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psnet.ahrq.gov/issue/each-baby-counts-key-messages-2015
July 26, 2017 - A WebM&M commentary discusses how lapses in fetal monitoring can miss signs of distress that result
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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
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psnet.ahrq.gov/node/836876/psn-pdf
May 16, 2022 - psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
Introduction
Measuring and monitoring … complex challenges involved, leaders in the field are developing
novel ways to improve measurement and monitoring … Identifying Safety Events in the Prehospital Setting
The wide range of variability in measuring and monitoring … surveillance systems could move the EMS profession to a higher level of patient safety focused on
prevention, monitoring … Measurement and monitoring patient safety in
prehospital care: a systematic review.
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psnet.ahrq.gov/issue/opioid-wisely
April 06, 2022 - Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners.
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psnet.ahrq.gov/issue/canadian-patient-safety-institute
August 24, 2022 - Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners.
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psnet.ahrq.gov/issue/ucsd-doc-who-overdosed-hospital-bathroom-face-lawsuits
March 27, 2024 - Newspaper/Magazine Article
UCSD, doc who overdosed in hospital bathroom face lawsuits.
Citation Text:
UCSD, doc who overdosed in hospital bathroom face lawsuits. Clark C. MedPage Today. February 10, 2020.
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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
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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.
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psnet.ahrq.gov/node/49857/psn-pdf
March 01, 2019 - phases of the medication-use
process (prescribing, transcribing, storage/dispensing, administering, and monitoring … prescribing (17%).(3,4) The main causes of subcutaneous insulin
administration errors are incorrect monitoring … such as forms and checklists, face-to-face and electronic communications, and
frameworks like SBAR (Situation … this case, a discussion regarding
administration of the subcutaneous insulin, the plan for glucose monitoring
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psnet.ahrq.gov/node/863641/psn-pdf
February 28, 2024 - After the introduction, the curriculum has four modules: communication, team leadership,
situation monitoring … www.ahrq.gov/teamstepps-program/curriculum/team/index.html
https://www.ahrq.gov/teamstepps-program/curriculum/situation
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psnet.ahrq.gov/issue/scoping-review-real-time-automated-clinical-deterioration-alerts-and-evidence-impacts
February 16, 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/issue/using-automated-methods-detect-safety-problems-health-information-technology-scoping-review
April 07, 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/interview-jerry-gurwitz
August 11, 2010 - January 30, 2005
Beyond the prescription: medication monitoring and adverse drug events … February 13, 2008
Recommended guidelines for monitoring, reporting, and conducting research … support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring … August 19, 2009
Discrepant perceptions of communication, teamwork and situation awareness
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psnet.ahrq.gov/issue/human-factors-and-survey-methodology-based-design-web-based-adverse-event-reporting-system
January 12, 2012 - 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/systematic-review-evaluate-accuracy-electronic-adverse-drug-event-detection
October 05, 2011 - 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/prevalence-and-nature-adverse-medical-device-events-hospitalized-children
October 05, 2011 - March 14, 2022
Improving situation awareness to reduce unrecognized clinical deterioration
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psnet.ahrq.gov/issue/implementation-sbar-communication-technique-tertiary-center
March 27, 2019 - This article describes how one hospital employed a Situation-Background-Assessment-Recommendation (SBAR
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psnet.ahrq.gov/issue/canadian-patient-safety-dictionary
September 13, 2017 - December 10, 2024
Measurement and Monitoring of Safety Framework
October 24, 2021
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psnet.ahrq.gov/issue/safety-0
March 07, 2018 - Multi-use Website
Safety.
Citation Text:
Safety. Center for Health Design.
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June 15, 2016
Center for Heal…
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psnet.ahrq.gov/node/33807/psn-pdf
May 01, 2016 - She
also founded the ECG Monitoring Research Lab in the School of Nursing and mentored numerous
graduate … nurse and then a
new nurse—it's when hospital monitoring began. … BD: I have been in this cardiac monitoring business for over 40 years. … We have to look at these outlier patients and
weigh the benefits and risks of monitoring them. … problems, and knows that in the last 1000 cases an alarm has
fired in this type of patient—in this situation