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Total Results: 2,645 records

Showing results for "situation monitoring".

421. Audibility of patient clinical alarms to hospital nursing personnel. | PSNet
     psnet.ahrq.gov/issue/audibility-patient-clinical-alarms-hospital-nursing-personnel
     November 15, 2023 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring April 26, 2023 … Perspective Surveillance Monitoring to Improve Patient Safety … incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring

422. Hyperglycemia and Switching to Subcutaneous Insulin | PSNet
     psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
     May 19, 2021 - and attending saw the patient and decided to transfer him to the intensive care unit (ICU) for closer monitoring … Maintaining the continuous insulin and dextrose infusions in this situation would have been a better … approach, allowing for closer monitoring and titration of insulin dosing even while the patient was NPO … use of protocols to transition from IV to subcutaneous insulin Tasks High workload and time pressure situation … management Attending physician oversight of plan of care upon ICU transfer Organizational performance monitoring

423. Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
     January 01, 2004 - They reported that it would not be appropriate when a trainee was inexperienced in that situation ( … For this method, it is crucial that the chosen clinical situation is appropriate to the clinical knowledge … rather than on a video as the rater has a more complete understanding of the situation being rated. … Trainees also felt that this was a situation when it would not be appropriate to use the system as an … The Australian incident monitoring study.

424. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.311_slideshow.ppt
     December 01, 2013 - advantages: Fixed-dose oral dosing Fewer drug–drug and dietary interactions No need for routine coagulation monitoring … However, patients and providers sometimes prefer using TSOACs due to ease of administration and to avoid monitoring … not experience harm, but this was a near miss Two factors increased the likelihood of error in this situation … MedWatch/SafetyInformation/ucm250657.htm 19 Common Potential Errors With TSOAC Use (3) Inappropriate monitoring … to inappropriate patients, recommending an inappropriate dose or administration, and inappropriate monitoring

425. The Contribution of Diagnostic Error to Maternal Mortality and Severe Maternal Morbidity | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-2.html
     September 01, 2021 - the diagnostic process can lead to the escalation of a low-risk pregnancy and birth to an emergent situation … The diagram is an adaptation of the multidisciplinary Safer Dx framework for measuring, monitoring, and

426. Simulation-Based Education Improves Patient Safety in Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
     March 12, 2008 - basic airway management/oxygen delivery, (2) use of automated external defibrillators (AED)/cardiac monitoring … i.e., role clarity, communication, resource utilization, global awareness) and SBAR communication (Situation … their clinic, a post-workshop increase in confidence about their ability to perform in an emergency situation … Call for AED & 12-lead ECG (begin continuous monitoring once it arrives). … Really reinforced learning with mock situation;” “Reinforcement is always helpful;” “The ‘real’ dummy

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866434/psn-pdf
     August 07, 2024 - first 6 months, highlighting the importance of proactive identification of unsafe situations and close monitoring

428. Empty Handoff | PSNet
     psnet.ahrq.gov/web-mm/empty-handoff
     August 01, 2017 - 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, … All members have dedicated tasks: -  Ventilation: anesthetists   -  Monitoring … capture 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

429. Transforming Healthcare Quality through Information Technology (THQIT) (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016151-mathews-final-report-2008.pdf
     January 01, 2008 - Patient Demographics – one record per patient Field Usage Notes/Situation Medical Record Number Required … Name or Initial Situational If this is a discrete field, otherwise include with first name Suffix Situation … Emergency Contact Phone Situational If available Patient Employer Situational If available Ethnicity Situation … Encounter data – one record per encounter Field Usage Notes/Situation Medical Record Number Required

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33586/psn-pdf
     December 15, 2024 - they computerized provider order entry systems (CPOE), smart intravenous infusion pumps, or cardiac monitoring … deaths over a 5-year period attributable to failure to appropriately heed alarms from physiologic monitoring

431. Screening for Hypertension in Adults: US Preventive Services Task Force Reaffirmation Recommendation Statement (pdf file)
     www.uspreventiveservicestaskforce.org/home/getfilebytoken/5P_7f2rbEquA-ZR-fJJfHK
     April 27, 2021 - Clinicians should understand the evidence but individualize decision-making to the specific patient or situation … Measurements are taken much less frequently than with ambulatory blood pressure monitoring (eg, 1 to … Clinicians should understand the evidence but individualize decision-making to the specific patient or situation … Should out-of-office monitoring be performed for detecting white coat hypertension? … Decision Memo for Ambulatory Blood Pressure Monitoring (ABPM) (CAG-00067R2). Published 2019.

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49532/psn-pdf
     March 15, 2007 - wrong" rule-based errors—the rule is strong in general but was inappropriate or misapplied in this situation … of insulin requirements and institution of a variable-rate insulin infusion with frequent glucose monitoring … Implementing these algorithms requires adequate training and supervision of staff and close monitoring … Information technology (e.g., EHR and CPOE) can serve as a useful tool to improve monitoring and ordering

433. Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
     January 01, 2023 - until it is safe to perform the first tracheostomy tube change, but the team should acknowledge the situation … • Cuff pressure monitoring by manual manometer should be done every 8 to 12 hours and documented in … • Policy and staff education should include airway cuff pressure monitoring technique and protocols … Under or overpressure: an audit of endotracheal cuff pressure monitoring at the tertiary care center. … Monitoring during mechanical ventilation. Respir Care. 2020;65(6):832-846.

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/855432/psn-pdf
     November 15, 2023 - 3,986 registered nurses, the majority (83%) reported alarm fatigue and over half (55%) experienced a situation

435. Final Progress Report: Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration in Outpatients (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/weinger-france-report.pdf
     January 01, 2024 - relies largely on a patient’s or a caregiver’s ability to recognize a problem and to communicate the situation … require appropriate response and escalation of care to prevent further deterioration and correct the situation … defined as any event that deviates from expected or optimal care for a specific patient in a specific situation … For our patients, an NRE was generally a care situation that deviated substantively from the care they … Pavic et. al.71 completed a feasibility study (n=30 patients) of a continuous monitoring system for

436. Ambulatory Clinic Exam Room Design With Respect to Computing Devices to Enhance Patient Centeredness | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/ambulatory-clinic-exam-room-design-respect-computing-devices-enhance-patient
     January 01, 2023 - Ambulatory Clinic Exam Room Design With Respect to Computing Devices to Enhance Patient Centeredness Project Final Report ( PDF , 388.17 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and …

437. Larizza C et al. 2006 "The M2DM Project--the experience of two Italian clinical sites with clinical evaluation of a multi-access service for the management of diabetes mellitus patients." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/larizza-c-et-al-2006
     January 01, 2006 - glucose level and for patients because it strengthens their motivation to self-monitor the metabolic situation

438. Final Progress Report: Immersive Simulation for Design and Evaluation of an Emergency Department IT System (pdf file)
     www.ahrq.gov/sites/default/files/2025-05/bisantz-report.pdf
     January 01, 2025 - Participants using the new displays also showed improved situation awareness from the middle to the … At two points, the simulation was paused, and participants answered a set of situation awareness (SA … ) questions (Situation Awareness Global Assessment Technique - SAGAT). … ethical principles; processes related to administration, patient care (e.g., triage, diagnosis, status monitoring … Situation awareness improved from the midpoint to end of the session for the prototype but not the control

439. Contact Precautions for MRSA Prevention - Webinar slide notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/017-contact-precautions-webinar-slides-notes.docx
     October 01, 2024 - gloves, gowns, goggles, masks, or face shields, depending on the patient’s syndrome and the clinical situation … Adherence rates were good, and the environmental services monitoring program is a success. … This involves continuous monitoring and regular review of your chosen metrics. … Data from the environmental services monitoring program, documentation data from the decolonization program … professional judgment and standards of care in regard to the unique circumstances that may apply in each situation

440. Measuring the overall development of patient safety in a new hospital using trigger tools. | PSNet
     psnet.ahrq.gov/issue/measuring-overall-development-patient-safety-new-hospital-using-trigger-tools
     April 12, 2019 - 6 months, highlighting the importance of proactive identification of unsafe situations and close monitoring … Delayed recognition of deterioration of patients in general wards is mostly caused by human related monitoring … incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring