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psnet.ahrq.gov/node/49536/psn-pdf
May 01, 2007 - The patient was admitted at 6:00 p.m. to the intensive care unit (ICU) for monitoring, pain medication … The resident caring for the patient was placed in a difficult situation because he had
received only … Nonetheless, neither the nurse nor the resident
recognized the potential critical nature of the situation
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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/perspective/wild-west-patient-safety-office-based-anesthesia
April 01, 2003 - Standards for Basic Anesthetic Monitoring.
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psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
August 10, 2019 - 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
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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/web-mm/wrong-route-nutrients
September 04, 2010 - The LPN's role should have been limited to monitoring the nutrients over the course of the infusion. … In this situation, the bag and the tubing should have been clearly marked for IV USE ONLY.
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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
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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/node/33688/psn-pdf
October 01, 2009 - It's a horrible situation.
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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/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/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/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/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/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/node/72586/psn-pdf
December 23, 2020 - A timeline for the transition had not been established, given the complexity of
the situation and the … patient to understand.10,11
Appreciation involves the application of information presented to one’s own situation … It was a
nuanced situation that required explicit communication with multiple parties to fully understand … The receiving team could have stated their understanding of the patient’s goals and which monitoring, … treatment,” you miss the reality that in order to meet his goal, his respiratory status needed continued
monitoring
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psnet.ahrq.gov/node/853981/psn-pdf
September 27, 2023 - treated him as a “routine boarder” awaiting an
inpatient bed, with insufficiently robust behavioral monitoring … the contrary, self-hanging patients a priori need to be on high-risk suicide precautions with
24/7 monitoring … The patient’s unstable housing situation, fear of traditional health care systems treatments, often agitated
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psnet.ahrq.gov/perspective/conversation-james-augustine-md
July 28, 2021 - are there to provide guidance for actions that occur outside of those medical protocols, such as a situation … In the early days, we began to use basic interventions like IV [intravenous] fluid and cardiac monitoring … Colton Hood about Remote Patient Monitoring
March 15, 2023
Interview
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psnet.ahrq.gov/issue/fostering-patient-safety-competencies-using-multiple-patient-simulation-experiences
January 12, 2022 - Study
Fostering patient safety competencies using multiple-patient simulation experiences.
Citation Text:
Ironside PM, Jeffries PR, Martin A. Fostering patient safety competencies using multiple-patient simulation experiences. Nurs Outlook. 2009;57(6):332-7. doi:10.1016/j.outlook.2009.0…