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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-5.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, Develop a Flowchart of Your Current Medication Reconciliation Process
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-5.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, Develop a Flowchart of Your Current Medication Reconciliation Process
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
July 01, 2023 - formulary, storage/control, labeling, ordering, preparing/distributing, administering, and/or patient monitoring … Do not overexplain the situation; be concise.
Effective communication is timely. … It avoids compromising a patient’s situation by promptly relaying information. … Communicate the following information:
Situation―What is going on with the patient? … Everett's deteriorating Situation.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
January 01, 2004 - Cost
justification of LMWH usage may include the elimination of lab values for
monitoring. … Weaknesses of system fixes
The most common pitfalls in the RCAs were solutions that fixed the situation … In one
situation, the physician ordered 20 mg of a drug, and the RN administered 20 mL. … Failure-to-rescue events
Failure-to-rescue is defined as a situation in which a patient develops a … • Move the patient to a higher level of care for more careful monitoring.
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psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
May 01, 2016 - some alarms are truly appropriate, and silencing them indiscriminately can lead to a life-threatening situation … Physiologic monitoring alarm load on medical/surgical floors of a community hospital. … and then a new nurse—it's when hospital monitoring began. … BD : I have been in this cardiac monitoring business for over 40 years. … problems, and knows that in the last 1000 cases an alarm has fired in this type of patient—in this situation
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www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/other-resources.html
September 01, 2021 - years
“The clinician should develop an individualized treatment plan based on the specific clinical situation … Recommendations for Metabolic Screening and Monitoring for Children and Adolescents on Antipsychotic … of side effects should be performed… Ideally, monitoring of BMI, blood pressure, fasting glucose, and … Minimal Standard
CAMESA (2011)
Canadian Alliance for Monitoring Effectiveness and Safety of … This practice parameter describes the minimum standards for monitoring vital signs, BMI, fasting blood
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psnet.ahrq.gov/node/841198/psn-pdf
December 07, 2022 - Technology, Education and Safety.
December 7, 2022
Arna D, ed. Curr Opin Anaesthesiol. 2022;35(6):710-737.
https://psnet.ahrq.gov/issue/technology-education-and-safety-1
Safety challenges in anesthesiology and perioperative care are high-risk situations. This segment of a
reoccurring special section covers strateg…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
July 01, 2023 - formulary, storage/control, labeling, ordering, preparing/distributing, administering, and/or patient monitoring … Do not overexplain the situation; be concise.
Effective communication is timely. … It avoids compromising a patient’s situation by promptly relaying information. … Communicate the following information:
Situation―What is going on with the patient? … Everett's deteriorating Situation.
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psnet.ahrq.gov/node/49664/psn-pdf
January 01, 2013 - The electronic health record (EHR) did not reflect the glucose levels because the bedside
glucose-monitoring … Perhaps
the most ubiquitous attempt to standardize handoffs has been the SBAR (situation, background … roles
Task allocation
All members have
dedicated
tasks:
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Ventilation: anesthetists
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Monitoring … by most able
team member ("lollipop
man"), who notices,
understands, and predicts
consequences
Situation … awareness
Consultants maintain overall
picture and awareness by
standing back and monitoring
rather
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psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
January 12, 2011 - This can be followed by other team behaviors (closed loop communication, task assistance, cross-monitoring … These champions ensure that structured meetings occur throughout the day to update the teams' situation … They teach and coach CRM concepts such as cross-monitoring, conflict resolution, effective communication … Staff must learn to develop situation awareness for and cross-monitoring of multiple caregivers, caring
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www.ahrq.gov/patient-safety/settings/hospital/match/table-5.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 5: Identifying Challenges and Addressing Barriers
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Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introducti…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/table-5.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 5: Identifying Challenges and Addressing Barriers
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Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introducti…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.pdf
October 01, 2016 - A description of what quality monitoring will include (see Monitor and Sustain
Stewardship toolkit) … attach any documents that will be used, including clinical guidelines, tools, training
materials, and monitoring
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psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
September 25, 2024 - intravascular air embolism that occurs while being cared for in a healthcare setting”). 12 In this situation … Comprehensive monitoring, as was done for the patient in this case, is also essential. … Adult guidelines recommend monitoring blood pressure, oxygenation, and heart rate along with clinical … Technical steps like using appropriate monitoring, minimizing insufflation and dilation pressures to … Sedation and Monitoring in the Pediatric Patient during Gastrointestinal Endoscopy.
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psnet.ahrq.gov/primer/alert-fatigue
March 15, 2025 - they computerized provider order entry systems (CPOE), smart intravenous infusion pumps, or cardiac monitoring … 200 deaths over a 5-year period attributable to failure to appropriately heed alarms from physiologic monitoring … Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety … September 1, 2016
Impact of non-interruptive medication laboratory monitoring alerts
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
July 01, 2023 - Likewise, the
nonverbal cues from the nurse's face might communicate the urgency of
the situation and … formulary, storage/control, labeling, ordering,
preparing/distributing, administering, and/or patient monitoring … Do not
overexplain the situation; be concise.
9
Effective communication is timely. … • It avoids compromising a patient’s situation by promptly relaying
information. … Everett's
deteriorating Situation.
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cds.ahrq.gov/sites/default/files/workgroups/58631/CDS_Connect_WG_February_2022_Summary.pdf
January 01, 2022 - including the infrastructure for connectivity, the presence of computing devices, access
to remote monitoring … At a doctor’s recommendation, she had
purchased a blood pressure monitoring device. … The ACTIVATE team began by exploring her situation,
beginning at the point of purchase, to understand … ACTIVATE includes a twelve-week program of health coaching, remote patient-data monitoring, and
huddles
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psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
January 27, 2021 - should be commenced after a timeout, which includes a short introduction of the patient and the current situation … A Situation-Background-Assessment-Recommendation ( SBAR) format is advisable for such briefings. 10,11 … evaluated and the "Treatment A-B-C" may be the best tool for a structured evaluation in a stressful situation … Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety
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psnet.ahrq.gov/perspective/conversation-barbara-drew-rn-phd
May 01, 2016 - and then a new nurse—it's when hospital monitoring began. … BD : I have been in this cardiac monitoring business for over 40 years. … problems, and knows that in the last 1000 cases an alarm has fired in this type of patient—in this situation … some alarms are truly appropriate, and silencing them indiscriminately can lead to a life-threatening situation … Physiologic monitoring alarm load on medical/surgical floors of a community hospital.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
January 01, 2025 - Home monitoring of patients with serious medical conditions, such as severe congestive heart
failure … Much of the monitoring will be done using “smart” devices, such as scales that are
wirelessly linked … The actual monitoring will be done
largely using electronic tools that can sift through the data and … then;
most of those (e.g., standardized templates, written turnover documents, and fads like SBAR
[Situation-Background-Assessment-Recommendation … patient), the new
goal should be saliency (what must we pay attention to based on the complexity of the situation