-
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
-
psnet.ahrq.gov/issue/correct-use-inhalers-help-patients-breathe-easier
August 10, 2016 - common errors associated with the use of inhalers and offers recommendations for patients, nurses, respiratory
-
psnet.ahrq.gov/web-mm/wheres-feeding-tube
September 01, 2003 - Two days later, the boy developed tachycardia (increased heart rate), tachypnea (increased respiratory … Most reports of malpositioned feeding tubes involve inadvertent placement into the respiratory tract … require radiographic confirmation that a newly inserted feeding tube's ports are not positioned in the respiratory … 8,9 ) While a carbon dioxide detector may help determine if a blindly inserted tube has entered the respiratory
-
psnet.ahrq.gov/node/33743/psn-pdf
December 01, 2012 - Patients
receiving daily coordinated SAT and SBT protocols implemented by nurses and respiratory
therapists … Key features of the intervention included: (i) Nurses and
respiratory therapists did not require physician … standardizing and coordinating
care processes that synergistically reverse the cycle; (ii) empowering nurses, respiratory … Early physical medicine and rehabilitation for patients with
acute respiratory failure: a quality improvement
-
psnet.ahrq.gov/node/37586/psn-pdf
March 05, 2008 - were the most common ADE types encountered, with antimicrobial agents,
analgesic medications, and respiratory
-
psnet.ahrq.gov/node/41100/psn-pdf
February 01, 2012 - The PDIs include postoperative complications such as respiratory failure, a case of which is
discussed
-
psnet.ahrq.gov/node/38343/psn-pdf
December 09, 2014 - cause-and-effect-analysis-closed-claims-obstetrics-and-gynecology
https://psnet.ahrq.gov/issue/adverse-respiratory-events-anesthesia-closed-claims-analysis
-
psnet.ahrq.gov/node/45328/psn-pdf
July 27, 2018 - cohort study found that patients with abnormal vital signs—temperature, blood pressure,
heart rate, respiratory
-
psnet.ahrq.gov/node/44042/psn-pdf
November 03, 2015 - Most of the teams included a critical care nurse and respiratory therapist.
-
psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - reported that approximately 2% of small-bore nasogastric tubes were inadvertently inserted into the respiratory … radiographic testing only when the pH method has failed or when a patient is considered at risk due to respiratory … The mean pH levels of the lung have been described at 7 or higher, 1 , 8 but infected pleural or respiratory … England, the National Health Service considers the administration of food, medications, or fluid into the respiratory … inappropriate use of a misplaced NG tube resulted in the patient’s acute decompensation and hypoxemic respiratory
-
psnet.ahrq.gov/node/38288/psn-pdf
February 03, 2011 - hospital-wide-code-rates-and-mortality-and-after-implementation-rapid-
response-team
A rapid response team consisting of ICU nurses and respiratory
-
psnet.ahrq.gov/node/44711/psn-pdf
September 21, 2016 - Two analysts canvassed the PICU each morning, interviewing night
nurses, physicians, respiratory therapists
-
psnet.ahrq.gov/issue/racial-bias-pulse-oximetry-measurement
January 19, 2022 - likely to experience inaccurate readings, potentially resulting in missed or delayed diagnosis of respiratory
-
psnet.ahrq.gov/issue/ismp-list-error-prone-abbreviations-symbols-and-dose-designations
January 14, 2024 - WebM&M Cases
Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory
-
psnet.ahrq.gov/issue/beware-basal-opioid-infusions-pca-therapy
June 05, 2018 - using basal opioid infusions and patient-controlled analgesia (PCA) in patients at risk for developing respiratory
-
psnet.ahrq.gov/node/37308/psn-pdf
January 05, 2012 - team that included an emergency physician and an
intensivist, in addition to an intensive care nurse, respiratory
-
psnet.ahrq.gov/issue/sedation-and-patient-safety
August 28, 2024 - WebM&M Cases
Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory
-
psnet.ahrq.gov/web-mm/intubation-mishap
April 26, 2023 - Commentary
A 17-month-old female infant in the pediatric intensive care unit (PICU) developed acute respiratory … She was immediately intubated without difficulty and her respiratory status was stabilized. … Acknowledgements: We would like to thank Jens Jensen, Joseph Cravero, and Dartmouth’s Pediatric ICU nursing and respiratory … Priority (see figure)
Patient Factors
Patient condition
Acute respiratory … doctor fails to inform the anesthesiologist doing an emergency nasal intubation that the patient in respiratory
-
psnet.ahrq.gov/node/72587/psn-pdf
December 23, 2020 - was received from the PICU intensivist via phone, which
included a brief history, recent changes in respiratory … abdominal distention; his breathing was non-labored while
receiving humidified high-flow nasal cannula respiratory … patient on extracorporeal life support (ECLS), a
perfusionist is an essential team member, along with a respiratory
-
psnet.ahrq.gov/issue/patient-safety-authority
October 07, 2020 - From the Same Author(s)
Process failures that increase the risk of infection through respiratory