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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/assess-psc-hsop-slides.pptx
January 01, 2017 - endotracheal tubes if intubated ≥72 hours
Perform spontaneous awakening and breathing trials
Minimize sedation
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-slides.html
May 01, 2017 - Patient situation upon discharge
Patient sedation, rapid discharge (less than 24 hours).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/ascwebcast0715_transcript.pdf
September 01, 2015 - require general
anesthesia, and a nonsurgical procedure would be an endoscopy that would require mild sedation … intraop concern would be if the recovery nurse has a question regarding
the patient’s response to sedation … In regard to staff training, we covered areas of IV
insertion, conscious sedation, scope reprocessing
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www.ahrq.gov/patient-safety/resources/learning-lab/index.html
August 01, 2025 - Focusing on pediatric dental sedation, the project was implemented at two large academic dental institutions … OWLL’s key interventions include a parent-facing pamphlet on sedation expectations, a child-friendly … educational video, and enhanced digital sedation records integrated into the electronic health record … The interventions were implemented with high fidelity across 81 pediatric sedation cases. … Assessing the safety of deep sedation in outpatient pediatric oral health care .
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/ap2.html
August 01, 2022 - We now believe that this blue episode may have been the result of too much sedation medication being
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reports.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Electronic Reports
Four types of reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The types of reports are:
On-Time Falls High-Risk Report .
Quarterly Summar…
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www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-fac-guide.html
February 01, 2017 - Occasionally, bronchodilators, sedation, or even more rarely, paralysis, may be necessary to get control … Heavy sedation and paralysis should be used very rarely.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-facguide.docx
January 01, 2017 - Occasionally, bronchodilators, sedation, or even more rarely, paralysis, may be necessary to get control … Heavy sedation and paralysis should be used very rarely.
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
October 01, 2014 - In critical care units, severity of medical conditions, sedation, and poor tissue perfusion make patients
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
October 01, 2014 - In critical care units, severity of medical conditions, sedation, and poor tissue perfusion make patients
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www.ahrq.gov/patient-safety/resources/learning-lab/failure-rescue-long-desc.html
April 01, 2021 - Failure to Rescue Patient Safety Learning Lab (FTR PSLL)
Principal Investigator: George Blike, M.D., Dartmouth-Hitchcock, Lebanon, NH
AHRQ Grant No.: HS024403
Project Period: 09/30/15-03/31/20
Description: The overall goal of this project was to create the ideal hospital rescue system. Minimizing fai…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 2. Fall Response
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Overview
Chapter 2. F…
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www.ahrq.gov/downloads/pub/advances2/vol1/advances-hook_25.pdf
February 26, 2008 - Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care
Using a Computerized Fall Risk Assessment Process
to Tailor Interventions in Acute Care
Mary L. Hook, PhD, APRN, BC; Elizabeth C. Devine, PhD, RN, FAAN; Norma M. Lang, PhD,
RN, FAAN, FRCN
Abstract
Patient falls account …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hook_25.pdf
February 26, 2008 - Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care
Using a Computerized Fall Risk Assessment Process
to Tailor Interventions in Acute Care
Mary L. Hook, PhD, APRN, BC; Elizabeth C. Devine, PhD, RN, FAAN; Norma M. Lang, PhD,
RN, FAAN, FRCN
Abstract
Patient falls account …
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www.ahrq.gov/sites/default/files/2024-01/wessell2-report.pdf
January 01, 2024 - Final Progress Report: Reducing Adverse Drug Events From Anticoagulants, Diabetes Agents and Opioids in Primary Care
Final Progress Report
Reducing Adverse Drug Events from Anticoagulants, Diabetes Agents and Opioids in
Primary Care
Principal Investigator: Andrea M. Wessell, PharmD
Team Members: Steven M. Orns…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
August 01, 2025 - Choice of Sedation: Name of medication , route and dosage
4.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/slides-healthcare-safer-by-design.pdf
August 20, 2024 - procedures
• Anesthesia provider recognizes the risk of delivering 100% oxygen
• Education
• Teach sedation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/putoolkit_module3_tools.docx
June 02, 2025 - (does not moan, flinch, or grasp) to painful stimuli, due to diminished level of consciousness or sedation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits
AHRQ’s Safety Program for Nursing Homes
On-Time Preventable Hospital and Emergency Department Visits:
Electronic Reports
Five reports are described here. Each section presents a sample report followed by purpose,
description, and users and potential u…
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www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-fac-guide.html
February 01, 2017 - spontaneous awakening and spontaneous breathing trials used on your unit to control the problem with over-sedation