-
monahrq.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html
February 01, 2017 - such as the RASS score and the SAS (Riker Sedation-Agitation Scale). … In addition, delirium can be mistaken for anxiety, and incorrectly treated with sedation. … Slide 25: 2014 SHEA Compendium Update
Say:
If sedation is necessary, interrupt sedation at least … Use continuous sedation if boluses exceed three per hour. … Avoid deep sedation with a Richmond Agitation Sedation Scale (RASS) of -4/-5, as it appears to be harmful
-
monahrq.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-slides.html
February 01, 2017 - Minimize sedation level.
Use SAT with validated sedation scale daily. … Manage ventilated patients without sedation whenever possible.
16. … Slide 25: 2014 SHEA Compendium Update 16
Interrupt sedation once a day (SAT). … Use continuous sedation if boluses exceed 3 per hour. … Avoid deep sedation; instead, target awake or alert.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
August 03, 2017 - Patient factors
Mental state
Identify those patients most vulnerable to falls because of sedation, … Y
Y
Y
Y
Y
N
Y
Y
N
N
Y
Y
Y
Y
16/20
Medication administration record: given night sedation … Medication administration record: given night sedation last night?
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap5.doc
December 11, 2012 - Use sterile technique to drape patient from head to toe
Use local anesthetic and/or sedation
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - Story of Michelle Malizzo-Ballog
39-year-old presents for endoscopic GI procedure under heavy-moderate sedation … 11
Module 1
Michelle was to have an endoscopic gastrointenstinal procedure under heavy-moderate sedation … cardiopulumonary arrest, but during the code, Michelle had no response to reversal agents used for the sedation … the organization.
42
Michelle Malizzo ’s Case: System Solutions
Routine use of capnography in heavy sedation … Illinois at Chicago adopted improved policies regarding anesthesia coverage for cases involving heavy sedation
-
monahrq.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
August 01, 2022 - Slide 10
Say:
Michelle was to have an endoscopic gastrointestinal procedure under heavy-moderate sedation … cardiopulmonary arrest, but during the code, Michelle had no response to reversal agents used for the sedation … occurred:
The American Society of Anesthesiology adopted the standard that capnography be used in heavy sedation … Illinois at Chicago adopted improved policies regarding anesthesia coverage for cases involving heavy sedation
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
January 01, 2003 - Patient Care
Pain management/sedation (held to follow commands)?
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
April 01, 2016 - Slide 10
Say:
Michelle was to have an endoscopic gastrointestinal procedure under heavy-
moderate sedation … cardiopulmonary arrest,
but during the code, Michelle had no response to reversal agents used for the
sedation … ■ The American Society of Anesthesiology adopted the standard that
capnography be used in heavy sedation … Illinois at Chicago adopted improved policies regarding
anesthesia coverage for cases involving heavy sedation
-
monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.html
August 01, 2022 - children who presented to the hospital's GI suite to undergo a procedure under moderate [procedural] sedation … approximately 7 minutes during which she may not have been breathing adequately, possible from too much sedation
-
monahrq.ahrq.gov/teamstepps-program/curriculum/communication/tools/callout.html
May 01, 2023 - Or a patient having wisdom teeth removed may have a strong adverse reaction to the sedation and require
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-4-slides.pptx
February 28, 2022 - Example
Mutual Support
Two staff of the GI Lab are assessing an older patient who has just had conscious sedation
-
monahrq.ahrq.gov/hai/patient-safety-resources/cli-checklist/index.html
February 01, 2024 - Utilize local anesthetic and/or sedation?
-
monahrq.ahrq.gov/hai/clabsi-tools/appendix-5.html
March 01, 2018 - Use sterile technique to drape patient from head to toe
Use local anesthetic and/or sedation
-
monahrq.ahrq.gov/hai/cusp/toolkit/daily-goals.html
December 01, 2012 - Patient Care
Pain management/sedation (held to follow commands)?
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
May 17, 2016 - input (head injury, ingestion of central nervous system
depressant, adverse effect of procedural sedation
-
monahrq.ahrq.gov/teamstepps-program/curriculum/mutual/tools/task.html
May 01, 2023 - members of the gastrointestinal laboratory are assessing an older patient who has just had conscious sedation
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
April 01, 2016 - children who has presented to the hospital’s GI suite to undergo a
procedure under moderate [procedural] sedation … approximately 7 minutes during which she may not
have been breathing adequately, possibly from too much sedation … We now believe that
this blue episode may have been the result of too much sedation medication being
-
monahrq.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
December 01, 2017 - Skip to main content
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monahrq.ahrq.gov/teamstepps/instructor/fundamentals/module6/slmutualsupp.html
July 01, 2018 -
Two members of the GI Laboratory are assessing an elderly patient who has just had conscious sedation
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ambulatory.pdf
March 19, 2014 - Hospital
Two members of the GI Laboratory are assessing an elderly patient who has just had conscious
sedation