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psnet.ahrq.gov/issue/changes-safety-and-teamwork-climate-after-adding-structured-observations-patient-safety
August 20, 2018 - February 2, 2022
Design and implementation of an analgesia, sedation, and paralysis order
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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/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/gaps-continuity-care-and-progress-patient-safety
January 16, 2017 - Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation
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psnet.ahrq.gov/issue/errors-incidents-and-accidents-anaesthetic-practice
April 06, 2011 - May 23, 2018
Threats to safety during sedation outside of the operating room and the
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psnet.ahrq.gov/issue/impact-rapid-response-system-implementation-critical-deterioration-events-children
November 06, 2015 - March 20, 2013
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Conscious sedation on
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psnet.ahrq.gov/issue/hybrid-methodology-modeling-risk-adverse-events-complex-health-care-settings
November 11, 2015 - November 16, 2022
Comparison of adverse events during procedural sedation between specially
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psnet.ahrq.gov/issue/assessing-impact-anesthesia-medication-template-medication-errors-during-anesthesia
February 14, 2018 - June 2, 2019
Risk factors for adverse events in emergency department procedural sedation
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June 19, 2018 - 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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February 13, 2019 - Patterns in outpatient benzodiazepine prescribing in the
United States.
February 13, 2019
Agarwal SD, Landon BE. Patterns in Outpatient Benzodiazepine Prescribing in the United States. JAMA
Netw Open. 2019;2(1):e187399. doi:10.1001/jamanetworkopen.2018.7399.
https://psnet.ahrq.gov/issue/patterns-outpatient-benzodi…
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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/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/sites/default/files/import/webmm.ahrq.gov.332_slideshow.ppt
September 01, 2014 - improve monitoring, The Joint Commission recommends serial assessments of respiration and depth of sedation
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psnet.ahrq.gov/node/49760/psn-pdf
May 01, 2016 - should only be reserved for treatment of alcohol
or benzodiazepine withdrawal; adverse effects include sedation
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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/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/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/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…