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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/sat-sbt-litreview.docx
January 01, 2017 - with a protocol versus sedation with a protocol and a daily sedation vacation. … RCT
Protocolized Sedation Versus Protocolized Sedation & Daily Sedation Interruption
(Mehta, 2012)3 … Daily sedation interruption in mechanically ventilated critically ill patients cared for with a sedation … Patients were randomized to protocolized sedation or protocolized sedation plus daily sedation interruption … of sedation.
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psnet.ahrq.gov/node/45060/psn-pdf
January 01, 2017 - Patient safety during sedation by anesthesia
professionals during routine upper endoscopy and
colonoscopy … Patient safety during sedation by anesthesia professionals
during routine upper endoscopy and colonoscopy … https://psnet.ahrq.gov/issue/patient-safety-during-sedation-anesthesia-professionals-during-routine-upper … procedure found that the use of an anesthesia professional did not improve safety
outcomes compared with sedation … https://psnet.ahrq.gov/issue/patient-safety-during-sedation-anesthesia-professionals-during-routine-upper-endoscopy-and
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psnet.ahrq.gov/node/37609/psn-pdf
March 19, 2008 - Monitoring during sedation given by non-anaesthetic
doctors.
March 19, 2008
Fanning RM. … Monitoring during sedation given by non-anaesthetic doctors. … https://psnet.ahrq.gov/issue/monitoring-during-sedation-given-non-anaesthetic-doctors
This survey found … that a significant minority of physicians who administer conscious sedation do not adhere
to appropriate … https://psnet.ahrq.gov/issue/monitoring-during-sedation-given-non-anaesthetic-doctors
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psnet.ahrq.gov/node/43553/psn-pdf
August 28, 2017 - Analysis of adverse events associated with adult
moderate procedural sedation outside the operating … Analysis of Adverse Events Associated With Adult Moderate
Procedural Sedation Outside the Operating … https://psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation- … This retrospective study examined adverse events associated with moderate procedural
sedation performed … appropriate responses
such as increased monitoring and staffing for patients likely to experience sedation-related
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psnet.ahrq.gov/node/37092/psn-pdf
August 21, 2008 - Enhancing patient safety during pediatric sedation: the
impact of simulation-based training of
nonanesthesiologists … Enhancing patient safety during pediatric sedation: the impact of
simulation-based training of nonanesthesiologists … https://psnet.ahrq.gov/issue/enhancing-patient-safety-during-pediatric-sedation-impact-simulation-based … these
procedures were more likely to carry out appropriate evaluation and monitoring during and after sedation … https://psnet.ahrq.gov/issue/enhancing-patient-safety-during-pediatric-sedation-impact-simulation-based-training
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/daily-care-processes-slides.html
January 01, 2017 - Slide 16: Sedation Scale
Image: Detail of the sedation scale column. … Slide 17: Sedation Scale
Image: Detail of the sedation scale column. … Slide 19: Sedation Scale: Actual RASS
Image: Detail of the sedation scale column. … Slide 21: Sedation Scale: Actual SAS
Image: Detail of the sedation scale column. … Slide 22: Sedation Scale: NU
Image: Detail of the sedation scale column.
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psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
November 15, 2023 - The adverse outcomes of two of them were secondary to drugs given for sedation, while the third patient … Her vital signs were stable throughout the procedure and no additional sedation was necessary. … Procedural sedation with 175 mcg fentanyl and 3.5 mg midazolam was given intravenously and the procedure … When procedural sedation is required, short-acting agents such as fentanyl and midazolam are preferred … Procedural sedation: a review of sedative agents, monitoring, and management of complications.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-facguide.docx
January 01, 2017 - You will also learn about delirium assessments and sedation management. … “C” represents the choice of sedation. … Choose to either interrupt sedation daily or target light sedation. … Deep sedation, as determined by a score of -4 or -5 on the Richmond Agitation-Sedation Scale, should … be avoided as deep sedation has been shown to be harmful.
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psnet.ahrq.gov/node/35196/psn-pdf
March 01, 2011 - A method for measuring system safety and latent errors
associated with pediatric procedural sedation … A method for measuring system safety and latent errors
associated with pediatric procedural sedation … psnet.ahrq.gov/issue/method-measuring-system-safety-and-latent-errors-associated-pediatric-
procedural-sedation … psnet.ahrq.gov/issue/method-measuring-system-safety-and-latent-errors-associated-pediatric-procedural-sedation … psnet.ahrq.gov/issue/method-measuring-system-safety-and-latent-errors-associated-pediatric-procedural-sedation
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psnet.ahrq.gov/node/41094/psn-pdf
January 25, 2012 - 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. … 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. … adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse-
events-during
This commentary describes the development of standardized terminology for sedation-related
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/pain-mgmt-fac-guide.html
January 01, 2017 - You will also learn about delirium assessments and sedation management. … "C" represents the choice of sedation. … Choose to either interrupt sedation daily or target light sedation. … Deep sedation, as determined by a score of -4 or -5 on the Richmond Agitation-Sedation Scale, should … be avoided as deep sedation has been shown to be harmful.
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psnet.ahrq.gov/node/837417/psn-pdf
June 15, 2022 - of the Center for
Medicare and Medicaid Services mandated
anesthesiology oversight for procedural sedation … of the Center for
Medicare and Medicaid Services mandated anesthesiology oversight for procedural sedation … services assume overall
responsibility for anesthesia administered in the hospital, including procedural sedation … This article reviews the CoP as it relates to procedural sedation, lays out a
framework for implementing
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/intro-daily-care-facguide.html
February 01, 2017 - If the patient can’t go without sedation and complications for 4 hours, restart sedation at half dosage … and then titrate for pain and sedation. … Slide 21: Perceived Barriers to Sedation Protocols and SATs
Say:
Despite the benefits of sedation … In this trial, 140 patients were randomized and given either routine sedation or no sedation at all. … Seventy were prescribed sedation, using propofol and then midazolam, while 70 were prescribed no sedation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-dailycare-facguide.docx
January 01, 2017 - If the patient can’t go without sedation and complications for 4 hours, restart sedation at half dosage … and then titrate for pain and sedation. … Slide 20
Perceived Barriers to Sedation Protocols and SATs
SAY:
Despite the benefits of sedation … In this trial, 140 patients were randomized and given either routine sedation or no sedation at all. … Seventy were prescribed sedation, using propofol and then midazolam, while 70 were prescribed no sedation
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psnet.ahrq.gov/issue/protocolization-analgesia-and-sedation-through-smart-technology-intensive-care-improving
March 09, 2022 - Study
Protocolization of analgesia and sedation through smart technology in intensive … Protocolization of Analgesia and Sedation Through Smart Technology in Intensive Care: Improving Patient … Protocolization of Analgesia and Sedation Through Smart Technology in Intensive Care: Improving Patient
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psnet.ahrq.gov/node/35303/psn-pdf
July 14, 2009 - Sedation and patient safety.
July 14, 2009
Simmons D. Sedation and Patient Safety. … https://psnet.ahrq.gov/issue/sedation-and-patient-safety
The author uses a classification model to outline … https://psnet.ahrq.gov/issue/sedation-and-patient-safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/mvp-infographic-overview.pdf
January 01, 2017 - Improve teamwork and
communication
•
F
F
A
T
S
E
N
I
L
T
N
ORFFOM
O
D
SI
W
E
H
T
P
A
T
SEDATION … drainage
endotracheal tube if
intubated ≥ 72 hours
Confirm
head of bed
elevation ≥ 30o
Minimize
sedation … Perform spontaneous
breathing trial to wean
patient off mechanical
ventilation
DELIRIUM
MOBILITY
SEDATION … Tailor goals to
maximize mobility
Minimize sedation
level
Assess then address
delirium
AHRQ Pub
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/daily-early-mobility-slides.html
February 01, 2017 - Slide 9: Sedation Scale
Image: Detail of the sedation scale columns. … Slide 10: Sedation Scale
Image: Detail of the sedation scale columns. … R = Richmond Agitation Sedation Scale (RASS).
S = Riker Sedation-Agitation Scale (SAS). … Slide 11: Sedation Scale
Image: Detail of the sedation scale columns. … Enter RASS sedation scale value ( -5 to 4 ).
OR
Enter SAS sedation scale value ( 1 to 7 ).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/sat-sbt-factsheet.docx
January 01, 2017 - What the Experts Say
Society for Healthcare Epidemiology of America
Recommends the interruption of sedation … should be paired.4
American Thoracic Society
Recommends use of daily interruption (SAT) or lightening of sedation … to avoid constant heavy sedation and to facilitate and accelerate weaning; does not address SBT.5
Centers … Weaning from mechanical ventilation and sedation. Curr Opin Anesthesiol. 2012 Apr;25(2):164-9. … Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated
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psnet.ahrq.gov/node/38444/psn-pdf
May 21, 2009 - Preprinted order sets as a safety intervention in pediatric
sedation. … Preprinted order sets as a safety intervention in pediatric sedation. … https://psnet.ahrq.gov/issue/preprinted-order-sets-safety-intervention-pediatric-sedation
This study … https://psnet.ahrq.gov/issue/preprinted-order-sets-safety-intervention-pediatric-sedation
https://psnet.ahrq.gov