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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/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/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/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/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/issue/teamwork-behaviours-and-errors-during-neonatal-resuscitation
September 13, 2011 - May 18, 2022
Physicians' perspectives regarding prescription drug monitoring program
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psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned
August 22, 2018 - Review
Trends in anesthesia-related liability and lessons learned.
Citation Text:
Mora JC, Kaye AD, Romankowski ML, et al. Trends in Anesthesia-Related Liability and Lessons Learned. Adv Anesth. 2018;36(1):231-249. doi:10.1016/j.aan.2018.07.009.
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psnet.ahrq.gov/issue/checklist-tool-error-management-and-performance-improvement
June 29, 2011 - June 8, 2011
Safe medication prescribing and monitoring in the outpatient setting.
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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/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…
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psnet.ahrq.gov/node/49424/psn-pdf
November 01, 2003 - 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
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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/paradoxical-effects-hospital-based-multi-intervention-programme-aimed-reducing-medication
September 13, 2023 - March 12, 2025
Why is safety in intrapartum electronic fetal monitoring so hard?
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psnet.ahrq.gov/issue/patient-hand-initiation-and-evaluation-phone-study-randomized-trial-patient-handoff-methods
December 20, 2023 - April 1, 2010
Monitoring the diagnostic process on an inpatient neurology service.
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psnet.ahrq.gov/issue/contribution-prescription-chart-design-and-familiarity-prescribing-error-prospective
March 20, 2024 - November 2, 2011
Physicians' perspectives regarding prescription drug monitoring program
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psnet.ahrq.gov/web-mm/bleeding-risk
November 01, 2003 - Medication errors specific to oral anticoagulants generally occur either due to inadequate monitoring … For outpatients, less frequent monitoring can be performed; however, monitoring should occur at least … Once a stable dosage of warfarin is achieved, the frequency of INR monitoring can be reduced to weekly … If medications or diet are changed, increased monitoring of the INR is required.( 8 ) When patients … In the early days of therapy, fail-safe plans should be in place for frequent INR monitoring.
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psnet.ahrq.gov/node/49692/psn-pdf
September 01, 2013 - Following this case, data safety and monitoring policies were changed. … example, whether the hospital's chair of radiology, risk
manager, and privacy officer knew about the situation … Once the case was reviewed and the system problems defined, data monitoring
policies were changed and
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psnet.ahrq.gov/issue/characteristics-pediatric-chemotherapy-medication-errors-national-error-reporting-database
September 21, 2008 - , approximately 15% of which resulted in clinical consequences (ie, the need for additional patient monitoring
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psnet.ahrq.gov/issue/promoting-psychological-well-being-healthcare-providers-facing-burden-adverse-events
February 15, 2023 - indicate a need for implementing new second victim support programs, promoting current programs, and monitoring