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Total Results: 1,021 records

Showing results for "situation monitoring".

81. 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

82. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50844/psn-pdf
    January 29, 2020 - psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery https://psnet.ahrq.gov/issue/improving-situation-awareness-reduce-unrecognized-clinical-deterioration-and-serious-safety … https://psnet.ahrq.gov//#7 https://psnet.ahrq.gov//#8 https://psnet.ahrq.gov/issue/administering-and-monitoring-high-alert-medications-acute-care … Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events … Huddling for high reliability and situation awareness. BMJ Qual Saf. 2013;22(11):899-906.

83. Practice Advisory on Intraoperative Awareness and Brain Function Monitoring. | PSNet
    psnet.ahrq.gov/issue/practice-advisory-intraoperative-awareness-and-brain-function-monitoring
    July 16, 2018 - Review Practice Advisory on Intraoperative Awareness and Brain Function Monitoring … Practice advisory for intraoperative awareness and brain function monitoring: a report by the american … This clinical guideline on minimizing intraoperative awareness through appropriate monitoring has been … Practice advisory for intraoperative awareness and brain function monitoring: a report by the american

84. Iatrogenic events in neonates: beneficial effects of prevention strategies and continuous monitoring. | PSNet
    psnet.ahrq.gov/issue/iatrogenic-events-neonates-beneficial-effects-prevention-strategies-and-continuous-monitoring
    February 20, 2008 - Iatrogenic events in neonates: beneficial effects of prevention strategies and continuous monitoring … Iatrogenic events in neonates: beneficial effects of prevention strategies and continuous monitoring. … This study adopted an anonymous monitoring system for iatrogenic events to drive prevention initiatives … Iatrogenic events in neonates: beneficial effects of prevention strategies and continuous monitoring.

85. Achieving a successful patient safety program with implementation of a harm reduction strategy. | PSNet
    psnet.ahrq.gov/issue/achieving-successful-patient-safety-program-implementation-harm-reduction-strategy
    February 22, 2023 - January 2, 2011 APSF endorsed statement on revising recommendations for patient monitoring … October 26, 2022 Three quarters of preventable patient harm stems from situation awareness

86. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/862983/psn-pdf
    February 28, 2024 - This situation needs to be remedied emergently to prevent hypoxemia and/or hypercapnic https://psnet.ahrq.gov … 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 … Approaches to Improving Patient Safety Anesthesia clinicians must monitor the patient carefully Vigilant monitoring … surgeon, the anesthesia team, the scrub and circulating nurses as well as the neurophysiologist who is monitoring

87. 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

88. 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

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/848124/psn-pdf
    April 26, 2023 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring April 26, 2023 In Conversation … Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring. PSNet [internet]. 2023. … The issue is your system must be tuned to say, “Is this the type of situation that would trigger a rapid … I know some of your work was about integrating surveillance monitoring into workflows. … If you start adding more sensors and more alarms, then you’re going to be right back in that situation

90. Walking the plank: an experimental paradigm to investigate safety voice. | PSNet
    psnet.ahrq.gov/issue/walking-plank-experimental-paradigm-investigate-safety-voice
    January 18, 2023 - more likely to speak up when they received specific information about safety risks in an experimental situation … The Healthcare Complaints Analysis Tool: development and reliability testing of a method for service monitoring

91. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49850/psn-pdf
    January 01, 2019 - set in the electronic medical record had undergone significant revision and now contained dosing and monitoring … proper bolus dosing, correct rate of maintenance infusion, and appropriate timing of anticoagulation monitoring … The case indicates that the heparin infusion order set in question "now contained dosing and monitoring … order set is not appropriate for a given patient due to specific aspects of that patient's medical situation … Therefore, a best practice in such a situation would be to augment such electronic communications and

92. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33590/psn-pdf
    September 07, 2019 - culture of safety, responding to patient and staff concerns, supporting efforts to improve safety, and monitoring … not limited to) formulating the organizational mission and key goals, ensuring financial viability, monitoring … This situation is changing, driven by data on the influence of leadership engagement, as well as greater … practices include structured use of data to enhance care by setting specific quality goals and regularly monitoring

93. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44307/psn-pdf
    November 06, 2015 - skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring … non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring

94. With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospitals. | PSNet
    psnet.ahrq.gov/issue/little-help-my-friends-positive-contribution-teamwork-safety-behaviour-public-hospitals
    July 22, 2020 - July 28, 2021 The impact of an intervention to improve intrapartum maternal vital sign monitoring … June 8, 2011 Discrepant perceptions of communication, teamwork and situation awareness

95. Causes for medical errors in obstetrics and gynaecology. | PSNet
    psnet.ahrq.gov/issue/causes-medical-errors-obstetrics-and-gynaecology
    May 01, 2019 - January 4, 2015 Discrepant perceptions of communication, teamwork and situation awareness … support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring

96. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-314
    October 27, 2021 - Study Optimizing situation awareness to reduce emergency transfers in hospitalized children … Study Optimizing situation awareness to reduce emergency transfers in hospitalized children … The commentary discusses the importance intraoperative monitoring of intravenous catheters and the use … The commentary discusses the limitations of prescription drug monitoring program (PDMP) data for patients

97. Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. | PSNet
    psnet.ahrq.gov/issue/implementing-strategies-identify-and-mitigate-adverse-safety-events-case-study-unplanned
    May 24, 2012 - They advocate for the use of continuous monitoring tools to help alert teams to possible safety events … February 3, 2010 Safety as a criterion for quality: The Critical Nursing Situation Index

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865656/psn-pdf
    April 24, 2024 - Due to the urgency of the situation, the primary nurse overrode the automated dispensing unit and mistakenly … He was placed on cardiorespiratory and end tidal carbon dioxide monitoring. … configuring the electronic health record to flow overrides into the pharmacist queue to allow for real-time monitoring … improves the patient’s psychotic symptoms, agitation may improve after a single dose, but continued monitoring

99. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-345
    May 16, 2022 - Review Root cause analysis using the prevention and recovery information system for monitoring … One method of RCA is the Prevention and Recovery Information System for Monitoring and Analysis (PRISMA … Identifying Safety Events in the Prehospital Setting May 16, 2022 This piece focuses on measuring and monitoring

100. An intervention to increase situational awareness and the Culture of Mutual Care (Foco) and its effects during COVID-19 pandemic: a randomized controlled trial and qualitative analysis. | PSNet
     psnet.ahrq.gov/issue/intervention-increase-situational-awareness-and-culture-mutual-care-foco-and-its-effects
     November 21, 2021 - January 17, 2018 Why is safety in intrapartum electronic fetal monitoring so hard?