-
psnet.ahrq.gov/issue/pediatric-safety-emergency-department-identifying-risks-and-preparing-care-child-and-family
July 08, 2009 - WebM&M Cases
The Dose Makes the Poison: Medication Error During Procedural Sedation
-
psnet.ahrq.gov/issue/human-factors-anaesthetic-practice-insights-task-analysis
April 18, 2011 - November 27, 2009
Preprinted order sets as a safety intervention in pediatric sedation
-
psnet.ahrq.gov/issue/human-error-models-and-management
November 18, 2015 - Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cannabis-2023-surv-rep-4-tables-E-1-E-4.xlsx
January 01, 2023 - (Numerator) Intervention A, N Analyzed for Sedation (Denominator) Intervention A, % With Sedation Intervention … B, N With Sedation (Numerator) Intervention B, N Analyzed for Sedation (Denominator) Intervention B … , % With Sedation Intervention C, N With Sedation (Numerator) Intervention C, N Analyzed for Sedation … (Denominator) Intervention C, % With Sedation Intervention D, N With Sedation (Numerator) Intervention … D, N Analyzed for Sedation (Denominator) Intervention D, % With Sedation Intervention A, N of Cannabis
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cannabis-2022-surv-rep-4-tables-F1-4.xlsx
January 01, 2022 - (Numerator) Intervention A, N Analyzed for Sedation (Denominator) Intervention A, % With Sedation Intervention … B, N With Sedation (Numerator) Intervention B, N Analyzed for Sedation (Denominator) Intervention B … , % With Sedation Intervention C, N With Sedation (Numerator) Intervention C, N Analyzed for Sedation … (Denominator) Intervention C, % With Sedation Intervention D, N With Sedation (Numerator) Intervention … D, N Analyzed for Sedation (Denominator) Intervention D, % With Sedation Intervention A, N of Cannabis
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cannabis-2023-surv-rep-1-app-F.xlsx
January 01, 2023 - (Numerator) Intervention A, N Analyzed for Sedation (Denominator) Intervention A, % With Sedation Intervention … B, N With Sedation (Numerator) Intervention B, N Analyzed for Sedation (Denominator) Intervention B … , % With Sedation Intervention C, N With Sedation (Numerator) Intervention C, N Analyzed for Sedation … (Denominator) Intervention C, % With Sedation Intervention D, N With Sedation (Numerator) Intervention … D, N Analyzed for Sedation (Denominator) Intervention D, % With Sedation Intervention A, N of Cannabis
-
psnet.ahrq.gov/node/33598/psn-pdf
June 15, 2024 - Falls
June 15, 2024
Falls. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/falls
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Background
Falls are a common …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-j.pdf
June 02, 2025 - Implementation Guide Appendix J Coaching Tool Instructions and Observation Tool With Coaching Section
AHRQ Safety Program for Ambulatory Surgery
Appendix J. Coaching Tool Instructions and
Observation Tool With Coaching Section
After using the observation tool to collect information regarding the processes perfor…
-
psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
January 01, 2023 - spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT);
3.Choice of analgesia and sedation
-
psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
March 24, 2019 - WebM&M Cases
The Dose Makes the Poison: Medication Error During Procedural Sedation
-
psnet.ahrq.gov/web-mm/delirium-or-dementia
September 27, 2023 - mixed variants of delirium (see below for explanation) are at risk for overmedication (particularly sedation
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/atypical-antipsychotics-off-label-update_research-protocol.pdf
May 19, 2010 - that atypical antipsychotics can increase chances of adverse events such as significant weight
gain, sedation … Source: www.effectivehealthcare.ahrq.gov
Published Online: May 19, 2010
Tardive Dyskinesia
Sedation
-
psnet.ahrq.gov/web-mm/need-eat
February 10, 2021 - assumption that if the stomach is empty, then the potential for aspiration of stomach contents during sedation … imaging studies and procedures do not require fasting. 23 In general, procedures requiring anesthesia/sedation
-
psnet.ahrq.gov/node/843234/psn-pdf
January 01, 2013 - of M6G in patients with
renal dysfunction increases the risk of toxicity, manifesting as confusion, sedation … supporting prolonged use and the risk of serious adverse effects including dizziness, drowsiness, sedation
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-slides.pptx
January 01, 2017 - cm H2O
To achieve this, Vt may need to be dropped further depending on compliance
Bronchodilators, sedation … , or very rarely paralysis may be necessary
Sedation and paralysis should be used very sparingly, especially
-
psnet.ahrq.gov/node/37139/psn-pdf
October 04, 2011 - Inappropriate drug use in the elderly: a nationwide
register-based study.
October 4, 2011
Johnell K, Fastbom J, Rosén M, et al. Inappropriate drug use in the elderly: a nationwide register-based
study. Ann Pharmacother. 2007;41(7):1243-8.
https://psnet.ahrq.gov/issue/inappropriate-drug-use-elderly-nationwide-regis…
-
psnet.ahrq.gov/node/60309/psn-pdf
May 06, 2020 - COVID-19 leads to increased need for dialysis machines.
May 6, 2020
Mosley T. Here & Now. Boston Public Radio. April 27, 2020.
https://psnet.ahrq.gov/issue/covid-19-leads-increased-need-dialysis-machines
Comorbidities can result in unexpected care complexities. This article discusses an emerging challenge for
…
-
hcup-us.ahrq.gov/reports/statbriefs/sb234-Adverse-Drug-Events.jsp
January 01, 2018 - Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014 #234
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
…
-
psnet.ahrq.gov/node/46687/psn-pdf
February 21, 2018 - Oversedation of a patient with obstructive sleep apnea
prior to imaging.
February 21, 2018
Blay E, Barnard C, Bilimoria KY. Oversedation of a Patient With Obstructive Sleep Apnea Prior to Imaging.
JAMA. 2018;319(5):495-496. doi:10.1001/jama.2017.22004.
https://psnet.ahrq.gov/issue/oversedation-patient-obstructive-…
-
psnet.ahrq.gov/node/47784/psn-pdf
February 13, 2019 - Patterns in outpatient benzodiazepine prescribing in the
United States.
February 13, 2019
Agarwal SD, Landon BE. Patterns in Outpatient Benzodiazepine Prescribing in the United States. JAMA
Netw Open. 2019;2(1):e187399. doi:10.1001/jamanetworkopen.2018.7399.
https://psnet.ahrq.gov/issue/patterns-outpatient-benzodi…