Results

Total Results: 1,021 records

Showing results for "situation monitoring".

61. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49757/psn-pdf
    April 01, 2016 - Arguably the bedside is the most important situation for the physician to perceive and understand. … of interest is the first step in recognizing what might be wrong with the situation, and it supports … Situation awareness global assessment technique (SAGAT). … Toward a theory of situation awareness in dynamic systems. Hum Factors. 1995;37:32-64. … Beyond monitoring: distributed situation awareness in anaesthesia. Br J Anaesth. 2010;105:83-90.

62. High Reliability | PSNet
    psnet.ahrq.gov/primer/high-reliability
    January 29, 2020 - reluctance to simplify explanations for operations, successes, and failures; sensitivity to operations (situation … This sensitivity is often referred to as "big picture understanding" or "situation awareness." … Thus, people in HROs know that in a crisis or emergency the person with greatest knowledge of the situation … Deference to local and situation expertise results in a spirit of inquiry and de-emphasis on hierarchy … Teams cultivate situation assessment and cross monitoring so they may identify potential safety threats

63. Airway Obstruction during Anterior Cervical Spine Surgery | PSNet
    psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
    January 29, 2021 - This situation needs to be remedied emergently to prevent hypoxemia and/or hypercapnic acidosis, which … Without such communication, it would have taken much longer to rectify the situation. … spinal motor pathways during the operation. 12 Neuromuscular blocking drugs should be avoided when monitoring … surgeon, the anesthesia team, the scrub and circulating nurses as well as the neurophysiologist who is monitoring … Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation

64. Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. | PSNet
    psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study
    July 17, 2013 - are too frequent or perceived to be clinically irrelevant, can lead to lack of awareness of an unsafe situation … This retrospective review examined all alarm data regarding physiologic monitoring, including electrocardiogram

65. A novel study of situational awareness among out-of-hospital providers during an online clinical simulation. | PSNet
    psnet.ahrq.gov/issue/novel-study-situational-awareness-among-out-hospital-providers-during-online-clinical
    June 08, 2022 - Situational awareness (SA) requires recognizing situations, interpreting them, and predicting how the situation

66. Using ventilator splitters during the COVID-19 pandemic--letter to health care providers. | PSNet
    psnet.ahrq.gov/issue/using-ventilator-splitters-during-covid-19-pandemic-letter-health-care-providers
    June 02, 2021 - This situation can reduce the effectiveness of monitoring patients on shared devices and introduce

67. Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations. | PSNet
    psnet.ahrq.gov/issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-support-necessary
    January 18, 2013 - care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation … Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring April 26, 2023 … Perspective Surveillance Monitoring to Improve Patient Safety

68. Customer focused incident monitoring in anaesthesia. | PSNet
    psnet.ahrq.gov/issue/customer-focused-incident-monitoring-anaesthesia
    April 24, 2018 - Study Customer focused incident monitoring in anaesthesia. … Customer focused incident monitoring in anaesthesia. Anaesthesia. 2007;62(6):586-90. … Customer focused incident monitoring in anaesthesia. Anaesthesia. 2007;62(6):586-90.

69. Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units | PSNet
    psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
    April 26, 2023 - Surveillance Monitoring Surveillance Monitoring is an electronic system for continuously monitoring … Surveillance monitoring differs from clinically indicated continuous monitoring in higher-acuity settings … continuous monitoring approaches. … The issue is your system must be tuned to say, “Is this the type of situation that would trigger a rapid … If you start adding more sensors and more alarms, then you’re going to be right back in that situation

70. Administering a saline flush "site unseen" can lead to a wrong route error. | PSNet
    psnet.ahrq.gov/issue/administering-saline-flush-site-unseen-can-lead-wrong-route-error
    June 10, 2018 - From the Same Author(s) Fatal PCA adverse events continue to happen...better patient monitoring … May 2, 2018 Remote CPOE error—a situation that's more than remotely possible.

71. The APSF: 20-year anniversary of the first patient safety organization: past, present & future. | PSNet
    psnet.ahrq.gov/issue/apsf-20-year-anniversary-first-patient-safety-organization-past-present-future
    October 26, 2022 - October 25, 2023 APSF endorsed statement on revising recommendations for patient monitoring … March 10, 2021 Three quarters of preventable patient harm stems from situation awareness

72. A Double “Never Event”: Wrong Patient and Wrong Side. | PSNet
    psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
    August 20, 2018 - Department of Defense, consists of four core teachable competencies: communication, team leadership, situation … monitoring, and mutual support. … The SBAR or Situation, Background, Assessment, and Recommendation/Request tool represents a useful … The third skill is situational monitoring, which is the responsibility of all team members. … A helpful tool for situational monitoring is STAR: Stop, Think, Act, and Review.

73. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49853/psn-pdf
    February 01, 2019 - of the procedure, the PACU anesthesiologist ordered him to be placed on continuous pulse-oximetry monitoring … a reminder to document the intrahospital transfer in the patient's medical record, and rechecking monitoring … transfer, communication strategies such as closed-loop communication and frameworks such as SBAR [Situation … Safe transport requires trained personnel and appropriate level of monitoring. … SBAR Tool: Situation-Background-Assessment-Recommendation.

74. Reducing medical error in the Military Health System: how can team training help? | PSNet
    psnet.ahrq.gov/issue/reducing-medical-error-military-health-system-how-can-team-training-help
    March 29, 2007 - The program consists of teaching core skills in leadership, situation monitoring, team support, and communication

75. Promethazine adverse events after implementation of a medication shortage interchange. | PSNet
    psnet.ahrq.gov/issue/promethazine-adverse-events-after-implementation-medication-shortage-interchange
    October 26, 2010 - number of prescribed medications a patient is currently receiving can affect his or her safety in this situation … July 20, 2022 Assessing and monitoring override medications in automated dispensing devices

76. Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis. | PSNet
    psnet.ahrq.gov/issue/frequency-and-type-situational-awareness-errors-contributing-death-and-brain-damage-closed
    September 01, 2021 - September 13, 2017 Situation awareness errors in anesthesia and critical care in 200 … June 21, 2016 Situation awareness errors in anesthesia and critical care in 200 cases

77. Training situational awareness to reduce surgical errors in the operating room. | PSNet
    psnet.ahrq.gov/issue/training-situational-awareness-reduce-surgical-errors-operating-room
    November 21, 2012 - October 19, 2012 Practice Advisory on Intraoperative Awareness and Brain Function Monitoring

78. Adverse Event During Intrahospital Transport | PSNet
    psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
    June 16, 2021 - length of the procedure, the PACU anesthesiologist ordered him to be placed on continuous pulse-oximetry monitoring … , a reminder to document the intrahospital transfer in the patient's medical record, and rechecking monitoring … information transfer, communication strategies such as closed-loop communication and frameworks such as SBAR [Situation … Safe transport requires trained personnel and appropriate level of monitoring. … SBAR Tool: Situation-Background-Assessment-Recommendation.

79. Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. | PSNet
    psnet.ahrq.gov/issue/medical-harm-historical-conceptual-and-ethical-dimensions-iatrogenic-illness
    May 13, 2020 - factors from both the clinical and administrative sides of medicine are presented as contributors to the situation … September 29, 2017 Prescription Drug Monitoring Programs: Evidence-based Practices to

80. Transformation of health care at the front line. | PSNet
    psnet.ahrq.gov/issue/transformation-health-care-front-line
    July 24, 2017 - Download Citation Related Resources From the Same Author(s) Improving situation … August 27, 2013 Selection of indicators for continuous monitoring of patient safety: