-
psnet.ahrq.gov/issue/alarm-burden-and-nursing-care-environment-213-hospital-cross-sectional-study
October 25, 2023 - 3,986 registered nurses, the majority (83%) reported alarm fatigue and over half (55%) experienced a situation … Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety … Acute Hospital Care Units
April 26, 2023
Health system redesign of cardiac monitoring
-
psnet.ahrq.gov/node/36348/psn-pdf
March 09, 2009 - The program consists of teaching core skills in leadership, situation monitoring, team support, and
-
psnet.ahrq.gov/perspective/remote-patient-monitoring
March 15, 2023 - Remote Patient Monitoring. PSNet [internet]. … Remote Patient Monitoring. PSNet [internet]. … monitoring. … That situation extends to the concept of hospital-at-home, which functions as a remote monitoring solution … Medical care can be challenging in that situation.
-
psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
May 01, 2012 - Arguably the bedside is the most important situation for the physician to perceive and understand. … of interest is the first step in recognizing what might be wrong with the situation, and it supports … Situation awareness global assessment technique (SAGAT). … Toward a theory of situation awareness in dynamic systems. Hum Factors. 1995;37:32-64. … Beyond monitoring: distributed situation awareness in anaesthesia. Br J Anaesth. 2010;105:83-90.
-
psnet.ahrq.gov/issue/monitoring-harm-associated-use-anticoagulants-pediatric-populations-through-trigger-based
November 11, 2015 - Study
Monitoring the harm associated with use of anticoagulants in pediatric populations … Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based … Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based … Technology as a Tool for Improving Patient Safety
March 29, 2023
Improving shared situation
-
psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
July 07, 2021 - results indicate that moving the handover to the bedside and using a structured approach, such as Situation … November 24, 2021
Situation awareness and the mitigation of risk associated with patient … February 2, 2022
Interventions to reduce medication dispensing, administration, and monitoring
-
psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
January 07, 2015 - Fortunately, the nurse recognized the situation quickly, and the resident deflated the balloon and withdrew … The Commentary Pulmonary artery (PA) catheter insertion and monitoring was very common during anesthesia … Indications for PA catheter monitoring continue to be debated. … These often occur in a manner creating a situation never seen before by the involved personnel, thus … January 7, 2015
Standards for patient monitoring during general anesthesia at Harvard
-
psnet.ahrq.gov/node/837734/psn-pdf
July 27, 2022 - Can the standard configuration of a cardiac monitor lead
to medical errors under a stress induction?
July 27, 2022
Dzisko M, Lewandowska A, Wudarska B. Can the standard configuration of a cardiac monitor lead to
medical errors under a stress induction? Sensors (Basel). 2022;22(9):3536. doi:10.3390/s22093536.
https…
-
psnet.ahrq.gov/issue/racial-and-ethnic-disparities-treatment-chronic-pain
December 16, 2020 - between non-White race and treatment of chronic pain as well as racial differences in long-term monitoring … Resources From the Same Author(s)
Alternatives to opioid education and a prescription drug monitoring … February 8, 2023
View More
Related Resources
Teamwork matters: team situation
-
psnet.ahrq.gov/issue/artificial-intelligence-patient-safety-and-achieving-quintuple-aim-anesthesiology
October 25, 2023 - January 2, 2011
APSF endorsed statement on revising recommendations for patient monitoring … October 26, 2022
Three quarters of preventable patient harm stems from situation awareness … November 30, 2022
APSF endorsed statement on revising recommendations for patient monitoring
-
psnet.ahrq.gov/node/43664/psn-pdf
September 01, 2016 - too frequent or perceived to be clinically
irrelevant, can lead to lack of awareness of an unsafe situation … This
retrospective review examined all alarm data regarding physiologic monitoring, including
electrocardiogram
-
psnet.ahrq.gov/node/33589/psn-pdf
September 07, 2019 - reluctance to simplify explanations for
operations, successes, and failures; sensitivity to operations (situation … This sensitivity is often referred to
as "big picture understanding" or "situation awareness." … Thus, people in HROs know that in a crisis or
emergency the person with greatest knowledge of the situation … Deference to local and situation expertise results in
a spirit of inquiry and de-emphasis on hierarchy … Teams cultivate situation assessment and cross monitoring so
they may identify potential safety threats
-
psnet.ahrq.gov/issue/ritualisation-surgical-safety-checklist-and-its-decoupling-patient-safety-goals
January 19, 2022 - Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation … April 30, 2014
Measuring patient safety: the Medicare Patient Safety Monitoring System … Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation
-
psnet.ahrq.gov/innovation/reducing-hospital-harm-establishing-command-centre-foster-situational-awareness
June 29, 2022 - 3 (CC3), which will focus on supporting broader health and wellness, including virtual visits, home monitoring … Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety
-
psnet.ahrq.gov/node/49725/psn-pdf
January 01, 2015 - Fortunately, the nurse recognized the situation
quickly, and the resident deflated the balloon and withdrew … psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
The Commentary
Pulmonary artery (PA) catheter insertion and monitoring … Indications for PA
catheter monitoring continue to be debated. … These often occur in a manner creating a situation never seen before by the involved
personnel, thus … a strong safety culture, can ensure that all steps in a process and factors
in a critical clinical situation
-
psnet.ahrq.gov/issue/pathology-oversight-failures-veterans-health-care-system-ozarks-fayetteville-arkansas-va
July 14, 2021 - This report examines a long-term situation that, due to failure of reporting and other system issues … Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring … December 6, 2017
Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical
-
psnet.ahrq.gov/node/46071/psn-pdf
March 20, 2018 - Evaluating situation awareness: an integrative review.
March 20, 2018
Orique SB, Despins L. … Evaluating Situation Awareness: An Integrative Review. … https://psnet.ahrq.gov/issue/evaluating-situation-awareness-integrative-review
Situation awareness in … Examining tools to monitor situation awareness
among nurses, this review determined that measures to … A WebM&M
commentary discussed situation awareness and patient safety.
-
psnet.ahrq.gov/issue/effect-virtual-nursing-and-missed-nursing-care
December 01, 2021 - RIS
Download Citation
Related Resources From the Same Author(s)
Situation … Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety … See More About The Topic
Hospitals
Nurse Managers
Medical/Surgical Nursing
Monitoring
-
psnet.ahrq.gov/node/49696/psn-pdf
December 01, 2013 - Although this patient did not experience any harm, the above situation would be characterized as a near … Two factors increased the likelihood of error in this situation: (i) the limited clinical experience … TSOACs may also not be
appropriate for patients who have a very high bleeding risk, such as in the situation … Indications, Dosing, and Monitoring for Anticoagulant Medications. … Drug
FDA-approved
indications
Dosing
Coagulation
monitoring?
Reversible?
-
psnet.ahrq.gov/web-mm/no-bp-during-nibp
March 01, 2011 - Per American Society of Anesthesiologists guidelines, monitoring included continuous electrocardiography … Situation awareness in anesthesiology. Hum Factors. 1995;37:20-31. … Standards For Basic Anesthetic Monitoring. … Near real-time notification of gaps in cuff blood pressure recordings for improved patient monitoring … care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation