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psnet.ahrq.gov/issue/frequency-and-preventability-adverse-drug-events-outpatient-setting
May 15, 2024 - were likely preventable through strategies such as improved education, training, communication, and monitoring … June 24, 2020
Impact of non-interruptive medication laboratory monitoring alerts in ambulatory … Office
Primary Care
Internal Medicine
Medication Errors/Preventable Adverse Drug Events
Monitoring
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psnet.ahrq.gov/node/38301/psn-pdf
February 15, 2011 - incidence of cardiorespiratory instability in
patients in step-down units using an electronic integrated
monitoring … incidence of cardiorespiratory instability in patients in
step-down units using an electronic integrated monitoring … defining-incidence-cardiorespiratory-instability-patients-step-down-units-using-
electronic
A continuous physiologic monitoring … system appeared to detect physiologic instability earlier than standard
monitoring techniques.
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psnet.ahrq.gov/node/851190/psn-pdf
July 05, 2023 - patient-safety-and-sense-security-when-telemonitoring-chronic-conditions-
home-views-patients
Remote patient monitoring … patient-safety-and-sense-security-when-telemonitoring-chronic-conditions-home-views-patients
https://psnet.ahrq.gov/perspective/remote-patient-monitoring … https://psnet.ahrq.gov/primer/personal-health-literacy
https://psnet.ahrq.gov/issue/remote-patient-monitoring-during-covid
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psnet.ahrq.gov/node/46097/psn-pdf
August 09, 2017 - Administering and monitoring high-alert medications in
acute care.
August 9, 2017
Cajanding JMR. … Administering and monitoring high-alert medications in acute care. … https://psnet.ahrq.gov/issue/administering-and-monitoring-high-alert-medications-acute-care
High-alert … https://psnet.ahrq.gov/issue/administering-and-monitoring-high-alert-medications-acute-care
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/47099/psn-pdf
May 16, 2018 - Defense Health Agency Should Improve Tracking of
Serious Adverse Medical Events and Monitoring of
Required … psnet.ahrq.gov/issue/defense-health-agency-should-improve-tracking-serious-adverse-medical-
events-and-monitoring … psnet.ahrq.gov/issue/defense-health-agency-should-improve-tracking-serious-adverse-medical-events-and-monitoring … psnet.ahrq.gov/issue/defense-health-agency-should-improve-tracking-serious-adverse-medical-events-and-monitoring
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psnet.ahrq.gov/web-mm/bleeding-risk
November 01, 2003 - Medication errors specific to oral anticoagulants generally occur either due to inadequate monitoring … For outpatients, less frequent monitoring can be performed; however, monitoring should occur at least … Once a stable dosage of warfarin is achieved, the frequency of INR monitoring can be reduced to weekly … If medications or diet are changed, increased monitoring of the INR is required.( 8 ) When patients … In the early days of therapy, fail-safe plans should be in place for frequent INR monitoring.
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psnet.ahrq.gov/node/34706/psn-pdf
December 23, 2012 - Analysing potential harm in Australian general practice:
an incident-monitoring study. … Analysing potential harm in Australian general practice: an incident-
monitoring study. … https://psnet.ahrq.gov/issue/analysing-potential-harm-australian-general-practice-incident-monitoring-study … https://psnet.ahrq.gov/issue/analysing-potential-harm-australian-general-practice-incident-monitoring-study
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psnet.ahrq.gov/issue/monitoring-adverse-drug-reactions-children-using-community-pharmacies-pilot-study
July 01, 2017 - Study
Monitoring adverse drug reactions in children using community pharmacies: a … Monitoring adverse drug reactions in children using community pharmacies: a pilot study. … Monitoring adverse drug reactions in children using community pharmacies: a pilot study.
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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/node/61121/psn-pdf
November 11, 2020 - This prospective study compared electronic hand hygiene monitoring
versus human auditors to assess the … highly dynamic
across time and auditor location, indicating a need for alternative and complementary monitoring … health-care-associated-infections
https://psnet.ahrq.gov/issue/quantification-hawthorne-effect-hand-hygiene-compliance-monitoring-using-electronic
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psnet.ahrq.gov/node/61071/psn-pdf
January 01, 2021 - policy interventions implemented at different times (including dosing guidelines and prescription
drug monitoring … first-do-no-harm-marshaling-clinician-leadership-counter-opioid-epidemic
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/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/73629/psn-pdf
January 01, 2022 - Using data from the Medicare Patient Safety Monitoring
System, this retrospective cohort, including … misery-doctors-first-days
https://psnet.ahrq.gov/issue/measuring-patient-safety-medicare-patient-safety-monitoring-system-past-present-and-future … https://psnet.ahrq.gov/issue/measuring-patient-safety-medicare-patient-safety-monitoring-system-past-present-and-future
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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/issue/evaluating-clinical-decision-support-systems-monitoring-cpoe-order-check-override-rates
October 19, 2022 - Study
Evaluating clinical decision support systems: monitoring CPOE order check override … Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department … Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department
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psnet.ahrq.gov/issue/continuous-monitoring-adverse-events-influence-quality-care-and-incidence-errors-general
March 09, 2022 - Study
Continuous monitoring of adverse events: influence on the quality of care and … Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors … Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors
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psnet.ahrq.gov/issue/improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill
July 29, 2020 - Commentary
Improving the approach to defining, classifying, reporting and monitoring … Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously … Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously
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psnet.ahrq.gov/issue/nonoperating-room-anaesthesia-safety-monitoring-cognitive-aids-and-severe-acute-respiratory
November 10, 2021 - Review
Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe … Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome … Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 -
Analyze how opioid dose stacking can result in fatal respiratory depression
Identify patient monitoring … Advanced Patient Monitoring Strategies
In addition to standardized pain management practices, more … sophisticated types of patient monitoring should be considered, specifically for patients with coexisting … monitoring should be utilized for patients identified to be at high risk of opioid-induced respiratory … Together, ETCO2 monitoring coupled with continuous oximetry have high prognostic value in determining
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psnet.ahrq.gov/issue/medical-audible-alarms-review
August 11, 2021 - Related Resources
Perspective
Surveillance Monitoring … September 25, 2013
Intra-operative monitoring—many alarms with minor impact. … September 18, 2013
Patient monitoring alarms in the ICU and in the operating room. … March 16, 2011
Alarm algorithms in critical care monitoring.