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psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
April 26, 2023 - Monitor alarm fatigue: an integrative review. … The engineer mapped the existing workflow of nurses at the bedside and thought about how the monitor … It’s not to say that you shouldn’t monitor other physiologic parameters like respiratory rate, but you … By all means, monitor other things, but if you’re building the airbag, you should only be alarming on … We have a very highly reliable pulse oximetry system and continue to monitor its performance over time
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psnet.ahrq.gov/node/44564/psn-pdf
October 14, 2015 - employed "spotters" to watch and
interact with patients at risk for falls, with one spotter assigned to monitor
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psnet.ahrq.gov/node/867845/psn-pdf
February 26, 2025 - use
available proactive risk assessments (PRA) and reactive risk assessments (RRA)s to proactively monitor … objective of CPRA is to utilize institutional databases to analyze patient safety data, proactively monitor … plan the project steps
(4) conduct the analysis
(5) create a final report with action plans
(6) monitor
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psnet.ahrq.gov/node/46968/psn-pdf
April 18, 2018 - national-patient-safety-goals
https://psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study
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psnet.ahrq.gov/node/42821/psn-pdf
December 18, 2013 - Using
the adage "trust but verify," this article outlines a framework to measure and monitor performance
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psnet.ahrq.gov/node/39073/psn-pdf
February 20, 2010 - https://psnet.ahrq.gov/issue/my-five-moments-hand-hygiene-user-centred-design-approach-understand-train-monitor-and-report
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psnet.ahrq.gov/node/45281/psn-pdf
September 01, 2016 - psnet.ahrq.gov/primer/human-factors-engineering
https://psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
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psnet.ahrq.gov/node/46042/psn-pdf
July 12, 2017 - engineering and design thinking approaches to
develop an understanding of how ambulatory specialists monitor
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psnet.ahrq.gov/issue/improving-patient-safety-through-teamwork-and-team-training
November 13, 2018 - key concepts, guidelines, insights from health care workers, and strategies to improve teamwork and monitor
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psnet.ahrq.gov/issue/drug-shortages
April 08, 2020 - This Web site helps hospitals and practitioners monitor drug availability and design processes to manage
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psnet.ahrq.gov/issue/mgh-death-spurs-review-patient-monitors
October 05, 2011 - This news account discusses a patient death after a heart monitor alarm was inadvertently turned off.
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psnet.ahrq.gov/node/44422/psn-pdf
November 17, 2017 - https://psnet.ahrq.gov/primer/alert-fatigue
https://psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
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psnet.ahrq.gov/node/38579/psn-pdf
February 18, 2011 - having a
transition record, standardizing communication formats, and using evidence-based metrics to monitor
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psnet.ahrq.gov/node/44171/psn-pdf
May 27, 2015 - Professionalism in medicine is considered an essential component of safety culture, but efforts to monitor
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psnet.ahrq.gov/node/46324/psn-pdf
August 09, 2017 - organizations that have tested strategies to improve joy in work, and provides measurement
tools to monitor
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psnet.ahrq.gov/node/43625/psn-pdf
October 29, 2014 - assessing-distractors-and-teamwork-during-surgery-developing-event-based-
method-direct
This validation study established a coding system to simultaneously monitor
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psnet.ahrq.gov/node/36788/psn-pdf
August 26, 2011 - events-pediatric
This study measured adverse drug events and near misses by using trained observers to monitor
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psnet.ahrq.gov/node/36427/psn-pdf
December 22, 2010 - adverse-events-detected-clinical-surveillance-obstetric-service
This study used a trained observer to monitor
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psnet.ahrq.gov/node/46355/psn-pdf
October 09, 2017 - focusing on the structure of teaching conferences and rounds, the
training environment, and mechanisms to monitor
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psnet.ahrq.gov/node/47057/psn-pdf
July 14, 2018 - This commentary describes how one academic medical center used assessment tools to
monitor, measure,