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Total Results: 2,645 records

Showing results for "situation monitoring".

221. 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

222. 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

223. 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

224. 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

225. 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.

226. 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.

227. Boarding-Response-To-Rep.-Dingell (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/boarding-response-to-rep.-dingell.pdf
     December 31, 2024 - This situation is far from ideal patient care and can exacerbate health inequities, cause workforce … People 2030 tracks progress toward meeting the measurable objectives’ targets over the decade, monitoring … Despite these wide-ranging efforts, I agree that more must be done to urgently remedy this situation

228. 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

229. 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

230. 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.

231. 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

232. Making Healthcare Safer IV: Summary of Findings on Patient Safety Practices and Ratings by a Technical Expert Panel, 2024-2025 (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-iv-patient-safety-practices-year-2.pdf
     May 01, 2025 - Panel’s post-discussion ratings of a change in monitoring modality for patient monitoring systems (N … trials (RCT) and 9 pre- post) that examined two different structured handoff protocols:  SBAR tool (situation … background, assessment, recommendation)  I-PASS tool (illness severity, patient summary, action list, situation … CRPs = Communication and Resolution Programs; I-PASS = Illness Severity, Patient Summary, Action List, Situation … , and Synthesis to Receiver; PSPs = patient safety practices; TEP = Technical Expert Panel; SBAR = Situation

233. Addressing the Personal Health Information Management Needs of Older Adults - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r01hs022106-turner-final-report-2019.pdf
     January 01, 2019 - Our underlying assumption was that living situation may impact health information management. … The crosscutting activity of monitoring was a key process that informed PHIM related tasks, and involved … Barriers to monitoring included older adults’ choices and constraints, FF constraints, difficulty with … Monitoring for change: the role of family and friends in helping older adults manage personal health … Webinar: Monitoring for change: the role of family and friends in helping older adults manage personal

234. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse.pptx
     October 01, 2017 - Equipment Cognitive aids (e.g., checklists, protocols, algorithms, dosing guides, electronic fetal monitoring … Multidisciplinary responders offer built-in redundancy and another “set of eyes” on the situation.

235. 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

236. New York City Uses AHRQ's TeamSTEPPS®, Other AHRQ Resources to Advance Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201518.html
     July 01, 2015 - TeamSTEPPS situation monitoring prompts are incorporated into the hospital’s electronic health records

237. 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

238. 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

239. 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

240. 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