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psnet.ahrq.gov/issue/why-safety-intrapartum-electronic-fetal-monitoring-so-hard-qualitative-study-combining-human
October 21, 2020 - Study
Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis.
Citation Text:
Lamé G, Liberati EG, Canham A, et al. Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative…
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psnet.ahrq.gov/node/38317/psn-pdf
September 01, 2016 - Impact of non-interruptive medication laboratory
monitoring alerts in ambulatory care.
September 1, 2016
Lo HG, Matheny ME, Seger DL, et al. Impact of non-interruptive medication laboratory monitoring alerts in
ambulatory care. J Am Med Inform Assoc. 2009;16(1):66-71. doi:10.1197/jamia.M2687.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/44547/psn-pdf
November 25, 2015 - Monitoring patient safety in primary care: an exploratory
study using in-depth semistructured interviews.
November 25, 2015
Samra R, Bottle A, Aylin PP. Monitoring patient safety in primary care: an exploratory study using in-depth
semistructured interviews. BMJ Open. 2015;5(9):e008128. doi:10.1136/bmjopen-2015-008…
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psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
May 26, 2021 - and expert consensus support the use of capnography (ETCO 2 ) as well as pulse oximetry (SpO 2 ) to monitor
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psnet.ahrq.gov/node/40508/psn-pdf
June 08, 2011 - Hassle in the dispensary: pilot study of a proactive risk
monitoring tool for organisational learning based on
narratives and staff perceptions.
June 8, 2011
Sujan M-A, Ingram C, McConkey T, et al. Hassle in the dispensary: pilot study of a proactive risk
monitoring tool for organisational learning based on narrat…
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psnet.ahrq.gov/node/34914/psn-pdf
February 27, 2009 - Drug error in anaesthetic practice: a review of 896 reports
from the Australian Incident Monitoring Study database.
February 27, 2009
Abeysekera A, Bergman IJ, Kluger MT, et al. Drug error in anaesthetic practice: a review of 896 reports
from the Australian Incident Monitoring Study database. Anaesthesia. 2005;60(3…
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psnet.ahrq.gov/node/837589/psn-pdf
June 29, 2022 - Monitoring preventable adverse events and near misses:
number and type identified differ depending on method
used.
June 29, 2022
Isaksson S, Schwarz A, Rusner M, et al. Monitoring preventable adverse events and near misses: number
and type identified differ depending on method used. J Patient Saf. 2022;18(4):325-3…
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psnet.ahrq.gov/node/837414/psn-pdf
January 01, 2023 - Improving the approach to defining, classifying, reporting
and monitoring adverse events in seriously ill older
adults: recommendations from a multi-stakeholder
convening.
June 15, 2022
Baim-Lance A, Ferreira KB, Cohen HJ, et al. Improving the approach to defining, classifying, reporting and
monitoring adverse ev…
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psnet.ahrq.gov/node/36084/psn-pdf
March 01, 2011 - Alarm algorithms in critical care monitoring.
March 1, 2011
Imhoff M, Kuhls S. Alarm algorithms in critical care monitoring. Anesth Analg. 2006;102(5):1525-37.
https://psnet.ahrq.gov/issue/alarm-algorithms-critical-care-monitoring
The researchers discuss the ineffectiveness of current clinical monitoring systems an…
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psnet.ahrq.gov/issue/evaluation-laboratory-monitoring-alerts-within-computerized-physician-order-entry-system
October 06, 2011 - March 29, 2010
Development and pilot testing of guidelines to monitor high-risk medications
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psnet.ahrq.gov/node/34989/psn-pdf
February 24, 2011 - Laboratory safety monitoring of chronic medications in
ambulatory care settings.
February 24, 2011
Hurley JS, Roberts M, Solberg LI, et al. Brief report: Laboratory safety monitoring of chronic medications in
ambulatory care settings. J Gen Intern Med. 2005;20(4). doi:10.1111/j.1525-1497.2005.40182.x.
https://psne…
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psnet.ahrq.gov/node/45766/psn-pdf
February 08, 2017 - Prescription Drug Monitoring Programs: Evidence-based
Practices to Optimize Prescriber Use.
February 8, 2017
Philadelphia, PA: Pew Charitable Trusts and Institute for Behavioral Health, Heller School for Social Policy
and Management at Brandeis University; 2016.
https://psnet.ahrq.gov/issue/prescription-drug-monit…
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psnet.ahrq.gov/node/37772/psn-pdf
May 21, 2008 - Critical incident monitoring in anaesthesia.
May 21, 2008
Choy CY. Critical incident monitoring in anaesthesia. Curr Opin Anaesthesiol. 2008;21(2):183-6.
doi:10.1097/ACO.0b013e3282f33592.
https://psnet.ahrq.gov/issue/critical-incident-monitoring-anaesthesia
This article discusses how critical incident monitoring i…
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psnet.ahrq.gov/issue/delayed-recognition-deterioration-patients-general-wards-mostly-caused-human-related
December 21, 2017 - Study
Delayed recognition of deterioration of patients in general wards is mostly caused by human related monitoring failures: a root cause analysis of unplanned ICU admissions.
Citation Text:
van Galen LS, Struik PW, Driesen BEJM, et al. Delayed Recognition of Deterioration of Patients …
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psnet.ahrq.gov/node/35687/psn-pdf
July 12, 2010 - Monitoring patient safety in health care: building the case
for surrogate measures.
July 12, 2010
Gaynes RP, Platt R. Monitoring patient safety in health care: building the case for surrogate measures. Jt
Comm J Qual Patient Saf. 2006;32(2):95-101.
https://psnet.ahrq.gov/issue/monitoring-patient-safety-health-care…
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psnet.ahrq.gov/node/35247/psn-pdf
December 17, 2008 - Review of the Australian Incident Monitoring System.
December 17, 2008
Spigelman AD, Swan J. Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657-
61.
https://psnet.ahrq.gov/issue/review-australian-incident-monitoring-system
The authors surveyed users of the Australian Incident Monitorin…
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psnet.ahrq.gov/node/37609/psn-pdf
March 19, 2008 - Monitoring during sedation given by non-anaesthetic
doctors.
March 19, 2008
Fanning RM. Monitoring during sedation given by non-anaesthetic doctors. Anaesthesia. 2008;63(4):370-
374. doi:10.1111/j.1365-2044.2007.05378.x.
https://psnet.ahrq.gov/issue/monitoring-during-sedation-given-non-anaesthetic-doctors
This su…
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psnet.ahrq.gov/node/45741/psn-pdf
November 16, 2018 - Monitoring the diagnostic process on an inpatient
neurology service.
November 16, 2018
Dhand A, Bucelli R, Varadhachary A, et al. Monitoring the Diagnostic Process on an Inpatient Neurology
Service. Neurohospitalist. 2017;7(3):132-136. doi:10.1177/1941874416677681.
https://psnet.ahrq.gov/issue/monitoring-diagnosti…
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psnet.ahrq.gov/node/42715/psn-pdf
November 06, 2013 - Identifying Risks and Monitoring Safety: the Role of
Patients and Citizens.
November 6, 2013
O'Hara J, Isden R. London, UK: Health Foundation; October 2013.
https://psnet.ahrq.gov/issue/identifying-risks-and-monitoring-safety-role-patients-and-citizens
This report examines how a framework for measuring and monitor…
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psnet.ahrq.gov/node/35481/psn-pdf
December 30, 2012 - System errors in intrapartum electronic fetal monitoring:
a case review.
December 30, 2012
Miller L. System errors in intrapartum electronic fetal monitoring: a case review. J Midwifery Womens
Health. 2005;50(6):507-16.
https://psnet.ahrq.gov/issue/system-errors-intrapartum-electronic-fetal-monitoring-case-review
…