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psnet.ahrq.gov/node/38843/psn-pdf
June 28, 2011 - https://psnet.ahrq.gov/issue/road-zero-preventable-birth-injuries
https://psnet.ahrq.gov/issue/adverse-respiratory-events-anesthesia-closed-claims-analysis
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psnet.ahrq.gov/node/41606/psn-pdf
February 01, 2019 - safe-use-opioids-hospitals
Opioid pain medications are considered high-risk medications due to the potential for respiratory
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psnet.ahrq.gov/node/37545/psn-pdf
February 20, 2008 - The most common (and most serious)
events included nosocomial infections and respiratory problems.
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psnet.ahrq.gov/node/34874/psn-pdf
February 25, 2009 - Results demonstrated an
increased risk for complications, including specific respiratory-related ones
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psnet.ahrq.gov/node/838855/psn-pdf
October 27, 2022 - The patient recovered without
change in respiratory symptoms or vital signs in the PACU. … discharged home with family members, with
instructions to follow up “as needed,” as his vital signs and respiratory … Current-day
bronchoscopy not only provides visualization of the lower respiratory tract but can also … widely, from an
asymptomatic finding requiring only monitoring to “tension” pneumothorax with acute respiratory
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psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - in the Emergency Department (ED) for joint swelling and rash, approximately two weeks after an upper respiratory … She was noted to have a temperature of 37.2 °C, heart rate of 119 bpm, respiratory rate of 22 breaths … In this case, a 2-year-old girl presented to the ED with joint swelling and rash following an upper respiratory … WebM&M Cases
Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory
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psnet.ahrq.gov/issue/preventing-and-managing-impact-anesthesia-awareness
May 27, 2020 - WebM&M Cases
Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory
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psnet.ahrq.gov/issue/opioid-deprescribing-toolkit
May 01, 2023 - WebM&M Cases
Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory
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psnet.ahrq.gov/issue/opioid-safety-initiative-toolkit
January 01, 2023 - WebM&M Cases
Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory
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psnet.ahrq.gov/web-mm/emergent-triage-miss
March 06, 2015 - The vital signs at triage, including respiratory rate and oxygen saturation, were normal. … for deterioration, at the time of triage the patient had stable vital signs and was in no apparent respiratory … Require evaluation and treatment but time not a critical factor Examples Severe respiratory … arrest, anaphylaxis, active seizures Cardiac chest pain, fever in immunocompromised patient, respiratory … chest pain • Suicidal • Gastrointestinal bleeding • Asthma in significant respiratory
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psnet.ahrq.gov/node/36797/psn-pdf
August 26, 2011 - american-college-surgeons-closed-claims-study-new-insights-improving-care
https://psnet.ahrq.gov/issue/adverse-respiratory-events-anesthesia-closed-claims-analysis
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psnet.ahrq.gov/node/33843/psn-pdf
October 01, 2017 - Or it could be acute symptoms
like we would see with respiratory viral infections. … JS: I'll speak for physicians, although I think nurses and respiratory therapists and others feel the … The most common are nonfebrile respiratory infections, which can obviously be many
different viruses … Number one is just good respiratory toilet. The most important thing is good hand
hygiene. … You can easily look at absenteeism, and you can find out (for
nurses, respiratory therapists, and others
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psnet.ahrq.gov/node/49765/psn-pdf
August 21, 2016 - & Commentary—Part 1:
A 72-year-old woman was admitted to the intensive care unit (ICU) with acute respiratory … time, the intensivist was
also managing nine other sick and complicated ICU patients, with nurses and respiratory … Severe acute pancreatitis threatens life by several mechanisms: respiratory failure, renal failure, and … Mechanical ventilation of stiff acute respiratory distress syndrome–affected tissue can also lead to … Guidelines for standards of care for patients with acute respiratory failure on mechanical ventilatory
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psnet.ahrq.gov/issue/piece-my-mind-writing-wrong
January 24, 2024 - patient–physician relationships, this commentary reveals insights from a physician who failed to notice a patient's respiratory
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psnet.ahrq.gov/issue/disparities-racial-ethnic-and-payer-groups-pediatric-safety-events-us-hospitals
February 21, 2024 - Hispanic pediatric patients have a higher risk of safety events (particularly sepsis and postoperative respiratory
-
psnet.ahrq.gov/node/37022/psn-pdf
September 24, 2010 - The RRT consisted of a pediatric
ICU nurse and respiratory therapist with physician backup if necessary
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psnet.ahrq.gov/issue/use-common-gas-outlet-supplementary-oxygen-during-caesarean-section
August 04, 2021 - For a detailed discussion of a very similar case, in which a patient with respiratory distress received
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psnet.ahrq.gov/issue/clinical-reasoning-wild-premature-closure-during-covid-19-pandemic
September 02, 2020 - involving a redeployed resident working in a COVID-19 assessment and treatment unit and an older man with respiratory
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psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
June 01, 2005 - If a respiratory therapist is involved in an error in the intensive care unit (ICU), not only would we … want a respiratory therapist who works in the ICU to be on the RCA team, but we would seek one who works
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psnet.ahrq.gov/issue/implementing-rapid-response-team-practical-guide
July 14, 2010 - hospital implemented a rapid response team consisting of a hospitalist, advance practice nurse, and respiratory