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psnet.ahrq.gov/issue/monitoring-medication-errors-outpatient-settings
December 31, 2014 - Review
Monitoring for medication errors in outpatient settings.
Citation Text:
Balkrishnan R, Foss CE, Pawaskar M, et al. Monitoring for medication errors in outpatient settings. J Dermatolog Treat. 2009;20(4):229-32. doi:10.1080/09546630802607487.
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psnet.ahrq.gov/issue/customer-focused-incident-monitoring-anaesthesia
April 24, 2018 - Study
Customer focused incident monitoring in anaesthesia.
Citation Text:
Khan FA, Khimani S. Customer focused incident monitoring in anaesthesia. Anaesthesia. 2007;62(6):586-90.
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psnet.ahrq.gov/node/36184/psn-pdf
June 13, 2011 - process itself, chiefly, failure to define clear expectations and failure to
emphasize measuring data to monitor
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psnet.ahrq.gov/node/46361/psn-pdf
May 23, 2018 - handoffs as an essential part of a
culture of safety, and using continuous improvement methodology to monitor
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psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
January 29, 2021 - Display arterial and central venous pressures on the monitor Displaying the pressure measured at the … tip of the catheter on the monitor will help identify if the catheter is in an artery or a vein. … The stopcock on a three way tap in the line can be turned while looking at the pressure trace on the monitor … Continuously monitor skin color and perfusion of the limb distal to the arterial line This patient complained … Arterial and central line pressure traces should be displayed on the monitor.
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psnet.ahrq.gov/issue/around-patient-bed-human-factors-and-safety-health-care
May 21, 2019 - June 15, 2016
Predictive combinations of monitor alarms preceding in-hospital code blue
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psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_intraoperative_awareness_during_rhinoplasty_slides_final.pptx
January 01, 2024 - procedure, as in this case.3
Anesthesia care professionals are aware of the problem, and they carefully monitor … face portion of the blanket as a see-through plastic membrane to allow anesthesia professionals to monitor … the procedure.
12
12
Background (5)
Processed electroencephalography (EEG) is another method to monitor … When ketamine is used, the brain function monitor looks as if the patient is waking up from anesthesia
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psnet.ahrq.gov/issue/complaints-and-raising-concerns
November 16, 2015 - Complaints are a proactive way to monitor and address recurring problems that may result in adverse
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psnet.ahrq.gov/issue/preventing-newborn-falls-and-drops
October 10, 2018 - increase risks of such incidents, and offers recommendations to augment safety such as rounding to monitor
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psnet.ahrq.gov/issue/improving-measurement-surgical-site-infection-risk-stratificationoutcome-detection-final
August 01, 2012 - This report explores techniques to detect and monitor surgical site infections (SSIs), evaluates a
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psnet.ahrq.gov/issue/state-patient-safety-centers-new-approach-promote-patient-safety
November 29, 2009 - This report examines the various models applied in these states to design, administer, and monitor the
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psnet.ahrq.gov/node/866370/psn-pdf
July 31, 2024 - procedure, as in this case.3 Anesthesia care
professionals are aware of the problem, and they carefully monitor … face portion of the blanket as a
see-through plastic membrane to allow anesthesia professionals to monitor … Processed electroencephalography (EEG) is another method to monitor the depth of anesthesia; these
monitors … When ketamine is used, the
brain function monitor looks as if the patient is waking up from anesthesia
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psnet.ahrq.gov/node/42396/psn-pdf
July 31, 2013 - global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously
https://psnet.ahrq.gov/issue/assessment-global-trigger-tool-measure-monitor-and-evaluate-patient-safety-cancer-patients
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psnet.ahrq.gov/node/43400/psn-pdf
August 13, 2014 - readmission-after-delayed-diagnosis-surgical-site-infection-focus-prevention-
using-american
The National Surgical Quality Improvement Program (NSQIP) was developed to monitor
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psnet.ahrq.gov/issue/solving-alarm-fatigue-smartphone-technology
October 04, 2023 - Acute Hospital Care Units
April 26, 2023
Systematic review of physiologic monitor
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psnet.ahrq.gov/issue/alarm-fatigue-use-evidence-based-alarm-management-strategy
July 24, 2024 - , 2023
Video analysis of factors associated with response time to physiologic monitor
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psnet.ahrq.gov/node/849598/psn-pdf
May 31, 2023 - This process helped to inform which data
to monitor in the EHR, and it guided the creation of the algorithm … The remote nurse will continue to
monitor the EHR to assure the clinical team’s responsiveness and implementation … Move all participating facilities to a uniform EHR system with the capacity to monitor data and
provide
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psnet.ahrq.gov/issue/sound-alarm
May 11, 2019 - January 13, 2016
Predictive combinations of monitor alarms preceding in-hospital code
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psnet.ahrq.gov/issue/alarm-fatigue-hazards-sirens-are-calling
November 16, 2022 - September 1, 2016
Predictive combinations of monitor alarms preceding in-hospital code
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psnet.ahrq.gov/issue/trends-health-information-technology-safety-technology-induced-errors-current-approaches
July 14, 2009 - errors associated with health information technology , including methods to identify, understand, monitor