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Showing results for "situation monitoring".

61. In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring | PSNet
    psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
    April 26, 2023 - 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 … 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.

62. 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

63. 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.

64. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/845357/psn-pdf
    March 29, 2023 - (CC3), which will focus on supporting broader health and wellness, including virtual visits, home monitoring

65. 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.

66. 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

67. 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

68. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49719/psn-pdf
    September 01, 2014 - Per American Society of Anesthesiologists guidelines, monitoring included continuous electrocardiography … 2), this conclusion cannot be definitive as the patient's blood pressure was not known during this monitoring … Situation awareness in anesthesiology. Hum Factors. 1995;37:20-31. … Standards For Basic Anesthetic Monitoring. … Near real-time notification of gaps in cuff blood pressure recordings for improved patient monitoring

69. 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.

70. 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

71. 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

72. 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

73. 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

74. Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? | PSNet
    psnet.ahrq.gov/issue/can-standard-configuration-cardiac-monitor-lead-medical-errors-under-stress-induction
    May 19, 2021 - Study Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? Citation Text: Dzisko M, Lewandowska A, Wudarska B. Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? Sensors (Basel). 2022;22(9):…

75. Misconnection Leading to Arterial Thrombosis | PSNet
    psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
    January 29, 2021 - An arterial line was inserted into the left radial artery to enable close monitoring of the patient’s … In this situation, backflow from the catheter is very sluggish and fluids infuse into the artery. … thrombosis on ultrasound after removal of the catheter. 23 Yet hand ischemia is very rare in this situation … Some authors recommend maintaining the arterial catheter in place in this situation to facilitate administering … Regular visual monitoring of a limb with an arterial line is especially important in sedated patients

76. High-Risk Medications, High-Risk Transfers | PSNet
    psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers
    December 21, 2017 - Consequently, the patient received an excessive amount of the medication, which resulted in a near code situation … Patient monitoring needs should also be assessed. … Monitoring high-risk cardiac patients during transportation in hospital. … An analysis of the reports submitted to the Australian Incident Monitoring Study in Intensive Care. … care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation

77. Nonopioid directives: unintended consequences in the operating room. | PSNet
    psnet.ahrq.gov/issue/nonopioid-directives-unintended-consequences-operating-room
    September 07, 2022 - It discusses the potential for adverse impacts of the strategy while recognizing the unique situation … room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring

78. Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency. | PSNet
    psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports-uk-national
    March 12, 2025 - The report makes recommendations for the proper use of monitoring equipment to ensure safety for intubated … May 30, 2012 Team situation awareness and the anticipation of patient progress during

79. 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:

80. Understanding and learning from organisational failure. | PSNet
    psnet.ahrq.gov/issue/understanding-and-learning-organisational-failure
    April 19, 2011 - December 8, 2021 Situation awareness and the mitigation of risk associated with patient … September 1, 2011 Hassle in the dispensary: pilot study of a proactive risk monitoring