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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/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/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/49739/psn-pdf
August 21, 2015 - Some authors promote early tracheostomy (for patients
with more than 4 days of intubation) to reduce sedation
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psnet.ahrq.gov/web-mm/hazards-loading-doses
December 01, 2003 - WebM&M Cases
The Dose Makes the Poison: Medication Error During Procedural 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
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psnet.ahrq.gov/node/846171/psn-pdf
July 26, 2022 - spontaneous awakening trials
(SAT) and spontaneous breathing trials (SBT); Choice of analgesia and sedation
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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
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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/tale-two-falls
March 27, 2024 - Medications that cause dizziness or sedation or promote diuresis increase the risk of recurrent and injurious
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psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
June 24, 2020 - 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
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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…
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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 …
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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…
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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/49548/psn-pdf
October 01, 2007 - Toxic Tachycardia
October 1, 2007
Wartofsky L. Toxic Tachycardia. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/toxic-tachycardia
The Case
A 66-year-old woman with a past medical history of hypertension and breast cancer was admitted with
abdominal pain. She complained of 3 weeks of progressive severe rig…
-
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/primer/opioid-safety
December 15, 2024 - Opioid Safety
Citation Text:
Opioid Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Download Ci…
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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…
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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
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