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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
-
psnet.ahrq.gov/node/40548/psn-pdf
March 23, 2012 - Potentially inappropriate medications defined by STOPP
criteria and the risk of adverse drug events in older
hospitalized patients.
March 23, 2012
Hamilton H, Gallagher P, Ryan C, et al. Potentially inappropriate medications defined by STOPP criteria
and the risk of adverse drug events in older hospitalized patien…
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psnet.ahrq.gov/node/38660/psn-pdf
November 13, 2009 - Improving medication error reporting in hospice care.
November 13, 2009
Boyer R, McPherson ML, Deshpande G, et al. Improving medication error reporting in hospice care. Am J
Hosp Palliat Care. 2009;26(5):361-7. doi:10.1177/1049909109335145.
https://psnet.ahrq.gov/issue/improving-medication-error-reporting-hospice-c…
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psnet.ahrq.gov/node/37130/psn-pdf
March 24, 2011 - Preventing medication errors in long-term care: results
and evaluation of a large scale web-based error reporting
system.
March 24, 2011
Pierson S, Hansen RA, Greene SB, et al. Preventing medication errors in long-term care: results and
evaluation of a large scale web-based error reporting system. Qual Saf Health …
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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/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/forgotten-drip
April 01, 2014 - In addition, adequate sedation and analgesia in ICH patients will prevent spikes in ICP associated with
-
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/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/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 …
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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…
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psnet.ahrq.gov/issue/exploring-harmful-effects-health-care
January 25, 2023 - October 22, 2014
Analysis of adverse events associated with adult moderate procedural sedation
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psnet.ahrq.gov/issue/piece-my-mind-mistakes
March 19, 2008 - Download Citation
Related Resources From the Same Author(s)
Monitoring during sedation
-
psnet.ahrq.gov/issue/annual-diagnostic-excellence-summit
May 09, 2024 - implementation of the Center for Medicare and Medicaid Services mandated anesthesiology oversight for procedural sedation
-
psnet.ahrq.gov/issue/virtual-ambulatory-cusp-training
June 05, 2024 - implementation of the Center for Medicare and Medicaid Services mandated anesthesiology oversight for procedural sedation
-
psnet.ahrq.gov/issue/resistance-patient-safety-initiatives
November 26, 2014 - Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation
-
psnet.ahrq.gov/issue/psychology-error-relation-medical-practice
January 11, 2006 - Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation
-
psnet.ahrq.gov/web-mm/central-not-epidural
August 28, 2024 - December 21, 2017
Sedation and patient safety.
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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