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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/node/49513/psn-pdf
July 01, 2006 - they could know that the assessment
had been done hours earlier and was now irrelevant to the current situation … competency and responsibilities, handoff communication, necessary
equipment and supplies, and transport monitoring … Nonetheless, our
review of the literature, monitoring of listserv communiqués, and discussion with various … patient assessments
What criteria are used to determine patient stability, patient risk, and level of monitoring … Transport monitoring
What basic level of monitoring is expected during transport (eg, change in level
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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/moving-pains
August 17, 2017 - they could know that the assessment had been done hours earlier and was now irrelevant to the current situation … competency and responsibilities, handoff communication, necessary equipment and supplies, and transport monitoring … Nonetheless, our review of the literature, monitoring of listserv communiqués, and discussion with various … Transport monitoring What basic level of monitoring is expected during transport (eg, change … Care Executives and Administrators
Critical Care
Discontinuities, Gaps, and Hand-Off Problems
Monitoring
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psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
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 … Related Resources
Perspective
Surveillance Monitoring
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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
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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
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psnet.ahrq.gov/node/49546/psn-pdf
October 17, 2007 - treatment decisions, other team members (the nurse in this case) have
responsibility for performance monitoring … and integrity in clinical work with patients and members of clinical teams.(12) Physicians' self-
monitoring … shape decisions for future action.(20)
What Steps Should Any Health Care Professional Take in This Situation
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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
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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
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psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
October 02, 2019 - Relevant to this particular situation, the ABIM MOC program has a Web-based tool called practice improvement … patients with hepatitis C.( 10 )
Currently, licensure does not specifically address this kind of situation … on 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.
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psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
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 … Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023
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psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
January 12, 2022 - There was an ongoing need for increased vigilance in patient monitoring. … Quality
April 26, 2023
Perspective
Surveillance Monitoring
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psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
January 12, 2022 - There was an ongoing need for increased vigilance in patient monitoring. … Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023
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psnet.ahrq.gov/issue/first-year-nursing-students-viewpoints-about-compromised-clinical-safety
July 15, 2020 - November 16, 2022
State policies for prescription drug monitoring programs and adverse
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psnet.ahrq.gov/issue/applying-toyota-production-system-using-patient-safety-alert-system-reduce-error
June 21, 2015 - Commentary
Applying the Toyota Production System: using a patient safety alert system to reduce error.
Citation Text:
Furman C, Caplan RA. Applying the Toyota Production System: using a patient safety alert system to reduce error. Jt Comm J Qual Patient Saf. 2007;33(7):376-386.
Copy …
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psnet.ahrq.gov/issue/no-simple-fix-fixation-errors-cognitive-processes-and-their-clinical-applications
February 10, 2012 - non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring
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psnet.ahrq.gov/node/49784/psn-pdf
February 01, 2017 - organization to first evaluate and then select the appropriate methodology or device for the
testing situation … When patients use point-of-care testing at home, such as international normalized ratio for monitoring … Evaluate available testing methods and devices first, then select those appropriate to the testing
situation
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psnet.ahrq.gov/perspective/handoffs-and-transitions
February 01, 2007 - 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 clinical … most commonly due to nonadherence or underuse, untreated medical problems, and lack of therapeutic monitoring
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psnet.ahrq.gov/web-mm/waiting-too-long
February 01, 2013 - Shortly afterward, fetal heart rate monitoring suggested fetal distress and the patient was transferred … Was the situation communicated as unstable, urgent, or a problem that 'might' happen? … Given the situation of 'fetal distress' (non-reassuring fetal heart rate pattern) suggestive of developing