Results

Total Results: 928 records

Showing results for "situation monitoring".

361. 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

362. 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;…

363. A Room Without Orders | PSNet
     psnet.ahrq.gov/web-mm/room-without-orders
     September 01, 2011 - their unit, which involves myriad activities: performing daily assessments, administering medications, monitoring … Forty-four percent of nurse respondents reported missing assessment activities (i.e., patient assessments, monitoring … The Safety and Quality of Long Term Care September 1, 2011 Evaluating situation … Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring April 26, 2023 … Perspective Surveillance Monitoring to Improve Patient Safety

364. Round-Trip Service | PSNet
     psnet.ahrq.gov/web-mm/round-trip-service
     April 26, 2023 - If the situation looks problematic due to the possibility of infection or excessive swelling, the patient … In this situation, the patient hopefully would be aware of the need for adequate follow-up care and the … Resources From the Same Author(s) Perspective Surveillance Monitoring

365. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49639/psn-pdf
     November 01, 2011 - Thus, a common definition of a near miss is "An event or a situation that did not produce patient harm … include direct reporting by health care workers and also less obtrusive methods, such as active clinical monitoring … may be undesirable, as in the case of repeated reporting of the same incident.(7) Active clinical monitoring

366. Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. | PSNet
     psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
     August 13, 2014 - characteristics may help risk stratify patients, allowing for appropriate responses such as increased monitoring

367. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49771/psn-pdf
     July 01, 2016 - The patient remained in a hospital for 6 more days for monitoring and adjustment of her other medications … frequency of such pairs and triples to identify and correct the most common picklist problems.(15) Such monitoring … In any complex, local work situation, various actors make these adjustments in order to get their work

368. Temporal clustering of critical illness events on medical wards. | PSNet
     psnet.ahrq.gov/issue/temporal-clustering-critical-illness-events-medical-wards
     January 31, 2024 - January 17, 2024 Perspective Surveillance Monitoring to

369. A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient outcomes. | PSNet
     psnet.ahrq.gov/issue/prospective-study-paediatric-cardiac-surgical-microsystems-assessing-relationships-between
     February 14, 2024 - support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring

370. Code Status vs. Care Status | PSNet
     psnet.ahrq.gov/web-mm/code-status-vs-care-status
     September 30, 2020 - A timeline for the transition had not been established, given the complexity of the situation and the … 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

371. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33831/psn-pdf
     April 01, 2017 - signals that the process isn't quite working right, that the safety protocol doesn't quite fit the situation … That a machine maintenance program wasn't quite designed to do x, y, or z, and that's the situation … Further complicating our situation in health care is that health care workers in virtually every organization … We found too many instances where technology including EHRs, IV pumps, and monitoring systems don't

372. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.254_slideshow.ppt
     November 01, 2011 - 16117751 * Identifying Near Misses (2) Near misses may also be identified through active clinical monitoring … Active monitoring occurs when key data collection is built into the clinical process. … placement and including this in the medical record * * Identifying Near Misses (3) Active clinical monitoring

373. Too Tight Control | PSNet
     psnet.ahrq.gov/web-mm/too-tight-control
     March 20, 2013 - 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

374. Don't Dismiss the Dangerous: Obstetric Hemorrhage | PSNet
     psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
     August 21, 2024 - A series of supportive measures need to occur simultaneously (monitoring, laboratory studies, and maintaining … estimation of actual blood lost, can lead to delays in care that may turn an otherwise easily recoverable situation … tools are available.( 6,8 ) Reporting and systems learning actions, including huddles, debriefs, and monitoring … September 12, 2016 WebM&M Cases Monitoring Fetal Health

375. Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation improvement matrix. | PSNet
     psnet.ahrq.gov/issue/grading-recommendations-enhanced-patient-safety-sentinel-event-analysis-recommendation
     April 15, 2020 - support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring

376. Primary care providers' opening of time-sensitive alerts sent to commercial electronic health record InBaskets. | PSNet
     psnet.ahrq.gov/issue/primary-care-providers-opening-time-sensitive-alerts-sent-commercial-electronic-health-record
     March 17, 2021 - Study Primary care providers' opening of time-sensitive alerts sent to commercial electronic health record InBaskets. Citation Text: Cutrona SL, Fouayzi H, Burns L, et al. Primary Care Providers' Opening of Time-Sensitive Alerts Sent to Commercial Electronic Health Record InBaskets. J Ge…

377. Trainees' perceptions of being allowed to fail in clinical training: a sense-making model. | PSNet
     psnet.ahrq.gov/issue/trainees-perceptions-being-allowed-fail-clinical-training-sense-making-model
     November 24, 2021 - Study Trainees' perceptions of being allowed to fail in clinical training: a sense-making model. Citation Text: Klasen JM, Teunissen PW, Driessen E, et al. Trainees' perceptions of being allowed to fail in clinical training: a sense‐making model. Med Educ. 2023;57(5):430-439. doi:10.1111…

378. The role of feedback in emergency ambulance services: a qualitative interview study. | PSNet
     psnet.ahrq.gov/issue/role-feedback-emergency-ambulance-services-qualitative-interview-study
     April 06, 2022 - May 26, 2021 Measurement and monitoring patient safety in prehospital care: a systematic

379. Adopting high reliability organization principles to lead a large scale clinical transformation. | PSNet
     psnet.ahrq.gov/issue/adopting-high-reliability-organization-principles-lead-large-scale-clinical-transformation
     November 21, 2021 - March 27, 2024 Why is safety in intrapartum electronic fetal monitoring so hard?

380. Understanding the factors influencing doctors’ intentions to report patient safety concerns: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/understanding-factors-influencing-doctors-intentions-report-patient-safety-concerns
     July 29, 2020 - Study Understanding the factors influencing doctors’ intentions to report patient safety concerns: a qualitative study. Citation Text: Rich A, Viney R, Griffin A. Understanding the factors influencing doctors' intentions to report patient safety concerns: a qualitative study. J R Soc Med…