin remained stable at 12 g/dL, and the bilirubin continued … Isoimmunization requires education of families and continued follow-up for late anemia.
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psnet.ahrq.gov/web-mm/over-counter-oversight
March 21, 2009 - One study reported that 27% of patients incorrectly continued or discontinued one or more medications … bleeding in patients taking aspirin preoperatively.( 6-8 ) The patient described in this case incorrectly continued
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psnet.ahrq.gov/node/49829/psn-pdf
May 01, 2018 - They performed a careful search for bleeding, but did not find a clear source, and the bleeding continued … He continued to receive hemodialysis while awaiting
another transplant.
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psnet.ahrq.gov/node/49432/psn-pdf
February 09, 2004 - She continued to require fluid resuscitation for blood pressure support. … Additionally, the patient continued to require fluids for blood pressure support; the admitting
team
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psnet.ahrq.gov/node/49451/psn-pdf
June 01, 2004 - year-old female was transferred to a hospital-based skilled nursing unit from the acute care hospital
for continued … Due to the lack of follow-up, the patient went
three days without treatment for C. difficile, and continued
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psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
January 19, 2016 - The surgery went uneventfully, but after surgery, the patient continued to have high levels of pain at … However, the next day, he continued to have abdominal pain and became increasingly tachycardic with slight
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psnet.ahrq.gov/node/41395/psn-pdf
May 23, 2012 - Bridging gaps in handoffs: a continuity of care based
approach.
May 23, 2012
Abraham J, Kannampallil TG, Patel VL. Bridging gaps in handoffs: a continuity of care based approach. J
Biomed Inform. 2012;45(2):240-54. doi:10.1016/j.jbi.2011.10.011.
https://psnet.ahrq.gov/issue/bridging-gaps-handoffs-continuity-care-b…
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psnet.ahrq.gov/node/35894/psn-pdf
June 18, 2013 - Mitigating hazards through continuing design: the birth
and evolution of a pediatric intensive care unit.
June 18, 2013
Madsen P, Desai V, Roberts K, et al. Mitigating Hazards Through Continuing Design: The Birth and
Evolution of a Pediatric Intensive Care Unit. Organization Science. 2006;17(2).
doi:10.1287/orsc.1…
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psnet.ahrq.gov/node/38701/psn-pdf
June 28, 2011 - Selection of indicators for continuous monitoring of
patient safety: recommendations of the project 'safety
improvement for patients in Europe.'
June 28, 2011
Kristensen S, Mainz J, Bartels P. Selection of indicators for continuous monitoring of patient safety:
recommendations of the project 'safety improvement f…