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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
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psnet.ahrq.gov/issue/patient-safety-resources-clinicians
August 04, 2021 - April 6, 2022
Evidence of respiratory infection transmission within physician offices
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psnet.ahrq.gov/node/37462/psn-pdf
January 06, 2017 - Omission errors were the most common error type,
registered nurses and respiratory therapists were most
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psnet.ahrq.gov/node/39142/psn-pdf
December 02, 2009 - The RRT in this study consisted of a critical care nurse, a respiratory therapist, and a pharmacist
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psnet.ahrq.gov/node/39176/psn-pdf
December 16, 2009 - after implementing a rapid response team (RRT) consisting of a critical care physician, nurse, and
respiratory
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psnet.ahrq.gov/node/37363/psn-pdf
February 03, 2011 - The team consisted
of a critical care physician, nurse, respiratory therapist, and nursing supervisor
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psnet.ahrq.gov/node/40562/psn-pdf
July 03, 2014 - 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/39624/psn-pdf
June 23, 2010 - that early warning signs
used to activate RRS are only fair predictors, whereas greater vigilance in respiratory
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psnet.ahrq.gov/node/37484/psn-pdf
April 01, 2010 - analyzed, the two associated with greatest excess mortality and costs were
postoperative sepsis and respiratory
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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
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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
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psnet.ahrq.gov/cme
February 26, 2025 - treatment with diuretics and antihypertensives, her condition deteriorated, leading to intubation due to respiratory … Attempts to intubate him to manage his respiratory distress were unsuccessful and he underwent emergency
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psnet.ahrq.gov/node/49755/psn-pdf
February 01, 2016 - Laboratory results were suggestive of respiratory and metabolic
acidosis. … residual daytime sedation leading
to increased risk for falls, altered mental status (delirium), and respiratory … for adverse effects and poor outcomes, such as residual
daytime sedation, altered mental status, and respiratory
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psnet.ahrq.gov/node/49669/psn-pdf
November 01, 2012 - She rapidly worsened and had a respiratory arrest; a code blue was called. … The clinicians caring for her believed that the
patient developed hypoxic respiratory failure from acute … With supportive care and more diuretics, the patient's hypoxic respiratory failure improved and she was … guidelines (6,9), the clinicians might have avoided giving the second unit,
which seems to have led to respiratory
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psnet.ahrq.gov/node/38816/psn-pdf
July 29, 2009 - Investigators found that impending respiratory failure and acute volume overload were the most common
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psnet.ahrq.gov/issue/2008-recommendations-pre-anesthesia-checkout-procedures
April 22, 2020 - WebM&M Cases
Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory
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psnet.ahrq.gov/issue/pain-alleviation-toolkit
April 22, 2020 - WebM&M Cases
Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory
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psnet.ahrq.gov/issue/technology-education-and-safety
December 15, 2021 - Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory
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psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
April 26, 2023 - This is the idea of serious but treatable complications, and respiratory arrests due to opioids are a … It’s not to say that you shouldn’t monitor other physiologic parameters like respiratory rate, but you … Also, in monitoring neonates who are sent home, but still have some risk for respiratory and cardiac … Inpatient respiratory arrest associated with sedative and analgesic medications: impact of continuous … Inpatient respiratory arrest associated with sedative and analgesic medications: impact of continuous
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psnet.ahrq.gov/issue/safe-use-opioids-hospitals
February 28, 2018 - Opioid pain medications are considered high-risk medications due to the potential for respiratory depression