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psnet.ahrq.gov/issue/consumer-directed-technologies-improve-medication-management-and-safety
December 29, 2014 - Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation
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psnet.ahrq.gov/node/73498/psn-pdf
July 14, 2021 - Leaving a discontinued FentaNYL infusion attached to the
patient leads to a tragic error
July 14, 2021
ISMP Medication Safety Alert! Acute care edition. 2021;26(13);1-2.
https://psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error
High-alert medication misadministration i…
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psnet.ahrq.gov/node/46687/psn-pdf
February 21, 2018 - Oversedation of a patient with obstructive sleep apnea
prior to imaging.
February 21, 2018
Blay E, Barnard C, Bilimoria KY. Oversedation of a Patient With Obstructive Sleep Apnea Prior to Imaging.
JAMA. 2018;319(5):495-496. doi:10.1001/jama.2017.22004.
https://psnet.ahrq.gov/issue/oversedation-patient-obstructive-…
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psnet.ahrq.gov/node/60296/psn-pdf
May 06, 2020 - Ensuring access to medications in the US during the
COVID-19 pandemic.
May 6, 2020
Alexander GC, Qato DM. Ensuring access to medications in the US during the COVID-19 pandemic.
JAMA. 2020;324(1):31-32. doi:10.1001/jama.2020.6016.
https://psnet.ahrq.gov/issue/ensuring-access-medications-us-during-covid-19-pandemic
…
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psnet.ahrq.gov/node/49636/psn-pdf
October 01, 2011 - For instance,
sedation may need to be interrupted to achieve an optimal response from physical therapy … culture that expects this level of activity—in contrast to a tradition that encourages bedrest
and sedation—is … (19,20) Needham and colleagues (21)
elaborate on processes to promote physical activity and reduce sedation
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psnet.ahrq.gov/node/838071/psn-pdf
September 14, 2022 - Pharmacy leadership amid the pandemic: maintaining
patient safety during uncertain times.
September 14, 2022
Derrong Lin I, Hertig JB. Pharmacy leadership amid the pandemic: maintaining patient safety during
uncertain times. Hosp Pharm. 2022;57(3):323-328. doi:10.1177/00185787211037545.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/44365/psn-pdf
November 20, 2015 - A prospective study of suicide screening tools and their
association with near-term adverse events in the ED.
November 20, 2015
Chang BP, Tan TM. Suicide screening tools and their association with near-term adverse events in the ED.
Am J Emerg Med. 2015;33(11):1680-1683. doi:10.1016/j.ajem.2015.08.013.
https://psn…
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psnet.ahrq.gov/node/60619/psn-pdf
June 24, 2020 - Analysis of iatrogenic and in-hospital medication errors
reported to United States poison centers: a retrospective
observational study.
June 24, 2020
Leonard JB, McFadden C, Feemster AA, et al. Analysis of iatrogenic and in-hospital medication errors
reported to United States poison centers: a retrospective observ…
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psnet.ahrq.gov/node/44172/psn-pdf
September 28, 2016 - Preventing high-alert medication errors in hospital
patients.
September 28, 2016
Anderson P, Townsend T. Am Nurse Today. May 2015;10:18-23.
https://psnet.ahrq.gov/issue/preventing-high-alert-medication-errors-hospital-patients
High-alert medications have the potential to cause serious patient harm. This article fo…
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psnet.ahrq.gov/node/72496/psn-pdf
November 25, 2020 - Vulnerability of the medical product supply chain: the
wake-up call of COVID-19.
November 25, 2020
Miller FA, Young SB, Dobrow M, et al. Vulnerability of the medical product supply chain: the wake-up call of
COVID-19. BMJ Qual Saf. 2020;30(4):331-335. doi:10.1136/bmjqs-2020-012133.
https://psnet.ahrq.gov/issue/vul…
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psnet.ahrq.gov/issue/systematic-review-computerized-prescriber-order-entry-and-clinical-decision-support
August 23, 2017 - March 9, 2022
Protocolization of analgesia and sedation through smart technology in intensive
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psnet.ahrq.gov/issue/potential-drug-interactions-and-duplicate-prescriptions-among-cancer-patients
April 27, 2010 - Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation
-
psnet.ahrq.gov/issue/safe-implementation-standard-concentration-infusions-paediatric-intensive-care
June 17, 2014 - March 9, 2022
Protocolization of analgesia and sedation through smart technology in intensive
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psnet.ahrq.gov/issue/adverse-events-among-children-canadian-hospitals-canadian-paediatric-adverse-events-study
April 22, 2011 - January 15, 2020
Effect of a sedation weaning protocol on safety and medication use among
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psnet.ahrq.gov/issue/meta-analysis-effectiveness-crew-resource-management-training-acute-care-domains
July 24, 2013 - Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation
-
psnet.ahrq.gov/issue/world-health-organization-world-federation-societies-anaesthesiologists-who-wfsa
November 16, 2015 - February 15, 2017
Risk factors for adverse events in emergency department procedural sedation
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psnet.ahrq.gov/issue/rudeness-and-medical-team-performance
June 21, 2016 - April 13, 2016
Enhancing patient safety during pediatric sedation: the impact of simulation-based
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psnet.ahrq.gov/issue/computerized-physician-order-entry-cardiac-intensive-care-unit-effects-prescription-errors
August 15, 2013 - January 31, 2024
Protocolization of analgesia and sedation through smart technology in
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psnet.ahrq.gov/issue/didactic-and-simulation-nontechnical-skills-team-training-improve-perinatal-patient-outcomes
October 21, 2011 - October 27, 2021
Design and implementation of an analgesia, sedation, and paralysis order
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psnet.ahrq.gov/issue/examining-copy-and-paste-function-use-electronic-health-records
October 21, 2015 - October 21, 2015
Design and implementation of an analgesia, sedation, and paralysis order