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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
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psnet.ahrq.gov/issue/electronic-prescribing-improves-medication-safety-community-based-office-practices
January 19, 2014 - May 27, 2011
Evaluation of laboratory monitoring alerts within a computerized physician … Office
Health Care Providers
Facility and Group Administrators
Information Professionals
Monitoring
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psnet.ahrq.gov/issue/notification-abnormal-lab-test-results-electronic-medical-record-do-any-safety-concerns
April 04, 2011 - September 27, 2023
Impact of non-interruptive medication laboratory monitoring alerts … Impact of health information technology interventions to improve medication laboratory monitoring
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psnet.ahrq.gov/node/33642/psn-pdf
November 01, 2006 - DN: First, we need automatic equipment that at least can notice when we're reaching an untenable
situation … Then maybe we could change the situation. … Instead of standing over the patient and
monitoring them clinically, you are now sitting in front of
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psnet.ahrq.gov/issue/teamwork-and-communication
February 06, 2019 - November 28, 2018
Alarm Interventions During Medical Telemetry Monitoring: A Failure
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psnet.ahrq.gov/node/33604/psn-pdf
September 07, 2019 - allergies, and kidney and liver
function can result in recommendations for
changes in therapy or monitoring … pharmacist involvement has been shown to reduce
errors, improve prescribing practices, and enhance patient monitoring … This bundle of practices
resulted in significant increases in appropriate prescribing and monitoring
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psnet.ahrq.gov/primer/teamwork-training
September 07, 2019 - coupling teamwork training programs with more specific efforts to structure communication, such as SBAR (situation
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psnet.ahrq.gov/node/846768/psn-pdf
March 29, 2023 - continuous positive airway pressure via face mask, and sitting him upright might have
stabilized the situation … The American
Society of Anesthesiology now recommends the use of quantitative neuromuscular monitoring … recovery from neuromuscular blocking drugs prior to extubation.26 This quantitative
neuromuscular monitoring … Monitoring the
patient’s respiration and oxygenation is especially important immediately following extubation … SR, Weigel WA, Todd MM, et al. 2023 American Society of Anesthesiologists Practice
Guidelines for Monitoring
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psnet.ahrq.gov/periodic-issue/periodic-issue-435
April 10, 2024 - Review
Teamwork matters: team situation awareness to build high-performing healthcare … Situational awareness refers to the ability to perceive, understand, and respond to a situation. … discusses how components of effective teamwork (e.g., communication, psychological safety) foster team situation … The patient was admitted to the intensive care unit (ICU) for close monitoring.
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psnet.ahrq.gov/node/49482/psn-pdf
May 01, 2005 - Fetal monitoring was normal and the patient was discharged home. … In either situation,
clear communication between the emergency physician and obstetrician is important … urgent or emergent complaints, unless
clearly of no threat to the fetus, will undergo formal fetal monitoring … In an ED where a pregnant
woman may require a prolonged stay, a protocol to provide fetal monitoring … as in our institution, fetal
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https://psnet.ahrq.gov//#references
monitoring
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psnet.ahrq.gov/web-mm/silent-pain-neck
August 19, 2020 - Monitoring Specific protocols for monitoring patients after neck surgery vary across institutions. … 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 should … This approach requires careful monitoring of the airway while the patient is being transported to the … However, careful monitoring in a unit capable of providing early airway and surgical intervention is
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psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
November 15, 2023 - adverse outcomes of two of them were secondary to drugs given for sedation, while the third patient’s situation … massive pulmonary embolism in the procedural setting is a reminder of the need for careful, frequent monitoring … The cases presented above describe situations in which additional monitoring and staff could have been … Procedural sedation: a review of sedative agents, monitoring, and management of complications.
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psnet.ahrq.gov/issue/safety-requires-state-mindfulness
May 02, 2018 - June 20, 2018
Remote CPOE error—a situation that's more than remotely possible.
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psnet.ahrq.gov/issue/edge-nursing-age-complexity
August 20, 2012 - July 5, 2008
The Measurement and Monitoring of Safety.
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psnet.ahrq.gov/issue/impact-light-outcomes-healthcare-settings
October 24, 2012 - Related Resources
Perspective
Surveillance Monitoring
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psnet.ahrq.gov/issue/diagnostic-error-medicine
October 22, 2013 - April 4, 2018
Impact of non-interruptive medication laboratory monitoring alerts in ambulatory
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psnet.ahrq.gov/node/50696/psn-pdf
November 27, 2019 - adverse outcomes of two of them were
secondary to drugs given for sedation, while the third patient’s situation … massive pulmonary embolism in the procedural setting is a
reminder of the need for careful, frequent monitoring … The cases presented above describe situations in which additional monitoring and
staff could have been … Procedural sedation: a review of sedative agents, monitoring, and management of
complications.
-
psnet.ahrq.gov/node/49534/psn-pdf
May 01, 2007 - The safe prescribing and monitoring of antiseizure drugs are challenging for several reasons:
There … Given the complexity of this situation, one wonders whether a system-level solution might be helpful. … Some
institutions have in fact replaced total serum concentration monitoring with assays to measure … Evidence-based implementation of free phenytoin therapeutic
drug monitoring. … How to Avoid Common Errors in Dosing and Monitoring of Antiseizure Drugs
Error Comments and Avoidance
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psnet.ahrq.gov/issue/correlates-medication-error-hospitals
August 24, 2022 - Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners.
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psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
September 01, 2017 - 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