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psnet.ahrq.gov/issue/morphine-overdose-error-propagation-acute-pain-service-une-surdose-de-morphine-resultant-de
March 21, 2018 - Commentary
Morphine overdose from error propagation on an acute pain service: [Une … surdose de morphine resultant de multiples erreurs dans un service de douleur aigue]. … case study involving patient-controlled analgesia (PCA) pump errors that contributed to an accidental morphine
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psnet.ahrq.gov/issue/morphine-sulfate-oral-solution-100-mg-5-ml-20-mgml-medication-use-error-reports-accidental
February 16, 2011 - Press Release/Announcement
Morphine sulfate oral solution 100 mg per 5 mL (20 mg/
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psnet.ahrq.gov/sites/default/files/2021-09/spotlight_lost_in_transitions_of_care_09.22.2021_final.pdf
January 01, 2021 - Sulfate ER
60 mg 12 3 SNF
Jan 1 Oxycodone 15 mg 26 7 SNF
Jan 2 Morphine
Sulfate ER
60 mg 60 15 … SNF
Jan 9 Tramadol 50 mg 120 20 SNF
Jan 13 Morphine
Sulfate ER
60 mg 60 15 SNF
Jan 15 Tramadol 50 … 22 Morphine Sulfate
ER
60 mg 21 7 Pharmacy A
Table 3. … She was placed on morphine sulfate ER 60 mg twice daily (120
OME). … • On discharge, the patient was instructed to continue morphine sulfate
ER 60 mg three times daily
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psnet.ahrq.gov/issue/labeling-morphine-milligram-equivalents-opioid-packaging-potential-patient-safety
March 06, 2019 - Review
Labeling morphine milligram equivalents on opioid packaging: a potential patient … Labeling Morphine Milligram Equivalents on Opioid Packaging: a Potential Patient Safety Intervention. … This review suggests that including a morphine milligram equivalent on opioid labels could reduce the … Labeling Morphine Milligram Equivalents on Opioid Packaging: a Potential Patient Safety Intervention.
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psnet.ahrq.gov/web-mm/miscalculated-risk
December 03, 2008 - After the first dose of MS Contin (controlled-release oral morphine), the patient was noted to be somnolent … The ICU team evaluated his recent analgesic use and determined that he had received a dose of MS Contin … Contin (controlled-release oral morphine), a misunderstanding regarding the relative potencies of the … The long-acting opioids (fentanyl transdermal system [Duragesic], controlled-release morphine [MS Contin … with similar-sounding brand names, like Avinza (morphine sulfate extended release), Evista (raloxifene
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psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
October 27, 2022 - Sulfate ER
60 mg
12
3
SNF
Jan 1
Oxycodone
15 mg
26
7
SNF
Jan 2
Morphine … She was started on morphine sulfate ER 60 mg twice daily (120 OME) but required up-titration to 120 mg … She was placed on morphine sulfate ER 60 mg twice daily (120 OME). … Medication reconciliation by a pharmacy technician documented only the delayed fill of morphine sulfate … On discharge, the patient was instructed to continue morphine sulfate ER 60 mg three times daily, but
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psnet.ahrq.gov/issue/sources-and-magnitude-error-preparing-morphine-infusions-nurse-patient-controlled-analgesia
July 06, 2022 - Study
Sources and magnitude of error in preparing morphine infusions for nurse–patient … Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analgesia … In this study, researchers observed 153 nurse preparations of morphine infusions for pediatric patients … Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analgesia
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.332_slideshow.ppt
September 01, 2014 - For years he had been treated with long-acting morphine (extended-release 40 mg twice daily) as well … equivalents" (convert all opioids to same amount that would be given in oral morphine)
Several online … of 80 mg/day
Morphine 8–16 mg orally every 4 hours
Adjusted based on response
Give the inflammatory … Over the next 48 hours he was given increasing doses of extended-release morphine (up to a dose of morphine … The surgical resident evaluated the patient and requested the extended-release morphine be given for
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psnet.ahrq.gov/web-mm/empty-bag
June 01, 2018 - The physician ordered a morphine drip for better pain control. … The nurse set up the morphine drip along with a carrier solution of normal saline. … He placed the normal saline on a pump but failed to place the morphine drip on a pump as well. … Realizing that the morphine bag was empty, he immediately called the physician, obtained an order for … They discovered that the morphine was connected into the tubing below the pump for the saline (instead
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psnet.ahrq.gov/web-mm/feeling-no-pain
June 14, 2023 - pain post-operatively, the patient was placed on a Patient-Controlled Analgesia (PCA) pump containing morphine … sulfate. … Nurses attributed these symptoms to post-operative pain and the effects of the morphine. … At that point, clinicians realized that she was actually suffering from an adverse reaction to morphine … The nurses initially attributed the patient’s problems to effects of the morphine and did nothing about
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psnet.ahrq.gov/web-mm/lot-pain-medications
April 27, 2016 - For years he had been treated with long-acting morphine (extended-release 40 mg twice daily) as well … .( 11 ) However, most opioids, including morphine and hydromorphone, are eliminated primarily in the … For his superimposed acute pain, since his primary outpatient opioid is morphine, immediate-release morphine … Over the next 48 hours he was given increasing doses of extended-release morphine (up to a dose of morphine … His afternoon dose of extended-release morphine was held by the primary nurse who notified the surgical
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psnet.ahrq.gov/web-mm/pca-overdose
November 20, 2013 - Postoperatively, the patient complained of severe pain and received intravenous morphine sulfate in small … oriented and, while in the post-anesthesia care unit (PACU), she began receiving a continuous infusion of morphine … when using PCA pumps.( 14 ) One potential safeguard would be to stock only a single concentration of morphine … in oncology wards), the hospital should establish special safety measures when higher-concentration morphine … Overdose of morphine during PCA. Anaesthesia. 1995;50:919. [ go to pubmed ] 11.
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psnet.ahrq.gov/sites/default/files/2023-01/spotlight_overdose_of_gabapentin_and_oxycodone_in_a_patient_with_end-stage_renal_disease.pdf
January 01, 2023 - Consult pain specialist No
Use with Caution Oxycodone 2.5 mg oral every 4 h as needed No data
Avoid Morphine … is one of the most extensively used opioids, it has an
active metabolite (morphine-6-glucuronide (M6G … as confusion, sedation, myoclonus, and
respiratory depression.11
• Due to these increased risks, morphine … Morphine-6-glucuronide is responsible for the analgesic effect after morphine administration: a quantitative … review of morphine,
morphine-6-glucuronide, and morphine-3-glucuronide.
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psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
October 01, 2009 - His primary care physician (PCP) had been prescribing high doses of long-acting morphine (MS Contin), … fact, data on sales and distribution of opioids per person, per year, show an increase from 96 mg of morphine … The patient described here was on high doses of two different opioids, both long-acting morphine and … The morphine and oxycodone were discontinued. … In reviewing his medications, the patient had refilled his long-acting morphine and oxycodone 1 day before
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psnet.ahrq.gov/web-mm/death-pca
February 03, 2010 - Two concentrations of morphine are normally available for PCA use, 1 mg/mL and 5 mg/mL. … The nurse used a 5 mg/mL morphine cassette because a 1 mg/mL cassette was not available. … Her vitals were within normal range and the nurse noted that 20 mg of morphine had been infused. … Autopsy revealed a toxic concentration of morphine. … Extended-release epidural morphine. In: Sinatra RS, Jahr JS, Watkins-Pitchford JM, eds.
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psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
October 31, 2023 - Although morphine is one of the most extensively used opioids, morphine-6-glucuronide (M6G) is an active … metabolite of morphine that is excreted through renal elimination. … manifesting as confusion, sedation, myoclonus, and respiratory depression. 11 Due to these increased risks, morphine … Morphine-6-glucuronide is responsible for the analgesic effect after morphine administration: a quantitative … review of morphine, morphine-6-glucuronide, and morphine-3-glucuronide.
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psnet.ahrq.gov/issue/nimodipine-capsules-marketed-nimotop
March 03, 2010 - July 26, 2006
Morphine sulfate oral solution 100 mg per 5 mL (20 mg/mL): medication use … Patient Safety and Adherence to Self-Administered Medications
July 1, 2011
Morphine … sulfate oral solution 100 mg per 5 mL (20 mg/mL): medication use error—reports of accidental overdose
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psnet.ahrq.gov/issue/resident-attitudes-regarding-impact-80-duty-hours-work-standards
August 21, 2019 - September 14, 2022
Labeling morphine milligram equivalents on opioid packaging: a potential … August 3, 2011
Morphine overdose from error propagation on an acute pain service: [Une … surdose de morphine resultant de multiples erreurs dans un service de douleur aigue].
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psnet.ahrq.gov/web-mm/falling-between-cracks-software
March 09, 2011 - anesthesiologist, hoping to achieve adequate postoperative pain control, placed an epidural catheter through which morphine … While in the postanesthesia care unit, the patient became somnolent from receiving morphine on top of … the patient's oxycodone, the anesthesiologist would have taken this into account when administering morphine
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psnet.ahrq.gov/issue/safe-implementation-standard-concentration-infusions-paediatric-intensive-care
May 21, 2014 - According to a retrospective study in a pediatric intensive care unit, most morphine-related medication … The authors advocate for implementing standardized morphine infusions to improve safety. … April 1, 2020
Sources and magnitude of error in preparing morphine infusions for nurse–patient