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Total Results: 1,021 records

Showing results for "situation monitoring".

281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49791/psn-pdf
     April 01, 2017 - such as epidural blockade) are performed is paramount.(8) The same level of lighting, physical space, monitoring … Following paravertebral blockade, patient monitoring for adverse effects or complications is required

282. In Conversation With… Erik Hollnagel, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd
     February 26, 2025 - people were trying to do what they thought was right at the moment, based on how they understood the situation … Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring April 26, 2023 … Perspective Surveillance Monitoring to Improve Patient Safety

283. Health technology, quality and safety in a learning health system. | PSNet
     psnet.ahrq.gov/issue/health-technology-quality-and-safety-learning-health-system
     February 09, 2022 - has improved many aspects of care, but can also introduce new safety concerns that require active monitoring

284. The impact of anti-infective drug shortages on hospitals in the United States: trends and causes. | PSNet
     psnet.ahrq.gov/issue/impact-anti-infective-drug-shortages-hospitals-united-states-trends-and-causes
     October 19, 2022 - This review discusses the shortage of anti-infective drugs and argues that the situation should be

285. Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts. | PSNet
     psnet.ahrq.gov/issue/failure-utilize-functions-electronic-prescribing-system-and-subsequent-generation-technically
     February 15, 2012 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring April 26, 2023 … Perspective Surveillance Monitoring to Improve Patient Safety

286. Report of the Independent Inquiry into the Issues Raised by Paterson. | PSNet
     psnet.ahrq.gov/issue/report-independent-inquiry-issues-raised-paterson
     November 16, 2022 - Patient Safety Alerts: Implementation, Monitoring and Regulation in England February 19, 2020

287. Hold That Order | PSNet
     psnet.ahrq.gov/web-mm/hold-order
     December 19, 2018 - 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

288. Resuscitation Errors: A Shocking Problem | PSNet
     psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
     October 19, 2022 - report.( 13 ) Unfortunately, it is often the case that these errors are only noted during an emergency situation … Simulated cardiac arrests for monitoring quality of in-hospital resuscitation. … February 7, 2024 Recommended guidelines for monitoring, reporting, and conducting research

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49638/psn-pdf
     January 01, 2012 - After stabilizing and monitoring the child's respiratory status, the ICU attending returned home. … Adequate systems were not in place to establish, review, or revise team understanding of the situation … an inquiry process that engages all relevant team members in reassessing their understanding of the situation … the child's condition are rather different than the implications of recognizing the severity of the situation

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49408/psn-pdf
     July 01, 2003 - one, where none of the personnel interacting with the patient would be likely to know her clinical situation … Reassuringly, a recent study from same group found that continuous monitoring resulted in significant … yet, they could institute Near-Miss Rounds,(20,21 ) or initiate a program of continuous wristband monitoring … A College of American Pathologists Q-Probes study of patient identification and vital sign monitoring … Continuous wristband monitoring over 2 years decreases identification errors: a College of American

291. Check the Wristband | PSNet
     psnet.ahrq.gov/web-mm/check-wristband
     August 03, 2009 - one, where none of the personnel interacting with the patient would be likely to know her clinical situation … Reassuringly, a recent study from same group found that continuous monitoring resulted in significant … yet, they could institute Near-Miss Rounds,( 20,21 ) or initiate a program of continuous wristband monitoring … A College of American Pathologists Q-Probes study of patient identification and vital sign monitoring … Continuous wristband monitoring over 2 years decreases identification errors: a College of American Pathologists

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49618/psn-pdf
     February 01, 2011 - Relevant to this particular situation, the ABIM MOC program has a Web-based tool called practice improvement … for patients with hepatitis C.(10) Currently, licensure does not specifically address this kind of situation … physicians and health care systems to self-regulate scope of practice via credentialing and local monitoring … Self-monitoring in clinical practice: a challenge for medical educators.

293. Psychology of error in relation to medical practice. | PSNet
     psnet.ahrq.gov/issue/psychology-error-relation-medical-practice
     January 11, 2006 - support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring … March 14, 2018 Evaluating clinical decision support systems: monitoring CPOE order check … May 19, 2010 Discrepant perceptions of communication, teamwork and situation awareness … January 30, 2005 Standards for patient monitoring during general anesthesia at Harvard

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33705/psn-pdf
     January 01, 2011 - As a direct result of this claim study, the committee developed standards for pulse oximetry monitoring … Standards for patient monitoring during anesthesia at Harvard Medical School. … Medication or treatment errors requiring clinical intervention (invasive procedure(s), increased monitoring … The attending should also be contacted if: Any trainee feels that a situation is more complicated than

295. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33779/psn-pdf
     March 01, 2015 - A similar situation has emerged regarding the broader area of improving transitions of care, particularly … The SBAR (Situation-Background-Assessment- Recommendation) and ANTICipate (Administrative data, New … most commonly due to nonadherence or underuse, untreated medical problems, and lack of therapeutic monitoring

296. Systems Approach | PSNet
     psnet.ahrq.gov/primer/systems-approach
     September 07, 2019 - Systems Approach Citation Text: Systems Approach. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downl…

297. Pregnant With Danger | PSNet
     psnet.ahrq.gov/web-mm/pregnant-danger
     January 12, 2011 - 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 … having a fetal monitor and labor and delivery nurse come to the ED, or, as in our institution, fetal monitoring

298. Antiseizure Medication Disorder | PSNet
     psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
     April 01, 2006 - 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. … Since such monitoring is more expensive and more time-consuming for lab personnel (an additional manual … Evidence-based implementation of free phenytoin therapeutic drug monitoring. … How to Avoid Common Errors in Dosing and Monitoring of Antiseizure Drugs Error Comments and

299. Duplicate Insulin Order | PSNet
     psnet.ahrq.gov/web-mm/duplicate-insulin-order
     May 04, 2012 - 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

300. Parents' perceptions of pediatric day surgery risks: unforeseeable complications, or avoidable mistakes? | PSNet
     psnet.ahrq.gov/issue/parents-perceptions-pediatric-day-surgery-risks-unforeseeable-complications-or-avoidable
     September 11, 2019 - August 18, 2021 Why is safety in intrapartum electronic fetal monitoring so hard? … support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring … February 15, 2006 Standards for patient monitoring during general anesthesia at Harvard … April 14, 2010 Discrepant perceptions of communication, teamwork and situation awareness