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Total Results: 418 records

Showing results for "sedation".

41. Early Mobility Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-mvpguide.pdf
    January 01, 2017 - • Structured assessments of sedation level and delirium using sedation and delirium scales. … rounds and the actual sedation level of patients. … In order to demonstrate this, we tracked the agreed-upon sedation level and the actual sedation level … • Excessive sedation. … level and perform structured assessment of sedation level using a sedation scale • Perform a structured

42. Sustainability Checklist for Hospitals | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/sustainability/checklist.html
    January 01, 2017 - the bed is at least 30 degrees from the horizontal position Daily *  • Continue to conduct a sedation … spontaneous breathing trial (SBT) Daily * Daily Early Mobility  • Continue to conduct a sedation

43. Action Plan for Translating Research Into Practice: Gap Analysis and Tests of Change: Facilitator Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/cusp/action-plan-trip-fac-guide.html
    February 01, 2017 - A significant barrier to mobilizing patients occurs when patients are under sedation. … Ask: What is the current practice related to sedation? … ( Perhaps no order was given to halt sedation. … No assessment was performed to indicate the patient needed lighter sedation.) … How often are daily SATs performed on all patients receiving sedation?

44. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-facguide.docx
    January 01, 2017 - A significant barrier to mobilizing patients occurs when patients are under sedation. … ASK: What is the current practice related to sedation? … (Perhaps no order was given to halt sedation. … No assessment was performed to indicate the patient needed lighter sedation.) … How often are daily SATs performed on all patients receiving sedation?

45. Presentation: Program Overview
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-early-mobility-slides.pptx
    January 01, 2017 - physical, occupational, and respiratory therapists; physicians; and administrators Interrupt daily sedation … and minimize sedative use Daily sedative interruptions and targeting light sedation will help patients … remain alert and cooperative Assess sedation and delirium with structured scales Routinely assessing … the patient’s cognitive function helps target lighter sedation levels and treat delirium Screen for … were main barriers   Endotracheal tube Sedation Inotropes Femoral Line Respiratory Rate Pulmonary Artery

46. Sustainability-Checklist (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/sustainability-checklist.docx
    January 01, 2017 - head of the bed is at least 30 degrees from the horizontal position Daily* Continue to conduct a sedation … receiving a spontaneous breathing trial (SBT) Daily* Daily Early Mobility Continue to conduct a sedation

47. Data Measures Guide (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/datameasures-guide.pdf
    January 01, 2017 - Sedation Scale Definitions .......................................................................... … Sedation Scale Definitions RATE FACTOR DETAILED DESCRIPTION Sedation Scale Percentage of RASS/SAS … levels Sedation Scale: Light to Moderate Sedation (RASS Actual = {-2, -3} or SAS Actual = {3 … SBT Definitions Sedation Scale Table 5. … Sedation Scale Definitions Delirium Assessment Table 6.

48. Introduction and Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-slides.html
    February 01, 2017 - Interrupt daily sedation and minimize sedative use: Daily sedative interruptions and targeting light … sedation will help patients remain alert and cooperative. … Assess sedation and delirium with structured scales: Routinely assessing the patient’s cognitive … function helps target lighter sedation levels and treat delirium. … Sedation is the most common barrier.

49. Communication Strategies for Sustainability: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/sustainability/communication-strategies-slides.html
    February 01, 2017 - SEDATION: Minimize sedation level. DELIRIUM: Assess then address delirium. … Early Mobility— SEDATION: Minimize sedation level. DELIRIUM: Assess then address delirium.

50. Presentation: Program Overview
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-slides.pptx
    January 01, 2017 - Engage Educate Execute Evaluate Elevate head of bed 30° Use subglottic endotracheal tubes Minimize sedation … reporting—so we could be inadequately identifying and/or managing pain; our order set for continuous sedation … reporting—so we could be inadequately identifying and/or managing pain; our order set for continuous sedation … Action Plan ‹#› AHRQ Safety Program for Mechanically Ventilated Patients Unit-Based Gap Analysis3 Sedation … , and Delirium guidelines We routinely perform both pain and sedation assessment on patients using a

51. The Four Es of Early Mobility: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-slides.html
    February 01, 2017 - 2 Oversedation: Educate interdisciplinary staff about continuous versus bolus sedation. … Standardize approach to sedation management. … Slide 17: Readiness Assessment: Other Considerations Patient factors: Sedation level. … Patient sedated (Richmond Agitation-Sedation Score [RASS] -4 or -5; or Riker Sedation-Agitation Scale

52. Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache: Report (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-206-fullreport.pdf
    November 01, 2019 - Children are also at risk for complications from sedation or anesthesia, which are often required for … Sedation- and Anesthesia-Related Burden and Risk Some children will require sedation to ensure minimal … Compared with minimal sedation, moderate and deep sedation carry a greater risk of airway compromise … Anaesthesia or sedation for paediatric MRI: Advantages and disadvantages. … operating room: Report from the Pediatric Sedation Research Consortium.

53. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/nursedr-early-mobility-protocols-facguide.docx
    January 01, 2017 - By viewing sedation and delirium management and ventilator weaning through the lenses of a multidisciplinary … In order to mobilize patients sooner, sedation levels need to be reduced to keep patients lightly sedated … refers to conducting spontaneous awakening trials and spontaneous breathing trials; choosing light sedation … to a primary central nervous system, or CNS, etiology or unstable intracranial pressure, or due to a sedation-related … If the patient does not open his or her eyes to verbal stimulation due to the use of sedation-related

54. Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/studies/index.html?page=131
    January 01, 2024 - This study assessed outcomes of using a light-sedation protocol as needed compared to the more usual … continuous infusion sedation in mechanically ventilated adults in medical intensive care units (ICUs) … treated initially with continuous infusion sedation at a 32-bed medical ICU in a large academic center … Of the evaluable patients, 114 received the prioritizing as-needed sedation protocol, and 140 received … In the as-needed group, 42% of patients never received continuous infusion sedation.

55. The Four Es of Early Mobility: Facilitator Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-facguide.html
    February 01, 2017 - Another example may be that an order set for continuous sedation has a Richmond Agitation Sedation Scale … It is therefore important to educate your interdisciplinary staff about continuous versus bolus sedation … and to standardize your approach to sedation management. … Patient factors consist of the following: sedation level, breathing support for early mobility intervention … This tool will enable you to track your management of sedation and delirium levels, your perceived barriers

56. 151. Treatment Recommendations: Medications-Clonidine | Agency for Healthcare Research and Quality
    www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide151.html
    October 01, 2014 - effects —Most commonly reported side effects include dry mouth (40%), drowsiness (33%), dizziness (16%), sedation

57. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-facguide.docx
    January 01, 2017 - Another example may be that an order set for continuous sedation has a Richmond Agitation Sedation Scale … It is therefore important to educate your interdisciplinary staff about continuous versus bolus sedation … and to standardize your approach to sedation management. … Patient factors consist of the following: sedation level, breathing support for early mobility intervention … This tool will enable you to track your management of sedation and delirium levels, your perceived barriers

58. Presentation: Program Overview
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-slides.pptx
    January 01, 2017 - STRATEGY TO OVERCOME BARRIER Oversedation Educate interdisciplinary staff about continuous versus bolus sedation … Standardize approach to sedation management Delirium Screen with validated assessment tool Minimize … Program for Mechanically Ventilated Patients Readiness Assessment: Other Considerations Patient factors Sedation … mobility Bed rest orders Patient on comfort/palliative care measures Patient sedated (Richmond Agitation-Sedation … Score [RASS] -4 or -5; or Riker Sedation-Agitation Scale [SAS] 1 or 2) and on infusion of benzodiazepine

59. In Situ Simulation: Challenges and Results (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
    May 05, 2008 - domain has been used to design a high- reliability sedation/analgesia care microsystem. … • Establishing privileges for sedation with explicit competencies. 14 • Correcting deficits … • Establishing a specific simulation-based sedation rescue training intervention. … to other sedation services. … These changes resulted in improvements in: • Pain/sedation management.

60. Fiscal Year 2011 Research on Child and Adolescent Health | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/factsheets/children/new-starts/2011.html
    October 01, 2014 - Society for Pediatric Sedation Consensus Meeting: Defining Quality in Pediatric Sedation. J. … Michael Connors, MD, Principal Investigator; Society for Pediatric Sedation, Richmond, VA. … This project provides support for an expert meeting of multidisciplinary sedation providers to begin … the process of defining quality as it relates to the field of pediatric sedation. … of established protocols and practices related to pediatric sedation needed to establish quality benchmarks