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psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
March 15, 2023 - Describe how tracheostomy teams, staff education and cuff monitoring protocols help to avoid tracheostomy … This case highlights the importance of monitoring endotracheal and tracheostomy tube balloon pressures … Policy and staff education should include airway cuff pressure monitoring technique and protocols. … Under or overpressure: an audit of endotracheal cuff pressure monitoring at the tertiary care center. … Monitoring during mechanical ventilation.
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psnet.ahrq.gov/issue/changes-early-high-risk-opioid-prescribing-practices-after-policy-interventions-washington
November 03, 2021 - policy interventions implemented at different times (including dosing guidelines and prescription drug monitoring … May 19, 2021
State policies for prescription drug monitoring programs and adverse opioid-related … February 6, 2019
Implementation of prescription drug monitoring programs associated with
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psnet.ahrq.gov/issue/errors-incidents-and-accidents-anaesthetic-practice
April 06, 2011 - The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. … relationships between, errors, incidents, and accidents while drawing examples from the Australian Incident Monitoring … The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. … Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring
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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 … https://psnet.ahrq.gov/issue/customer-focused-incident-monitoring-anaesthesia
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psnet.ahrq.gov/issue/wide-heart-monitor-use-tied-missed-alarms
July 19, 2023 - Unnecessary arrhythmia monitoring and underutilization of ischemia and QT interval monitoring in current … Unnecessary arrhythmia monitoring and underutilization of ischemia and QT interval monitoring in current
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psnet.ahrq.gov/node/72677/psn-pdf
January 27, 2021 - science approach to promote optimal
implementation, adoption, use, and spread of continuous
clinical monitoring … Science Approach to Promote Optimal
Implementation, Adoption, Use, and Spread of Continuous Clinical Monitoring … This article describes two
health systems’ efforts to implement in-hospital Clinical Monitoring System
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psnet.ahrq.gov/node/60752/psn-pdf
August 05, 2020 - explored the association of state-level opioid-reduction policy implementation (a prescription
drug monitoring … psnet.ahrq.gov/primer/opioid-safety
https://psnet.ahrq.gov/issue/four-states-robust-prescription-drug-monitoring-programs-reduced-opioid-dosages … https://psnet.ahrq.gov/issue/four-states-robust-prescription-drug-monitoring-programs-reduced-opioid-dosages
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psnet.ahrq.gov/node/45262/psn-pdf
April 01, 2021 - A WebM&M
commentary discusses how lapses in fetal monitoring can miss signs of distress that result … perinatal-care-quality-and-safety-initiative-are-there-financial-rewards-improved-quality
https://psnet.ahrq.gov/web-mm/monitoring-fetal-health … https://psnet.ahrq.gov/web-mm/monitoring-fetal-health
https://psnet.ahrq.gov/issue/healthcare-safety-investigation-branch
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psnet.ahrq.gov/issue/non-technical-skills-used-anaesthetic-technicians-critical-incidents-reported-australian
January 19, 2011 - non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring … non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring … non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring … March 19, 2014
Monitoring teamwork: a narrative review.
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psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_intraoperative_awareness_during_rhinoplasty_slides_final.pptx
January 01, 2024 - Processed EEG monitoring can also help to prevent intraoperative awareness. … Processed EEG monitoring can reduce the incidence of awareness. … Depth of Anesthesia and Nociception Monitoring: Current State and Vision For 2050. … Monitoring of Anesthesia by Bispectral Analysis of EEG Signals. … monitoring in patients undergoing inhalational general anaesthesia.
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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. … https://psnet.ahrq.gov/issue/current-status-monitoring-medication-practice
Reporting on proceedings … https://psnet.ahrq.gov/issue/current-status-monitoring-medication-practice
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psnet.ahrq.gov/node/38370/psn-pdf
August 22, 2009 - Monitoring for medication errors in outpatient settings. … Monitoring for medication errors in outpatient settings. … https://psnet.ahrq.gov/issue/monitoring-medication-errors-outpatient-settings
This review analyzes the … https://psnet.ahrq.gov/issue/monitoring-medication-errors-outpatient-settings
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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. … https://psnet.ahrq.gov/issue/safe-medication-prescribing-and-monitoring-outpatient-setting
The author … https://psnet.ahrq.gov/issue/safe-medication-prescribing-and-monitoring-outpatient-setting
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psnet.ahrq.gov/issue/effect-computerised-decision-support-alerts-tailored-intensive-care-administration-high-risk
October 18, 2023 - support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring … support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring … support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring
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psnet.ahrq.gov/node/45741/psn-pdf
November 16, 2018 - Monitoring the diagnostic process on an inpatient
neurology service. … Monitoring the Diagnostic Process on an Inpatient Neurology
Service. … https://psnet.ahrq.gov/issue/monitoring-diagnostic-process-inpatient-neurology-service
Although diagnostic … https://psnet.ahrq.gov/issue/monitoring-diagnostic-process-inpatient-neurology-service
https://psnet.ahrq.gov
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - events
• Analyze how opioid dose stacking can result in fatal respiratory depression
• Identify patient monitoring … most common causes
of sentinel events related to opioid administrations which included
inadequate monitoring … practices, more
sophisticated types of patient monitoring should be
considered, specifically for patients … monitoring
should be utilized for patients identified to be at high risk of
opioid-induced respiratory … depression.
– Together, ETCO2 monitoring coupled with continuous oximetry have
high prognostic value
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psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
January 01, 2023 - • Describe how tracheostomy teams, staff education and cuff monitoring protocols
help to avoid tracheostomy … • Cuff pressure monitoring by manual manometer should be done every 8 to 12 hours and
documented in … • Policy and staff education should include airway cuff pressure monitoring
technique and protocols … Under or overpressure: an audit of endotracheal cuff pressure monitoring at the tertiary care center. … Monitoring during mechanical ventilation. Respir Care. 2020;65(6):832-846.
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psnet.ahrq.gov/node/37350/psn-pdf
January 05, 2012 - Methods for
monitoring and measurement. … Methods for
monitoring and measurement. Curr Opin Crit Care. 2007;13(6):703-8. … https://psnet.ahrq.gov/issue/how-safe-my-intensive-care-unit-methods-monitoring-and-measurement
In developing … https://psnet.ahrq.gov/issue/how-safe-my-intensive-care-unit-methods-monitoring-and-measurement
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psnet.ahrq.gov/node/42560/psn-pdf
September 18, 2013 - Intra-operative monitoring—many alarms with minor
impact. … Intra-operative monitoring--many alarms with minor impact. … https://psnet.ahrq.gov/issue/intra-operative-monitoring-many-alarms-minor-impact
The vast majority of … https://psnet.ahrq.gov/issue/intra-operative-monitoring-many-alarms-minor-impact
https://psnet.ahrq.gov
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psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
January 26, 2022 - procedures, especially in high-risk patients, when multiple medication doses are required, and when monitoring … safety events involved diagnostic imaging. 5 Without appropriate guidance, protocols, and patient monitoring … End-tidal CO2 monitoring is added for patients who need moderate or higher-level sedation and can be … such as moderate, deep, or general anesthesia, institution-specific guidelines for enhanced patient monitoring … Continuous electronic monitoring is indicated for moderate levels of sedation or higher and should be