-
psnet.ahrq.gov/web-mm/transfusion-slip
June 14, 2011 - Her blood pressure remained low despite wide-open crystalloid infusions, and she had signs of peritoneal
-
psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
August 14, 2024 - Medications were given to assist with agitation secondary to dementia and a psychiatric evaluation was … ordered to review the medications. … that impact the central nervous system such as opioids or psychotropic medications. … Likewise, her blood pressure recordings, lying, sitting or standing, were not noted so we don’t know … whether she also may have suffered a drop in her blood pressure and experienced lightheadedness or dizziness
-
psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
January 27, 2021 - Complications of ECMO During Transport
Citation Text:
Broman M. Complications of ECMO During Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML End…
-
psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review
May 15, 2013 - pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications
-
psnet.ahrq.gov/issue/validating-administrative-data-detection-adverse-events-older-hospitalized-patients
March 13, 2015 - May 4, 2012
Alternatives to potentially inappropriate medications for use in e-prescribing
-
psnet.ahrq.gov/web-mm/breakage-picc-line
June 21, 2023 - antibiotics for treatment of sepsis or other infections, total parenteral nutrition (TPN), and life support medications … risk factors for intravascular PICC fracture, nor were catheter size, insertion site, and specific medications
-
psnet.ahrq.gov/node/857260/psn-pdf
November 30, 2023 - He was told only to hold it on the day of the procedure, and to resume all
medications after discharge … His pre-procedure medication instructions were to stop all medications the night prior to the procedure … However, these medications can have adverse events, including genitourinary
infections and eDKA.4,5 … , allergies, and any previous adverse reactions to medications (or
withdrawal of medications). … Medication Reconciliation:
Obtain a detailed and accurate list of the patient's current medications,
-
psnet.ahrq.gov/node/36692/psn-pdf
January 18, 2011 - objective-medical-emergency-team-activation-criteria-case-control-study
The authors found that respiratory rate, heart rate, systolic blood … pressure, and level of consciousness
identified potential for cardiac arrest, unplanned intensive care
-
psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - the patient
arrives, the system uses physiologic monitors to track clinical data such as heart rate, blood … pressure, peripheral oxygen saturation, the amount of carbon dioxide exhaled by the patient (if an … For example, prompts might remind staff
working with a patient with abnormally low blood pressure to … ensure that tension pneumothorax,
hemothorax, or pericardial tamponade are not contributing to low blood … pressure.
-
psnet.ahrq.gov/node/836844/psn-pdf
April 07, 2022 - during transitions of care, screening for drug interactions, providing
recommendations) and home-based blood … pressure and blood glucose monitoring.
-
psnet.ahrq.gov/node/867357/psn-pdf
December 18, 2024 - The patient arrived at the ED
with seizures, tachypneic with a respiratory rate of 30, blood pressure … Emergency equipment, suction, bag-valve mask, and medications were all prepared. … be
more effective at preventing intubation.9,10 Seizures should be terminated with anticonvulsant medications … eliminates the risk of misplacing the ETT and avoids the
cardiovascular depression associated with sedative medications
-
psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - • Review commonly used medications for procedural sedation to include sedative
hypnotics, analgesics … end-tidal carbon dioxide
monitor, and other monitors as appropriate for the procedure (e.g., noninvasive blood … pressure, ECG,
stethoscope)
E = special Equipment or drugs for a particular case (e.g., defibrillator … • Blood pressure should be measured frequently, and the electrocardiogram, heart
rate, respiratory … ISMP Safe Practice Guidelines for Adult IV Push Medications. ISMP; 2015. Accessed April 4, 2023.
-
psnet.ahrq.gov/web-mm/liposuction-gone-awry
July 01, 2003 - Such accreditation generally ensures that the facility has all the equipment, staff, and medications … Less frequent complications were blood pressure alterations, deep venous thrombosis, and pulmonary embolism … Blood and Medications Are appropriate intravenous fluids available? … Is there proper anesthetic equipment and medications available?
-
psnet.ahrq.gov/node/49619/psn-pdf
February 01, 2011 - presented to the emergency department (ED) for
evaluation where he was noted to be afebrile with a blood … pressure of 113/66, heart rate of 95, and an
oxygen saturation of 99% on room air. … Pulsus paradoxus is an exaggeration of the physiologic drop in blood pressure with inspiration. … Elevated arterial blood pressure in cardiac tamponade.
N Engl J Med. 1992;327:463-466.
-
psnet.ahrq.gov/web-mm/forgotten-line
March 11, 2011 - roles to team members (e.g., the nurses talk about pain, family issues, lines; the pharmacists review medications
-
psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - recorded as follows: General: Mild respiratory distress with audible wheezing Vitals: Blood … pressure 110/62, Pulse 106, Respiratory rate 18, Temp 37.8°, Room air saturation 100% HEENT: Crusting … In one study, 90% of patients expected their blood pressure to be measured and their heart, lungs, abdomen … resident in charge of his care incidentally noted subcutaneous crepitus in the arm while measuring the blood … pressure.
-
psnet.ahrq.gov/issue/investigating-impact-intensive-care-unit-interruptions-patient-safety-events-and-electronic
October 18, 2023 - July 22, 2020
Potentially inappropriate medications according to STOPP-J criteria and
-
psnet.ahrq.gov/node/40471/psn-pdf
May 25, 2011 - medication changes (e.g., withholding antihypertensive medication in a patient
presenting with low blood … pressure) were also associated with subsequent ADEs, indicating a need for
better medication monitoring
-
psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - She was afebrile, tachycardic (120 beats per minute), with a normal blood pressure (109/51) and excellent … Overnight, the patient developed atrial fibrillation with rapid ventricular rate (RVR), which required medications … tube was inserted through her right nostril, without difficulty or complications, to administer oral medications … secretion can yield more acidic pH. 8 Additionally, the widespread use of gastric acid inhibiting medications … Administration of food, fluid, or medications through an improperly placed NG tube is considered a “never
-
psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - Hyperglycemia and Switching to Subcutaneous Insulin
Citation Text:
Wetterneck TB. Hyperglycemia and Switching to Subcutaneous Insulin. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
Copy Citation
Format:
Google Sc…