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psnet.ahrq.gov/node/73702/psn-pdf
January 01, 2022 - - 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
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psnet.ahrq.gov/issue/neuromuscular-blocking-agents-reducing-associated-wrong-drug-errors
April 26, 2023 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety
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psnet.ahrq.gov/node/836876/psn-pdf
May 16, 2022 - psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
Introduction
Measuring and monitoring … complex challenges involved, leaders in the field are developing
novel ways to improve measurement and monitoring … Identifying Safety Events in the Prehospital Setting
The wide range of variability in measuring and monitoring … surveillance systems could move the EMS profession to a higher level of patient safety focused on
prevention, monitoring … Measurement and monitoring patient safety in
prehospital care: a systematic review.
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-prescribing-and-transcribing-2010
September 30, 2020 - October 19, 2022
ASHP national survey of pharmacy practice in hospital settings: monitoring … September 20, 2017
ASHP national survey of pharmacy practice in hospital settings: monitoring … September 25, 2013
Quality-monitoring program for bar-code–assisted medication administration
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psnet.ahrq.gov/issue/motion-study-surgery
September 02, 2020 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety … September 11, 2019
Ergonomic and human factors affecting anesthetic vigilance and monitoring
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psnet.ahrq.gov/issue/patterns-unexpected-hospital-deaths-root-cause-analysis
March 13, 2019 - September 25, 2013
Patient monitoring alarms in the ICU and in the operating room. … April 17, 2013
Alarm algorithms in critical care monitoring. … incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring
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psnet.ahrq.gov/issue/safety-culture-patient-safety-practice-alarm-fatigue
July 07, 2021 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety … Acute Hospital Care Units
April 26, 2023
Health system redesign of cardiac monitoring
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psnet.ahrq.gov/node/73287/psn-pdf
May 19, 2021 - influence-opioid-prescription-policy-overdoses-and-related-adverse-effects-primary-care
https://psnet.ahrq.gov/issue/four-states-robust-prescription-drug-monitoring-programs-reduced-opioid-dosages … coupling-policymaking-evaluation-case-opioid-crisis
https://psnet.ahrq.gov/issue/implementation-prescription-drug-monitoring-programs-associated-reductions-opioid-related
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psnet.ahrq.gov/node/72755/psn-pdf
February 17, 2021 - Clinical decision support (CDS) alerts can improve patient safety, and prior research suggests that
monitoring … These findings highlight the need for improvements in alert design, implementation, and
monitoring of
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psnet.ahrq.gov/node/846155/psn-pdf
March 15, 2023 - issue/reduction-omission-events-after-implementing-rapid-response-system-
mortality-review
Regular monitoring … reduction-omission-events-after-implementing-rapid-response-system-mortality-review
https://psnet.ahrq.gov/issue/effectiveness-continuous-or-intermittent-vital-signs-monitoring-preventing-adverse-events
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psnet.ahrq.gov/primer/alert-fatigue
March 15, 2025 - they computerized provider order entry systems (CPOE), smart intravenous infusion pumps, or cardiac monitoring … 200 deaths over a 5-year period attributable to failure to appropriately heed alarms from physiologic monitoring … Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety … September 1, 2016
Impact of non-interruptive medication laboratory monitoring alerts
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psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study
July 17, 2013 - This retrospective review examined all alarm data regarding physiologic monitoring, including electrocardiogram
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psnet.ahrq.gov/node/50929/psn-pdf
February 26, 2020 - In the first case, laboratory monitoring was correctly ordered at discharge but never completed at the … If
active weekly monitoring of the patient had continued after discharge by the OPAT team, then the … In this case, weekly active monitoring would have
ensured that vancomycin levels were collected and … Ongoing monitoring of the clinical status of the infection is another responsibility of
the OPAT team … Laboratory monitoring is recommended in the OPAT guidelines and at minimum should be
performed once
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psnet.ahrq.gov/node/849679/psn-pdf
June 28, 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. Respir Care. 2020;65(6):832-846. [Free full
text]
16.
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psnet.ahrq.gov/issue/alarm-burden-and-nursing-care-environment-213-hospital-cross-sectional-study
October 25, 2023 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety … Acute Hospital Care Units
April 26, 2023
Health system redesign of cardiac monitoring
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psnet.ahrq.gov/node/43709/psn-pdf
December 04, 2014 - 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/issue/team-based-intervention-reduce-impact-nonactionable-alarms-adult-intensive-care-unit
November 16, 2022 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety … Improving Patient Safety
March 29, 2023
Health system redesign of cardiac monitoring
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psnet.ahrq.gov/issue/its-sending-message-bottle-qualitative-study-consequences-one-way-communication-technologies
December 02, 2020 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety … Acute Hospital Care Units
April 26, 2023
Health system redesign of cardiac monitoring
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psnet.ahrq.gov/issue/nursing-implications-early-warning-system-implemented-reduce-adverse-events-qualitative-study
October 27, 2021 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety … January 11, 2023
Health system redesign of cardiac monitoring oversight to optimize alarm
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psnet.ahrq.gov/issue/systematic-review-and-evaluation-physiological-track-and-trigger-warning-systems-identifying
July 20, 2022 - Sepsis
May 31, 2023
Perspective
Surveillance Monitoring … February 26, 2014
Patient monitoring alarms in the ICU and in the operating room. … incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring