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psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
May 01, 2014 - Performance monitoring and feedback was a third element of the strategy. … DP : Auditing is performed using infection control practitioners monitoring practices in different wards … The benefit of direct monitoring is that you know exactly what you are observing, and when you offer … Thus, a system monitoring only the use of alcohol-based hand rub will give only a partial idea of the … But it is feasible once people have really standardized the monitoring of hand hygiene performance.
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psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
July 19, 2023 - , and significant weight gain.( 3,4 ) Use of these medications therefore requires careful metabolic monitoring … Any shift in his medication regimen or social situation would therefore need careful consideration. … process, it could have helped to coordinate the aftercare plan, including home visits to assist with monitoring
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_stable_airway_slides_final.pptx
January 01, 2024 - Although routine continuous monitoring of oxygen saturation has been shown to decrease rates of some … a mechanically ventilated patient, three questions should be considered: (1) Why are we monitoring, … (2) How good are the monitoring tools, and (3) Does monitoring lead to a change in management improving … Monitoring During Mechanical Ventilation. Respir Care. 2020;65(6):832-846. … Pulse oximetry for perioperative monitoring. Cochrane Anaesthesia Group, ed.
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psnet.ahrq.gov/node/841306/psn-pdf
December 14, 2022 - Resilient Healthcare and the Safety-I and Safety-II
Frameworks
December 14, 2022
Deutsch ES, Van CM, Mossburg SE. Resilient Healthcare and the Safety-I and Safety-II Frameworks.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
Resilient healthca…
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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…
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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
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psnet.ahrq.gov/issue/elder-abuse-and-neglect-overlooked-patient-safety-issue-focus-group-study-nursing-home
March 20, 2019 - Study
Elder abuse and neglect: an overlooked patient safety issue. A focus group study of nursing home leaders' perceptions of elder abuse and neglect.
Citation Text:
Myhre J, Saga S, Malmedal W, et al. Elder abuse and neglect: an overlooked patient safety issue. A focus group study of n…
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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
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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.
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Format…
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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. …
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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.
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Format:
…
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psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
September 01, 2004 - 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
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psnet.ahrq.gov/primer/pharmacists-role-medication-safety
March 14, 2018 - diet, allergies, and kidney and liver function can result in recommendations for changes in therapy or monitoring … pharmacist involvement has been shown to reduce errors, improve prescribing practices, and enhance patient monitoring … This bundle of practices resulted in significant increases in appropriate prescribing and monitoring
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psnet.ahrq.gov/perspective/conversation-withtroyen-brennan-md-jd-mph
December 21, 2022 - 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 CO 2 monitoring and
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psnet.ahrq.gov/web-mm/production-pressures
November 16, 2022 - 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/near-miss-bedside-medications
February 01, 2006 - 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
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psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
December 14, 2022 - February 1, 2023
Perspective
Remote Patient Monitoring
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psnet.ahrq.gov/primer/failure-rescue
September 15, 2024 - 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 … Relay Implement escalation protocols, SBAR (situation, background, assessment, recommendations), allied
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psnet.ahrq.gov/node/849660/psn-pdf
May 31, 2023 - literate organizations weave health literacy into all of their processes from patient education to
monitoring … to health information available to populations served; and addressing health literacy in high risk
situation
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psnet.ahrq.gov/node/49774/psn-pdf
November 01, 2016 - 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