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psnet.ahrq.gov/node/36931/psn-pdf
September 09, 2011 - Customer focused incident monitoring in anaesthesia.
September 9, 2011
Khan FA, Khimani S. Customer focused incident monitoring in anaesthesia. Anaesthesia. 2007;62(6):586-
90.
https://psnet.ahrq.gov/issue/customer-focused-incident-monitoring-anaesthesia
The authors studied anesthesia-related incident reports at o…
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psnet.ahrq.gov/issue/impact-health-information-technology-interventions-improve-medication-laboratory-monitoring
August 11, 2010 - Related Resources From the Same Author(s)
Development and pilot testing of guidelines to monitor
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psnet.ahrq.gov/node/38516/psn-pdf
April 08, 2009 - Current status of the monitoring of medication practice.
April 8, 2009
Cousins D. Current status of the monitoring of medication practice. Am J Health Syst Pharm. 2009;66(5
Suppl 3):S49-56. doi:10.2146/ajhp080605.
https://psnet.ahrq.gov/issue/current-status-monitoring-medication-practice
Reporting on proceedings f…
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psnet.ahrq.gov/node/38370/psn-pdf
August 22, 2009 - Monitoring for medication errors in outpatient settings.
August 22, 2009
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.
https://psnet.ahrq.gov/issue/monitoring-medication-errors-outpatient-sett…
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psnet.ahrq.gov/node/35925/psn-pdf
July 26, 2010 - Safe medication prescribing and monitoring in the
outpatient setting.
July 26, 2010
Shojania KG. Safe medication prescribing and monitoring in the outpatient setting. Can Med Assoc J.
2006;174(9). doi:10.1503/cmaj.050984.
https://psnet.ahrq.gov/issue/safe-medication-prescribing-and-monitoring-outpatient-setting
T…
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_stable_airway_slides_final.pptx
January 01, 2024 - Association between exposure to nonactionable physiologic monitor alarms and response time in a children
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psnet.ahrq.gov/issue/prescription-drug-monitoring-programs-evidence-based-practices-optimize-prescriber-use
September 19, 2018 - Book/Report
Prescription Drug Monitoring Programs: Evidence-based Practices to Optimize Prescriber Use.
Citation Text:
Prescription Drug Monitoring Programs: Evidence-based Practices to Optimize Prescriber Use. Philadelphia, PA: Pew Charitable Trusts and Institute for Behavioral Health, …
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psnet.ahrq.gov/issue/electronic-fetal-heart-rate-monitoring-applying-principles-patient-safety
October 10, 2018 - Commentary
Electronic fetal heart rate monitoring: applying principles of patient safety.
Citation Text:
Miller DA, Miller L. Electronic fetal heart rate monitoring: applying principles of patient safety. Am J Obstet Gynecol. 2012;206(4):278-83. doi:10.1016/j.ajog.2011.08.016.
Copy C…
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psnet.ahrq.gov/node/865819/psn-pdf
May 08, 2024 - Focus on HARM (Harmonizing Accountability in
Reporting and Monitoring).
May 8, 2024
National Quality Forum.
https://psnet.ahrq.gov/issue/focus-harm-harmonizing-accountability-reporting-and-monitoring
Strong incident reporting systems are a foundational component for understanding preventable health care
error. Th…
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psnet.ahrq.gov/node/37350/psn-pdf
January 05, 2012 - How safe is my intensive care unit? Methods for
monitoring and measurement.
January 5, 2012
Berenholtz SM, Pustavoitau A, Schwartz SJ, et al. How safe is my intensive care unit? Methods for
monitoring and measurement. Curr Opin Crit Care. 2007;13(6):703-8.
https://psnet.ahrq.gov/issue/how-safe-my-intensive-care-un…
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - if needed
3 Frequently drowsy, arousable,
drifts off to sleep during
conversation
Unacceptable; monitor … stimulation
Unacceptable; stop opioid; consider administering naloxone per orders;
notify provider; monitor
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psnet.ahrq.gov/sites/default/files/2020-02/final_spotlight_opat_powerpoint_01102020_tocme.pdf
January 01, 2020 - Spotlight
Spotlight
Discharged with IV antibiotics:
When issues arise, who manages
the complications?
Source and Credits
• This presentation is based on the February 2020 AHRQ
WebM&M Spotlight Case
○ See the full article at https://psnet.ahrq.gov/webmm
○ CME credit is available
• Commentary by: Monica Donnel…
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psnet.ahrq.gov/node/42560/psn-pdf
September 18, 2013 - Intra-operative monitoring—many alarms with minor
impact.
September 18, 2013
de Man FR, Greuters S, Boer C, et al. Intra-operative monitoring--many alarms with minor impact.
Anaesthesia. 2013;68(8):804-10. doi:10.1111/anae.12289.
https://psnet.ahrq.gov/issue/intra-operative-monitoring-many-alarms-minor-impact
The…
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psnet.ahrq.gov/issue/implementation-science-approach-promote-optimal-implementation-adoption-use-and-spread
July 13, 2010 - Study
An implementation science approach to promote optimal implementation, adoption, use, and spread of continuous clinical monitoring system technology.
Citation Text:
Dykes PC, Lowenthal G, Faris A, et al. An Implementation Science Approach to Promote Optimal Implementation, Adoption,…
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psnet.ahrq.gov/issue/randomized-trial-electronic-clinical-reminders-improve-medication-laboratory-monitoring
June 11, 2014 - Study
Classic
A randomized trial of electronic clinical reminders to improve medication laboratory monitoring.
Citation Text:
Matheny ME, Sequist TD, Seger AC, et al. A randomized trial of electronic clinical reminders to improve medication laboratory monitori…
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psnet.ahrq.gov/node/43604/psn-pdf
October 15, 2014 - The challenges in monitoring and preventing patient
safety incidents for people with intellectual disabilities in
NHS acute hospitals: evidence from a mixed-methods
study.
October 15, 2014
Tuffrey-Wijne I, Goulding L, Gordon V, et al. The challenges in monitoring and preventing patient safety
incidents for people…
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psnet.ahrq.gov/node/43956/psn-pdf
January 01, 2016 - Monitoring the harm associated with use of
anticoagulants in pediatric populations through trigger-
based automated adverse-event detection.
June 21, 2015
Patregnani JT, Spaeder MC, Lemon V, et al. Monitoring the harm associated with use of anticoagulants in
pediatric populations through trigger-based automated ad…
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psnet.ahrq.gov/issue/practice-advisory-intraoperative-awareness-and-brain-function-monitoring
July 16, 2018 - Review
Practice Advisory on Intraoperative Awareness and Brain Function Monitoring.
Citation Text:
Awareness AS of ATF on I. Practice advisory for intraoperative awareness and brain function monitoring: a report by the american society of anesthesiologists task force on intraoperative …
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psnet.ahrq.gov/issue/measuring-patient-safety-medicare-patient-safety-monitoring-system-past-present-and-future
December 18, 2014 - Review
Measuring patient safety: the Medicare Patient Safety Monitoring System (past, present, and future).
Citation Text:
Classen D, Munier W, Verzier N, et al. Measuring Patient Safety: The Medicare Patient Safety Monitoring System (Past, Present, and Future). J Patient Saf. 2021;17(3)…
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psnet.ahrq.gov/node/38301/psn-pdf
February 15, 2011 - Defining the incidence of cardiorespiratory instability in
patients in step-down units using an electronic integrated
monitoring system.
February 15, 2011
Hravnak M, Edwards L, Clontz A, et al. Defining the incidence of cardiorespiratory instability in patients in
step-down units using an electronic integrated mon…