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psnet.ahrq.gov/issue/diagnostic-decision-making-emergency-department
December 16, 2020 - Review
Diagnostic decision-making in the emergency department.
Citation Text:
Medford-Davis LN, Singh H, Mahajan P. Diagnostic decision-making in the emergency department. Pediatr Clin North Am. 2018;65(6):1097-1105. doi:10.1016/j.pcl.2018.07.003.
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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/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
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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/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
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psnet.ahrq.gov/issue/imitating-incidents-how-simulation-can-improve-safety-investigation-and-learning-adverse
February 28, 2024 - May 20, 2019
Measurement and monitoring of safety: impact and challenges of putting a
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psnet.ahrq.gov/issue/improving-patient-safety-lessons-rock-climbing
July 10, 2024 - Commentary
Improving patient safety: lessons from rock climbing.
Citation Text:
Robertson N. Improving patient safety: lessons from rock climbing. Clin Teach. 2012;9(1):41-4. doi:10.1111/j.1743-498X.2011.00485.x.
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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
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psnet.ahrq.gov/issue/attending-work-hour-restrictions-it-time
November 28, 2012 - Commentary
Attending work hour restrictions: is it time?
Citation Text:
Hyman NH. Attending work hour restrictions: is it time? Arch Surg. 2009;144(1):7-8. doi:10.1001/archsurg.2008.518.
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psnet.ahrq.gov/issue/evaluating-teamwork-simulated-obstetric-environment
November 04, 2009 - January 10, 2017
System errors in intrapartum electronic fetal monitoring: a case review
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psnet.ahrq.gov/issue/quality-reporting-studies-evaluating-time-diagnosis-systematic-review-paediatrics
March 29, 2010 - April 26, 2023
Interventions to reduce medication dispensing, administration, and monitoring
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psnet.ahrq.gov/issue/cardiac-arrest-during-anesthesia
January 19, 2011 - December 2, 2020
Nonoperating room anaesthesia: safety, monitoring, cognitive aids and
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psnet.ahrq.gov/periodic-issue/periodic-issue-279
February 10, 2021 - Preventable medication harm occurred most frequently during medication prescribing and monitoring. … Clinical decision support (CDS) alerts can improve patient safety, and prior research suggests that monitoring … These findings highlight the need for improvements in alert design, implementation, and monitoring of … Preventable medication harm occurred most frequently during medication prescribing and monitoring. … This situation can reduce the effectiveness of monitoring patients on shared devices and introduce other
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psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
January 29, 2021 - 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 … Vigilant monitoring in this case led to the hypoxemia being treated expeditiously, so the patient did
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psnet.ahrq.gov/issue/coaching-debriefer-peer-coaching-improve-debriefing-quality-simulation-programs
July 31, 2019 - March 6, 2024
Alternatives to opioid education and a prescription drug monitoring program
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psnet.ahrq.gov/issue/application-surgical-safety-standards-robotic-surgery-five-principles-ethics-nonmaleficence
October 19, 2022 - February 24, 2012
Practice Advisory on Intraoperative Awareness and Brain Function Monitoring
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psnet.ahrq.gov/issue/systematic-review-patient-tracking-systems-use-pediatric-emergency-department
August 03, 2022 - Review
A systematic review of patient tracking systems for use in the pediatric emergency department.
Citation Text:
Dobson I, Doan Q, Hung G. A systematic review of patient tracking systems for use in the pediatric emergency department. J Emerg Med. 2013;44(1):242-8. doi:10.1016/j.jem…
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psnet.ahrq.gov/issue/pediatric-emergency-nurses-self-reported-medication-safety-practices
March 03, 2019 - March 15, 2023
Physicians' perspectives regarding prescription drug monitoring program
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psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
April 01, 2003 - Standards for Basic Anesthetic Monitoring.
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psnet.ahrq.gov/issue/crisis-management-during-anaesthesia-development-anaesthetic-crisis-management-manual
June 23, 2015 - Using the first 4000 reports from the Australian Incident Monitoring Study (AIMS), a team of anesthetists