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psnet.ahrq.gov/issue/two-steps-forward-and-one-step-back-patient-safety
June 10, 2018 - August 8, 2018
Fatal PCA adverse events continue to happen...better patient monitoring … April 25, 2018
Assessing and monitoring override medications in automated dispensing
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psnet.ahrq.gov/issue/how-hospital-design-saves-lives
July 06, 2011 - 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/33781/psn-pdf
March 01, 2015 - spoke with him about the development of hospital standardized mortality ratios, and their role
in monitoring … As part
of the inquiry, we concluded that no one really knew who was responsible for monitoring the … All said that had they been monitoring HSMRs, they
would have picked up Mid Staffs earlier. … Another thing Bruce said, and I agree, was that monitoring patient
and staff complaints and surveys … review-quality-care-and-treatment-provided-14-hospital-trusts-england-overview-report
particularly around monitoring
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psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
July 02, 2011 - Intraoperative somatosensory-evoked potential (SSEP) and motor-evoked potential (MEP) monitoring are … of 35 studies involving 4011 patients concluded that combined somatosensory evoked potential (SSEP) monitoring … and motor evoked potential (MEP) monitoring provided the best diagnostic test accuracy to detect cerebral … predictive value (95%) and high specificity (89.9%) but has a sensitivity of 45%. 16 Multimodal monitoring … Intraoperative evoked potential monitoring for detecting cerebral injury during adult aneurysm clipping
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psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
September 29, 2011 - Practical methods for monitoring adherence include: (i) Watching for non-attendance: did this patient … affirmative response to this question is associated with less than 60% adherence.( 5 ) Other methods of monitoring … adherence include proprietary medication electronic monitoring systems (which are expensive), prescription … but combining two or more of the following may help: convenient care, information, reminders, self-monitoring … detected by watching for nonattendance, watching for less than expected response, asking the patient, and monitoring
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psnet.ahrq.gov/node/49607/psn-pdf
August 01, 2010 - The system should also provide its users adequate data for
further improvement—for instance, a daily monitoring … For example, it may be necessary
to assign a person responsible for monitoring the change-of-shift assignment … System measurement and monitoring: Any new process should have specific measurements identified,
implemented … IT policies
and procedures responsible for overseeing HIT system procurement,
implementation, use, monitoring … System measurement and
monitoring
Effective measurement and monitoring programs address four key issues
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psnet.ahrq.gov/node/49620/psn-pdf
February 01, 2011 - Monitoring
Specific protocols for monitoring patients after neck surgery vary across institutions. … However, the key
components of any effective neck hematoma monitoring protocol include close observation … Ultrasound may have a role in monitoring
for neck hematomas, but it has not been systematically studied … This approach requires careful monitoring of the airway while the
patient is being transported to the … However, careful monitoring in a unit capable of providing early airway and surgical
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/49696/psn-pdf
December 01, 2013 - web-mm/new-oral-anticoagulants
https://psnet.ahrq.gov//#references
and no need for routine coagulation monitoring … and providers may sometimes
prefer using TSOACs due to the ease of administration and to avoid the monitoring … to inappropriate patients, recommending
an inappropriate dose or administration, and inappropriate monitoring … Indications, Dosing, and Monitoring for Anticoagulant Medications. … Drug
FDA-approved
indications
Dosing
Coagulation
monitoring?
Reversible?
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psnet.ahrq.gov/issue/order-chaos-accelerating-care-integration
November 02, 2014 - 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/habits-improver-thinking-about-learning-improvement-health-care
November 25, 2015 - August 2, 2016
Identifying Risks and Monitoring Safety: the Role of Patients and Citizens … August 6, 2016
The Measurement and Monitoring of Safety.
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psnet.ahrq.gov/issue/mistake-proofing-design-health-care-processes
December 18, 2008 - 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/five-rights-destination-without-map
September 14, 2016 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety
-
psnet.ahrq.gov/issue/reducing-latent-errors-drift-errors-and-stakeholder-dissonance
December 14, 2010 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety
-
psnet.ahrq.gov/issue/first-do-less-harm-confronting-inconvenient-problems-patient-safety
March 29, 2007 - January 8, 2014
Identifying Risks and Monitoring Safety: the Role of Patients and Citizens … June 30, 2013
The Measurement and Monitoring of Safety.
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psnet.ahrq.gov/issue/hospital-better-responses-those-beeping-alarms
August 17, 2016 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety
-
psnet.ahrq.gov/issue/ways-improve-electronic-health-record-safety
February 08, 2017 - Copy Citation
Related Resources From the Same Author(s)
Prescription Drug Monitoring … July 9, 2018
Prescription Drug Monitoring Programs: Evolution and Evidence.
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psnet.ahrq.gov/web-mm/pregnant-danger
January 12, 2011 - Fetal monitoring was normal and the patient was discharged home. … urgent or emergent complaints, unless clearly of no threat to the fetus, will undergo formal fetal monitoring … In an ED where a pregnant woman may require a prolonged stay, a protocol to provide fetal monitoring … having a fetal monitor and labor and delivery nurse come to the ED, or, as in our institution, fetal monitoring … to activate “birth center group page” with message: “OB chief to ED for OB trauma”
Antenatal fetal monitoring
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
September 01, 2011 - three challenges of nursing home care that may contribute to adverse events
Describe patient safety monitoring … Available at http://www.jointcommission.org/ltc_2011_npsgs/
*
Monitoring Systems
Monitoring systems … Points
Many challenges exist in nursing homes that may contribute to the occurrence of adverse events
Monitoring
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psnet.ahrq.gov/web-mm/forgotten-drip
April 01, 2014 - ICP monitoring devices are small plastic catheters that are inserted into the brain to measure ICP. … avoid renal failure and volume depletion ( 5 , 6 ), a strict institutional protocol should involve monitoring … By the time osmotic therapy is instituted, most patients should have ICP monitoring in place. … Ventriculostomy with CSF drainage allows for reduction of ICP as well as ICP monitoring in patients with … Mannitol should always be used in a bolus fashion and should never be administered without frequent strict monitoring
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psnet.ahrq.gov/issue/mgh-death-spurs-review-patient-monitors
October 05, 2011 - Newspaper/Magazine Article
MGH death spurs review of patient monitors.
Citation Text:
MGH death spurs review of patient monitors. Kowalczyk L. Boston Globe. February 21, 2010.
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