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psnet.ahrq.gov/issue/patient-safety-checklist-keys-successful-implementation
July 19, 2023 - October 12, 2011
Comparison of adverse events during procedural sedation between specially
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psnet.ahrq.gov/issue/snomed-ct-electronic-health-record-enhances-anesthesia-patient-safety
March 14, 2022 - Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation
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psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
November 16, 2022 - His current treatment included vasoactive drugs, intravenous fluids and nutrients, sedation, continuous
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psnet.ahrq.gov/web-mm/double-dosing-rules
February 03, 2010 - Safety and Quality
April 26, 2023
Design and implementation of an analgesia, sedation
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psnet.ahrq.gov/web-mm/milliliters-vs-milligrams
September 01, 2004 - Hypoglycemic agents (insulin, oral agents)
Inotropic drugs (digoxin, milrinone)
Moderate sedation
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psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
March 01, 2015 - Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation
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psnet.ahrq.gov/web-mm/triage-time-bomb
September 01, 2008 - WebM&M Cases
The Dose Makes the Poison: Medication Error During Procedural Sedation
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psnet.ahrq.gov/web-mm/dont-use-port-insert-picc
December 22, 2018 - April 15, 2020
Enhancing patient safety during pediatric sedation: the impact of simulation-based
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psnet.ahrq.gov/node/860049/psn-pdf
January 04, 2024 - stabilized in the ED but developed
hypoxic respiratory failure requiring endotracheal intubation, sedation
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psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
February 26, 2025 - Risk reduction in anesthesia and sedation-an analysis of process improvement towards zero adverse events
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psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
September 01, 2003 - SPOTLIGHT CASE
Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough
Citation Text:
Gibbs VC. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and …
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psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
January 01, 2015 - Annual Perspective
Patient Safety and Opioid Medications
Urmimala Sarkar, MD, and Kaveh Shojania, MD | January 1, 2016
View more articles from the same authors.
Citation Text:
Sarkar U, Shojania KG. Patient Safety and Opioid Medications. PSNet [internet]. Ro…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.266_slideshow.ppt
May 01, 2012 - Spotlight Case July 2008
Spotlight Case
The Perils of Cross Coverage
*
*
Source and Credits
This presentation is based on the May 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jeanne M. Farnan, MD, MHPE, and Vineet M. Arora, MD, MAPP, …
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psnet.ahrq.gov/node/60168/psn-pdf
March 25, 2020 - Right Electrocardiogram, Wrong Patient
March 25, 2020
Chen C, Venugopal S. Right Electrocardiogram, Wrong Patient. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
The Cases
Multiple electrocardiograms (EKGs) were incorrectly documented at a large urban tertiary care hosp…
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psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
December 15, 2024 - Medication Errors and Adverse Drug Events
Citation Text:
Medication Errors and Adverse Drug Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote…
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psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
May 01, 2012 - The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety
Paul J. Sharek, MD, MPH | May 1, 2012
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Sharek PJ. The Emergence of the Trigger Tool as the …
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psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
May 01, 2012 - In Conversation With…David C. Classen, MD, MS
May 1, 2012
Also Read an Essay
Citation Text:
In Conversation With…David C. Classen, MD, MS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
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psnet.ahrq.gov/node/49535/psn-pdf
May 01, 2007 - The patient was given more sedation to prevent awareness and bag-and-mask ventilation to support his
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psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
July 20, 2016 - WebM&M Cases
The Dose Makes the Poison: Medication Error During Procedural Sedation
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psnet.ahrq.gov/node/49593/psn-pdf
October 01, 2009 - anesthetist (CRNA) was present to
monitor the patient and to provide intravenous medications for anxiety, sedation