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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/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/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
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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/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/do-not-disturb
February 03, 2011 - 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/web-mm/walking-out-hospital-after-attempted-suicide
March 29, 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/issue/frequency-risk-factors-potentially-increase-harm-medications-older-adults-receiving-primary
May 18, 2022 - January 19, 2014
Usability of a computerised drug monitoring programme to detect adverse
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psnet.ahrq.gov/issue/evolution-patient-safety-procedures-oral-surgery-department
November 16, 2022 - April 24, 2018
Analysing potential harm in Australian general practice: an incident-monitoring
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psnet.ahrq.gov/issue/seips-30-human-centered-design-patient-journey-patient-safety
September 11, 2019 - Related Resources
Interventions to reduce medication dispensing, administration, and monitoring
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psnet.ahrq.gov/issue/analysis-intervention-employability-pharmacy-related-medication-safety-reports-tertiary
November 21, 2021 - April 26, 2023
Why is safety in intrapartum electronic fetal monitoring so hard?
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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/impact-pharmacist-provided-medication-therapy-management-healthcare-quality-and-utilization
November 16, 2022 - impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring
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psnet.ahrq.gov/issue/people-systems-and-safety-resilience-and-excellence-healthcare-practice
March 04, 2020 - December 5, 2018
Ergonomic and human factors affecting anesthetic vigilance and monitoring
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psnet.ahrq.gov/issue/effect-communication-errors-during-calls-antimicrobial-stewardship-program
June 22, 2022 - Study
Effect of communication errors during calls to an antimicrobial stewardship program.
Citation Text:
Linkin DR, Fishman NO, Landis R, et al. Effect of communication errors during calls to an antimicrobial stewardship program. Infect Control Hosp Epidemiol. 2007;28(12):1374-1381.
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psnet.ahrq.gov/issue/understanding-unwarranted-variation-clinical-practice-focus-network-effects-reflective
March 31, 2021 - May 19, 2021
A meta-review of methods of measuring and monitoring safety in primary care
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psnet.ahrq.gov/node/73553/psn-pdf
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
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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.