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psnet.ahrq.gov/issue/center-health-care-human-factors
July 09, 2019 - 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/alarm-fatigue-hazards-sirens-are-calling
November 16, 2022 - 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/2008-recommendations-pre-anesthesia-checkout-procedures
April 22, 2020 - , 2021
Root cause analysis using the prevention and recovery information system for monitoring … August 9, 2023
APSF endorsed statement on revising recommendations for patient monitoring
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psnet.ahrq.gov/issue/top-10-medical-technology-hazards-2020-announced
May 01, 2019 - 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/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
January 01, 2021 - to assess for fluid responsiveness and
prevent fluid overload
11
Vasopressor Administration & Monitoring … 12
Vasopressor Administration & Monitoring (1)
• Vasopressors are drugs that induce vasoconstriction … Image adapted and printed with permission from Pinkney et al., 2014
Vasopressor Administration & Monitoring … Vasopressor Administration & Monitoring (1)
Vasopressor Administration & Monitoring (2)
Vasopressor … Administration & Monitoring (3)
Vasopressor Administration & Monitoring (3)
ICU Medication Errors
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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/issue/risks-medication-delivery-using-ambulatory-infusion-pumps-design-and-usability-inpatient
November 29, 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/issue/emergency-department-monitor-alarms-rarely-change-clinical-management-observational-study
September 30, 2020 - 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/33824/psn-pdf
January 01, 2016 - The first
examined state-level prescription drug monitoring programs and found that states with more … complete and
timely opioid monitoring achieved greater overdose reductions than those with less comprehensive … prescribers) or rates of nonfatal overdose before and after adoption of stringent prescription
drug monitoring … Enforcement Agency's rescheduling of hydrocodone,
which led to more restrictions on prescribing and tighter monitoring … In 2016, the CDC published a new guideline for opioid
prescribing and monitoring in the setting of noncancer
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psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
February 23, 2022 - correction. 4 For this reason, patients with alcohol-related symptomatic hyponatremia require close monitoring … correction of serum sodium a high-risk undertaking for him; use of hypertonic saline without close patient monitoring … (concentration, dose, pre-specified duration for continuous weight-based infusions) and orders for monitoring … recommendations regarding proper dose, duration of treatment, and frequency of laboratory and urine output monitoring … dose, route of administration, clearly defined start and end points, and specific laboratory tests for monitoring
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psnet.ahrq.gov/node/40492/psn-pdf
March 23, 2012 - 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
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psnet.ahrq.gov/sites/default/files/2021-09/spotlight_lost_in_transitions_of_care_09.22.2021_final.pdf
January 01, 2021 - Tables reflect what the pharmacist and prescriber(s) saw, or would have
seen, in the prescription drug monitoring … • For unclear reasons, the physician did not access the state’s
prescription drug monitoring program … Programs
(PDMPs)
26
PDMPs (1)
• A Prescription Drug Monitoring Program is an electronic database … Prescription Drug Monitoring Programs (PDMPs). … Prescription Drug Monitoring Programs (PDMPS): What Healthcare Providers Need to Know.
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psnet.ahrq.gov/node/49534/psn-pdf
May 01, 2007 - The safe prescribing and monitoring of antiseizure drugs are challenging for several reasons:
There … Some
institutions have in fact replaced total serum concentration monitoring with assays to measure … Since such monitoring is more expensive and more time-
consuming for lab personnel (an additional manual … Evidence-based implementation of free phenytoin therapeutic
drug monitoring. … How to Avoid Common Errors in Dosing and Monitoring of Antiseizure Drugs
Error Comments and Avoidance
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psnet.ahrq.gov/node/49717/psn-pdf
September 01, 2014 - Describe steps to improve prescribing and monitoring of patients on opioids in the hospital. … Describe the Prescription Drug Monitoring Program and how it may improve prescribing. … He was transferred to the intensive care unit for ongoing monitoring and treatment with naloxone. … multimodal initiatives (as opposed to a single simple solution)
aimed at improving prescribing and monitoring … Hospitals should work toward integrating Prescription Drug Monitoring Program information into
physician
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psnet.ahrq.gov/issue/wolf-crying-operating-room-patient-monitor-and-anesthesia-workstation-alarming-patterns
April 17, 2013 - Download Citation
Related Resources From the Same Author(s)
Patient monitoring … Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety
-
psnet.ahrq.gov/node/61078/psn-pdf
October 28, 2020 - Inpatient CGM use has theoretical advantages over point-of-care blood glucose monitoring, particularly … An Overview of Safety Issues on Use of Insulin
Pumps and Continuous Glucose Monitoring Systems in the … Diabetes Technology Update: Use of Insulin Pumps and Continuous
Glucose Monitoring in the Hospital. … Consensus Statement on Inpatient Use of Continuous
Glucose Monitoring. … Continuous glucose monitoring in insulin-treated patients in non-ICU
settings.
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psnet.ahrq.gov/node/39740/psn-pdf
August 11, 2010 - development-and-pilot-testing-guidelines-monitor-high-risk-medications-
ambulatory-setting
This study reports on the development of standards for laboratory monitoring
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psnet.ahrq.gov/issue/algorithm-detects-sepsis-cut-deaths-nearly-20-percent
October 12, 2022 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety
-
psnet.ahrq.gov/issue/diffusion-innovations-5th-ed
January 27, 2021 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety
-
psnet.ahrq.gov/issue/improving-patient-safety-human-factors-methods
June 12, 2019 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety