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Total Results: 928 records

Showing results for "situation monitoring".

201. Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors | PSNet
     psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
     May 31, 2023 - Version 2.0 incorporates dynamic ECG monitoring, imaging display, videoconferencing facilities, and remote

202. Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hygiene events. | PSNet
     psnet.ahrq.gov/issue/out-sight-out-mind-prospective-observational-study-estimate-duration-hawthorne-effect-hand
     September 09, 2020 - This prospective study compared electronic hand hygiene monitoring versus human auditors to assess the … highly dynamic across time and auditor location, indicating a need for alternative and complementary monitoring

203. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49556/psn-pdf
     March 01, 2008 - Most frequently, hold orders are written for medications associated with specific monitoring parameters … The physician wrote an order to "Hold Coumadin" without any monitoring parameters. … In this situation, the intern was unfamiliar with the organization's policy that all hold orders are

204. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49592/psn-pdf
     October 01, 2009 - The nurse informed them that hospital policy prohibited sedation in the unit without monitoring. … In the meantime, propofol was administered without monitoring. … Upon her return, the nurse observed that the child was apneic and again requested monitoring. … The situation was "saved" by the patient's nurse, who in the midst of a very difficult encounter with … Monitoring for continued abuse of people and policies is the responsibility of physician and nurse leaders

205. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867357/psn-pdf
     December 18, 2024 - In this clinical situation the capnograph is especially helpful because it can rule out esophageal intubation … Continuous monitoring of ventilation with a capnograph can diagnose this complication early, before … An analysis of the reports submitted to the Australian Incident Monitoring Study in Intensive Care. … Capnography for Monitoring End-Tidal CO2 in Hospital and Pre-hospital Settings: A Health Technology

206. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849679/psn-pdf
     June 28, 2023 - Describe how tracheostomy teams, staff education and cuff monitoring protocols help to avoid tracheostomy … This case highlights the importance of monitoring endotracheal and tracheostomy tube balloon pressures … until it is safe to perform the first tracheostomy tube change, but the team should acknowledge the situation … Policy and staff education should include airway cuff pressure monitoring technique and protocols. … Monitoring during mechanical ventilation. Respir Care. 2020;65(6):832-846. [Free full text] 16.

207. Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety. | PSNet
     psnet.ahrq.gov/issue/does-simulation-improve-patient-safety-self-efficacy-competence-operational-performance-and
     May 25, 2016 - Commentary Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety. Citation Text: Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety. A…

208. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33566/psn-pdf
     September 15, 2024 - coupling teamwork training programs with more specific efforts to structure communication, such as SBAR (situation

209. Adapting to new technologies in the operating room. | PSNet
     psnet.ahrq.gov/issue/adapting-new-technologies-operating-room
     January 16, 2017 - look at technology’s impact on human performance by studying the implementation of a new physiological monitoring

210. Hypoxemia after Emergency Intubation | PSNet
     psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
     March 24, 2019 - In this clinical situation the capnograph is especially helpful because it can rule out esophageal intubation … Continuous monitoring of ventilation with a capnograph can diagnose this complication early, before the … An analysis of the reports submitted to the Australian Incident Monitoring Study in Intensive Care. … Capnography for Monitoring End-Tidal CO2 in Hospital and Pre-hospital Settings: A Health Technology Assessment

211. Bloody BP Cuff | PSNet
     psnet.ahrq.gov/web-mm/bloody-bp-cuff
     June 21, 2016 - Blood contamination of anesthesia equipment and monitoring equipment.

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49398/psn-pdf
     May 01, 2003 - Blood contamination of anesthesia equipment and monitoring equipment.

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74252/psn-pdf
     January 12, 2022 - There was an ongoing need for increased vigilance in patient monitoring.

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49565/psn-pdf
     July 01, 2008 - The LPN's role should have been limited to monitoring the nutrients over the course of the infusion. … In this situation, the bag and the tubing should have been clearly marked for IV USE ONLY.

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866370/psn-pdf
     July 31, 2024 - During the first follow-up visit, the surgeon did not address the situation, so the patient brought … Processed EEG monitoring can also help to prevent intraoperative awareness. … Processed EEG monitoring can reduce the incidence of awareness. … Monitoring of anesthesia by Bispectral Analysis of EEG Signals. … monitoring in patients undergoing inhalational general anaesthesia.

216. Technology, Education and Safety. | PSNet
     psnet.ahrq.gov/issue/technology-education-and-safety-1
     November 15, 2023 - Special or Theme Issue Technology, Education and Safety. Citation Text: Technology, Education and Safety. Arna D, ed. Curr Opin Anaesthesiol. 2022;35(6):710-737. Copy Citation Save Save to your library Print Download PDF Share Facebook …

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33579/psn-pdf
     September 15, 2024 - Systems Approach September 15, 2024 Systems Approach. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/systems-approach PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in …

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49607/psn-pdf
     August 01, 2010 - The system should also provide its users adequate data for further improvement—for instance, a daily monitoring … For example, it may be necessary to assign a person responsible for monitoring the change-of-shift assignment … System measurement and monitoring: Any new process should have specific measurements identified, implemented … IT policies and procedures responsible for overseeing HIT system procurement, implementation, use, monitoring … System measurement and monitoring Effective measurement and monitoring programs address four key issues

219. Diffusion of Responsibility Leads to Danger | PSNet
     psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
     November 08, 2013 - 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

220. A scoping review of distributed cognition in acute care clinical decision-making. | PSNet
     psnet.ahrq.gov/issue/scoping-review-distributed-cognition-acute-care-clinical-decision-making
     April 08, 2020 - support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring … January 20, 2021 Patient monitoring alarms in the ICU and in the operating room.