-
psnet.ahrq.gov/issue/millions-people-used-tainted-breathing-machines-fda-failed-use-its-power-protect-them
June 28, 2023 - Newspaper/Magazine Article
Millions of people used tainted breathing machines. … Citation Text:
Millions of people used tainted breathing machines. … It discusses problems with a widely used sleep apnea breathing device (continuous positive airway pressure … Cite
Citation
Citation Text:
Millions of people used tainted breathing
-
psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
January 29, 2021 - drugs should be avoided when monitoring motor potentials, although avoiding these drugs can lead to problems … Correcting the error in the breathing system and/or the ventilator may take time. … Anesthesia clinicians need to review algorithms for troubleshooting problems with ventilation frequently … Some crises occur infrequently, and checklists are particularly helpful when dealing with uncommon problems … Coexisting health problems need to be identified and treated Obese patients like the patient in this
-
psnet.ahrq.gov/issue/severe-illness-getting-noticed-sooner-signs-kids-developing-illness-recognition-tool-connect
September 23, 2020 - healthcare experts, identified five cues: (1) behavior, such as reduced interaction or lack of movement, (2) breathing … , including noticeable breathing or long pauses between breaths, (3) skin, such as jaundice or blueish … August 26, 2020
Reasons for drug administration problems and perceived needs for assistance
-
psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
January 29, 2021 - circuit will pull the breathing circuit apart rather than pull the ETT out of the trachea. … hypoxic drive to breathe, so the patient depends on a sufficiently high carbon dioxide level to drive respiration … Monitoring the patient’s respiration and oxygenation is especially important immediately following extubation … Disconnect the ETT from the breathing circuit prior to moving the patient. … Monitor vigilantly and correct problems rapidly.
-
psnet.ahrq.gov/issue/minnesota-lets-nurses-practice-while-disciplinary-investigations-drag-patients-keep-getting
April 22, 2020 - May 3, 2017
Millions of people used tainted breathing machines. … March 1, 2023
A girl dies during restraint at hospital already criticized for problems
-
psnet.ahrq.gov/issue/addressing-racial-and-ethnic-bias-pulse-oximeters-wicked-problem
April 18, 2019 - September 2, 2009
Medication-related problems in critical care survivors: a systematic … February 14, 2024
Millions of people used tainted breathing machines.
-
psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
January 29, 2021 - The patient was breathing spontaneously. … movement of the chest and abdomen becomes non-synchronous, a pattern often described as paradoxical breathing … During normal breathing, the chest and the abdominal walls move outwards together during inspiration. … emergencies are not always predictable and anesthesia care providers must be prepared for all potential problems … A clinical study of paradoxical breathing during sleep in children.
-
psnet.ahrq.gov/web-mm/pca-overdose
April 01, 2017 - A few hours after leaving the PACU and arriving on the floor, she was found pale with shallow breathing … A possible classification for such overdoses has been proposed.( 15 ) Problems include misprogramming … In the real world, such technologies are often too expensive and/or plagued with false alarm problems … Caregivers should report any problems or complications associated with PCA pumps (as well as all other … Problems with medical devices may be severely under-reported.
-
psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
April 29, 2020 - The next day, her husband called her primary care office because she was feeling worse with rapid breathing … Therefore, the rapid breathing, diarrhea, and sweating experienced by the patient in this case on the … presenting symptoms, which suggested a respiratory problem, and did not pay sufficient attention to the new problems … Significant cutaneous problems are still often overlooked, during both in-person care and virtual care
-
psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
May 19, 2021 - These calls aim to identify and resolve postdischarge issues such as problems understanding discharge … instructions, problems obtaining outpatient appointments, problems filling prescriptions, issues relating … discovered she was unable to get the expected follow up in the gastrointestinal clinic due to insurance problems … Telephone follow-up, initiated by a hospital-based health professional, for postdischarge problems in
-
psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
June 28, 2023 - transfer, the patient was found to be tachypneic with a respiratory rate of 29, complaining of difficulty breathing … Clinicians must understand how to maintain and manage tracheostomies, how to troubleshoot problems, and … these alarms must be set appropriately, and providers must be able to recognize causes and troubleshoot problems
-
psnet.ahrq.gov/issue/cultivate-discussions-psychologically-safe-workplace-part-1-and-part-ii
August 11, 2021 - Special or Theme Issue
Cultivate discussions in a psychologically safe workplace: part 1 and part II.
Citation Text:
Cultivate discussions in a psychologically safe workplace: part 1 and part II. ISMP Medication Safety Alert! Acute Care. July 11, 2024;29;(14):1-3; July 25, 2024;29(15):1-…
-
psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
September 27, 2023 - She was awake with discoloration to her face (purple) and neck (red), but she was breathing and able … There was adequate breathing and air exchange, adequate oxygen saturation, and no respiratory distress … LCSWs perform mental health assessments in the ED is that they can more effectively assess psychosocial problems
-
psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
March 24, 2019 - expiratory pressure (PEEP) valve to prevent hypoxemia while staff troubleshoot the ventilator and the breathing … E stands for equipment failure, such as a leak or stuck valve in the breathing circuit or ventilator
-
psnet.ahrq.gov/web-mm/all-history
February 28, 2011 - SPOTLIGHT CASE
All in the History
Citation Text:
Fee C. All in the History. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…
-
psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
March 27, 2024 - The following morning, her breathing was labored and rapid at 50-60 breaths a minute. … tachypneic at 60-80 breaths per minute, hypoxic with oxygen saturation in the high 80% range, grunting while breathing
-
psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - SPOTLIGHT CASE
"The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety
Citation Text:
Lewiss RE. "The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and H…
-
psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
March 12, 2021 - The Case A 19-month-old boy was found unresponsive and not breathing by a parent; 911 was called and … An earlier review highlighted practical problems associated with correct performance of double checking
-
psnet.ahrq.gov/continuing-education
February 26, 2025 - Radiograph Interpretation Error
(8)
Discontinuities, Gaps, and Hand-Off Problems … She heard the conversation among the surgical team members and felt that the breathing tube was pushed
-
psnet.ahrq.gov/web-mm/routine-goes-awry
September 23, 2020 - have been increasing over the past 35 years due to more frequent identification of sleep disordered breathing … Growth retardation, behavioral problems, enuresis, and poor school performance may be associated with