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psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - Version 2.0 incorporates dynamic ECG monitoring, imaging
display, videoconferencing facilities, and
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psnet.ahrq.gov/issue/potential-artificial-intelligence-improve-patient-safety-scoping-review
March 09, 2022 - 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/web-mm/complications-ecmo-during-transport
January 27, 2021 - should be commenced after a timeout, which includes a short introduction of the patient and the current situation … A Situation-Background-Assessment-Recommendation ( SBAR) format is advisable for such briefings. 10,11 … evaluated and the "Treatment A-B-C" may be the best tool for a structured evaluation in a stressful situation … 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/issue/improving-follow-abnormal-cancer-screens-using-electronic-health-records-trust-verify-test
July 14, 2010 - September 29, 2017
Impact of non-interruptive medication laboratory monitoring alerts … A randomized trial of electronic clinical reminders to improve medication laboratory monitoring … Impact of health information technology interventions to improve medication laboratory monitoring
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psnet.ahrq.gov/issue/liability-associated-obstetric-anesthesia-closed-claims-analysis
July 13, 2010 - June 22, 2017
System errors in intrapartum electronic fetal monitoring: a case review … June 15, 2012
Customer focused incident monitoring in anaesthesia.
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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.
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psnet.ahrq.gov/node/33815/psn-pdf
September 01, 2016 - Advanced communications and monitoring technologies facilitate the exchange of a patient's information … nurse elicitation (30%) or patient detection (11%) alone.(7) Another
similar application is used for monitoring … Heart failure remote monitoring: evidence from
the retrospective evaluation of a real-world remote monitoring … Frequent home monitoring of ICD is effective to prevent
inappropriate defibrillator shock delivery.
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psnet.ahrq.gov/issue/paramedics-and-effects-shift-work-sleep-literature-review
July 24, 2017 - February 28, 2018
Ergonomic and human factors affecting anesthetic vigilance and monitoring
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psnet.ahrq.gov/issue/implementing-human-factors-anaesthesia-guidance-clinicians-departments-and-hospitals
February 15, 2023 - August 24, 2022
APSF endorsed statement on revising recommendations for patient monitoring
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psnet.ahrq.gov/periodic-issue/periodic-issue-320
November 30, 2021 - Two emerging concepts – situation awareness and teamwork – can enhance clinical reasoning within simulation … Situation awareness refers to the degree to which perception matches reality. … Three overarching themes were identified: (1) individual, team and systems perspectives of situation … awareness; (2) situation awareness and patient safety, and (3) communication tools, technologies and … education to support situation awareness.
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psnet.ahrq.gov/issue/advances-human-factors-and-ergonomics-healthcare-and-medical-devices
August 28, 2019 - 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/issue/first-year-analysis-operating-room-black-box-study
October 16, 2019 - This study reports on initial data from the OR Black Box , a novel monitoring technology that integrates … continuous monitoring of intraoperative data with video and audio recording of operative procedures.
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psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
January 12, 2011 - This can be followed by other team behaviors (closed loop communication, task assistance, cross-monitoring … These champions ensure that structured meetings occur throughout the day to update the teams' situation … They teach and coach CRM concepts such as cross-monitoring, conflict resolution, effective communication … Staff must learn to develop situation awareness for and cross-monitoring of multiple caregivers, caring
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psnet.ahrq.gov/node/33735/psn-pdf
August 01, 2012 - ) Errors associated with
preventable drug-related injuries occurred most often at the ordering and monitoring … anticoagulant therapy
with newer agents, with equivalent or improved safety, and with reduced dosing and monitoring … Many prescribing and monitoring errors stem directly from inadequate
information at the time of ordering … events in nursing home
residents.(13) Structured communication strategies, including the use of SBAR ("Situation
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psnet.ahrq.gov/issue/tele-rapid-response-team-tele-rrt-effect-implementing-patient-safety-network-system-outcomes
March 24, 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/issue/nursing-implications-early-warning-system-implemented-reduce-adverse-events-qualitative-study
October 27, 2021 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety … January 11, 2023
Health system redesign of cardiac monitoring oversight to optimize alarm
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psnet.ahrq.gov/periodic-issue/periodic-issue-309
September 29, 2021 - The authors found that potentially inappropriate prescribing and inadequate medication monitoring commonly … Review
A meta-review of methods of measuring and monitoring safety in primary care. … This meta-review provides an overview of approaches to measuring and monitoring safety in primary care … The authors suggest that instead of developing new methods for measuring and monitoring safety, researchers … The commentary discusses the limitations of prescription drug monitoring program (PDMP) data for patients
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psnet.ahrq.gov/web-mm/back-basics
July 13, 2010 - wrong" rule-based errors—the rule is strong in general but was inappropriate or misapplied in this situation … assessment 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
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psnet.ahrq.gov/issue/maths-anxiety-and-medication-dosage-calculation-errors-scoping-review
September 01, 2016 - Review
Maths anxiety and medication dosage calculation errors: a scoping review.
Citation Text:
Williams B, Davis S. Maths anxiety and medication dosage calculation errors: A scoping review. Nurse Educ Pract. 2016;20:139-46. doi:10.1016/j.nepr.2016.08.005.
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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - to start dialysis after the patient was physically in the ICU and was unaware of
the urgency of the situation … If applied to the situation illustrated in the vignette, these systems would have decreased overcrowding