-
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…
-
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…
-
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…
-
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
…
-
psnet.ahrq.gov/node/42172/psn-pdf
April 17, 2013 - Patient monitoring alarms in the ICU and in the operating
room.
April 17, 2013
Schmid F, Goepfert MS, Reuter DA. Patient monitoring alarms in the ICU and in the operating room. Crit
Care. 2013;17(2):216. doi:10.1186/cc12525.
https://psnet.ahrq.gov/issue/patient-monitoring-alarms-icu-and-operating-room
Discussing …
-
psnet.ahrq.gov/node/35203/psn-pdf
December 14, 2010 - Practice Advisory on Intraoperative Awareness and Brain
Function Monitoring.
December 14, 2010
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 awareness.
Anesthesiology. 2006;1…
-
psnet.ahrq.gov/node/37714/psn-pdf
July 24, 2013 - Alarm Interventions During Medical Telemetry Monitoring:
A Failure Mode & Effects Analysis.
July 24, 2013
PA-PSRS Patient Saf Advis. March 2008;5(suppl rev):1-50.
https://psnet.ahrq.gov/issue/alarm-interventions-during-medical-telemetry-monitoring-failure-mode-effects-
analysis
This failure mode and effects anal…
-
psnet.ahrq.gov/node/36279/psn-pdf
May 27, 2011 - Evaluation of laboratory monitoring alerts within a
computerized physician order entry system for
medication orders.
May 27, 2011
Palen TE, Raebel MA, Lyons E, et al. Evaluation of laboratory monitoring alerts within a computerized
physician order entry system for medication orders. Am J Manag Care. 2006;12(7):389…
-
psnet.ahrq.gov/node/40733/psn-pdf
August 31, 2011 - Beyond the prescription: medication monitoring and
adverse drug events in older adults.
August 31, 2011
Steinman MA, Handler S, Gurwitz JH, et al. Beyond the prescription: medication monitoring and adverse
drug events in older adults. J Am Geriatr Soc. 2011;59(8):1513-1520. doi:10.1111/j.1532-
5415.2011.03500.x.
…
-
psnet.ahrq.gov/node/38103/psn-pdf
October 01, 2008 - Early readmissions to the department of medicine as a
screening tool for monitoring quality of care problems.
October 1, 2008
Balla U, Malnick S, Schattner A. Early readmissions to the department of medicine as a screening tool for
monitoring quality of care problems. Medicine (Baltimore). 2008;87(5):294-300.
doi:…
-
psnet.ahrq.gov/node/38701/psn-pdf
June 28, 2011 - Selection of indicators for continuous monitoring of
patient safety: recommendations of the project 'safety
improvement for patients in Europe.'
June 28, 2011
Kristensen S, Mainz J, Bartels P. Selection of indicators for continuous monitoring of patient safety:
recommendations of the project 'safety improvement f…
-
psnet.ahrq.gov/node/38714/psn-pdf
June 17, 2009 - Quality-monitoring program for bar-code–assisted
medication administration.
June 17, 2009
Mims E, Tucker C, Carlson R, et al. Quality-monitoring program for bar-code-assisted medication
administration. Am J Health Syst Pharm. 2009;66(12):1125-31. doi:10.2146/ajhp080172.
https://psnet.ahrq.gov/issue/quality-monit…
-
psnet.ahrq.gov/node/37855/psn-pdf
August 27, 2009 - Advanced auditory displays and head-mounted displays:
advantages and disadvantages for monitoring by the
distracted anesthesiologist.
August 27, 2009
Sanderson P, Watson MO, Russell WJ, et al. Advanced auditory displays and head-mounted displays:
advantages and disadvantages for monitoring by the distracted anesth…
-
psnet.ahrq.gov/node/42793/psn-pdf
December 04, 2013 - Radiation protection and dose monitoring in medical
imaging: a journey from awareness, through
accountability, ability and action … but where will we
arrive?
December 4, 2013
Frush DP, Denham CR, Goske MJ, et al. Radiation Protection and Dose Monitoring in Medical Imaging. J
Patient Saf. 2013;9(4):232-238. doi:10…
-
psnet.ahrq.gov/node/39289/psn-pdf
February 02, 2011 - Safe electronic health record use requires a
comprehensive monitoring and evaluation framework.
February 2, 2011
Sittig DF, Classen D. Safe electronic health record use requires a comprehensive monitoring and
evaluation framework. JAMA. 2010;303(5):450-451. doi:10.1001/jama.2010.61.
https://psnet.ahrq.gov/issue/sa…
-
psnet.ahrq.gov/node/40015/psn-pdf
November 17, 2010 - Medication prescribing and monitoring errors in primary
care: a report from the Practice Partner Research
Network.
November 17, 2010
Wessell AM, Litvin C, Jenkins RG, et al. Medication prescribing and monitoring errors in primary care: a
report from the Practice Partner Research Network. Qual Saf Health Care. 2010…
-
psnet.ahrq.gov/node/42316/psn-pdf
June 19, 2013 - Duty-hours monitoring revisited: self-report may not be
adequate.
June 19, 2013
Buum HAT, Duran-Nelson AM, Menk J, et al. Duty-hours monitoring revisited: self-report may not be
adequate. Am J Med. 2013;126(4):362-5. doi:10.1016/j.amjmed.2012.12.003.
https://psnet.ahrq.gov/issue/duty-hours-monitoring-revisited-sel…
-
psnet.ahrq.gov/node/38371/psn-pdf
January 28, 2009 - Continuous monitoring of adverse events: influence on
the quality of care and the incidence of errors in general
surgery.
January 28, 2009
Rebasa P, Mora L, Luna A, et al. Continuous monitoring of adverse events: influence on the quality of care
and the incidence of errors in general surgery. World J Surg. 2009;33…
-
psnet.ahrq.gov/node/35966/psn-pdf
January 02, 2017 - Assessing and monitoring override medications in
automated dispensing devices.
January 2, 2017
Kowiatek JG, Weber RJ, Skledar S, et al. Assessing and monitoring override medications in automated
dispensing devices. Jt Comm J Qual Patient Saf. 2006;32(6):309-17.
https://psnet.ahrq.gov/issue/assessing-and-monitoring…
-
psnet.ahrq.gov/node/42346/psn-pdf
June 10, 2018 - Fatal PCA adverse events continue to happen...better
patient monitoring is essential to prevent harm.
June 10, 2018
ISMP Medication Safety Alert! Acute Care Edition. May 30, 2013;18:1-3.
https://psnet.ahrq.gov/issue/fatal-pca-adverse-events-continue-happenbetter-patient-monitoring-essential-
prevent-harm
Describi…