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Cases & Commentaries
- Web M&M
Marilyn Sue Bogner, PhD; July 2003
Following hysterectomy, a PCA pump is mistakenly continued in a woman suffering an adverse reaction to morphine, noticed only when her respiratory status set off an alarm.
Journal Article > Study
Avansino JR, Peters LM, Stockfish SL, Walco GA. Pediatrics. 2013;131:e921-e927.
This study reports on a multidisciplinary quality improvement effort to optimize pain management in children undergoing hernia surgery and minimize adverse drug events.
Journal Article > Review
Yorkgitis BK, Brat GA. Am J Surg. 2018;215:707-711.
Use of mnemonics to recall standardized steps can help augment reliability. This review discusses the development of the RIGHTT mnemonic (Risk for adverse event, Insight into pain, Going over pain plan, Halting opioids, Tossing unused opioids and Trouble identification) designed to help surgeons improve safety of opioid prescribing for surgical pain.