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Total Results: 50 records

Showing results for "gastrostomy tube".

21. Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS). | PSNet
    psnet.ahrq.gov/issue/patient-safety-incidents-endoscopy-human-factors-analysis-non-procedural-significant-harm
    January 29, 2020 - Related Resources WebM&M Cases The Risks of a Malpositioned Gastrostomy … Tube and Poor Communication November 29, 2023 Anesthesia outside of the OR … Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube

22. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49756/psn-pdf
    April 01, 2016 - On hospital day 18, he underwent placement of a percutaneous endoscopic gastrostomy (PEG) tube for nutrition … The following day, an abdominal radiograph was performed to check tube placement prior to initiating … Tube feeds were started later that day. … Exploratory laparotomy revealed a large gastric perforation at the PEG tube site and spillage of tube … CT findings after uncomplicated percutaneous gastrostomy. AJR Am J Roentgenol. 1988;151:307-309.

23. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-416
    November 29, 2023 - Month’s WebM&Ms WebM&M Cases Spotlight Case The Risks of a Malpositioned Gastrostomy … Tube and Poor Communication Rachel Ann Hight, MD, FACS | November 29, 2023 This case describes … On hospital day 30, a surgeon placed a percutaneous endoscopic gastrostomy (PEG) tube in the intensive … obtained by another service 6 days after the PEG was placed and noted (for the first time) that the gastrostomy … tube traversed the liver.

24. Lost in Sign Out and Documentation | PSNet
    psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation
    January 31, 2011 - On hospital day 18, he underwent placement of a percutaneous endoscopic gastrostomy (PEG) tube for nutrition … The following day, an abdominal radiograph was performed to check tube placement prior to initiating … Tube feeds were started later that day. … Exploratory laparotomy revealed a large gastric perforation at the PEG tube site and spillage of tube … CT findings after uncomplicated percutaneous gastrostomy. AJR Am J Roentgenol. 1988;151:307-309.

25. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49742/psn-pdf
    September 01, 2015 - to difficulty weaning from mechanical ventilation as well as placement of a percutaneous endoscopic gastrostomy … (PEG) tube for nutrition. … increasingly agitated during his rehabilitation stay, and he eventually pulled on and broke his PEG tube … necessitated a return to interventional radiology at the trauma center for removal of the retained PEG tube … pediatric rehabilitation facility when perhaps an adult LTACH, capable of complex tracheostomy and gastrostomy

26. A Fumbled Handoff to Inpatient Rehab | PSNet
    psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
    December 21, 2018 - to difficulty weaning from mechanical ventilation as well as placement of a percutaneous endoscopic gastrostomy … (PEG) tube for nutrition. … increasingly agitated during his rehabilitation stay, and he eventually pulled on and broke his PEG tube … necessitated a return to interventional radiology at the trauma center for removal of the retained PEG tube … pediatric rehabilitation facility when perhaps an adult LTACH, capable of complex tracheostomy and gastrostomy

27. Microsoft PowerPoint - Spotlight Case_Agitated Delirium_FINAL.pptx (pdf file)
    psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
    January 01, 2023 - • Describe the techniques of nasogastric tube placement. … tube at the tip of the patient’s nose, looping the tube behind the patient’s ear, and placing the distal … , such as a percutaneous endoscopic gastrostomy (PEG) tube or jejunostomy tube (“J-tube”) for ongoing … Clinical practice guideline: gastric tube placement verification. … Nasogastric bridles are associated with improved tube-related outcomes in children.

28. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care | PSNet
    psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
    June 28, 2023 - In the short term, emergent complications include tube decannulation, tube obstruction, and hemorrhage … In caring for these patients, the tracheostomy and accompanying tube cannot be ignored. … When to change a tracheostomy tube. … Tracheostomy Tube Change. In: StatPearls . … 29, 2024 WebM&M Cases The Risks of a Malpositioned Gastrostomy

29. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50931/psn-pdf
    February 26, 2020 - Esophagography in a moribund patient may be challenging, but it can be accomplished by backing the nasogastric tube … esophageal defect, or severe systemic illness, might argue for a temporizing drainage (esophageal “T”-tube … ) or diversion procedure (e.g., esophagectomy, cervical esophagostomy, gastrostomy tube placement, and

30. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/846171/psn-pdf
    July 26, 2022 - Describe the techniques of nasogastric tube placement. … tube insertion depth is often estimated before insertion by placing the proximal end of the tube at … , such as a percutaneous endoscopic gastrostomy (PEG) tube or jejunostomy tube (“J-tube”) for ongoing … Clinical practice guideline: gastric tube placement verification. … Nasogastric bridles are associated with improved tube-related outcomes in children.

31. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation | PSNet
    psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
    June 28, 2023 - Describe the techniques of nasogastric tube placement. … Desired tube insertion depth is often estimated before insertion by placing the proximal end of the tube … , such as a percutaneous endoscopic gastrostomy (PEG) tube or jejunostomy tube (“J-tube”) for ongoing … Clinical costs of feeding tube placement . … Confirming nasogastric tube placement in adults.

32. Spotlight Case July 2008 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.257_slideshow.ppt
    December 01, 2011 - admitted to an academic medical center from a nursing home for replacement of a percutaneous endoscopic gastrostomy … (PEG) tube. … * * Case: Multitasking Mishap (2) The patient underwent successful PEG tube replacement on hospital

33. Timely diagnosis of esophageal perforation | PSNet
    psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
    September 27, 2023 - Esophagography in a moribund patient may be challenging, but it can be accomplished by backing the nasogastric tube … esophageal defect, or severe systemic illness, might argue for a temporizing drainage (esophageal “T”-tube … ) or diversion procedure (e.g., esophagectomy, cervical esophagostomy, gastrostomy tube placement, and

34. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49556/psn-pdf
    March 01, 2008 - administration of DDAVP (desmopressin acetate) and free-water boluses given by percutaneous endoscopic gastrostomy … (PEG) tube to maintain a normal sodium level. … Due to PEG tube dysfunction, the patient was unable to give herself free-water boluses for the 2 days … staff team struggled with her sodium management, trying to balance the DDAVP and the free water by PEG tube

35. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865455/psn-pdf
    March 27, 2024 - danger-discharge-summaries-abbreviations-create-confusion-both-author-and-recipient https://psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication … web-mm/critical-echocardiogram-result-lost-follow https://psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication

36. Hold That Order | PSNet
    psnet.ahrq.gov/web-mm/hold-order
    December 19, 2018 - administration of DDAVP (desmopressin acetate) and free-water boluses given by percutaneous endoscopic gastrostomy … (PEG) tube to maintain a normal sodium level. … Due to PEG tube dysfunction, the patient was unable to give herself free-water boluses for the 2 days … staff team struggled with her sodium management, trying to balance the DDAVP and the free water by PEG tube

37. Medication Administration Errors | PSNet
    psnet.ahrq.gov/primer/medication-administration-errors
    December 15, 2024 - Similarly, Enfit connectors and syringes for oral/g-tube/NG tube help to prevent inadvertent connection … 15, 2020 WebM&M Cases The Risks of a Malpositioned Gastrostomy … Tube and Poor Communication November 29, 2023 Development of a pediatric adverse

38. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49758/psn-pdf
    April 01, 2016 - At baseline he had some cognitive deficits and received his nutrition through a percutaneous gastrostomy … (feeding) tube. … basal coverage, a short-acting insulin (such as regular insulin every 6 hours) to cover for continuous tube … redesigned or protocols or order sets adjusted to ensure reliable use.(10) In this case, the patient's tube … If a patient is receiving insulin to match an expected caloric intake, stopping nutrition or tube feeding

39. Dropping to New Lows | PSNet
    psnet.ahrq.gov/web-mm/dropping-new-lows
    December 18, 2024 - At baseline he had some cognitive deficits and received his nutrition through a percutaneous gastrostomy … (feeding) tube. … basal coverage, a short-acting insulin (such as regular insulin every 6 hours) to cover for continuous tube … hard-to-control blood sugars including an active infection, acute kidney injury, variable oral intake, and tube … If a patient is receiving insulin to match an expected caloric intake, stopping nutrition or tube feeding

40. Unseen Perils of Urinary Catheters | PSNet
    psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
    January 31, 2024 - He received bolus feedings through a gastrostomy tube and required occasional suctioning of his tracheostomy