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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.332_slideshow.ppt
September 01, 2014 - of patients on opioids in the hospital
Describe the Prescription Drug Monitoring Program (PDMP) and … He was transferred to the ICU for ongoing monitoring and treatment with naloxone. … Available at http://www.jointcommission.org/sea_issue_49/
23
Prescription Drug Monitoring Program
The … Prescription Drug Monitoring Program (PDMP) is an additional resource that can improve opioid prescribing … Patients
To improve monitoring, The Joint Commission recommends serial assessments of respiration and
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psnet.ahrq.gov/node/49715/psn-pdf
August 21, 2014 - common complications, the limitations of biopsy,
management of coagulopathies, and the recommended monitoring … This
stems in part from a large study of post-biopsy monitoring where the complication rates did not … "(6) In this author's experience, implementation of standard
written guidelines for monitoring after … Careful monitoring is always required following liver
biopsy, particularly in the first hour.
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psnet.ahrq.gov/web-mm/failure-reevaluate
February 01, 2014 - Thus, patients receiving therapy beyond several days require routine monitoring of renal function and … )
Given the challenges in detecting vancomycin toxicity and AKI, a key principle is this: besides monitoring … This case highlights the importance of assessing vancomycin therapy through the monitoring of trough … pharmacist is encouraged when dosing a narrow-therapeutic-index drug, particularly if therapeutic drug monitoring … Therapeutic monitoring of vancomycin in adult patients: a consensus review of the American Society of
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psnet.ahrq.gov/node/867676/psn-pdf
February 26, 2025 - staff and patient concerns,
supporting and role-modeling efforts to improve safety, and continually monitoring
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psnet.ahrq.gov/issue/nature-surgical-error-cautionary-tale-and-call-reason
September 12, 2007 - March 29, 2012
Physicians' perspectives regarding prescription drug monitoring program … May 19, 2010
Discrepant perceptions of communication, teamwork and situation awareness … November 7, 2018
Effectiveness of continuous or intermittent vital signs monitoring in
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psnet.ahrq.gov/node/863308/psn-pdf
February 28, 2024 - 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/curated-library/organizational-learning
May 04, 2025 - resilience both focus on what goes right in healthcare and adjusting to disturbances through anticipation, monitoring … technology has improved many aspects of care, but can also introduce new safety concerns that require active monitoring … resilience both focus on what goes right in healthcare and adjusting to disturbances through anticipation, monitoring … technology has improved many aspects of care, but can also introduce new safety concerns that require active monitoring
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psnet.ahrq.gov/issue/good-care-slow-enough-be-able-pay-attention-primary-care-time-scarcity-and-patient-safety
August 04, 2015 - ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring
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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/node/49614/psn-pdf
November 01, 2010 - Engaging patients in actively contributing to their care and monitoring their clinical conditions.
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psnet.ahrq.gov/node/49616/psn-pdf
December 01, 2010 - Subsequent dexamethasone doses were given as
ordered, with close monitoring for adverse effects. … prescribed using protocols or order sets,
which include individualization of dose along with appropriate monitoring
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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
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psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
December 14, 2022 - March 21, 2023
Perspective
Remote Patient Monitoring
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - • Implement procedural sedation best practices including use of adequate personnel,
continuous monitoring … Take-Home Points
49
Medication selection for procedural sedation should be guided by each clinical
situation … Pre-procedure checklists and continuous monitoring should be routinely utilized
during procedural … Guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic … Guidelines for Monitoring and Management of Pediatric Patients
Before, During, and After Sedation for
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psnet.ahrq.gov/periodic-issue/periodic-issue-298
June 30, 2021 - (EMS) handover; airway management; inadequate assessment and/or management of injuries; inadequate monitoring
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psnet.ahrq.gov/web-mm/who-nose-where-airway
May 01, 2016 - 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/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/49689/psn-pdf
August 21, 2013 - narcotic dose to evaluate for potential sedation, and
finally, overnight admission in a monitored situation
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psnet.ahrq.gov/node/50612/psn-pdf
October 30, 2019 - These communication structures may vary from those utilized to convey clinical
information—the Situation … first contacted by the bedside nurse, the intern would likely have been better supported to
manage the situation
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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