Results

Total Results: 928 records

Showing results for "situation monitoring".

161. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.311_slideshow.ppt
     December 01, 2013 - advantages: Fixed-dose oral dosing Fewer drug–drug and dietary interactions No need for routine coagulation monitoring … However, patients and providers sometimes prefer using TSOACs due to ease of administration and to avoid monitoring … not experience harm, but this was a near miss Two factors increased the likelihood of error in this situation … MedWatch/SafetyInformation/ucm250657.htm 19 Common Potential Errors With TSOAC Use (3) Inappropriate monitoring … to inappropriate patients, recommending an inappropriate dose or administration, and inappropriate monitoring

162. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866434/psn-pdf
     August 07, 2024 - first 6 months, highlighting the importance of proactive identification of unsafe situations and close monitoring

163. Empty Handoff | PSNet
     psnet.ahrq.gov/web-mm/empty-handoff
     August 01, 2017 - The electronic health record (EHR) did not reflect the glucose levels because the bedside glucose-monitoring … Perhaps the most ubiquitous attempt to standardize handoffs has been the SBAR (situation, background, … All members have dedicated tasks: -  Ventilation: anesthetists   -  Monitoring … capture by most able team member ("lollipop man"), who notices, understands, and predicts consequences Situation … awareness Consultants maintain overall picture and awareness by standing back and monitoring rather

164. Premature or Overdue? | PSNet
     psnet.ahrq.gov/web-mm/premature-or-overdue
     December 23, 2020 - Prior to inducing labor, fetal heart rate monitoring and an ultrasound assessment of the fetus were warranted … It is important for each new team of caregivers to re-evaluate the clinical situation. … Induction of labor as compared with serial antenatal monitoring in post-term pregnancy. … Involved in Prescribing the Wrong Medication September 30, 2020 Optimizing situation

165. Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
     January 01, 2023 - until it is safe to perform the first tracheostomy tube change, but the team should acknowledge the situation … • Cuff pressure monitoring by manual manometer should be done every 8 to 12 hours and documented in … • Policy and staff education should include airway cuff pressure monitoring technique and protocols … Under or overpressure: an audit of endotracheal cuff pressure monitoring at the tertiary care center. … Monitoring during mechanical ventilation. Respir Care. 2020;65(6):832-846.

166. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/855432/psn-pdf
     November 15, 2023 - 3,986 registered nurses, the majority (83%) reported alarm fatigue and over half (55%) experienced a situation

167. Hyperglycemia and Switching to Subcutaneous Insulin | PSNet
     psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
     May 19, 2021 - and attending saw the patient and decided to transfer him to the intensive care unit (ICU) for closer monitoring … Maintaining the continuous insulin and dextrose infusions in this situation would have been a better … approach, allowing for closer monitoring and titration of insulin dosing even while the patient was NPO … use of protocols to transition from IV to subcutaneous insulin Tasks High workload and time pressure situation … management Attending physician oversight of plan of care upon ICU transfer Organizational performance monitoring

168. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33586/psn-pdf
     December 15, 2024 - they computerized provider order entry systems (CPOE), smart intravenous infusion pumps, or cardiac monitoring … deaths over a 5-year period attributable to failure to appropriately heed alarms from physiologic monitoring

169. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49532/psn-pdf
     March 15, 2007 - wrong" rule-based errors—the rule is strong in general but was inappropriate or misapplied in this situation … of insulin requirements and institution of a variable-rate insulin infusion with frequent glucose monitoring … Implementing these algorithms requires adequate training and supervision of staff and close monitoring … Information technology (e.g., EHR and CPOE) can serve as a useful tool to improve monitoring and ordering

170. Operational failures in general practice: a consensus-building study on the priorities for improvement. | PSNet
     psnet.ahrq.gov/issue/operational-failures-general-practice-consensus-building-study-priorities-improvement
     February 07, 2024 - Related Resources From the Same Author(s) Why is safety in intrapartum electronic fetal monitoring … May 13, 2020 Effectiveness and safety of pulse oximetry in remote patient monitoring … August 3, 2022 Impact of non-interruptive medication laboratory monitoring alerts in

171. World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. | PSNet
     psnet.ahrq.gov/issue/world-health-organization-world-federation-societies-anaesthesiologists-who-wfsa
     November 16, 2015 - related to professional qualification; facilities and equipment ; medications and intravenous fluids; monitoring … October 10, 2012 Recommended guidelines for monitoring, reporting, and conducting research … Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring

172. Awareness and use of a cognitive aid for anesthesiology. | PSNet
     psnet.ahrq.gov/issue/awareness-and-use-cognitive-aid-anesthesiology
     January 05, 2017 - August 21, 2019 Customer focused incident monitoring in anaesthesia.

173. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35104/psn-pdf
     April 06, 2011 - Using the first 4000 reports from the Australian Incident Monitoring Study (AIMS), a team of anesthetists

174. Chest Tube Complications | PSNet
     psnet.ahrq.gov/web-mm/chest-tube-complications
     September 27, 2023 - ventilation, which increases the likelihood and risk of an air leak).( 11 ) During a clamp trial, close monitoring … this case include lack of clear guidelines on chest tube removal, such as assigning responsibility for monitoring … chest tube care path that outlines an algorithm for safe removal of chest tubes, including frequency of monitoring … September 25, 2019 Improving situation awareness to advance patient outcomes: a systematic

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72811/psn-pdf
     September 01, 2022 - Version 2.0 incorporates dynamic ECG monitoring, imaging display, videoconferencing facilities, and

176. 2008 Recommendations for Pre-Anesthesia Checkout Procedures.  | PSNet
     psnet.ahrq.gov/issue/2008-recommendations-pre-anesthesia-checkout-procedures
     April 22, 2020 - , 2021 Root cause analysis using the prevention and recovery information system for monitoring … August 9, 2023 APSF endorsed statement on revising recommendations for patient monitoring

177. Improving Patient Safety with Human Factors Methods. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety-human-factors-methods
     June 12, 2019 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring April 26, 2023 … Perspective Surveillance Monitoring to Improve Patient Safety

178. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/865308
     January 01, 2024 - resilience both focus on what goes right in healthcare and adjusting to disturbances through anticipation, monitoring … technology has improved many aspects of care, but can also introduce new safety concerns that require active monitoring … resilience both focus on what goes right in healthcare and adjusting to disturbances through anticipation, monitoring … technology has improved many aspects of care, but can also introduce new safety concerns that require active monitoring

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42300/psn-pdf
     May 29, 2013 - effect-noise-auditory-processing-operating-room https://psnet.ahrq.gov/issue/ergonomic-and-human-factors-affecting-anesthetic-vigilance-and-monitoring-performance

180. Psn-Pdf (pdf file)
     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 … It cannot be emphasized enough that this is a high-pressure and risky situation, and the caregivers … This approach requires careful monitoring of the airway while the patient is being transported to the