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Showing results for "situation monitoring".

221. 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

222. Mental models: a basic concept for human factors design in infection prevention. | PSNet
     psnet.ahrq.gov/issue/mental-models-basic-concept-human-factors-design-infection-prevention
     April 26, 2017 - Commentary Mental models: a basic concept for human factors design in infection prevention. Citation Text: Sax H, Clack L. Mental models: a basic concept for human factors design in infection prevention. J Hosp Infect. 2015;89(4):335-9. doi:10.1016/j.jhin.2014.12.008. Copy Citation …

223. 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.

224. 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

225. Psn-Pdf (pdf file)
     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

226. 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.

227. 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

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

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

230. Impacts of operational failures on primary care physicians' work: a critical interpretive synthesis of the literature. | PSNet
     psnet.ahrq.gov/issue/impacts-operational-failures-primary-care-physicians-work-critical-interpretive-synthesis
     May 22, 2024 - August 28, 2024 Why is safety in intrapartum electronic fetal monitoring so hard? … December 1, 2021 A meta-review of methods of measuring and monitoring safety in primary

231. Evaluation of an automated surveillance system using trigger alerts to prevent adverse drug events in the intensive care unit and general ward. | PSNet
     psnet.ahrq.gov/issue/evaluation-automated-surveillance-system-using-trigger-alerts-prevent-adverse-drug-events
     August 30, 2017 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring April 26, 2023 … Perspective Surveillance Monitoring to Improve Patient Safety … December 21, 2018 Impact of non-interruptive medication laboratory monitoring alerts

232. ASHP guidelines on perioperative pharmacy services. | PSNet
     psnet.ahrq.gov/issue/ashp-guidelines-perioperative-pharmacy-services
     December 21, 2014 - February 7, 2023 APSF endorsed statement on revising recommendations for patient monitoring

233. Why and how to approach user experience in safety-critical domains: the example of health care. | PSNet
     psnet.ahrq.gov/issue/why-and-how-approach-user-experience-safety-critical-domains-example-health-care
     May 05, 2021 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring April 26, 2023 … Perspective Surveillance Monitoring to Improve Patient Safety

234. The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test study. | PSNet
     psnet.ahrq.gov/issue/accuracy-global-trigger-tool-higher-identification-adverse-events-greater-harm-diagnostic
     November 17, 2021 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring April 26, 2023 … Perspective Surveillance Monitoring to Improve Patient Safety

235. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-428
     February 28, 2024 - Newspaper/Magazine Article Three quarters of preventable patient harm stems from situation … Situation awareness is a crisis management concept drawn from aviation safety to be used in examination … This article introduces situation awareness and how lack thereof can jeopardize patient safety. … The commentary highlights the importance of vigilant monitoring and good communication to identify and

236. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture | PSNet
     psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
     March 15, 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.

237. 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 …

238. 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.

239. Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. | PSNet
     psnet.ahrq.gov/issue/challenges-nurses-efforts-retrieving-documenting-and-communicating-patient-care-information
     November 18, 2016 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring April 26, 2023 … Perspective Surveillance Monitoring to Improve Patient Safety

240. 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.