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psnet.ahrq.gov/issue/does-health-care-role-and-experience-influence-perception-safety-culture-related-preventing
July 19, 2023 - February 26, 2014
A qualitative study examining the influences on situation awareness
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psnet.ahrq.gov/issue/safety-checklists-emergency-response-driving-and-patient-transport-experiences-emergency
August 10, 2022 - May 5, 2021
Measurement and monitoring patient safety in prehospital care: a systematic
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psnet.ahrq.gov/issue/potential-benefits-and-problems-computerized-prescriber-order-entry-analysis-voluntary
January 06, 2017 - September 2, 2009
Monitoring for medication errors in outpatient settings.
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psnet.ahrq.gov/issue/supporting-perioperative-safety-during-disaster-through-clinical-crisis-education
July 05, 2017 - March 8, 2023
Automated and electronically assisted hand hygiene monitoring systems:
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psnet.ahrq.gov/issue/analysis-errors-enacted-surgical-trainees-during-skills-training-courses
August 20, 2018 - support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring
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psnet.ahrq.gov/issue/best-practices-safe-handling-products-containing-concentrated-potassium
April 22, 2011 - Study
Best practices for safe handling of products containing concentrated potassium.
Citation Text:
Tubman M, Majumdar SR, Lee D, et al. Best practices for safe handling of products containing concentrated potassium. BMJ. 2005;331(7511):274-7.
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psnet.ahrq.gov/issue/pharmacovigilance-using-clinical-notes
April 24, 2018 - March 13, 2019
Monitoring the harm associated with use of anticoagulants in pediatric
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psnet.ahrq.gov/issue/practically-speaking-rethinking-hand-hygiene-improvement-programs-health-care-settings
September 03, 2011 - April 6, 2022
Optimizing situation awareness to reduce emergency transfers in hospitalized
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psnet.ahrq.gov/node/49593/psn-pdf
October 01, 2009 - This case highlights two aspects that complicate the situation. … In this situation, a full handoff may not have been done
since the CRNA was not actually leaving the … or aspirated
airway devices, we can potentially extrapolate from a similar but more widely studied situation
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psnet.ahrq.gov/issue/non-technical-skills-surgery-during-covid-19-pandemic-observational-study
December 06, 2023 - August 12, 2020
Nonoperating room anaesthesia: safety, monitoring, cognitive aids and
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psnet.ahrq.gov/node/73303/psn-pdf
May 26, 2021 - EMS could come from local taxes, or it could reimbursed via public
or private insurance.8 With this situation … the EMS Voluntary Event Notification Tool (E.V.E.N.T.)10 and ESO’s
data analytics and performance monitoring
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psnet.ahrq.gov/node/49540/psn-pdf
August 21, 2007 - report.(13) Unfortunately,
it is often the case that these errors are only noted during an emergency situation … Simulated cardiac arrests for monitoring quality of in-hospital resuscitation.
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psnet.ahrq.gov/issue/role-dynamic-trade-offs-creating-safety-qualitative-study-handover-across-care-boundaries
January 21, 2015 - January 21, 2015
Hassle in the dispensary: pilot study of a proactive risk monitoring
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psnet.ahrq.gov/issue/how-avoid-catastrophic-events-ward
February 03, 2011 - support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring
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psnet.ahrq.gov/issue/understanding-facilitators-and-barriers-barcode-medication-administration-nursing-staff-using
August 28, 2024 - February 20, 2019
Why is safety in intrapartum electronic fetal monitoring so hard?
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psnet.ahrq.gov/node/33596/psn-pdf
June 01, 2025 - The
monitoring and analysis functions involved in recognizing and responding to such a challenge - or … Surveillance, communication, and electronic monitoring, including patient-centric communication
styles … Implement escalation protocols, SBAR (situation, background, assessment, recommendations),
allied handover
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psnet.ahrq.gov/node/49535/psn-pdf
May 01, 2007 - Adding to the pressure, it is likely that there was no
contingency planning for this situation. … pressured to conduct anesthesia in a fashion
[one] considered unsafe given the level of urgency of the situation … In addition, there has to be some high-level
management and monitoring of the process in order for the
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psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care
September 30, 2011 - organization to first evaluate and then select the appropriate methodology or device for the testing situation … When patients use point-of-care testing at home, such as international normalized ratio for monitoring … Evaluate available testing methods and devices first, then select those appropriate to the testing situation
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psnet.ahrq.gov/node/33624/psn-pdf
December 01, 2005 - I think that doctors and hospitals see themselves as chronic defendants,
always in an adversarial situation … Most malpractice insurance companies
are in a relatively stable situation right now, and I think are … They definitely reduced the cost of their malpractice claims by
adopting end-tidal CO2 monitoring and
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psnet.ahrq.gov/node/73953/psn-pdf
October 27, 2021 - prescribing of PIMs in hospital settings.12
Finally, deprescribing is an ongoing process that requires monitoring