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psnet.ahrq.gov/issue/my-five-moments-hand-hygiene-user-centred-design-approach-understand-train-monitor-and-report
September 09, 2020 - 'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor … 'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and … 'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and … National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive model to monitor
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psnet.ahrq.gov/node/42253/psn-pdf
May 08, 2013 - Using inpatient hospital discharge data to monitor patient
safety events. … Using inpatient hospital discharge data to monitor patient safety
events. … https://psnet.ahrq.gov/issue/using-inpatient-hospital-discharge-data-monitor-patient-safety-events
Screening … https://psnet.ahrq.gov/issue/using-inpatient-hospital-discharge-data-monitor-patient-safety-events
https
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psnet.ahrq.gov/node/42124/psn-pdf
June 18, 2013 - Assessment of the global trigger tool to measure, monitor
and evaluate patient safety in cancer patients … Assessment of the global trigger tool to measure, monitor and
evaluate patient safety in cancer patients … https://psnet.ahrq.gov/issue/assessment-global-trigger-tool-measure-monitor-and-evaluate-patient-safety … https://psnet.ahrq.gov/issue/assessment-global-trigger-tool-measure-monitor-and-evaluate-patient-safety-cancer-patients … 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/45427/psn-pdf
October 19, 2016 - How to monitor patient safety in primary care? Healthcare
professionals' views. … How to monitor patient safety in primary care? Healthcare professionals'
views. … https://psnet.ahrq.gov/issue/how-monitor-patient-safety-primary-care-healthcare-professionals-views … https://psnet.ahrq.gov/issue/how-monitor-patient-safety-primary-care-healthcare-professionals-views
https
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psnet.ahrq.gov/node/49747/psn-pdf
December 01, 2015 - He was admitted to the observation
unit, placed on a telemetry monitor, and treated as having a non-ST … Overnight, the patient's telemetry monitor was constantly alarming with warnings of "low voltage" and … Some hospitals choose to utilize monitor watchers to identify alarms and notify
nurses. … What types and numbers of alarms occur with hospital monitor devices and how accurate are they? … A number of different forces result in an excessive number of cardiac monitor alarms.
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psnet.ahrq.gov/node/72706/psn-pdf
February 03, 2021 - https://psnet.ahrq.gov/primer/alert-fatigue
https://psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue … https://psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study … https://psnet.ahrq.gov/issue/systematic-review-physiologic-monitor-alarm-characteristics-and-pragmatic-interventions
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.362_slideshow.ppt
December 01, 2015 - He was admitted to the observation unit, placed on a telemetry monitor, and treated as having a NSTEMI … as asystole
Most common cause is failure to detect low-voltage QRS complexes
In this case, telemetry monitor … Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational … indicate poor signal quality (e.g., low battery in a telemetry device)
12
12
Arrhythmia Alarms
Monitor … Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational
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psnet.ahrq.gov/issue/systematic-review-performance-characteristics-clinical-event-monitor-signals-used-detect
March 28, 2012 - Review
A systematic review of the performance characteristics of clinical event monitor … A systematic review of the performance characteristics of clinical event monitor signals used to detect … A systematic review of the performance characteristics of clinical event monitor signals used to detect
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psnet.ahrq.gov/issue/implementing-safer-and-more-reliable-system-monitor-test-results-teaching-university
November 07, 2018 - Commentary
Implementing a safer and more reliable system to monitor test results … Implementing a safer and more reliable system to monitor test results at a teaching university-affiliated … Implementing a safer and more reliable system to monitor test results at a teaching university-affiliated
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psnet.ahrq.gov/issue/analysis-structure-and-content-dashboards-used-monitor-patient-safety-inpatient-setting
March 09, 2022 - Study
An analysis of the structure and content of dashboards used to monitor patient … An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient … An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient
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psnet.ahrq.gov/issue/national-drug-shortages-worsen-during-covid-19-crisis-proposal-comprehensive-model-monitor
April 06, 2022 - National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive model to monitor … National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive model to monitor … National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive model to monitor
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psnet.ahrq.gov/issue/development-and-pilot-testing-guidelines-monitor-high-risk-medications-ambulatory-setting
December 06, 2013 - Study
Development and pilot testing of guidelines to monitor high-risk medications … Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting … Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting
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psnet.ahrq.gov/node/49719/psn-pdf
September 01, 2014 - In addition, the
monitor for the catheterization laboratory was a different make and model from those … , as the patient monitor behaved differently than the
monitors commonly used in the operating rooms. … It is quite possible that a user intimately familiar with this
patient's monitor would have identified … If the patient monitor had simply stopped displaying the stale blood pressure
value, it would be more … Harmonized monitor
design within a hospital would alleviate this risk.
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psnet.ahrq.gov/perspective/remote-patient-monitoring
March 15, 2023 - Remote patient monitoring (RPM) is a type of telehealth in which healthcare providers monitor patients … Appropriate staff are needed to train patients and provide technical support, monitor data, or respond … Successful programs stated that having internal or external dedicated staff to monitor patient status … From there, you need to know what types of trained staff are going to monitor that data. … We monitor our own steps, heart rate, exercise, and weight.
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psnet.ahrq.gov/issue/measurement-and-monitoring-safety
October 01, 2024 - Book/Report
The Measurement and Monitoring of Safety.
Citation Text:
The Measurement and Monitoring of Safety. Vincent C, Burnett S, Carthey J. London, UK: Health Foundation; April 2013. ISBN: 9781906461447.
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psnet.ahrq.gov/issue/emedication-monitoring
April 25, 2018 - Multi-use Website
eMedication Monitoring.
Citation Text:
Agency for Healthcare Research and Quality; AHRQ.
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March 30, 2011
A…
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psnet.ahrq.gov/issue/wolf-crying-operating-room-patient-monitor-and-anesthesia-workstation-alarming-patterns
April 17, 2013 - Study
The wolf is crying in the operating room: patient monitor and anesthesia workstation … The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns … The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns
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psnet.ahrq.gov/web-mm/no-bp-during-nibp
March 01, 2011 - In addition, the monitor for the catheterization laboratory was a different make and model from those … , as the patient monitor behaved differently than the monitors commonly used in the operating rooms. … It is quite possible that a user intimately familiar with this patient's monitor would have identified … If the patient monitor had simply stopped displaying the stale blood pressure value, it would be more … Harmonized monitor design within a hospital would alleviate this risk.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.338_slideshow.ppt
January 01, 2015 - continuous fetal heart monitoring of all of the women in labor was displayed centrally on a large 40-inch monitor … Two nurses at the nursing station were assigned to watch the monitor at the time of the concerning abnormalities … patients at once
Previously, a nurse or physician had to visit bedside of each patient frequently to monitor … information within a single display also tends to harm performance
In one study, observers asked to monitor … McGraw-Hill; 1963:199-216.
14
Monitoring Multiple FHR Displays
One research study had participants monitor
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psnet.ahrq.gov/node/33808/psn-pdf
May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm
Fatigue
May 1, 2016
Jacques S, Williams E. … Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue. PSNet [internet].
2016. … https://psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
Perspective … In a hospital setting, one of the most frequent devices that alarms is the physiological
monitor. … They can also lead to alarms when the monitor falsely perceives
arrhythmias.