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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide5.html
October 01, 2022 - prevention protocol effectively to bear at the point of care and to build out the infrastructure for monitoring … lift adequate prophylaxis rates to 80 percent or more and set the stage for effective measurement, monitoring … Piloting measurement and monitoring techniques with early assessment is also highly recommended. … Capturing ambulation status as a discrete data element in monitoring adherence to protocols. … Monitoring order set use, and designing an ongoing process to identify patients who have fallen through
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide5.html
October 01, 2022 - prevention protocol effectively to bear at the point of care and to build out the infrastructure for monitoring … lift adequate prophylaxis rates to 80 percent or more and set the stage for effective measurement, monitoring … Piloting measurement and monitoring techniques with early assessment is also highly recommended. … Capturing ambulation status as a discrete data element in monitoring adherence to protocols. … Monitoring order set use, and designing an ongoing process to identify patients who have fallen through
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
June 02, 2025 - for Day 2
Day 2 Preview
Day 1:
Introduction
Module 1—Communication
Module 2—Team Leadership
Module 3—Situation … Monitoring
Module 4—Mutual Support
Putting It All Together
Day 2:
Should you implement TeamSTEPPS? … 35
Step 7: Develop a Sustainment Plan
Implementation
Key Actions:
For your monitoring plan, determine … Identify Components of a Monitoring Plan:
1. Measures and Targeted Outcomes:
2. … Examples include:
Ask team members how they might have approached a situation differently by using a
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psnet.ahrq.gov/primer/leadership-role-improving-safety
September 15, 2024 - 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
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/strategies-slides.html
March 01, 2017 - TeamSTEPPS focuses on team structure and the teamwork system, leadership, situation monitoring, mutual … requesting information and avoiding delays in relaying information that could compromise a resident's situation
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psnet.ahrq.gov/issue/nursing-interventions-reduce-medication-errors-paediatrics-and-neonates-systematic-review-and
November 24, 2021 - February 2, 2022
Interventions to reduce medication dispensing, administration, and monitoring … March 10, 2021
Situation awareness and the mitigation of risk associated with patient
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psnet.ahrq.gov/node/845472/psn-pdf
March 15, 2023 - Colton Hood about Remote Patient Monitoring. PSNet
[internet]. 2023. … monitoring. … That situation extends to the concept
of hospital-at-home, which functions as a remote monitoring solution … minutes of monitoring for billing purposes. … Medical care can be challenging in that
situation.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
July 01, 2023 - checklist or references or links to available checklists and other cognitive aids are provided for each situation … In this presentation, the six principles are presented by focusing first on situation-specific elements … approach to debriefing events based on the seriousness of the event, expertise available, and data monitoring
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-2-team-leadership-facilitator-guide.pdf
June 02, 2025 - The patient’s daughter is upset by the situation. … ● How could the team benefit from a debrief after this situation? … How could the team benefit from a debrief after this situation? … Discuss tactics for leadership ~3 minutes
▪ Who was the leader during this situation? … Monitoring and Modifying the Plan
● Huddle—Ad hoc meeting to ensure continual progression of care to
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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?
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www.ahrq.gov/sites/default/files/2024-01/fernandez-report.pdf
January 01, 2024 - performance by developing team-
oriented goals, facilitating coordination and cooperation, and improving monitoring … studies suggest significant error rates in medication
dosing, team communication, knowledge gaps, monitoring … (Situation judgment test listed in G. … Situation Situation judgment test questions were developed to allow learners to
judgment test: receive … A long form of the
assessment with more situation judgment test questions was administered to team
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
May 01, 2017 - checklist or references or
links to available checklists and other
cognitive aids are provided for each
situation … In this
presentation, the six principles are presented
by focusing first on situation-specific elements … approach to
debriefing events based on the
seriousness of the event,
expertise available, and data
monitoring … • Using SBAR (Situation, Background,
Assessment, and Recommendation),
callouts, huddles, and closed-loop
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
May 07, 2008 - • Patients with followup INR monitoring:
o Pre-warfarin drug-interaction alert, 45%. … The first situation (receiving alerts for
nontargeted drugs) resulted in a high false-positive alert … rate, whereas the second situation (not
receiving up-to-date clinical information) had the potential … Study demonstrated importance of
monitoring drugs with toxicity risk. … Patient safety improves with laboratory monitoring of
potentially toxic medications.
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www.ahrq.gov/patient-safety/resources/learning-lab/neonatal-interfacility-transfers-long-desc.html
January 01, 2025 - Engineer a novel transport monitoring and communication system to improve information flow within the … on bedside wait times and total transportation time. 1 , 6 A simulated Transport Communication and Monitoring … Health professional perspectives on communication and monitoring during interfacility neonatal transport … Health Professional Perspectives on Communication and Monitoring During Interfacility Neonatal Transport … Health professional perspectives on communication and monitoring during interfacility neonatal transport
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psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
July 02, 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
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb5.html
February 01, 2023 - Your perception of the behavior may be very different from the actual situation. … Situation.
Location.
Resident motivation, feelings and agenda.
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psnet.ahrq.gov/node/49765/psn-pdf
August 21, 2016 - Monitoring and
alerting technology may also be helpful. … monitoring for problems, alerting clinicians when
appropriate, and providing intuitive and accurate … Relative value of central-venous-pressure monitoring and blood-volume measurement in the
management … Situation awareness in anesthesia: concept
and research. Anesthesiology. 2013;118:729-742. … The role of situation awareness in naturalistic decision making. In: Zsambok CE, Klein G,
eds.
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psnet.ahrq.gov/issue/understanding-how-rapid-response-systems-may-improve-safety-acutely-ill-patient-learning
July 08, 2015 - May 29, 2013
Supporting structures for team situation awareness and decision making: … incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring
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psnet.ahrq.gov/issue/development-electronic-pediatric-all-cause-harm-measurement-tool-using-modified-delphi-method
July 03, 2016 - February 8, 2023
Improving shared situation awareness for high-risk therapies in hospitalized … September 1, 2016
Monitoring the harm associated with use of anticoagulants in pediatric
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psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
September 27, 2023 - 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