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psnet.ahrq.gov/issue/evaluating-safety-mental-health-related-prescribing-uk-primary-care-cross-sectional-study
August 14, 2019 - and practice-level risk factors for 22 mental health-related PSIs for medication prescribing and monitoring … The authors found that potentially inappropriate prescribing and inadequate medication monitoring commonly … February 1, 2012
Medication prescribing and monitoring errors in primary care:
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psnet.ahrq.gov/issue/team-based-approach-reducing-cardiac-monitor-alarms
October 19, 2022 - In addition, physicians and nurses used a log to document the need for ongoing cardiac monitoring and … created reliable systems for discontinuation of monitoring when it was no longer needed.
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psnet.ahrq.gov/node/47547/psn-pdf
February 13, 2019 - Their calculations suggest that interventions such as prescription drug
monitoring programs and insurance … increases-drug-and-opioid-overdose-deaths-united-states-2000-2015
https://psnet.ahrq.gov/issue/implementation-prescription-drug-monitoring-programs-associated-reductions-opioid-related … https://psnet.ahrq.gov/issue/implementation-prescription-drug-monitoring-programs-associated-reductions-opioid-related
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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/node/74022/psn-pdf
March 01, 2021 - For
example, in the community pharmacy setting, outcomes like the right education, right monitoring, … medications may have been ordered by multiple
prescribers.4,5 The pharmacist also provides critical monitoring … in the dispensing of controlled substances,
such as consulting prescription drug monitoring programs … Community pharmacist involvement in prescription drug
monitoring programs. Pharmacy Times. … Prescription drug monitoring programs in community pharmacy:
an exploration of pharmacist time requirements
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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/issue/ergonomic-and-human-factors-affecting-anesthetic-vigilance-and-monitoring-performance
May 31, 2011 - Classic
Ergonomic and human factors affecting anesthetic vigilance and monitoring … Ergonomic and Human Factors Affecting Anesthetic Vigilance and Monitoring Performance in the Operating … Ergonomic and Human Factors Affecting Anesthetic Vigilance and Monitoring Performance in the Operating … May 31, 2011
Implementation of prescription drug monitoring programs associated with
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psnet.ahrq.gov/issue/racial-disparities-frequency-patient-safety-events-results-national-medicare-patient-safety
December 18, 2014 - disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring … disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring … disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring … August 3, 2016
Measuring patient safety: the Medicare Patient Safety Monitoring System
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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/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/issue/monitoring-harm-associated-use-anticoagulants-pediatric-populations-through-trigger-based
November 11, 2015 - Study
Monitoring the harm associated with use of anticoagulants in pediatric populations … Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based … Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based
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psnet.ahrq.gov/issue/how-safe-my-intensive-care-unit-methods-monitoring-and-measurement
February 01, 2013 - Methods for monitoring and measurement. … Methods for monitoring and measurement. Curr Opin Crit Care. 2007;13(6):703-8. … Methods for monitoring and measurement. Curr Opin Crit Care. 2007;13(6):703-8.
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psnet.ahrq.gov/node/866370/psn-pdf
July 31, 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/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/node/865309/psn-pdf
May 29, 2024 - Although routine
continuous monitoring of oxygen saturation has been shown to decrease rates of some … a
mechanically ventilated patient, three questions should be considered: Why are we monitoring, how … good
are the monitoring tools, and does monitoring lead to a change in management improving outcomes … Monitoring during mechanical ventilation. Respir Care. 2020;65(6):832-846. [Free full
text]
17. … Pulse oximetry for perioperative monitoring.
Cochrane Anaesthesia Group, ed.
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psnet.ahrq.gov/issue/examining-causes-and-prevention-strategies-adverse-events-deceased-hospital-patients
June 08, 2022 - including improving communication and information structures, evaluating safety behaviors, and continuous monitoring … Author(s)
Root cause analysis using the prevention and recovery information system for monitoring … March 2, 2022
Monitoring preventable adverse events and near misses: number and type
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psnet.ahrq.gov/issue/predictors-warfarin-associated-adverse-events-hospitalized-patients-opportunities-prevent
August 03, 2016 - This study found that less-than-daily monitoring of anticoagulation in hospitalized patients is associated … with more frequent out-of-range values, suggesting that daily monitoring is safer. … December 18, 2014
Measuring patient safety: the Medicare Patient Safety Monitoring System
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psnet.ahrq.gov/node/867019/psn-pdf
October 23, 2024 - hand-hygiene efforts since 2020 and tracks advancements
realized using tactics such as electronic monitoring … hand-hygiene-healthcare-settings
https://psnet.ahrq.gov/issue/quantification-hawthorne-effect-hand-hygiene-compliance-monitoring-using-electronic
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psnet.ahrq.gov/issue/development-and-pilot-testing-guidelines-monitor-high-risk-medications-ambulatory-setting
December 06, 2013 - This study reports on the development of standards for laboratory monitoring of high-risk medications … Impact of health information technology interventions to improve medication laboratory monitoring … Impact of health information technology interventions to improve medication laboratory monitoring
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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