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psnet.ahrq.gov/node/46132/psn-pdf
September 24, 2017 - The "Quality Minute"—a new, brief, and structured
technique for quality improvement education during the
morbidity and mortality conference.
September 24, 2017
Hoffman RL, Morris JB, Kelz RR. The “Quality Minute”—A New, Brief, and Structured Technique for Quality
Improvement Education During the Morbidity and Mort…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.2_slideshow.ppt
February 01, 2003 - About 2 minutes later, the patient became apneic. … anesthesiologist assumed the patient’s apnea was due to opiate sensitivity and assisted ventilation by hand for 30 minutes … neuromuscular blockade
Case (cont.): Unexplained Apnea
Because the apneic episode lasted longer than 30 minutes
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psnet.ahrq.gov/node/40178/psn-pdf
June 10, 2018 - Guidelines for timely medication administration: response
to the CMS "30-minute rule."
June 10, 2018
ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-4.
https://psnet.ahrq.gov/issue/guidelines-timely-medication-administration-response-cms-30-minute-rule
This article reports results from a su…
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psnet.ahrq.gov/node/837199/psn-pdf
May 25, 2022 - generally positive,
although they also identified potential reporter burden, with each report taking 30-90 minutes
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psnet.ahrq.gov/web-mm/no-bp-during-nibp
March 01, 2011 - saturation, end tidal carbon dioxide, as well as noninvasive blood pressure (NIBP) measurement every 5 minutes … A lookup of numerical trend was done and it showed that the last NIBP recording was more than 60 minutes … Gaps of more than 10 minutes between successive blood pressure measurements are quite common, occurring … temperature shall be continually evaluated" and requires blood pressure measurements at least every 5 minutes … Figure Figure: Example of an anesthetic record showing NIBP measurements missing for approximately 15 minutes
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psnet.ahrq.gov/node/864373/psn-pdf
March 13, 2024 - Only ten of the teams were able to reestablish the airway within the allotted five minutes, and 12 types
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psnet.ahrq.gov/node/42560/psn-pdf
September 18, 2013 - In this study,
one alarm occurred every 2.9 minutes during the surgical procedures observed, implying
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psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
September 01, 2012 - Twenty minutes after the end of the procedure, the patient complained of “10/10” chest pain. … The patient underwent emergency exploratory surgery to fix the perforation within 40 minutes thereafter … Contrary to the previously published case, 11 this instance of LV perforation was not recognized until 20 minutes … It would be another 40 minutes before surgical stabilization and repair were initiated.
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psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - a computerized decision support system to guide the care of
patients during the critical first 60 minutes … highly stressed trauma staff in the emergency
department (ED), especially during the critical first 30 minutes … simultaneously based on memory, and experience
breakdowns in communication, especially during the initial minutes … use a computer decision support system to guide the care of patients
during the critical first 60 minutes … Patient Safety Focus
This innovation is designed to reduce medical errors during the critical first 60 minutes
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psnet.ahrq.gov/node/49865/psn-pdf
June 01, 2019 - longer mean time to
first antibiotic dose than patients without a penicillin allergy history (236.1 minutes … vs 186.6 minutes,
p=0.03).(3) The antibiotic ultimately administered in this case was aztreonam, which … 10th of the dose for parenteral beta-lactams and 25% dose for oral beta-
lactams followed by 30–60 minutes … If there is no reaction, 100% of the dose is administered
with 60 minutes of observation.
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psnet.ahrq.gov/node/41594/psn-pdf
January 18, 2013 - do-micropauses-prevent-surgeons-fatigue-and-loss-accuracy-associated-
prolonged-surgery
Taking micropauses—a 20-second break every 20 minutes
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psnet.ahrq.gov/node/43541/psn-pdf
August 28, 2017 - The daily brief
uncovered many unexpected outcomes and generally took less than 15 minutes each day.
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psnet.ahrq.gov/node/46050/psn-pdf
August 03, 2017 - The mean response time was over 10 minutes.
-
psnet.ahrq.gov/node/41889/psn-pdf
December 19, 2012 - effects-mid-day-nap-neurocognitive-performance-first-year-medical-residents-
controlled
First-year residents who were allowed to nap for 20 minutes
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psnet.ahrq.gov/node/37770/psn-pdf
March 10, 2011 - Investigators discovered that two thirds of orders discontinued within 45 minutes were viewed
as inappropriate
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psnet.ahrq.gov/node/39866/psn-pdf
September 22, 2010 - CMS 30-minute rule for drug administration needs
revision.
September 22, 2010
ISMP Medication Safety Alert! Acute Care Edition. September 9, 2010;15:1-6.
https://psnet.ahrq.gov/issue/cms-30-minute-rule-drug-administration-needs-revision
This piece highlights nurses' responses to a national survey that explor…
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psnet.ahrq.gov/node/865373/psn-pdf
March 27, 2024 - Instead of monitoring once an
hour or once every 15 minutes, we can monitor patients on a minute-to-minute … Price and a number of others on an AI
analysis of the digital clock drawing test.1 In just a couple minutes … If you’re only checking in on this
patient once every 15 minutes, or even once every 5 minutes, you
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psnet.ahrq.gov/sites/default/files/2021-09/Battle%20Buddy%20Pocket%20Card%20-%20final%20(1).pdf
January 01, 2021 - health consultant for
your unit is:
They can be reached at:
BATTLE BUDDY
CHECK-IN
1-10 MINUTES … Getting enough sleep; staying hydrated, having access to
food and time to eat
•Getting at least 15 minutes
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psnet.ahrq.gov/node/45978/psn-pdf
May 03, 2017 - direct observation study demonstrated that intensive
care unit nurses were interrupted about every 20 minutes
-
psnet.ahrq.gov/node/45636/psn-pdf
September 26, 2018 - (0.25% of prescriptions), averted 10 incidents of moderate or major harm,
and worked 45 additional minutes