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psnet.ahrq.gov/issue/improving-patient-safety-human-factors-methods
June 12, 2019 - 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/print/pdf/node/865308
January 01, 2024 - resilience both focus on what goes right in healthcare and
adjusting to disturbances through anticipation, monitoring … technology has improved many aspects of care, but can also introduce new safety concerns that
require active monitoring … resilience both focus on what goes right in healthcare and
adjusting to disturbances through anticipation, monitoring … technology has improved many aspects of care, but can also introduce new safety concerns that
require active monitoring
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psnet.ahrq.gov/node/42300/psn-pdf
May 29, 2013 - effect-noise-auditory-processing-operating-room
https://psnet.ahrq.gov/issue/ergonomic-and-human-factors-affecting-anesthetic-vigilance-and-monitoring-performance
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide8.html
May 01, 2016 - Instead, keep monitoring the process. … Although implementation teams may be able to reduce the intensity of the process monitoring over time … It is helpful if the team remains responsible for monitoring these issues, updating tools and processes
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide8.html
May 01, 2016 - Instead, keep monitoring the process. … Although implementation teams may be able to reduce the intensity of the process monitoring over time … It is helpful if the team remains responsible for monitoring these issues, updating tools and processes
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psnet.ahrq.gov/node/49620/psn-pdf
February 01, 2011 - Monitoring
Specific protocols for monitoring patients after neck surgery vary across institutions. … However, the key
components of any effective neck hematoma monitoring protocol include close observation … Ultrasound may have a role in monitoring
for neck hematomas, but it has not been systematically studied … It cannot be emphasized enough
that this is a high-pressure and risky situation, and the caregivers … This approach requires careful monitoring of the airway while the
patient is being transported to the
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psnet.ahrq.gov/node/49573/psn-pdf
January 01, 2009 - traded off against the potential
benefits of the additional care provided by ICU nurses and specialized monitoring … most policies
currently recommend a "blanket" approach to standardization of content or format (e.g., Situation … by grouping patients under the care of a particular provider in one place and enabling peripheral
monitoring … Local actors must tailor a distant supervisor's plan to
the situation.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar02/spc_slides.pptx
June 04, 2013 - measurements 3 to 4 periods apart
Johns Hopkins Medicine
Limitations (2)
Will not work in every situation … increase referrals for CRC screening.
36
Statistical Process Control provides an important tool for monitoring
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psnet.ahrq.gov/web-mm/back-basics
July 13, 2010 - wrong" rule-based errors—the rule is strong in general but was inappropriate or misapplied in this situation … assessment 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
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025232-holden-final-report-2019.pdf
January 01, 2019 - distinct self-care decision-making personas—Rule-Following, Researching, and
Disengaging—represent situation-specific … naturalistic decision making for self-care; and (c) use-case
scenarios in which a decision-making situation … A situation-specific theory of heart failure self-care. … Remote monitoring and follow-up of pacemakers and implantable cardioverter
defibrillators. … Patient satisfaction and
suggestions for improvement of remote ICD monitoring.
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psnet.ahrq.gov/issue/implementing-human-factors-anaesthesia-guidance-clinicians-departments-and-hospitals
February 15, 2023 - August 24, 2022
APSF endorsed statement on revising recommendations for patient monitoring
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6-p.pdf
November 02, 2017 - When a situation like this occurs, the patient or member is a prime
candidate for overt retaliation.3 … National quality monitoring of Medicare health plans: the relationship
between enrollees’ reports and
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psnet.ahrq.gov/node/33815/psn-pdf
September 01, 2016 - Advanced communications and monitoring technologies facilitate the exchange of a patient's information … nurse elicitation (30%) or patient detection (11%) alone.(7) Another
similar application is used for monitoring … Heart failure remote monitoring: evidence from
the retrospective evaluation of a real-world remote monitoring … Frequent home monitoring of ICD is effective to prevent
inappropriate defibrillator shock delivery.
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psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_intraoperative_awareness_during_rhinoplasty_slides_final.pptx
January 01, 2024 - complications.
5
5
Case Details (2)
During the first follow-up visit, the surgeon did not address the situation … Processed EEG monitoring can also help to prevent intraoperative awareness. … Processed EEG monitoring can reduce the incidence of awareness. … Monitoring of Anesthesia by Bispectral Analysis of EEG Signals. … monitoring in patients undergoing inhalational general anaesthesia.
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/prevent-and-respond-to-recurrence
October 01, 2025 - An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/potential-artificial-intelligence-improve-patient-safety-scoping-review
March 09, 2022 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/telehealth-commentary-white-paper.pdf
May 01, 2020 - For example, “remote patient monitoring”
helps manage chronic conditions, and “remote ICUs” allow care … asynchronous), clinical topics (e.g., chronic disease management), telehealth function
(e.g., remote patient monitoring … for:
https://effectivehealthcare.ahrq.gov/products/telehealth/technical-brief
3
o Remote, home monitoring … In the current situation,
reducing the time patients spend in the emergency department may help to reduce … EPC Program has commissioned a white paper commentary to contextualize the findings to
the current situation
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psnet.ahrq.gov/issue/improving-follow-abnormal-cancer-screens-using-electronic-health-records-trust-verify-test
July 14, 2010 - September 29, 2017
Impact of non-interruptive medication laboratory monitoring alerts … A randomized trial of electronic clinical reminders to improve medication laboratory monitoring … Impact of health information technology interventions to improve medication laboratory monitoring
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psnet.ahrq.gov/issue/liability-associated-obstetric-anesthesia-closed-claims-analysis
July 13, 2010 - June 22, 2017
System errors in intrapartum electronic fetal monitoring: a case review … June 15, 2012
Customer focused incident monitoring in anaesthesia.
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digital.ahrq.gov/ahrq-funded-projects/measuring-and-improving-ambulatory-patient-safety-electronic-dashboard
January 01, 2023 - Among ambulatory patients, safety problems include missed and delayed diagnosis, poor monitoring, miscommunication … is a real-time intervention that tracks and identifies patients who are overdue for anti-coagulant monitoring … Designing and implementing an electronic patient registry to improve warfarin monitoring … Designing and implementing an electronic patient registry to improve warfarin monitoring in the ambulatory