-
psnet.ahrq.gov/issue/design-and-implementation-analgesia-sedation-and-paralysis-order-set-enhance-compliance-pro
February 09, 2022 - Study
Design and implementation of an analgesia, sedation, and paralysis order set … Design and Implementation of an analgesia, sedation, and paralysis order set to enhance compliance of … Design and Implementation of an analgesia, sedation, and paralysis order set to enhance compliance of
-
psnet.ahrq.gov/issue/parents-perspectives-keeping-their-children-safe-hospital
June 27, 2018 - May 16, 2018
Incidence and nature of adverse events during pediatric sedation/anesthesia … for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. … October 11, 2017
The incidence and nature of adverse events during pediatric sedation … /anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation
-
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
-
psnet.ahrq.gov/node/73642/psn-pdf
August 25, 2021 - ranging from 0-9%, depending on the underlying etiology of
the stricture.5 Complications related to sedation … Sedation and Monitoring in the Pediatric Patient during Gastrointestinal
Endoscopy. … Prevalence and Predictors of Adverse Events during
Procedural Sedation Anesthesia-Outside the Operating … Sedation-related complications in gastrointestinal endoscopy. … Guidelines for sedation and anesthesia in GI endoscopy.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/nursedr-early-mobility-protocols-slides.pptx
January 01, 2017 - Delirium
Multidisciplinary
Approach
Ventilator Weaning
Sedation Vacation
(RASS, SAS)
(ICDSC, CAM-ICU … Method for the ICU; ICDSC = Intensive Care Delirium Screening Checklist; RASS = Richmond Agitation-Sedation … Scale; SAS = Sedation-Agitation Scale
Nurse-Driven Early Mobility ‹#›
AHRQ Safety Program for Mechanically … Sedation, delirium, and mechanical ventilation: the “ABCDE” approach. … Sedation, delirium, and mechanical ventilation: the “ABCDE” approach.
-
psnet.ahrq.gov/node/49851/psn-pdf
January 01, 2019 - The
patient did not need any further sedation during the intubation. … The intent was to place the patient in this case under light sedation
with midazolam. … In most centers, light sedation can be performed without the supervision of an
anesthesiologist or nurse … of the respiratory
tract (cough, bronchospasm), sampling procedures (bleeding, pneumothorax), and sedation … There are no scientific publications on syringe labeling errors
or sedation dose errors in bronchoscopy
-
psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
January 29, 2021 - After he recovered from the light sedation, he was alert and tried to mouth words pointing towards his … The trauma team was called to assist and the patient was given additional sedation and opioid analgesia … In Case 2, the bronchoscopy was performed using sedation in combination with local anesthesia. … It is very difficult to pay sufficient attention to administering sedation and monitoring the patient … A sedation certificate is regarded as sufficient to gain credentialing in many institutions.
-
psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
December 09, 2020 - The patient did not need any further sedation during the intubation. … The intent was to place the patient in this case under light sedation with midazolam. … In most centers, light sedation can be performed without the supervision of an anesthesiologist or nurse … safety checklist ( 6 ), and it is divided into three checkpoint sections: before bronchoscopy, before sedation … There are no scientific publications on syringe labeling errors or sedation dose errors in bronchoscopy
-
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?
-
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?
-
psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
September 25, 2024 - ranging from 0-9%, depending on the underlying etiology of the stricture. 5 Complications related to sedation … Sedation and Monitoring in the Pediatric Patient during Gastrointestinal Endoscopy. … Prevalence and Predictors of Adverse Events during Procedural Sedation Anesthesia-Outside the Operating … Sedation-related complications in gastrointestinal endoscopy. … Guidelines for sedation and anesthesia in GI endoscopy. Gastrointest Endosc . 2018; 87: 327-37.
-
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.
-
psnet.ahrq.gov/node/851971/psn-pdf
July 31, 2023 - Procedural sedation and risk of aspiration
Esophagogastroduodenoscopy (EGD) is the procedure of choice … Without adequate sedation, patients often gag
and pull the endoscope out of the stomach. … Pulmonary aspiration during procedural sedation: a
comprehensive systematic review. … Major adverse events and relationship to Nil per Os
status in pediatric sedation/anesthesia outside … the operating room: a report of the Pediatric Sedation
Research Consortium.
-
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
-
digital.ahrq.gov/sites/default/files/docs/resource/Logan_QMforColonoscopy_Narrative_v4.pdf
December 12, 2008 - SEDATION MEDICATIONS. Sedation medication(s) used and dosages are
documented.
a. … This includes procedures where no sedation medications
were used, where there was residual sedation … • No sedation medications were used is documented by the checkbox "No sedation
medications given" … If “No sedation medications given” is checked and sedation medications are
documented, then an error … SEDATION MEDICATIONS
#5. BOWEL PREP QUALITY
#6. DEPTH OF INSERTION
#7. EXAMINATION TIME
# 8.
-
psnet.ahrq.gov/issue/5th-national-audit-project-nap5-accidental-awareness-during-general-anaesthesia-patient
October 01, 2014 - Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation … Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation … Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation
-
psnet.ahrq.gov/issue/widespread-misinterpretation-advance-directives-and-portable-orders-life-sustaining
December 18, 2019 - January 1, 2000
Threats to safety during sedation outside of the operating room and the … event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation … : a consensus document from the World SIVA International Sedation Task Force.
-
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
-
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
-
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.