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psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
March 25, 2020 - Dexmedetomidine sedation reduces atrial fibrillation after cardiac surgery compared to propofol: a randomized
-
www.ahrq.gov/sites/default/files/2024-01/scott-report.pdf
January 01, 2024 - , Hypovolemia
Induction, Coronary Artery Disease/Congestive Heart Failure Induction, Apnea During
Sedation
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effectivehealthcare.ahrq.gov/sites/default/files/peptic-ulcer-horizon-scan-high-impact-1312.pdf
December 01, 2013 - If the procedure becomes an outpatient
procedure performed under twilight sedation (more commonly known … as conscious sedation), as
one clinical expert from a facility with POEM experience noted, the care-setting … The expert thought that POEM could be performed in an endoscopy suite under moderate sedation
and could
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/misuse-adhd-prescription-rapid-research.pdf
July 01, 2025 - Rapid Evidence Product: Misuse of ADHD Prescription Stimulants in Adults
Rapid Evidence Product
June 2025
Misuse of ADHD Prescription
Stimulants in Adults
Background and Purpose
The U.S. Food and Drug Administration (FDA) commissioned a rapid review, through the
Agency for Healthcare Research an…
-
psnet.ahrq.gov/node/851099/psn-pdf
June 28, 2023 - Misconnection Leading to Arterial Thrombosis
June 28, 2023
Bohringer C, Lee G. Misconnection Leading to Arterial Thrombosis. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
The Case
A 55-year-old man with chronic obstructive pulmonary disease (COPD) was brought by am…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/fatigue-sleepiness-protocol.pdf
July 01, 2023 - Making Healthcare Safer IV: Fatigue and Sleepiness of Clinicians Due to Hours of Service
1
Evidence-based Practice Center Rapid Response Protocol
Project Title: Making Healthcare Safer IV: Fatigue and
Sleepiness of Clinicians Due to Hours of Service
Review Questions
1. What is the frequency and s…
-
psnet.ahrq.gov/node/33716/psn-pdf
September 01, 2011 - In Conversation With…Kaveh G. Shojania, MD
September 1, 2011
In Conversation With…Kaveh G. Shojania, MD. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
Editor's note: Kaveh G. Shojania, MD, is the Canada Research Chair in Patient Safety and Quality
Improvement and t…
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psnet.ahrq.gov/node/49392/psn-pdf
April 01, 2003 - Another Fall
April 1, 2003
Bogardus SG. Another Fall. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/another-fall
Case Objectives
List risk factors for falls in hospitalized patients
Understand appropriate use of restraints
Identify system issues contributing to falls in hospitalized patients
Case & Comm…
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man4.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 4. Long Term Management
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Overview
Chapt…
-
psnet.ahrq.gov/node/867357/psn-pdf
December 18, 2024 - Hypoxemia after Emergency Intubation
December 18, 2024
Bohringer C, Liu H. Hypoxemia after Emergency Intubation. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
The Case
A 19-month-old child was brought to the emergency department (ED) via ambulance after drowning in a
p…
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psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
December 04, 2016 - SPOTLIGHT CASE
Palliative Care: Comfort vs. Harm
Citation Text:
Jox RJ. Palliative Care: Comfort vs. Harm. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
Format:
Google Scholar BibTeX EndN…
-
psnet.ahrq.gov/web-mm/another-fall
June 01, 2010 - SPOTLIGHT CASE
Another Fall
Citation Text:
Bogardus SG. Another Fall. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…
-
psnet.ahrq.gov/web-mm/perils-cross-coverage
September 22, 2010 - SPOTLIGHT CASE
The Perils of Cross Coverage
Citation Text:
Farnan JM, Arora V. The Perils of Cross Coverage. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
Copy Citation
Format:
Google Scholar BibTeX En…
-
effectivehealthcare.ahrq.gov/sites/default/files/obesity-horizon-scan-high-impact-1406.pdf
June 01, 2014 - process is reversible and the device can be
implanted or explanted with the patient under conscious sedation … Device placement is a 15–30 minute
outpatient procedure that requires only conscious sedation. … .2
Placement of the Reshape Duo is a 15–30 minute outpatient procedure requiring only conscious
sedation … procedure, a clinician places the endoscope in the patient’s stomach while the patient is under
conscious sedation
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
October 01, 2011 - Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance
Using ICD-9-CM Codes in Hospital Claims Data
to Detect Adverse Events in Patient
Safety Surveillance
Paul Hougland, MD; Jonathan Nebeker, MS, MD; Steve Pickard, MBA; Mark Van Tuinen, PhD;
Carol Masheter, PhD; Su…
-
www.ahrq.gov/sites/default/files/2024-01/aparasu-report.pdf
January 01, 2024 - major risk
factor for dementia. 13
Although centrally mediated anticholinergic activity can lead to sedation
-
effectivehealthcare.ahrq.gov/sites/default/files/obesity-horizon-scan-high-impact-1412.pdf
December 01, 2014 - Device placement is a 15–30 minute outpatient procedure that requires only
conscious sedation. … Placement of the Reshape Duo is purportedly a 15–
30 minute outpatient procedure requiring only conscious sedation … procedure, a clinician places the endoscope in the patient’s stomach while
the patient is under conscious sedation
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Graham_77.pdf
March 05, 2008 - Nifedipine 1 moderate Fair
Increased risk
of nifedipine
side effects
Trazodone 1 MAJOR Poor
Excessive
sedation
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/antipsychotic-medicine-cardiovascular-elderly_research.pdf
February 01, 2009 - properties
affecting blood pressure and heart rate, Q-T prolongation causing conduction delays, as well as
sedation
-
www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
January 01, 2024 - In one study, aspiration pneumonia in the
setting of conscious sedation, perioperative myocardial infarction