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psnet.ahrq.gov/node/50769/psn-pdf
February 15, 2017 - Cultural Competence and Patient Safety
December 27, 2019
Brach C, Hall KK, Fitall E. Cultural Competence and Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
Background
Culture can be defined as the “personal identification, language, thoughts, co…
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psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
August 05, 2009 - February 22, 2023
Health system redesign of cardiac monitoring oversight to optimize
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digital.ahrq.gov/sites/default/files/MO%20Workgroup%20Charter_Final.pdf
November 01, 2023 - • Risk-benefit analysis: comparison between the risks of a situation and its benefits to determine
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www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-transcript.html
December 01, 2017 - And when you talk about this type of drug resistance, it's really become a— we're approaching a situation … on I've labeled as top-down initiatives, such as restricting certain antibiotics in the formulary, monitoring … They're in a better situation and stopping and having providers routinely ask was it an infectious diagnosis … And I suspect at all of your institutions you would find a similar situation.
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www.ahrq.gov/sites/default/files/publications/files/match.pdf
August 01, 2012 - In addition, physicians, nurses, and pharmacists
have an active role in reviewing, managing, and monitoring … During monitoring efforts, if you identify certain areas or disciplines
with low adherence to the process … Multivitamin was not ordered on admission
D
Error that reached the patient and could
have necessitated monitoring
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psnet.ahrq.gov/node/73334/psn-pdf
August 01, 2024 - psnet.ahrq.gov//#9
https://psnet.ahrq.gov//#10
https://psnet.ahrq.gov//#11
Vasopressor Administration & Monitoring … Vasopressor administration requires admission to an ICU and continuous cardiac and blood pressure
monitoring … potentially harmful errors (those rated D or above, indicating the majority
of patients require extra monitoring … We previously
discussed (see section on Vasopressor Administration & Monitoring above) how norepinephrine
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psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
December 04, 2016 - quantities to assess for fluid responsiveness and prevent fluid overload. 11,12 Vasopressor Administration & Monitoring … Vasopressor administration requires admission to an ICU and continuous cardiac and blood pressure monitoring … potentially harmful errors (those rated D or above, indicating the majority of patients require extra monitoring … We previously discussed (see section on Vasopressor Administration & Monitoring above) how norepinephrine
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meps.ahrq.gov/survey_comp/appendix_d_glossary.shtml
December 31, 2020 - Included with Other Charges: This
normally applies to a ‘global fee’ situation … Their duties may also include monitoring the
patient’s physiological responses to therapy
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meps.ahrq.gov/survey_comp/appendix_d_glossary.pdf
December 31, 2020 - Included with Other Charges: This normally applies to a ‘global fee’ situation where the
person is charged … Their duties may also include monitoring the patient’s
physiological responses to therapy, such as vital
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www.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
June 21, 2021 - organisational policies and proce
dures; external rules, regulations and pressures; and
system measurement and monitoring … common feedback goals, be well
integrated into their workflow, allow for system meas
urement and monitoring … System measurement and monitoring How can effects of the feedback process be measured?
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/fac-notes.html
October 01, 2020 - After monitoring data to assess successful implementation, begin the cycle of spread and sustainability … Feedback System
Say:
Establishing robust and transparent data feedback systems is important in monitoring
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-facnotes.docx
May 01, 2017 - After monitoring data to assess successful implementation, begin the cycle of spread and sustainability … Slide 35
SAY:
Establishing robust and transparent data feedback systems is important in monitoring
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www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
January 01, 2024 - rotations, interns underwent continuous ambulatory polysomnographic
(Vitaport-2/3, TEMEC Instruments) monitoring … Throughout all testing
periods, subjects wore actiwatches that allowed for the daily monitoring of activity
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psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
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
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
July 01, 2023 - However, the rising inpatient death rates and growing disparities
warrant closer monitoring. … This situation strained hospital resources and led to hospital
and emergency department crowding.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiig.html
June 01, 2010 - Focus areas included preventative health characteristics, physical ability, current living situation, … Items range from frequency of case manager monitoring and presence of required documentation to timeliness
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psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
February 10, 2021 - indicate serious non-cardiac illness
Categorize systemic anticoagulation as a high-risk clinical situation … One simple monitoring checklist developed by an expert panel utilized the mnemonic ABCDEF: A (adherence
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
August 01, 2010 - use it as a notes sheet during bedside shift report, or use it as an observation
sheet for continual monitoring … You will
need to provide continual feedback and monitoring to make sure behaviors
become natural and … Support, monitoring, and education ensure continued success. … • Periodic monitoring of
nurses enabled hospitals
to provide helpful and
timely feedback.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
May 01, 2017 - Program for Ambulatory Surgery
14
Better “know the game plan” and “be on the same page”
Monitor a situation
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www.ahrq.gov/news/events/nac/2021-07-nac/nacmtg071421-minutes.html
December 01, 2021 - It assesses changes in healthcare delivery and monitoring of impacts on the patient’s experience. … modalities are video office visits, audio-only, store-and-forward, apps (mHealth), and remote patient monitoring