The perianesthesia nurse's role in the prevention of opioid-related sentinel events.

Chris Pasero

Commentary

The perianesthesia nurse's role in the prevention of opioid-related sentinel events.

April 3, 2013

Pasero C. J Perianesth Nurs. 2013;28(1):31-7.

View more articles from the same authors.

This commentary reviews strategies to prevent adverse events associated with opioid use and advocates for improved monitoring to reduce risks.

PubMed citation

Available at

Related Resources From the Same Author(s)

Patient safety in otolaryngology: a descriptive review.

November 16, 2016

Systematic review of the application of the plan-do-study-act method to improve quality in healthcare.

October 16, 2013

Fatigue in radiology: a fertile area for future research.

July 31, 2019

The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review.

February 15, 2023

A mediation skills model to manage disclosure of errors and adverse events to patients.

September 21, 2005

Clinicians' expectations of the benefits and harms of treatments, screening, and tests: a systematic review.

February 1, 2017

Safer care at home: use of simulation training to improve standards.

October 19, 2011

Intensive care medicine in 2050: preventing harm.

May 1, 2019

Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review.

January 21, 2015

The impact of the use of employee functional flexibility on patient safety.

November 18, 2020

Impact of an electronic health record alert on inappropriate prescribing of high-risk medications to patients with concurrent "do not give" orders.

August 3, 2022

A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety.

June 24, 2015

Stop the silent misdiagnosis: patients' preferences matter.

November 21, 2012

'If no-one stops me, I'll make the mistake again': changing prescribing behaviours through feedback; a Perceptual Control Theory perspective.

May 10, 2017

Piece of my mind. Stories doctors tell.

July 19, 2017

Adverse drug event–related emergency department visits associated with complex chronic conditions.

June 11, 2014

Safe work-hour standards for parents of children with medical complexity.

January 29, 2020

Managing cognitive biases during disaster response: the development of an aide memoire.

May 20, 2020

Office surgery incidents: what seven years of Florida data show us.

March 26, 2008

Emergency department volume and delayed diagnosis of serious pediatric conditions.

February 28, 2024

Evaluation for occult fractures in injured children.

August 5, 2015

Identification of warning signs during selection of surgical trainees.

January 16, 2019

Harm caused by adverse events in primary care: a clinical observational study.

April 15, 2009

Mix of methods is needed to identify adverse events in general practice: a prospective observational study.

July 23, 2008

Empowering patient safety outreach through interprofessional partnerships: educating our communities.

August 25, 2010

Quality-monitoring program for bar-code–assisted medication administration.

June 17, 2009

Physician burnout and medical errors: exploring the relationship, cost, and solutions received.

August 9, 2023

Association between electronic health record implementations and hospital-acquired conditions in pediatric hospitals.

August 2, 2023

Using simulation to identify sources of medical diagnostic error in child physical abuse.

April 27, 2016

Challenges and opportunities from the Agency for Healthcare Research and Quality (AHRQ) research summit on improving diagnosis: a proceedings review.

June 14, 2017

Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study.

May 1, 2019

Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients.

April 29, 2009

'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study.

August 3, 2022

Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda.

March 29, 2023

Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales.

May 27, 2015

Prevalence of polypharmacy exposure among hospitalized children in the United States.

September 28, 2011

Beyond the clinical team: evaluating the human factors-oriented training of non-clinical professionals working in healthcare contexts.

July 17, 2019

Application of a theoretical framework for behavior change to hospital workers' real-time explanations for noncompliance with hand hygiene guidelines.

January 22, 2014

Patient–doctor continuity and diagnosis of cancer: electronic medical records study in general practice.

May 13, 2015

Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan.

January 30, 2005

Efficacy, tolerability, and dose-dependent effects of opioid analgesics for low back pain: a systematic review and meta-analysis.

January 11, 2017

Double reading in breast cancer screening: cohort evaluation in the CO-OPS trial.

August 29, 2018

Associations between safety outcomes and communication practices among pediatric nurses in the United States.

January 19, 2022

Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents.

July 11, 2007

Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis.

March 28, 2007

Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department.

March 6, 2005

Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations.

July 8, 2009

Implementation of the trigger review method in Scottish general practices: patient safety outcomes and potential for quality improvement.

April 12, 2017

Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1).

May 5, 2021

Use of artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test accuracy.

November 17, 2021

Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice.

November 3, 2021

Accuracy of practitioner estimates of probability of diagnosis before and after testing.

May 5, 2021

How well do health professionals interpret diagnostic information? A systematic review.

August 12, 2015

Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members.

September 4, 2013

System factors affecting patient safety in the OR: an analysis of safety threats and resiliency.

August 25, 2021

Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS).

November 29, 2023

Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit.

March 2, 2011

Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases.

May 3, 2023

The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice.

August 2, 2006

Anatomic pathology databases and patient safety.

October 19, 2005

The effect of an organizational network for patient safety on safety event reporting.

August 28, 2013

A surgical simulation curriculum for senior medical students based on TeamSTEPPS.

September 12, 2012

Structured patient handoff on an internal medicine ward: a cluster randomized control trial.

July 25, 2018

Missed diagnosis of cancer in primary care: insights from malpractice claims data.

August 7, 2019

Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports.

August 9, 2023

Standardization of compounded oral liquids for pediatric patients in Michigan.

August 31, 2016

What is the return on investment for implementation of a crew resource management program at an academic medical center?

October 14, 2015

Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review.

May 5, 2021

Evidence that nurses need to participate in diagnosis: lessons from malpractice claims.

April 29, 2020

Analysis of human performance deficiencies associated with surgical adverse events.

August 14, 2019

Talking about falls: a qualitative exploration of spoken communication of patients' fall risks in hospitals and implications for multifactorial approaches to fall prevention.

November 29, 2023

Potentially inappropriate medication use is associated with increased risk of incident disability in healthy older adults.

September 6, 2023

Clinical impact and frequency of anatomic pathology errors in cancer diagnoses.

October 26, 2005

Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports.

April 15, 2020

Changes in weekend and weekday care quality of emergency medical admissions to 20 hospitals in England during implementation of the 7-day services national health policy.

November 25, 2020

Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO.'

August 1, 2012

Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study.

August 9, 2023

ASHP guidelines on the safe use of automated dispensing devices.

August 29, 2021

Validation of new ICD-10-based patient safety indicators for identification of in-hospital complications in surgical patients: a study of diagnostic accuracy.

September 11, 2019

Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study.

September 14, 2016

Are physician assistants able to correctly identify prescribing errors? A cross-sectional study.

September 20, 2023

A qualitative study of systemic influences on paramedic decision making: care transitions and patient safety.

January 28, 2015

Frequency and outcome of cervical cancer prevention failures in the United States.

December 19, 2007

The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer.

July 19, 2006

Identification of adverse events in ground transport emergency medical services.

September 14, 2011

Association of overlapping surgery with perioperative outcomes.

March 6, 2019

Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.

October 5, 2011

Supporting the emotional well-being of health care workers during the COVID-19 pandemic.

August 5, 2020

Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a multisite longitudinal assessment.

February 15, 2023

Developing and pilot testing practical measures of preanalytic surgical specimen identification defects.

March 27, 2013

Weekend specialist intensity and admission mortality in acute hospital trusts in England: a cross-sectional study.

November 29, 2017

A systematic review of the effects of resident duty hour restrictions in surgery: impact on resident wellness, training, and patient outcomes.

April 16, 2014

Description and evaluation of an interprofessional patient safety course for health professions and related sciences students.

January 10, 2007

Guideline for opioid therapy and chronic noncancer pain.

May 31, 2017

Anticoagulation-associated adverse drug events in hospitalized patients across two time periods.

July 26, 2023

To do no harm - and the most good - with AI in health care.

March 13, 2024

Recommendations to improve the usability of drug–drug interaction clinical decision support alerts.

November 25, 2015

The Lancet Commission on lessons for the future from the COVID-19 pandemic.

October 12, 2022

Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review.

January 12, 2022

Related Resources

Creating a just culture in the perioperative setting.

March 13, 2024

WebM&M Cases

Airway Obstruction during Anterior Cervical Spine Surgery

February 28, 2024

Use of professional interpreters for patients with limited English proficiency undergoing surgery.

February 21, 2024

What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare.

February 21, 2024

Handbook of Perioperative and Procedural Patient Safety.

February 7, 2024

Patient Safety Primers

Retained Surgical Items: Definition and Epidemiology.

January 4, 2024

Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review.

November 15, 2023

Technology, Education and Safety

November 15, 2023

Perioperative team-based morbidity and mortality conferences: a systematic review of the literature.

October 11, 2023

Fire safety in the operating room.

October 1, 2023

Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review.

September 27, 2023

Understanding the root cause analysis process to increase safety event reporting.

July 5, 2023

Green Cross method in a postanaesthesia care unit: a qualitative study of the healthcare professionals' experiences after 3 years, including the COVID-19 pandemic period.

June 14, 2023

The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors.

June 14, 2023

Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative review.

June 14, 2023

Use of technology to improve the adherence to surgical safety checklists in the operating room.

May 31, 2023

Proactive patient safety: focusing on what goes right in the perioperative environment.

May 24, 2023

Managing safety in perioperative settings: strategies of meso-level nurse leaders.

March 15, 2023

Evaluation of policies limiting opioid exposure on opioid prescribing and patient pain in opioid-naive patients undergoing elective surgery in a large American health system.

March 8, 2023

Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study.

March 8, 2023

Cognitive biases in surgery: systematic review.

March 1, 2023

The incidence of opioid misuse among the surgical patients with persistent opioid use.

February 8, 2023

WebM&M Cases

Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma.

February 1, 2023

Inappropriate prescribing of opioids for patients undergoing surgery.

December 21, 2022

Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review.

December 14, 2022

WebM&M Cases

Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.

December 14, 2022

Guidelines in Practice: prevention of unintentionally retained surgical items.

December 7, 2022

WebM&M Cases

Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong.

October 27, 2022

Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation.

October 26, 2022

Eliminating Unintentionally Retained Surgical Items - Special Report.

September 21, 2022

See More About The Topic

The perianesthesia nurse's role in the prevention of opioid-related sentinel events.

Retained Surgical Items: Definition and Epidemiology.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

The perianesthesia nurse's role in the prevention of opioid-related sentinel events.

Retained Surgical Items: Definition and Epidemiology.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site