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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/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
September 24, 2024 - harm, but not direct attention to other preventable but more difficult to assess harms, such as over-sedation … result in focusing on reducing harms like bed sores, without addressing more complex harms like over-sedation … learned that there are specific things you can do to prevent it: elevate the head of the bed, daily sedation
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psnet.ahrq.gov/web-mm/forgotten-drip
April 01, 2014 - In addition, adequate sedation and analgesia in ICH patients will prevent spikes in ICP associated with
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psnet.ahrq.gov/sites/default/files/2020-10/final_slides_oct_2020_spotlight_case_inpt_stroke_mngt_in_adolescent_with_type1_diabetes.pdf
January 01, 2020 - Symptoms of hyper- and hypoglycemia are more difficult to
detect in the context of ongoing pain, sedation
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psnet.ahrq.gov/web-mm/mark-my-tooth
June 01, 2014 - Administer the local anesthesia with or without sedation or general anesthesia.
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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/primer/falls
October 27, 2021 - Falls
Citation Text:
Falls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
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…
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psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
January 29, 2021 - WebM&M Cases
The Dose Makes the Poison: Medication Error During Procedural 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/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…
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psnet.ahrq.gov/node/865570/psn-pdf
April 10, 2024 - Risk reduction in anesthesia and sedation-an analysis of
process improvement towards zero adverse events
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psnet.ahrq.gov/web-mm/little-shuteye
December 22, 2018 - the Same Author(s)
Risk factors for adverse events in emergency department procedural sedation
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psnet.ahrq.gov/web-mm/xl-or-smaller
September 13, 2017 - May 27, 2011
Comparison of adverse events during procedural sedation between specially
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psnet.ahrq.gov/node/49661/psn-pdf
August 01, 2012 - centers should be equipped to deliver general, regional,
peripheral nerve blocks, intravenous (IV) sedation
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psnet.ahrq.gov/node/49616/psn-pdf
December 01, 2010 - medication
Hypoglycemic agents (insulin, oral agents)
Inotropic drugs (digoxin, milrinone)
Moderate sedation