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Total Results: 1,021 records

Showing results for "situation monitoring".

421. Psn-Pdf (pdf file)
     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.

422. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-348
     May 16, 2022 - Study Monitoring preventable adverse events and near misses: number and type identified … Study Monitoring preventable adverse events and near misses: number and type identified … It discusses the potential for adverse impacts of the strategy while recognizing the unique situation … Identifying Safety Events in the Prehospital Setting May 16, 2022 This piece focuses on measuring and monitoring

423. 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

424. Psn-Pdf (pdf file)
     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

425. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy | PSNet
     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

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49536/psn-pdf
     May 01, 2007 - The patient was admitted at 6:00 p.m. to the intensive care unit (ICU) for monitoring, pain medication … The resident caring for the patient was placed in a difficult situation because he had received only … Nonetheless, neither the nurse nor the resident recognized the potential critical nature of the situation

427. Handoffs and Transitions | PSNet
     psnet.ahrq.gov/perspective/handoffs-and-transitions
     February 01, 2007 - A similar situation has emerged regarding the broader area of improving transitions of care, particularly … The SBAR (Situation-Background-Assessment-Recommendation) and ANTICipate (Administrative data, New clinical … most commonly due to nonadherence or underuse, untreated medical problems, and lack of therapeutic monitoring

428. Waiting Too Long | PSNet
     psnet.ahrq.gov/web-mm/waiting-too-long
     February 01, 2013 - 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

429. 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

430. 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

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33596/psn-pdf
     January 29, 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

432. Psn-Pdf (pdf file)
     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

433. An epistemology of patient safety research: a framework for study design and interpretation. | PSNet
     psnet.ahrq.gov/issue/epistemology-patient-safety-research-framework-study-design-and-interpretation
     February 23, 2011 - Study Classic An epistemology of patient safety research: a framework for study design and interpretation. Citation Text: Brown C, Hofer T, Johal A, et al. An epistemology of patient safety research: a framework for study design and interpretation. Part 4. One s…

434. Large-scale observational study of AI-based patient and surgical material verification system in ophthalmology: real-world evaluation in 37 529 cases. | PSNet
     psnet.ahrq.gov/issue/large-scale-observational-study-ai-based-patient-and-surgical-material-verification-system
     August 27, 2012 - September 30, 2020 Improving situation awareness to advance patient outcomes: a systematic

435. Medication errors involving patient-controlled analgesia.   | PSNet
     psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-analgesia
     May 24, 2015 - April 8, 2011 Laboratory safety monitoring of chronic medications in ambulatory care

436. FDA drug prescribing warnings: is the black box half empty or half full? | PSNet
     psnet.ahrq.gov/issue/fda-drug-prescribing-warnings-black-box-half-empty-or-half-full
     December 19, 2011 - Study FDA drug prescribing warnings: is the black box half empty or half full? Citation Text: Wagner AK, Chan A, Dashevsky I, et al. FDA drug prescribing warnings: is the black box half empty or half full? Pharmacoepidemiol Drug Saf. 2006;15(6):369-86. Copy Citation Format: …

437. Patient safety skills in primary care: a national survey of GP educators. | PSNet
     psnet.ahrq.gov/issue/patient-safety-skills-primary-care-national-survey-gp-educators
     October 05, 2016 - Study Patient safety skills in primary care: a national survey of GP educators. Citation Text: Ahmed M, Arora S, McKay J, et al. Patient safety skills in primary care: a national survey of GP educators. BMC Fam Pract. 2014;15:206. doi:10.1186/s12875-014-0206-5. Copy Citation Format…

438. Work conditions, mental workload and patient care quality: a multisource study in the emergency department. | PSNet
     psnet.ahrq.gov/issue/work-conditions-mental-workload-and-patient-care-quality-multisource-study-emergency
     March 06, 2013 - Study Work conditions, mental workload and patient care quality: a multisource study in the emergency department. Citation Text: Weigl M, Müller A, Holland S, et al. Work conditions, mental workload and patient care quality: a multisource study in the emergency department. BMJ Qual Saf. …

439. Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-and-centers
     June 14, 2017 - support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33628/psn-pdf
     February 01, 2006 - He believes that it's a function of the situation that they are in.