Results

Total Results: 1,021 records

Showing results for "situation monitoring".

341. 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

342. 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

343. 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

344. 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…

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. 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.

348. 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

349. 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

350. 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

351. 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

352. 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

353. 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?

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. Exploring the impact of employee engagement and patient safety. | PSNet
     psnet.ahrq.gov/issue/exploring-impact-employee-engagement-and-patient-safety
     July 27, 2022 - December 16, 2020 A meta-review of methods of measuring and monitoring safety in primary

356. 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. …

357. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-419
     November 29, 2023 - with electronic health record modernization that establish cultural, functionality, staff, design, and monitoring … Lack of respect for the concerns of patients and sensitivity to their situation detract from their safety … Quantitative blockade monitoring revealed a “train of four” (TOF) ratio less than 70%, so she was given

358. Communication Failure—Who's in Charge? | PSNet
     psnet.ahrq.gov/web-mm/communication-failure-whos-charge
     April 01, 2018 - After stabilizing and monitoring the child's respiratory status, the ICU attending returned home. … Adequate systems were not in place to establish, review, or revise team understanding of the situation … an inquiry process that engages all relevant team members in reassessing their understanding of the situation … the child's condition are rather different than the implications of recognizing the severity of the situation

359. Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. | PSNet
     psnet.ahrq.gov/issue/disruptions-surgical-flow-and-their-relationship-surgical-errors-exploratory-investigation
     August 26, 2011 - Study Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Citation Text: Wiegmann DA, Elbardissi AW, Dearani JA, et al. Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Surgery. 2007;…

360. Defining attributes of patient safety through a concept analysis. | PSNet
     psnet.ahrq.gov/issue/defining-attributes-patient-safety-through-concept-analysis
     May 08, 2013 - disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring