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The Beers Criteria: Screening for Potentially ...
tion of the drug, leading to excessive seda-tion and an increase in the risk of falls and fractures. b) Meperidine (DEMEROL), which can cause confusion and its metabolites can lead to seizures. c) Anticholinergics and antihistamines, includ-ing diphenhydramine (BENADRYL), chlor-pheniramine (CHLORTRIMETON), hy-droxyzine (ATARAX, VISTARIL) and pro-
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PATIENT SAFETY: COLOR BANDING Standardization and ...
patientsafety.pa.govColor-banding policy will need to be reviewed and approved. Hospitals need to review their respective forms for need of modifications (pt. ed, assessments, etc.) ... • Color Code – Intent of Specific Colors • Authority for Application of band • Process for Band Confirmation • Inter-Dept./Agency Communication
Confirming Feeding Tube Placement: Old Habits Die Hard
patientsafety.pa.govMore Reliable Methods to Verify Feeding Tube Placement Radiographic Confirmation of Nasogastric Tube Placement The gold standard for nasogastric feeding tube placement is radiographic confirmation with a chest x-ray. pretations by nonradiologists: The gold standard for nasoenteric feeding tube placement is radiographic confir-
PATIENT SAFETY AUTHORITY AND DEPARTMENT OF HEALTH
patientsafety.pa.gov12. A mid-procedure change in the plan of care in response to new information discovered during the procedure does not constitute an injury. 13. Additional healthcare services: a. Healthcare services provided to prevent an injury from occurring are excluded from this term for the purpose of Serious Event determinations. b.
Retained Surgical Items: Events and Guidelines Revisited
patientsafety.pa.govand the Association of periOperative Registered Nurses published guidance for preventing RSIs, including minimizing distractions and participating in team-work training. The Joint Commission speaks to the role of weak or absent organizational leadership as reasons for the continuance of RSIs. (Pa Patient Saf Advis 2017 Mar;14[1]:27-35.)
Safety in Using Promethazine (Phenergan)
patientsafety.pa.gov©2007 Pennsylvania Patient Safety Authority Page 1 Produced by ECRI Institute & ISMP under contract to the Patient Safety Authority Patient Safety Advisory F irst approved by the U.S. Food and Drug Ad-ministration (FDA) in 1951, promethazine (Phenergan) is a medication in common use today. However, despite its familiarity, its use is not with-
Opioid Knowledge Self-Assessment
patientsafety.pa.govOpioid Knowledge Self-Assessment Healthcare facilities can use this assessment for practitioners who prescribe, dispense, and/or administer opioid products ...
Treating Hyperkalemia: Avoid Additional Harm When …
patientsafety.pa.govAn order received in pharmacy at 2000 read "If K+ [potassium] 3.5 [lower limit of normal range] then give K-Lyte [potassium bicarbonate and potassium chloride; to treat low potassium levels] 50 mEq via peg tube BID x 1 day."
Letter to the Editor: Preventing Air Embolism with PICC ...
patientsafety.pa.govletter to the editor: preventing air embolism with picc line removal I read with interest your article “Reducing Risk of Air Embolism Associated with Central Venous Access Devices” in the Pennsyl-
Strategic Plan 2017-2020 - Patient Safety Authority
patientsafety.pa.govStrategic Plan During 2016, the Pennsylvania Patient Safety Authority Board of Directors and staff engaged in a third strate- ... Strategic Plan 2017–2020 VISION Safe healthcare for all patients MISSION Improve the quality of healthcare in Pennsylvania by collecting and
Brochure Medical Records - Pennsylvania Patient Safety ...
patientsafety.pa.govrecord. In the future, when medi-cal records are requested by other providers, your provider must include his denial of your request to amend the medical record as well a copy of your statement of disagreement. It should not take more than 90 days to amend your medical records. If the request is accepted,
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Practice Guidelines for Sedation and Analgesia by Non ...
www.asahq.orgDefinitions of levels of seda-tion–analgesia, as developed and adopted by the ASA, are given in table 1. These Guidelines specifically apply to levels of sedation corresponding to moderate sedation (frequently called conscious sedation) and deep seda-tion, as defined in table 1.
Guidelines for the Evaluation of Valvular Regurgitation ...
www.asecho.orgtion should be classified as mild, moderate, or severe. There are four main principles to the evaluation of valvular regur- ... effects of seda-tion/anesthesia, technical factors, and attenuation by the implanted device. Because CD area is mainly determined by jet momentum
Propofol-Related Infusion Syndrome
med.virginia.edube easily titrated to maintain the desired level of seda-tion in critically ill patients. In addition, propofol is rapidly deactived via a conjugation reaction both hepat-ically and extra-hepatically. The non-renal, non-hepatic dependent metabolic clearance makes it a superior sedative agent over benzodiazepines or opioids for ICU
ImprovIng care through evIdence GUIDELINES UpDatE …
emcrit.orgExcluded from consideration are patients receiving minimal seda-tion or those receiving a single analgesic or sedative drug orally for insomnia, anxiety, or pain. The terms "supportive," "suggestive," and "equivocal" are used to describe the strength of scientific evidence. The lack of available scientific evidence is described as "inconclu-
Alzheimer’s Disease: A Clinical and Basic Science Review
msrj.chm.msu.edution, behavioral symptoms (hallucinations, delusions, paranoia), and psychosocial impairment.1 3 ... psychotropics, analgesics, seda-tive-hypnotics). Irreversible (primary) dementias involve neurodegenerative and/or vascular processes in the brain. AD is the most common cause of irreversible dementia, accounting for up to 70% of all dementia ...
CLEANING YOUR PET’S EARS
www.dechra-us.comthe veterinarian to perform a deep cleaning under seda-tion or anesthesia to properly and painlessly address the problem. You will want to have your veterinarian check via an otoscopic exam to determine if the ear drum is intact. Cautions when cleaning your pet’s ears:
BIS monitoring: From the OR to the ICU
www.hsrsna.comreduce costs, morbidity, and mortality related to seda-tion in the ICU. • REFERENCES 1. Riker RR, Fraser GL, Wilkins ML. Comparing bispectral index and suppres-sion ratio with burst suppression of the electroencephalogram during pento-barbital infusions in the adult intensive care patients. Pharmacotherapy. 2003;23(9):1087-1093. 2.