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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/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
January 01, 2012 - Service Class
Comments
3 (High)
Analgesics,* antipsychotics, anticonvulsants, benzodiazepines†
Sedation
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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/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-facguide.docx
January 01, 2017 - spontaneous awakening and spontaneous breathing trials used on your unit to control the problem with over-sedation
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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/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/hospital/fall-prevention/workshop/module-3/slides.html
September 01, 2017 - Factors for Falls
Medications:
Patients taking a large number of medications that could cause sedation
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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/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/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/dailygoals-rounds-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Daily Goals During Interdisciplinary Rounds
SAY:
In this session, we will discuss Daily Goals during interdisciplinary rounds.
Slide 1
Learning Objectives
SAY:
After this module, will be able to …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/objective-outcome-tool.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Hospital ___________ Unit___________ Month ___________
Please record the following occurrences for all patients in your unit within the selected month.
________
Total number of patients on mechanical ventilation
________
Total number of episodes of mechani…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vae-tool.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
AHRQ Safety Program for
Mechanically Ventilated Patients
Ventilator-Associated Event Data Collection Tool
Date __________ Month __________ Hospital __________ Unit __________
Use this tool to track your progress i…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Monitoring Ventilator-Associated Events
SAY:
Today, we will discuss monitoring ventilator-associated events.
Slide 1
Learning Objectives
SAY:
After this session, you will be able to describe the …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-facguide.docx
January 01, 2017 - Facilitator Guide: Tools for Sustainability: Premortem and Scorecard
Slide Title and Commentary
Slide Number and Slide
Tools for Sustainability: Premortem and Scorecard
SAY:
This module will cover sustaining and spreading safety improvements. To preface the sustainability discussions, this module is designed to…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/forming-cuspteam-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Forming a Comprehensive Unit-based Safety Program Team
SAY:
Today, we will briefly revisit the key concepts of the Comprehensive Unit-based Safety Program or CUSP. Then, we will dive into a focused di…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/engaging-srexec-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Engaging Senior Executives in Care of Mechanically Ventilated Patients
SAY:
In this module, we will discuss the importance of senior executive engagement on your safety program team.
Slide 1
Lear…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/ptfamcare-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Patient and Family Involvement in Care of Mechanically Ventilated Patients
SAY:
This module is about patient and family involvement in patient care.
Slide 1
Learning Objectives
SAY:
At the end of…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vaesurveillance-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Ventilator-Associated Event Surveillance
SAY:
This module will focus on ventilator-associated event surveillance and how it can be used in your unit.
Slide 1
Learning Objectives
SAY:
After this se…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Benefits of Subglottic Secretion Drainage Endotracheal Tubes
SAY:
In this module, you will learn about the benefits of subglottic secretion drainage endotracheal tubes, or SSD-ETT.
Slide 1
Lear…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-factsheet.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Did You Know?
Continuous subglottic suctioning and frequent intermittent subglottic suctioning drainage of subglottic secretions, via a cuffed endotracheal tube, are associated with up to a 50 percent decrease in the incidence of gastric aspiration, a potential cause…