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psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers
December 21, 2017 - Consequently, the patient received an excessive amount of the medication, which resulted in a near code situation … Patient monitoring needs should also be assessed. … Monitoring high-risk cardiac patients during transportation in hospital. … An analysis of the reports submitted to the Australian Incident Monitoring Study in Intensive Care. … care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation
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psnet.ahrq.gov/issue/adaptive-coordination-cardiac-anaesthesia-study-situational-changes-coordination-patterns
November 15, 2018 - Study
Adaptive coordination in cardiac anaesthesia: a study of situational changes in coordination patterns using a new observation system.
Citation Text:
Manser T, Howard SK, Gaba DM. Adaptive coordination in cardiac anaesthesia: a study of situational changes in coordination patterns…
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psnet.ahrq.gov/issue/intervention-enhance-nursing-staff-teamwork-and-engagement
June 21, 2010 - June 21, 2010
Health system redesign of cardiac monitoring oversight to optimize alarm … March 30, 2022
Situation awareness and the mitigation of risk associated with patient
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psnet.ahrq.gov/issue/improving-sepsis-care-through-systems-change-impact-medical-emergency-team
December 02, 2009 - June 10, 2013
Health system redesign of cardiac monitoring oversight to optimize alarm … Customized Alert Settings Help Improve Management of Sepsis
May 31, 2023
Improving situation
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psnet.ahrq.gov/issue/reducing-potentially-fatal-errors-associated-high-doses-insulin-successful-multifaceted
August 17, 2016 - support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring … March 6, 2019
Discrepant perceptions of communication, teamwork and situation awareness
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psnet.ahrq.gov/issue/impact-electronic-medical-records-data-sources-adverse-drug-event-quality-measure
July 31, 2013 - June 2, 2019
View More
Related Resources
Improving shared situation … September 1, 2016
Monitoring the harm associated with use of anticoagulants in pediatric
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psnet.ahrq.gov/issue/determining-safety-office-based-surgery-what-10-years-florida-data-and-6-years-alabama-data
October 04, 2011 - June 22, 2022
Improving shared situation awareness for high-risk therapies in hospitalized … January 16, 2010
Monitoring for medication errors in outpatient settings.
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psnet.ahrq.gov/issue/current-challenges-and-future-perspectives-patient-safety-surgery
December 21, 2014 - October 9, 2024
Radiation protection and dose monitoring in medical imaging: a journey … March 28, 2011
Discrepant perceptions of communication, teamwork and situation awareness
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psnet.ahrq.gov/issue/improving-medication-administration-safety-using-naive-observation-assess-practice-and-guide
October 06, 2016 - Delayed recognition of deterioration of patients in general wards is mostly caused by human related monitoring … June 2, 2010
Safety as a criterion for quality: The Critical Nursing Situation Index
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psnet.ahrq.gov/issue/development-infusion-pump-safety-score
January 06, 2017 - January 16, 2008
Improving shared situation awareness for high-risk therapies in hospitalized … support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring
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psnet.ahrq.gov/issue/exploring-varieties-knowledge-safe-work-practices-ethnographic-study-surgical-teams
December 21, 2016 - support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring … June 8, 2011
Discrepant perceptions of communication, teamwork and situation awareness
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psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
January 29, 2021 - An arterial line was inserted into the left radial artery to enable close monitoring of the patient’s … In this situation, backflow from the catheter is very sluggish and fluids infuse into the artery. … thrombosis on ultrasound after removal of the catheter. 23 Yet hand ischemia is very rare in this situation … Some authors recommend maintaining the arterial catheter in place in this situation to facilitate administering … Regular visual monitoring of a limb with an arterial line is especially important in sedated patients
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psnet.ahrq.gov/primer/leadership-role-improving-safety
September 07, 2019 - culture of safety , responding to patient and staff concerns, supporting efforts to improve safety, and monitoring … not limited to) formulating the organizational mission and key goals, ensuring financial viability, monitoring … This situation is changing, driven by data on the influence of leadership engagement, as well as greater … practices include structured use of data to enhance care by setting specific quality goals and regularly monitoring
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psnet.ahrq.gov/issue/does-nurse-use-standardized-flowsheet-document-communication-advanced-providers-provide
June 22, 2022 - Continuous monitoring with pulse oximeters can alert nurses to changes in patient status, but, like most … May 3, 2023
Improving shared situation awareness for high-risk therapies in hospitalized
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psnet.ahrq.gov/node/851099/psn-pdf
June 28, 2023 - An arterial line was inserted into the left radial artery to enable close monitoring of the
patient’ … In this situation, backflow from
the catheter is very sluggish and fluids infuse into the artery. … complete thrombosis on ultrasound after removal of the catheter.23 Yet hand ischemia is very rare in this
situation … Some authors recommend
maintaining the arterial catheter in place in this situation to facilitate administering … Regular visual monitoring of a limb with an arterial line is especially important in sedated patients
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psnet.ahrq.gov/issue/potential-uses-ai-perioperative-nursing-handoffs-qualitative-study
September 01, 2021 - 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/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
March 15, 2023 - Colton Hood about Remote Patient Monitoring. PSNet [internet]. … monitoring. … That situation extends to the concept of hospital-at-home, which functions as a remote monitoring solution … minutes of monitoring for billing purposes. … Medical care can be challenging in that situation.
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psnet.ahrq.gov/node/60011/psn-pdf
March 04, 2020 - UCSD, doc who overdosed in hospital bathroom face
lawsuits.
March 4, 2020
Clark C. MedPage Today. February 10, 2020.
https://psnet.ahrq.gov/issue/ucsd-doc-who-overdosed-hospital-bathroom-face-lawsuits
It is an institutional responsibility to monitor physicians exhibiting performance issues that put pati…
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psnet.ahrq.gov/issue/national-trends-safety-performance-electronic-health-record-systems-childrens-hospitals
July 29, 2020 - December 7, 2016
View More
Related Resources
Improving shared situation … August 15, 2016
Monitoring the harm associated with use of anticoagulants in pediatric
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psnet.ahrq.gov/issue/adverse-events-associated-patient-isolation-systematic-literature-review-and-meta-analysis
May 19, 2021 - December 2, 2020
Situation awareness and the mitigation of risk associated with patient … , 2023
Root cause analysis using the prevention and recovery information system for monitoring