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psnet.ahrq.gov/node/855058/psn-pdf
October 31, 2023 - lot about de-escalation techniques, and I think those are important when it becomes apparent
that a situation … At some point, it’s almost too late for de-escalation when a situation reaches the point of
reporting … Organizations should be thinking about
staffing, policies around reporting, monitoring, and being alert … It’s
important that staff know what to do if a situation escalates and what resources are available
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psnet.ahrq.gov/issue/adequacy-hospital-discharge-summaries-documenting-tests-pending-results-and-outpatient-follow
September 23, 2020 - July 21, 2010
Early readmissions to the department of medicine as a screening tool for monitoring
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psnet.ahrq.gov/issue/failure-rescue-and-30-day-hospital-mortality-hospitals-and-without-crew-resource-management
January 26, 2022 - science approach to promote optimal implementation, adoption, use, and spread of continuous clinical monitoring
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psnet.ahrq.gov/issue/safe-opioid-prescribing-prognostic-machine-learning-approach-predicting-30-day-risk-after
July 22, 2020 - Study
Safe opioid prescribing: a prognostic machine learning approach to predicting 30-day risk after an opioid dispensation in Alberta, Canada.
Citation Text:
Sharma V, Kulkarni V, Eurich DT, et al. Safe opioid prescribing: a prognostic machine learning approach to predicting 30-day ris…
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psnet.ahrq.gov/issue/decisions-and-repercussions-second-victim-experiences-mothers-medicine-save-dr-mom
May 18, 2022 - ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring
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psnet.ahrq.gov/issue/enhancing-patient-safety-and-risk-management-through-clinical-pathways-oncology
September 13, 2023 - September 13, 2023
Why is safety in intrapartum electronic fetal monitoring so hard?
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psnet.ahrq.gov/issue/safety-management-within-scope-teaching-practical-clinical-skills-framing-errors
December 21, 2022 - Iatrogenic events in neonates: beneficial effects of prevention strategies and continuous monitoring
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psnet.ahrq.gov/issue/disorganized-care-findings-iterative-depth-analysis-surgical-morbidity-and-mortality
October 19, 2022 - October 19, 2022
Recommended guidelines for monitoring, reporting, and conducting research
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psnet.ahrq.gov/issue/safety-culture-operating-room-variability-among-perioperative-healthcare-workers
November 17, 2021 - November 18, 2009
Continuous monitoring of adverse events: influence on the quality of
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psnet.ahrq.gov/issue/experience-trigger-tool-identifying-adverse-drug-events-among-older-adults-ambulatory-primary
June 07, 2023 - January 2, 2017
Impact of non-interruptive medication laboratory monitoring alerts in
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psnet.ahrq.gov/node/33628/psn-pdf
February 01, 2006 - He believes that it's a function of the situation
that they are in.
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psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
January 04, 2024 - the exchange of knowledge and information across multiple healthcare providers in any patient care situation … represent active and latent factors or failure modes that may become active at any time, place, or situation … During the case, the anesthesiologist placed devices on the skin and inserted a central venous line for monitoring … the retained sponge because they thought the sponge radiopaque markers were just wires from electrode monitoring
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psnet.ahrq.gov/issue/multicenter-collaborative-effort-reduce-preventable-patient-harm-due-retained-surgical-items
March 20, 2019 - Study
A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items.
Citation Text:
Carmack A, Valleru J, Randall KH, et al. A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. Jt Comm J Qual Patient…
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psnet.ahrq.gov/issue/effects-electronic-prescribing-community-based-providers-ambulatory-medication-safety
March 04, 2015 - December 16, 2013
Usability of a computerised drug monitoring programme to detect adverse
-
psnet.ahrq.gov/node/49407/psn-pdf
July 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 present … In the early days of therapy, fail-safe plans should be in place for frequent INR monitoring.
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psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
March 18, 2020 - outlined in the 2022 American Society of Anesthesiologists Guidelines provides useful guidance in any situation … to the risk of pushing aspirate further into the airway, but it may be unavoidable in this critical situation
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psnet.ahrq.gov/node/49551/psn-pdf
December 01, 2007 - Vigilant monitoring of the patient's skin for marked redness, swelling, pain, and edema should
also
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psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
May 14, 2020 - The next phase that I am starting to work on now is remote patient monitoring. … However, now given our situation with COVID you don’t want to be too close to that patient and we have … The current situation is evolving so quickly and forcing us to use telemedicine, we find we need to consider … Telemedicine using remote monitoring technologies can facilitate treatment and even decrease the frequency … Colton Hood about Remote Patient Monitoring
March 15, 2023
Medication safety
-
psnet.ahrq.gov/node/49716/psn-pdf
August 21, 2014 - In a crisis situation, particularly one in
which large volumes of fluids or vasoactive medications are … Lastly, once the urgency of the situation has
resolved, replacing the IO needle with more long-term
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psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
December 15, 2024 - prescribing of PIMs in hospital settings. 12
Finally, deprescribing is an ongoing process that requires monitoring