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psnet.ahrq.gov/issue/medication-errors-during-treatment-new-oral-anticancer-agents-consequences-clinical-practice
April 21, 2021 - 2022
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Related Resources
Use of therapeutic outcomes monitoring … impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring … October 29, 2017
Pharmacist medication reviews to improve safety monitoring in primary
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psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
February 01, 2023 - science approach to promote optimal implementation, adoption, use, and spread of continuous clinical monitoring … 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/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large-medical-center
February 10, 2021 - 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/alarm-fatigue-factor-2nd-death
September 30, 2015 - 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/patient-safety-engineering-approach
October 23, 2013 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety … October 23, 2013
The Measurement and Monitoring of Safety.
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psnet.ahrq.gov/node/41075/psn-pdf
January 18, 2012 - Unnecessary arrhythmia monitoring and underutilization of ischemia
and QT interval monitoring in current
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psnet.ahrq.gov/issue/potential-safety-gaps-order-entry-and-automated-drug-alerts-nationwide-survey-va-physician
March 10, 2011 - November 28, 2018
Physicians' perspectives regarding prescription drug monitoring program … Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety … May 27, 2011
Evaluating clinical decision support systems: monitoring CPOE order check
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psnet.ahrq.gov/node/49407/psn-pdf
July 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 present … 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/74713/psn-pdf
January 26, 2022 - in a staggering 29% of cases.2 However, without
appropriate protocols, guidance, and monitoring resources … types of patient monitoring
should be considered, specifically for patients with coexisting disease … Methods such as continuous oximetry, end-tidal carbon dioxide (ETCO2)
monitoring, and acoustic respiratory … 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/operational-failures-general-practice-consensus-building-study-priorities-improvement
February 07, 2024 - Related Resources From the Same Author(s)
Why is safety in intrapartum electronic fetal monitoring … May 13, 2020
Effectiveness and safety of pulse oximetry in remote patient monitoring … August 3, 2022
Impact of non-interruptive medication laboratory monitoring alerts in
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psnet.ahrq.gov/issue/video-analysis-factors-associated-response-time-physiologic-monitor-alarms-childrens-hospital
November 06, 2015 - 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/issue/pharmacists-play-key-role-patient-safety
March 29, 2023 - March 29, 2023
ASHP national survey of pharmacy practice in hospital settings: monitoring … September 20, 2017
ASHP national survey of pharmacy practice in hospital settings: monitoring
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psnet.ahrq.gov/node/44129/psn-pdf
November 23, 2016 - factors-influence-recognition-reporting-and-resolution-incidents-related-medical-devices-and
https://psnet.ahrq.gov/issue/preventable-tragedies-superbugs-and-how-ineffective-monitoring-medical-device-safety-fails … https://psnet.ahrq.gov/issue/preventable-tragedies-superbugs-and-how-ineffective-monitoring-medical-device-safety-fails
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psnet.ahrq.gov/print/pdf/node/867461
January 31, 2024 - This systematic review identified several gaps in the available safety measures used for
quality monitoring … Measurement and Monitoring of Safety Through the Eyes of Patients and Their
Care Partners. … https://psnet.ahrq.gov/issue/how-safe-your-care-measurement-and-monitoring-safety-through-eyes-patients-and-their-care … Measurement and Monitoring of Safety Through the Eyes of Patients and Their
Care Partners. … This systematic review identified several gaps in the available safety measures used for
quality monitoring
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.362_slideshow.ppt
December 01, 2015 - alarms
However, excessive false alarms can lead to unintended harm
6
6
Background: Telemetry Monitoring … using telemetry
A standard electrocardiogram (ECG) acquires data from 12 different leads
Telemetry monitoring … to silence all of the telemetry alarms (this observation unit did not have constant or centralized monitoring … formed and include representatives from all levels of the organization
All staff who interact with monitoring … devices should receive education and training on how to use monitoring equipment
22
22
Take-Home
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psnet.ahrq.gov/node/44777/psn-pdf
April 05, 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.
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psnet.ahrq.gov/node/38774/psn-pdf
July 08, 2009 - evaluation-causes-and-frequency-medication-errors-during-information-technology-downtime
https://psnet.ahrq.gov/issue/assessing-and-monitoring-override-medications-automated-dispensing-devices … https://psnet.ahrq.gov/issue/assessing-and-monitoring-override-medications-automated-dispensing-devices
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psnet.ahrq.gov/node/41763/psn-pdf
October 10, 2012 - latency-ecg-displays-hospital-telemetry-systems-science-advisory-american-heart-association
https://psnet.ahrq.gov/issue/alarm-interventions-during-medical-telemetry-monitoring-failure-mode-effects-analysis … https://psnet.ahrq.gov/issue/alarm-interventions-during-medical-telemetry-monitoring-failure-mode-effects-analysis
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psnet.ahrq.gov/issue/healthcare-system-wide-implementation-opioid-safety-guideline-recommendations-case-urine-drug
August 11, 2021 - August 11, 2021
State policies for prescription drug monitoring programs and adverse … May 25, 2022
Implementation of prescription drug monitoring programs associated with … January 29, 2020
Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring
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psnet.ahrq.gov/issue/actions-mitigating-negative-effects-patient-participation-patient-safety-qualitative-study
February 01, 2023 - support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring … July 20, 2009
Recommended guidelines for monitoring, reporting, and conducting research … February 14, 2024
Why is safety in intrapartum electronic fetal monitoring so hard?