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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
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psnet.ahrq.gov/periodic-issue/periodic-issue-341
May 16, 2022 - Commentary
Clinical progress note: situation awareness for clinical deterioration … Situation awareness supports effective teamwork and safe care delivery. … This commentary highlights the role of situation awareness in watching the condition of pediatric inpatients … event review, psychological safety, and patient and family partnering as mechanisms improved through situation … Identifying Safety Events in the Prehospital Setting May 16, 2022
This piece focuses on measuring and monitoring
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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/issue/multidisciplinary-team-training-simulation-setting-acute-obstetric-emergencies-systematic
February 17, 2021 - support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring
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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
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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
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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…
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psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_intraoperative_awareness_during_rhinoplasty_slides_final.pptx
January 01, 2024 - complications.
5
5
Case Details (2)
During the first follow-up visit, the surgeon did not address the situation … 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.
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psnet.ahrq.gov/node/49573/psn-pdf
January 01, 2009 - traded off against the potential
benefits of the additional care provided by ICU nurses and specialized monitoring … most policies
currently recommend a "blanket" approach to standardization of content or format (e.g., Situation … by grouping patients under the care of a particular provider in one place and enabling peripheral
monitoring … Local actors must tailor a distant supervisor's plan to
the situation.
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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.
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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
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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. … Coordination of Disease Treatment and Palliative Care
November 30, 2021
Optimizing situation
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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
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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
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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
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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
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psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
January 29, 2021 - During the first follow-up visit, the surgeon did not address the situation, so the patient brought it … Consider intraoperative processed EEG monitoring Processed EEG monitoring is often used during total … 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.
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psnet.ahrq.gov/node/33766/psn-pdf
May 01, 2014 - Performance monitoring
and feedback was a third element of the strategy. … DP: Auditing is performed using infection control practitioners monitoring practices in different wards … The benefit of direct monitoring is
that you know exactly what you are observing, and when you offer … Thus, a system monitoring only the use of alcohol-based hand rub will give only a partial
idea of the … But it is feasible
once people have really standardized the monitoring of hand hygiene performance.
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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
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psnet.ahrq.gov/node/60268/psn-pdf
April 29, 2020 - balance between clotting in the ECMO circuit and bleeding in the patient is delicate and requires close
monitoring … 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 … physician on the
other side of pump) keeps the same controlled distance but with eyes ahead and on the monitoring