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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
March 12, 2008 - basic airway management/oxygen delivery, (2) use of
automated external defibrillators (AED)/cardiac monitoring … i.e., role clarity,
communication, resource utilization, global awareness) and SBAR communication (Situation … their clinic, a post-workshop increase in
confidence about their ability to perform in an emergency situation … Call for AED & 12-lead ECG (begin continuous monitoring once it arrives). … Really reinforced learning with mock
situation;” “Reinforcement is always helpful;” “The ‘real’ dummy
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
January 01, 2004 - Cost
justification of LMWH usage may include the elimination of lab values for
monitoring. … Weaknesses of system fixes
The most common pitfalls in the RCAs were solutions that fixed the situation … In one
situation, the physician ordered 20 mg of a drug, and the RN administered 20 mL. … Failure-to-rescue events
Failure-to-rescue is defined as a situation in which a patient develops a … • Move the patient to a higher level of care for more careful monitoring.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar02/spc_slides.pptx
June 04, 2013 - measurements 3 to 4 periods apart
Johns Hopkins Medicine
Limitations (2)
Will not work in every situation … increase referrals for CRC screening.
36
Statistical Process Control provides an important tool for monitoring
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ce.effectivehealthcare.ahrq.gov/teamstepps/evidence-base/anesthesiology.html
July 01, 2015 - Situation awareness in anesthesiology. Human Factors 37, 20-31. … Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201532.html
December 01, 2015 - professionals better understand what could be accomplished for pressure ulcers through appropriate monitoring … and treatment, before the situation became more serious," Ms.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
July 01, 2023 - formulary, storage/control, labeling, ordering, preparing/distributing, administering, and/or patient monitoring … Do not overexplain the situation; be concise.
Effective communication is timely. … It avoids compromising a patient’s situation by promptly relaying information. … Communicate the following information:
Situation―What is going on with the patient? … Everett's deteriorating Situation.
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ce.effectivehealthcare.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/other-resources.html
September 01, 2021 - years
“The clinician should develop an individualized treatment plan based on the specific clinical situation … Recommendations for Metabolic Screening and Monitoring for Children and Adolescents on Antipsychotic … of side effects should be performed… Ideally, monitoring of BMI, blood pressure, fasting glucose, and … in Children – Evidence-based recommendations for monitoring safety of second generation antipsychotics … This practice parameter describes the minimum standards for monitoring vital signs, BMI, fasting blood
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses3.html
August 01, 2022 - Nurses are uniquely positioned to gather patient input because of the monitoring and surveillance functions … contact with patients and allow them to see and hear things the physician does not. 28 As part of the monitoring … study, for example, found that physicians and nurses had different perspectives on the same clinical situation
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module9/ts2-0ltc_module9_ig_coaching.pdf
May 03, 2017 - It requires routine
monitoring and ongoing assessment of performance. … TeamSTEPPS in a
number of ways, such as:
• Asking team members how they might have approached a
situation … Faced
with an individual whose personal situation is interfering with
his or her performance, however … professional assistance and adjust
the coaching process to support getting through the personal
situation … Monitoring outcomes of the coaching process and providing
additional assistance when necessary.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module9/igcoaching.pdf
February 22, 2014 - It requires routine
monitoring and ongoing assessment of performance. … TeamSTEPPS in a
number of ways, such as:
• Asking team members how they might have approached a
situation … Faced
with an individual whose personal situation is interfering with
his or her performance, however … of professional assistance and adjust
the coaching process to support getting through the personal
situation … Monitoring
outcomes of the coaching process and providing additional
assistance when necessary.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man5.html
December 01, 2017 - Adults learn best when the teaching situation encourages them to contribute their ideas and opinions. … all of the information that should be included in their nurses notes during the period of increased monitoring … All licensed staff should understand the processes related to assessment, care plan development and monitoring … The Falls Nurse Coordinator is the point of contact for the primary care physician in monitoring residents
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-august2013.pptx
January 01, 2013 - Implementation
TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
TeamSTEPPS
TeamSTEPPS
Implementation
29
Situation … Monitoring by interdisciplinary staff
Collaboration: Daily Patient Care Rounds
Assessment Tool developed
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
March 12, 2008 - The
dispensing machines allow for systematic monitoring of access to controlled substances, auditing … The high
rates of complications in this situation suggest
a need for greater control of utilization … importance
of utilizing the electronic medication barcoding
technology, especially in the “override”
situation
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-obhemorrhage.html
July 01, 2023 - decide its approach to debriefing events based on seriousness of event, expertise available, and data monitoring … context of obstetric hemorrhage, this includes using standard prevention approaches per unit protocol, monitoring … approach to emphasize "what is right, not who is right":
D: Describe the specific behavior or situation … E: Express how the situation makes you feel or concerns you.
S: Suggest other alternatives.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3-communication-speaker-notes.pdf
July 01, 2023 - Likewise, the
nonverbal cues from the nurse's face might communicate the urgency of
the situation and … formulary, storage/control, labeling, ordering,
preparing/distributing, administering, and/or patient monitoring … Do not
overexplain the situation; be concise.
Effective communication is timely. … • It avoids compromising a patient’s situation by promptly relaying
information. … Everett's
deteriorating Situation.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6-p.pdf
November 02, 2017 - When a situation like this occurs, the patient or member is a prime
candidate for overt retaliation.3 … National quality monitoring of Medicare health plans: the relationship
between enrollees’ reports and
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
January 20, 2008 - Questions
Human factors: communication
• Were issues related to patient assessment a factor in
this situation … The degree of urgency directly correlated with the severity of this situation, and
work was accomplished … Although improvement work was initiated at the completion of the RCA on the monitoring case,
it was … This new understanding
related to the cardiorespiratory monitoring systems and the associated nurse-call … teams were set up to evaluate the nurse-call system
and the integration with the cardiorespiratory monitoring
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_vbac-abpain.docx
May 01, 2017 - .
· Situation-Background-Assessment-Recommendation (SBAR) is used to inform others of the situation when … intrauterine resuscitative measures and evaluates fetal response.
· SBAR is used to inform others of the situation … SBAR is used to inform others of the situation when they arrive. … SBAR is used to inform others of the situation when they arrive.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-slides.pptx
June 01, 2021 - Alvarez’s daughter
agrees to the plan for
active monitoring.
The next morning,
Ms. … What we understand is that attempting to treat infections does not change the overall situation and sometimes … professional judgment and standards of care in regard to the unique circumstances that may apply in each situation
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
January 01, 2004 - They reported that
it would not be appropriate when a trainee was inexperienced in that situation
( … For this method, it is crucial that the
chosen clinical situation is appropriate to the clinical knowledge … rather than on a video as the rater has a more complete understanding of
the situation being rated. … Trainees also felt that this was a
situation when it would not be appropriate to use the system as an … The
Australian incident monitoring study.