Results

Total Results: 1,030 records

Showing results for "situation monitoring".

341. Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm. | PSNet
     psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts-can-lead-patient-harm
     October 17, 2018 - July 25, 2018 Remote CPOE error—a situation that's more than remotely possible.

342. Automation failures and patient safety. | PSNet
     psnet.ahrq.gov/issue/automation-failures-and-patient-safety
     November 21, 2012 - August 25, 2021 Nonoperating room anaesthesia: safety, monitoring, cognitive aids and

343. An observational study of practice during transfer of patients from anaesthetic room to operating theatre. | PSNet
     psnet.ahrq.gov/issue/observational-study-practice-during-transfer-patients-anaesthetic-room-operating-theatre
     September 27, 2016 - Study An observational study of practice during transfer of patients from anaesthetic room to operating theatre. Citation Text: Broom MA, Slater J, Ure DS. An observational study of practice during transfer of patients from anaesthetic room to operating theatre. Anaesthesia. 2006;61(10…

344. Creating effective quality-improvement collaboratives: a multiple case study. | PSNet
     psnet.ahrq.gov/issue/creating-effective-quality-improvement-collaboratives-multiple-case-study
     December 19, 2012 - July 24, 2019 Selection of indicators for continuous monitoring of patient safety: recommendations

345. Medication safety in primary care practice: results from a PPRNet quality improvement intervention. | PSNet
     psnet.ahrq.gov/issue/medication-safety-primary-care-practice-results-pprnet-quality-improvement-intervention
     April 23, 2008 - April 23, 2008 Medication prescribing and monitoring errors in primary care: a report

346. Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases. | PSNet
     psnet.ahrq.gov/issue/duration-anesthesia-indicator-morbidity-and-mortality-office-based-facial-plastic-surgery
     March 19, 2018 - Study Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases. Citation Text: Gordon NA, Koch ME. Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surger…

347. Effect of communication errors during calls to an antimicrobial stewardship program. | PSNet
     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. …

348. People, systems and safety: resilience and excellence in healthcare practice. | PSNet
     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

349. Impact of pharmacist-provided medication therapy management on healthcare quality and utilization in recently discharged elderly patients. | PSNet
     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

350. Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care. | PSNet
     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

351. The evolution of patient safety procedures in an oral surgery department | PSNet
     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

352. Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical center. | PSNet
     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?

353. SEIPS 3.0: human-centered design of the patient journey for patient safety. | PSNet
     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

354. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. | PSNet
     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

355. Psn-Pdf (pdf file)
     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

356. Psn-Pdf (pdf file)
     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

357. Wrong Route for Nutrients | PSNet
     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.

358. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49446/psn-pdf
     August 30, 2021 - glucose levels, alterations in rate and IV fluid type if the patient is NPO, and frequency of glucose monitoring … carefully developed decision support, to assist in adjusting insulin drips, and standardization of glucose monitoring … A pop- up flag could have alerted the surgeon to ensure the insulin drip was appropriate for the situation … Protocols for tighter glucose control must incorporate adequate monitoring frequency to avoid hypoglycemia

359. Examining the Copy and Paste Function in the Use of Electronic Health Records. | PSNet
     psnet.ahrq.gov/issue/examining-copy-and-paste-function-use-electronic-health-records
     October 21, 2015 - Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring

360. Implementing SBAR across a large multihospital health system. | PSNet
     psnet.ahrq.gov/issue/implementing-sbar-across-large-multihospital-health-system
     November 23, 2014 - support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring