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psnet.ahrq.gov/issue/relationship-between-inpatient-cardiac-surgery-mortality-and-nurse-numbers-and-educational
September 29, 2017 - support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring … care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation
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psnet.ahrq.gov/issue/association-between-day-delivery-and-obstetric-outcomes-observational-study
January 07, 2015 - May 4, 2016
Monitoring patient safety in primary care: an exploratory study using in-depth … September 16, 2009
Supporting structures for team situation awareness and decision making
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psnet.ahrq.gov/issue/improving-safety-hospitalized-patients-much-progress-many-challenges-remain
September 24, 2017 - September 24, 2017
Optimizing situation awareness to reduce emergency transfers in hospitalized … May 11, 2022
Measuring patient safety: the Medicare Patient Safety Monitoring System
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psnet.ahrq.gov/primer/leadership-role-improving-safety
September 15, 2024 - 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/node/845472/psn-pdf
March 15, 2023 - Colton Hood about Remote Patient Monitoring. PSNet
[internet]. 2023. … 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/33812/psn-pdf
August 01, 2016 - In this situation, it's more difficult to avoid personal responsibility. … The usual situation is that the dentist teaches the procedure to a dental assistant, and afterward he's … It also proposes measures for improvement and for
monitoring current compliance. … Regarding dental practice, I don't have data to compare the situation here with the situation in the
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psnet.ahrq.gov/issue/intervention-increase-situational-awareness-and-culture-mutual-care-foco-and-its-effects
November 21, 2021 - January 17, 2018
Why is safety in intrapartum electronic fetal monitoring so hard?
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psnet.ahrq.gov/issue/nursing-interventions-reduce-medication-errors-paediatrics-and-neonates-systematic-review-and
November 24, 2021 - February 2, 2022
Interventions to reduce medication dispensing, administration, and monitoring … March 10, 2021
Situation awareness and the mitigation of risk associated with patient
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psnet.ahrq.gov/web-mm/inadvertent-castration
October 27, 2010 - This procedure may have occurred in a hospital where an urologist was not immediately available, a situation … state generally known as "situation awareness … "( 10 ) In medical accidents, gaps in situation awareness and experience, rather than lack of medical … knowledge, are often to blame.( 11 ) Combating cognitive errors and supporting situation awareness requires … supreme commander,' with sole responsibility for the safe functioning of the team, with some indirect monitoring
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psnet.ahrq.gov/node/49765/psn-pdf
August 21, 2016 - Monitoring and
alerting technology may also be helpful. … monitoring for problems, alerting clinicians when
appropriate, and providing intuitive and accurate … Relative value of central-venous-pressure monitoring and blood-volume measurement in the
management … Situation awareness in anesthesia: concept
and research. Anesthesiology. 2013;118:729-742. … The role of situation awareness in naturalistic decision making. In: Zsambok CE, Klein G,
eds.
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psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
July 02, 2019 - set in the electronic medical record had undergone significant revision and now contained dosing and monitoring … proper bolus dosing, correct rate of maintenance infusion, and appropriate timing of anticoagulation monitoring … The case indicates that the heparin infusion order set in question "now contained dosing and monitoring … order set is not appropriate for a given patient due to specific aspects of that patient's medical situation … Therefore, a best practice in such a situation would be to augment such electronic communications and
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psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
September 27, 2023 - Due to the urgency of the situation, the primary nurse overrode the automated dispensing unit and mistakenly … He was placed on cardiorespiratory and end tidal carbon dioxide monitoring. … configuring the electronic health record to flow overrides into the pharmacist queue to allow for real-time monitoring … improves the patient’s psychotic symptoms, agitation may improve after a single dose, but continued monitoring
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psnet.ahrq.gov/issue/development-electronic-pediatric-all-cause-harm-measurement-tool-using-modified-delphi-method
July 03, 2016 - February 8, 2023
Improving shared situation awareness for high-risk therapies in hospitalized … September 1, 2016
Monitoring the harm associated with use of anticoagulants in pediatric
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psnet.ahrq.gov/issue/understanding-how-rapid-response-systems-may-improve-safety-acutely-ill-patient-learning
July 08, 2015 - May 29, 2013
Supporting structures for team situation awareness and decision making: … incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring
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psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
February 26, 2025 - the importance of having communications and reporting platforms in place such as real time patient monitoring … Technical resources such as real-time data monitoring capabilities and conducting remote tele-consults … Technical resources such as real-time data monitoring capabilities and conducting remote tele-consults … initiate and sustain the innovation; organizations must be able to react to the changing needs of a situation … Strategies for monitoring and updating clinical practice guidelines: a systematic review.
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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/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/node/44307/psn-pdf
November 06, 2015 - skills used by anaesthetic technicians
in critical incidents reported to the Australian Incident
Monitoring … non-technical skills used by anaesthetic technicians in critical incidents
reported to the Australian Incident Monitoring
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psnet.ahrq.gov/web-mm/elopement
July 14, 2010 - Finding that a patient has "gone missing" is a scary situation for providers and patients' families. … without informing staff, response to their absence is based on what is reasonable for the particular situation … policies and procedures in place indicating the steps that personnel are to follow in any elopement situation … Such a protocol may include locating the patient close to the desk, placing an electronic monitoring … In one ED, the use of the RF devices and a new triage protocol reduced the need for one-to-one monitoring
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psnet.ahrq.gov/node/33808/psn-pdf
May 01, 2016 - Hospitals should not only have a policy for electrode
changes, but also for monitoring and replacing … .(6) Drew and
colleagues (14) have created a practice standard for ECG monitoring in hospitals that … some alarms are truly
appropriate, and silencing them indiscriminately can lead to a life-threatening situation … Physiologic monitoring alarm load on medical/surgical floors of a community
hospital. … Practice standards for ECG monitoring in hospital settings: executive summary and
guide for implementation