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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb22.html
December 01, 2017 - Interventions
Medications
Antipsychotics
Antidepressants
Benzodiazepines
Other sedatives … /hypnotics
Digoxin
Review all medications. … and delirium
Dizziness
Depression
Drugs
Antipsychotics
Antidepressants
Benzodiazepines
Other sedatives … /hypnotics
Digoxin
Polypharmacy and drug interactions
Others
Poor vision
Incontinence
Dehydration
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www.ahrq.gov/hai/tools/mvp/modules/technical/daily-care-processes-tool.html
January 01, 2017 - Sedatives for active seizures or objective evidence of active alcohol withdrawal. … Sedatives have been stopped for at least 4 hours. … SBT With Seds Off: Was the SBT performed with the sedatives off? … Circle Y if the SBT was performed with the sedatives turned off. … Circle N if the SBT was performed with the sedatives on.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-tool.docx
January 01, 2017 - Sedatives for active seizures or objective evidence of active alcohol withdrawal
2. … Sedatives for active seizures or objective evidence of active alcohol withdrawal
2. … Circle Y if the SBT was performed with the sedatives turned off. … Circle N if the SBT was performed with the sedatives on. … Circle NK if you don’t know whether the sedatives were off when the SBT was performed.
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www.ahrq.gov/hai/tools/mvp/modules/technical/daily-care-processes-slides.html
January 01, 2017 - Sedatives for active seizures or objective evidence of active alcohol withdrawal.
2. … Slide 36: SBT—With Sedatives Off
Image: Detail of SBT with seds off column. … Was the SBT performed with sedatives off?
Y = SBT performed with sedatives off. … N = SBT was performed with sedatives on. … NK = Unknown if sedatives were off when the SBT was performed.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/dailycare-processes-slides.pptx
January 01, 2017 - Other
Sedatives for active seizures or objective evidence of active alcohol withdrawal
Escalating sedative … DCP Measure Descriptions ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
SBT – With Sedatives … receiving mechanical ventilation AND with a Y entered in the previous column
Was the SBT performed with sedatives … Y = SBT performed with sedatives off
N = SBT was performed with sedatives on
NK = Unknown if sedatives
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/sat-sbt-protocol.docx
January 01, 2017 - Coordinated Spontaneous Awakening and Breathing Trials Protocol
If the patient passes the safety screen, all sedatives … of accessory muscles
· Abdominal paradox
· Diaphoresis
· Marked dyspnea
If a patient fails the SAT, sedatives … or milrinone)8
· Evidence of increased intracranial pressure
If a patient fails the safety screen, sedatives
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www.ahrq.gov/hai/tools/mvp/modules/technical/sat-sbt-protocol.html
January 01, 2017 - If the patient passes the safety screen, all sedatives and analgesics used for sedation are stopped. … If a patient fails the SAT, sedatives are started at half the prior dosage and titrated up as needed. … If a patient fails the safety screen, sedatives are started at half the prior dosage and titrated up
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/risk.html
February 01, 2023 - meeting
Medications
___ Antipyschotics
___ Antidepressants
___ Benzodiazepines
___ Sedatives … /hypnotics
___ Digoxin
___ N/A
___ Medication review by consultant pharmacist
___ Psychiatric
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt1.html
December 01, 2017 - _X_ Antidepressants [Handwritten note added: Paxil, Zoloft, Ativan]
___ Benzodiazepines
_X_ Sedatives … /hypnotics
___ Digoxin
___ N/A
_X_ Medication review by consultant pharmacist
___ Psychiatric
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www.ahrq.gov/hai/tools/mvp/modules/technical/intro-daily-care-slides.html
February 01, 2017 - Slide 5: Daily Interruption of Sedatives
Fewer than half of practitioners worldwide reported implementing … daily interruption of sedatives: 1,2
Germany - 34%. … Slide 8: 2014 SHEA Compendium Update 5
Manage ventilated patients without sedatives whenever possible … If patient fails the SAT trial:
Sedatives are started at half the prior dosage. … +81% in SBTs done with sedatives off.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb7.html
December 01, 2017 - List three side effects of sedatives that increase a resident's risk of falling.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-dailycare-slides.pptx
January 01, 2017 - Care Processes ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
Daily Interruption of Sedatives … for Mechanically Ventilated Patients
2014 SHEA
Compendium Update5
Manage ventilated patients without sedatives … No planned surgery within 24 hours
SAT Safety Screen
pass
Perform SAT
Screen for SBT
pass
Restart sedatives … patient tolerates the SAT trial:
Proceed to the SBT safety screen
If patient fails the SAT trial:
Sedatives … -37% in VACs
-65% in IVACs
SATs and SBTs
Increases
+63% in SATs
+16% in SBTs
+81% in SBTs done with sedatives
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www.ahrq.gov/hai/tools/mvp/modules/technical/intro-daily-care-facguide.html
February 01, 2017 - Slide 5: Daily Interruption of Sedatives
Say:
Less than half of practitioners worldwide have reported … implementing daily interruption of sedatives with totals as low as 34 percent of practitioners in Germany … Compendium Update
Say:
The 2014 SHEA Compendium Update suggests managing ventilated patients without sedatives … If the patient fails the SAT trial, sedatives are started at half the prior dosage and are then titrated … Say:
Nursing attitudes account for one-third of the variance in the number of patients who received sedatives
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www.ahrq.gov/news/newsroom/press-releases/opioid-crisis-at-county-level.html
July 01, 2018 - hospitalization rates for a wide range of substances, including alcohol, opioids, cannabis, hallucinogens, sedatives … , hypnotics, stimulants and other drugs, as well as drug-induced mental disorders.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb3.html
February 01, 2023 - chlorazepate
diazepam
alprazolam
Digoxin
Lanoxicaps
Lanoxin
Novo-digoxin
digoxin
Sedatives … /hypnotics
Trade names
Generic names
Ambien
Atarax, vistrail
Buspar
Aquachloral
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www.ahrq.gov/hai/tools/mvp/modules/technical/dailycare-processes-facguide.html
January 01, 2017 - Zero is for other, 1 is for sedatives for active seizures or objective evidence of active alcohol withdrawal … Slide 36: SBT—With Sedatives Off
Say: SBT with sedatives off: Evaluate daily for patients receiving … Was the SBT performed with sedatives off? If so, enter "Y." If not, enter "N."
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/dailycare-processes-facguide.docx
January 01, 2017 - Zero is for other, 1 is for sedatives for active seizures or objective evidence of active alcohol withdrawal … Slide 35
SBT – With Sedatives Off
SAY:
SBT with sedatives off: Evaluate daily for patients receiving … Was the SBT performed with sedatives off? If so, enter “Y.” If not, enter “N.”
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/slides.html
December 01, 2017 - Intrinsic Fall Risk Factors (continued)
Side Effects of Medications (antidepressants, sedatives … /hypnotics, and antipsychotics)
Dizziness
Confusion, impaired judgment
Weakness, impaired gait
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www.ahrq.gov/hai/tools/mvp/modules/technical/pain-mgmt-fac-guide.html
January 01, 2017 - Sedatives are commonly administered to ICU patients to treat agitation and its negative consequences. … Sedatives can be titrated to maintain either light sedation, in which the patient is still able to be
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www.ahrq.gov/hai/tools/mvp/modules/technical/pain-mgmt-slides.html
January 01, 2017 - Sedatives are commonly administered to ICU patients to treat agitation and its negative consequences. … Sedatives can be titrated to maintain either light (arousable, able to follow commands) or deep (unresponsive