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psnet.ahrq.gov/node/60268/psn-pdf
April 29, 2020 - balance between clotting in the ECMO circuit and bleeding in the patient is delicate and requires close
monitoring … 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 … physician on the
other side of pump) keeps the same controlled distance but with eyes ahead and on the monitoring
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psnet.ahrq.gov/node/49808/psn-pdf
October 01, 2017 - Consequently, the patient
received an excessive amount of the medication, which resulted in a near code situation … Patient monitoring needs should also be assessed. … for critical
care patients, that outline three phases: pretransfer coordination and communication, monitoring … Monitoring high-risk cardiac patients
during transportation in hospital. … An analysis of the reports submitted to the Australian Incident Monitoring
Study in Intensive Care.
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digital.ahrq.gov/sites/default/files/docs/publication/r36hs023349-islam-final-report-2015.pdf
January 01, 2015 - Implications for Decision Support Current and future innovative informatics tools such as patient
monitoring … Patient monitoring tools such as therapeutic antibiotic monitors and adverse drug event monitors
embedded … For example, tele-
consultation and monitoring models, such as the ECHO (Extension for Community Healthcare … Outcomes)
program in New Mexico, include remote patient monitoring features that may guard against … This approach provides a shared sense of situation
awareness among team members.
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psnet.ahrq.gov/issue/multidisciplinary-team-training-simulation-setting-acute-obstetric-emergencies-systematic
February 17, 2021 - support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring
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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - to start dialysis after the patient was physically in the ICU and was unaware of
the urgency of the situation … If applied to the situation illustrated in the vignette, these systems would have decreased overcrowding
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psnet.ahrq.gov/issue/advances-human-factors-and-ergonomics-healthcare-and-medical-devices
August 28, 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/issue/maths-anxiety-and-medication-dosage-calculation-errors-scoping-review
September 01, 2016 - Review
Maths anxiety and medication dosage calculation errors: a scoping review.
Citation Text:
Williams B, Davis S. Maths anxiety and medication dosage calculation errors: A scoping review. Nurse Educ Pract. 2016;20:139-46. doi:10.1016/j.nepr.2016.08.005.
Copy Citation
Format:
…
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psnet.ahrq.gov/issue/tele-rapid-response-team-tele-rrt-effect-implementing-patient-safety-network-system-outcomes
March 24, 2021 - 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/issue/nursing-implications-early-warning-system-implemented-reduce-adverse-events-qualitative-study
October 27, 2021 - Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring
April 26, 2023 … Perspective
Surveillance Monitoring to Improve Patient Safety … January 11, 2023
Health system redesign of cardiac monitoring oversight to optimize alarm
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - Version 2.0 incorporates dynamic ECG monitoring, imaging display, videoconferencing facilities, and remote
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psnet.ahrq.gov/node/49556/psn-pdf
March 01, 2008 - Most frequently, hold orders are written for medications associated with specific monitoring
parameters … The physician wrote an order to "Hold
Coumadin" without any monitoring parameters. … In this situation, the intern was unfamiliar with the organization's policy that all hold
orders are
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psnet.ahrq.gov/node/49592/psn-pdf
October 01, 2009 - The nurse informed them that hospital policy prohibited
sedation in the unit without monitoring. … In the meantime, propofol was administered without monitoring. … Upon her return, the nurse observed that
the child was apneic and again requested monitoring. … The situation was "saved" by the patient's nurse, who in the midst of a very difficult encounter with … Monitoring for continued abuse of people and policies is
the responsibility of physician and nurse leaders
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integrationacademy.ahrq.gov/sites/default/files/2020-06/Lexicon.pdf
January 01, 2020 - mental health pharmaceutical
interventions
Common chronic/complex illness care
Follow-up, outcome monitoring … Outreach to patients who do not follow up
Regular monitoring of treatment response, side effects, and … Straightforward MH
pharmaceutical interventions
Common chronic/complex illness
care
Follow-up, outcome monitoring … such as in the “minimum” column may be appropriate for research and outcomes
reporting, but for monitoring … Regular monitoring of treatment response,
side effects and how the treatments are fitting the patient
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digital.ahrq.gov/sites/default/files/docs/page/Keenan.ppt
January 01, 2004 - Heedful Interrelating
Nurse to Nurse Communication in Report
S-ituation What is the patient’s situation … support for the care planning process
An “external memory” of the patient’s care plan that allows easy monitoring
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psnet.ahrq.gov/issue/does-simulation-improve-patient-safety-self-efficacy-competence-operational-performance-and
May 25, 2016 - Commentary
Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety.
Citation Text:
Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety. A…
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psnet.ahrq.gov/node/49398/psn-pdf
May 01, 2003 - Blood contamination of anesthesia equipment and monitoring equipment.
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psnet.ahrq.gov/web-mm/bloody-bp-cuff
June 21, 2016 - Blood contamination of anesthesia equipment and monitoring equipment.
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psnet.ahrq.gov/node/49565/psn-pdf
July 01, 2008 - The LPN's role should have been limited to monitoring the
nutrients over the course of the infusion. … In this situation, the bag and the tubing should have been clearly marked
for IV USE ONLY.
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psnet.ahrq.gov/node/49638/psn-pdf
January 01, 2012 - After stabilizing and monitoring the child's respiratory status, the ICU attending returned home. … Adequate systems were not
in place to establish, review, or revise team understanding of the situation … an inquiry process that engages all relevant
team members in reassessing their understanding of the situation … the child's condition
are rather different than the implications of recognizing the severity of the situation
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psnet.ahrq.gov/node/49607/psn-pdf
August 01, 2010 - The system should also provide its users adequate data for
further improvement—for instance, a daily monitoring … For example, it may be necessary
to assign a person responsible for monitoring the change-of-shift assignment … System measurement and monitoring: Any new process should have specific measurements identified,
implemented … IT policies
and procedures responsible for overseeing HIT system procurement,
implementation, use, monitoring … System measurement and
monitoring
Effective measurement and monitoring programs address four key issues