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psnet.ahrq.gov/node/49623/psn-pdf
March 01, 2011 - His current treatment included vasoactive drugs,
intravenous fluids and nutrients, sedation, continuous
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psnet.ahrq.gov/web-mm/central-not-epidural
August 28, 2024 - December 21, 2017
Sedation and patient safety.
-
psnet.ahrq.gov/web-mm/hazards-loading-doses
December 01, 2003 - WebM&M Cases
The Dose Makes the Poison: Medication Error During Procedural Sedation
-
psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
January 01, 2020 - sleep
– This can create a risk to patient safety because of the difficulty in
monitoring for over-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
-
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
-
psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
October 31, 2023 - of M6G in patients with renal dysfunction increases the risk of toxicity, manifesting as confusion, sedation … data supporting prolonged use and the risk of serious adverse effects including dizziness, drowsiness, sedation
-
psnet.ahrq.gov/node/50699/psn-pdf
November 26, 2019 - Patient Safety in Frail Older Patients
November 26, 2019
Wald HL, Hall KK, Fitall E. Patient Safety in Frail Older Patients. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
Background
Older patients are at a particular risk of experiencing a patient safety event. Stud…
-
psnet.ahrq.gov/node/33606/psn-pdf
December 15, 2024 - Opioid Safety
December 15, 2024
Opioid Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/opioid-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Bac…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
October 01, 2011 - Spotlight Case [MONTH] 2003
Spotlight Case
Mobility Lost in the ICU
*
*
Source and Credits
This presentation is based on the October 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jim Smith, PT, DPT, MA; Associate Professor of Physical …
-
psnet.ahrq.gov/node/846171/psn-pdf
July 26, 2022 - spontaneous awakening trials
(SAT) and spontaneous breathing trials (SBT); Choice of analgesia and sedation
-
psnet.ahrq.gov/node/867035/psn-pdf
October 30, 2024 - #4
https://psnet.ahrq.gov//#5
https://psnet.ahrq.gov//#7
https://psnet.ahrq.gov//#10
dizziness or sedation
-
psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT); C hoice of analgesia and sedation
-
psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - Medications that cause dizziness or sedation or promote diuresis increase the risk of recurrent and injurious
-
psnet.ahrq.gov/node/73153/psn-pdf
April 28, 2021 - Two Cases of Retained Vaginal Packing: When Writing an
Order is Not Enough
April 28, 2021
Gibbs VC. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough. PSNet
[internet]. 2021.
https://psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
Disclosure of Relev…
-
psnet.ahrq.gov/node/33824/psn-pdf
January 01, 2016 - Patient Safety and Opioid Medications
January 1, 2016
Sarkar U, Shojania KG. Patient Safety and Opioid Medications. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
Annual Perspective 2016
Opioid medications confer significant risks of harm, including overdose death …
-
psnet.ahrq.gov/node/867427/psn-pdf
December 18, 2024 - The Ongoing Journey to Prevent Patient Falls
December 18, 2024
Dykes PC, Sousane Z, Mossburg SE. The Ongoing Journey to Prevent Patient Falls. PSNet [internet].
2024.
https://psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
Falls are not a new issue, especially among older adults. The Centers for D…
-
psnet.ahrq.gov/node/49830/psn-pdf
May 01, 2018 - Suicide Risk in the Hospital
May 1, 2018
Mills PD. Suicide Risk in the Hospital. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/suicide-risk-hospital
The Case
A 37-year-old woman with a past medical history of depression, anxiety, and posttraumatic stress disorder
presented to the emergency department (ED)…
-
psnet.ahrq.gov/node/49697/psn-pdf
December 01, 2013 - Check the Anesthesia Machine
December 1, 2013
Saddawi-Konefka D, Cooper JB. Check the Anesthesia Machine. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/check-anesthesia-machine
The Case
A 62-year-old man with weight of 134 kg (body mass index [BMI] of 40) and history of hypertension,
diabetes, sleep apnea…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.128_slideshow.ppt
July 01, 2006 - Spotlight Case [MONTH] 2003
Spotlight Case July 2006
Moving Pains
Source and Credits
This presentation is based on the June/July 2006
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Hildy Schell, RN, MS, CCRN, CCNS, and…