-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Devine_83.pdf
April 06, 2008 - just-in-time
basis, with the IT professionals and the clinical pharmacists serving as the “help desk,”
monitoring … Maintenance was provided, and enhancements were made throughout this time, with vigilant
monitoring … In vigilantly monitoring the backend of the system, the
pharmacists found many opportunities for clarification … patient-specific questions,
can now send an e-mail on the Clinic intranet system, alerting the prescriber to the situation … microwave
• Involving utility company facilitates auto-faxing
• System maintenance includes vigilant monitoring
-
psnet.ahrq.gov/node/49607/psn-pdf
August 01, 2010 - The system should also provide its users adequate data for
further improvement—for instance, a daily monitoring … For example, it may be necessary
to assign a person responsible for monitoring the change-of-shift assignment … System measurement and monitoring: Any new process should have specific measurements identified,
implemented … IT policies
and procedures responsible for overseeing HIT system procurement,
implementation, use, monitoring … System measurement and
monitoring
Effective measurement and monitoring programs address four key issues
-
psnet.ahrq.gov/issue/mental-models-basic-concept-human-factors-design-infection-prevention
April 26, 2017 - Commentary
Mental models: a basic concept for human factors design in infection prevention.
Citation Text:
Sax H, Clack L. Mental models: a basic concept for human factors design in infection prevention. J Hosp Infect. 2015;89(4):335-9. doi:10.1016/j.jhin.2014.12.008.
Copy Citation
…
-
psnet.ahrq.gov/node/836877/psn-pdf
May 16, 2022 - for rapid-sequence intubation or if it was given for sedation, that we are performing that immediate
monitoring … If we can get the monitoring before administering the drug, [that]
would be even better. … the future; what are some of
the future directions that you see for patient safety measurement and monitoring
-
psnet.ahrq.gov/node/49565/psn-pdf
July 01, 2008 - The LPN's role should have been limited to monitoring the
nutrients over the course of the infusion. … In this situation, the bag and the tubing should have been clearly marked
for IV USE ONLY.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/structured-handoff-protocol.pdf
December 31, 2024 - ICATCH (Identify patient, Characterize situation, Action – what was done
overnight, To do for the team … SBAR (Situation, Background, Assessment, Recommendation) – note there are
several variants of this, … PSYCH – (Patient information, Situation leading to hospitalization, Your
assessment, Critical information
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
April 03, 2008 - The definition of a close call, as found on the reporting
tool, is “a situation that does not cause
-
psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
February 10, 2021 - should be cautious in giving multiple potassium-lowering medications simultaneously, and should consider monitoring … treatment of hyperkalemia should be based on severity and should include indications for telemetry monitoring
-
digital.ahrq.gov/sites/default/files/docs/page/Keenan.ppt
January 01, 2004 - Heedful Interrelating
Nurse to Nurse Communication in Report
S-ituation What is the patient’s situation … support for the care planning process
An “external memory” of the patient’s care plan that allows easy monitoring
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-2025.pdf
January 01, 2025 - Cincinnati
Children’s Hospital
Medical Center
Cincinnati, Ohio
R18 HS029630
[Grant]
SAMURAI PICU: Situation … Arrests in the
Pediatric ICU
2023–2028
$789,497
Purpose: To evaluate the use of the SAMURAI PICU (Situation … Arrests In the PICU) bundle
to improve early identification of high-risk patients, increase shared situation … Key Findings/Impact: GRAM triggered monitoring plans for a number
of residents among participating nursing … in long-term
care pharmacies to identify residents who might benefit from prospective
medication monitoring
-
psnet.ahrq.gov/node/33766/psn-pdf
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.
-
psnet.ahrq.gov/node/33708/psn-pdf
March 01, 2011 - They define these "vigilance tasks," things that require a lot of
attention and vigilance like monitoring … ACGME duty hour recommendations, it
does say that programs should all implement handoff education and monitoring
-
digital.ahrq.gov/sites/default/files/docs/page/6_StakeholderMeetingDiscussionGuide_0.pdf
June 16, 2021 - information related to specific symptoms to law enforcement, CDC, Homeland
Security, and public health in a situation … patient-specific
information related to specific symptoms of a disease to a public health
agency in a situation
-
digital.ahrq.gov/sites/default/files/docs/page/6_StakeholderMeetingDiscussionGuide_1.pdf
June 16, 2021 - information related to specific symptoms to law enforcement, CDC, Homeland
Security, and public health in a situation … patient-specific
information related to specific symptoms of a disease to a public health
agency in a situation
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/049-dec-implementation-slides.pptx
October 01, 2024 - Program for MRSA Prevention | ICU & Non-ICU
Implementation
of Decolonization
Value of Checking Adherence
Monitoring … Program for MRSA Prevention | ICU & Non-ICU
Implementation
of Decolonization
Case Example: Launch, Monitoring … , Adjustment
Data monitoring and feedback used to identify issues and make adjustments, including:
Staff … professional judgment and standards of care in regard to the unique circumstances that may apply in each situation … Chlorhexidine only works if applied correctly: use of a simple colorimetric assay to provide monitoring
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/liver-cancer_disposition-comments.pdf
October 23, 2014 - 21, lines 28-30] It would be particularly important to consider imaging
performed in “surveillance” situation … this report is to inform clinical guidelines, in this
particular context it will serve to extend a situation … foster appropriate use of
these technologies for the early detection, diagnosis, staging, therapy
monitoring … Public
Reviewer
Gail
Rodriguez
(MITA)
General The dose monitoring/reduction features described … This standard helps imaging
facilities conduct quality testing and monitoring of X-ray equipment used
-
psnet.ahrq.gov/node/49501/psn-pdf
February 03, 2006 - Commands, readbacks, and monitoring help bridge authority gradients and ensure the
crisis-resistant
-
psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
April 09, 2014 - Easty, PhD
In many industries where professionals provide important monitoring and intervention activities
-
psnet.ahrq.gov/node/49798/psn-pdf
July 01, 2017 - Pseudo-obstruction But a Real Perforation
July 1, 2017
Paski SC, Dominitz JA. Pseudo-obstruction But a Real Perforation. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
Case Objectives
Recognize acute colonic pseudo-obstruction and implement a medical management plan.
Ide…
-
digital.ahrq.gov/2018-year-review/research-summary/using-technology-enhance-patient-communication-during-clinic
January 01, 2018 - Using Technology to Enhance Patient Communication During Clinic Visits
Key Finding and Impact:
Leveraging clinic room configuration allows the computer to become a facilitator to the patient visit, rather than a barrier between the provider and patient.
Computers have advantages, but may interfere with pa…