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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction.pptx
July 01, 2023 - establishing a culture of huddles and debriefs, multidisciplinary review of serious hemorrhages, and monitoring … Electronic Fetal Monitoring reveals a Category 1 tracing.
13
Obstetric Hemorrhage
Master Case
14
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ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/content-calls/best-practices.html
April 01, 2013 - Along that same line, when we talk about monitoring every insertion and share compliance results with … It’s a situation where we don’t want to backslide. … When you talked about the monitoring and the feedback of both the insertion as well as the bundle compliance … I’m guessing you were monitoring all different areas where these lines are being inserted.
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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-Walsh_74.pdf
May 28, 2008 - prescribing physician to inform the physician of the error and ask for
orders on how to handle the situation … the study).
10
A medication error is an error in drug ordering, dispensing, administering, or monitoring … Monitoring for side effects
4. Other_____________________________________
5. … Was any additional vital sign monitoring performed because of the error?
0 No 1 Yes
8.
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/engage/findings.html
March 01, 2017 - Examples include elements of the TeamSTEPPS ® approach, including SBAR (situation, background, assessment … These include more actively engaging patients in the diagnostic process and monitoring of outcomes, engaging
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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-Patterson_48.pdf
May 05, 2008 - Measured competencies for rescue
COMPETENCIES
Good Adequate Poor
Phase I Monitoring Apnea diagnosed
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications2/files/takeheart-hybrid-workgroup-evaluation.pdf
August 01, 2023 - start-up
considerations
What, if any, resources (e.g. print materials, apps, exercise
equipment, monitoring … concerned are you that alternative reimbursement
approaches some vendors use, such as the use of remote
monitoring … If you were in a situation to advise another provider about HYCR,
what one piece of advice do you think
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/engage/appf.html
March 01, 2017 - Engagement with automated patient monitoring and self-management support calls: experience with a thousand … chronically-ill patients
Yes
Yes
Strong
Improved engagement through self-monitoring … Consider for Inclusion
Evidence Level
Rationale
Mobile phone–based remote patient monitoring
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/envscan-app-f.pdf
January 01, 2015 - Engagement with automated patient monitoring and
self-management support calls: experience with a
thousand … chronically-ill patients
Yes Yes Strong Improved engagement through self-monitoring and
management … Described
Consider for
Inclusion
Evidence
Level Rationale
Mobile phone–based remote patient monitoring
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-215-fullreport.pdf
August 01, 2017 - Appropriate Emergency Department Blood Testing for Children with Sickle Cell Disease
Appropriate Emergency Department Blood Testing for
Children with Sickle Cell Disease
Section 1. Basic Measure Information
1.A. Measure Name
Appropriate Emergency Department Blood Testing for Children with Sickle Cell Disease
…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - Previously, the Medicare Patient Safety Monitoring System (MPSMS) used patient charts from
only four … To address this situation, we have reused the data from 2015 in the
2016 and 2017 results for these measures … Used for the MPSMS 2014–2017
Compared With 2010–2014 Previous Analyses
The Medicare Patient Safety Monitoring
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
March 01, 2020 - other focuses on investing in initial and ongoing staff training on the correct use, maintenance, and
monitoring … , some hospitals invest in initial and ongoing staff
training on the correct use, maintenance, and monitoring … evaluate the impact of implementing staff education
and training on the correct use, maintenance, and
monitoring … clinical outcomes
for the impact of investing in education on
the correct use, maintenance, and
monitoring … the facilitators and barriers to
implementing staff training on the correct use, maintenance, and monitoring
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-237-fullreport.pdf
October 01, 2019 - (CMS, 2019), suggesting that a significant proportion of these children at some point
will be in a situation … access of Medicaid- and CHIP-enrolled children to
needed specialty care is an issue warranting closer monitoring … In that situation, an indicator for group status is included with the sampling
file, allowing the CAHPS … access of Medicaid- and CHIP-enrolled children to
needed specialty care is an issue warranting closer monitoring
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
January 01, 2004 - Second, providers may be overly concerned with the immediate situation and
not the long-term setting … The situation is exacerbated by the need
for physician cross coverage and shift work among various disciplines … conduits for medication information.15, 57, 58
Research questions include—
• Can training (e.g., in situation
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/ambulatory-surgery-report.pdf
May 01, 2017 - complex implementation structure
that included education, coaching, peer support, and performance monitoring … In
this situation, it is recommended that a text or comment box be added alongside specified codes to … total number of admissions, and number of procedures by category
Cultural Patient safety culture monitoring … processes Measurement methods and frequency, and specifications
Process Post-procedural event monitoring … Post-procedure event gathering processes
Process Patient satisfaction monitoring Patient satisfaction
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
March 01, 2020 - identifying diabetes patients and those at increased risk
for hypoglycemia, electronic prescribing, monitoring … set that encouraged the use of scheduled basal and
nutritional insulin, and provided guidance for monitoring … Similarly, for the future, standardized protocols that include real-time
continuous glucose monitoring … Continuous glucose monitoring in insulin-treated patients in non-ICU
settings. … Staff was good
at monitoring
BGLs at
scheduled times
and
administering
basal/bolus
insulin doses
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ce.effectivehealthcare.ahrq.gov/ncepcr/tools/workforce-financing/case-example-8.html
July 01, 2019 - Wesley nurses often care for high-risk patients who need more education, monitoring and care coordination … providing information to clinicians about patients' home environments, conducting assessments, and monitoring
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_8.pdf
October 01, 2016 - Wesley nurses often care for high-risk patients who need more education,
monitoring and care coordination … providing information to clinicians about patients’ home environments, conducting
assessments, and monitoring
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction-speaker-notes.pdf
July 01, 2023 - establishing a culture of huddles and
debriefs, multidisciplinary review of serious hemorrhages, and monitoring … Electronic fetal monitoring
reveals a Category 1 tracing.
13
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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-Schade_63.pdf
January 01, 2007 - Because this situation raises liability, treatment, and risk-mitigation questions,
multiple channels
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
December 27, 2021 - Organizational causes: The empanelment
procedures do not include training and monitoring the
appointment … Depending on the situation, you may want to invite a member of the group to serve as the
scribe for