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1. Generic Dashboard Data 2023 (xls file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2023.xlsx
   January 01, 2023 - ) 79 105,949 0.1% Surgery or Anesthesia Outpatient care area 2,678 105,949 2.5% Surgery or Anesthesia … 0.3% Surgery or Anesthesia Pharmacy 46 105,949 0.0% Surgery or Anesthesia Unknown 91 105,949 0.1% … /Support 42 52,719 0.1% Surgery or Anesthesia Mulitple 1,550 52,719 2.9% Surgery or Anesthesia Human … Factors 1,403 52,719 2.7% Surgery or Anesthesia Environment 158 52,719 0.3% Surgery or Anesthesia … Harm 940 3,026 31.1% Surgery or Anesthesia Under 18 Unknown Death 4 214 1.9% Surgery or Anesthesia

2. Tool: Normothermia Audit (doc file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/normothermia_audit.docx
   December 01, 2017 - : Indicate whether a forced air warmer was used in the period between the time of incision and the anesthesia … The duration can be determined from the difference between anesthesia start time and anesthesia stop … Temperature on arrival to post-anesthesia care unit/intensive care unit _____ oC or NA 16. … Duration of case Anesthesia stop time minus anesthesia start time _____ hours _____ minutes ICU … = intensive care unit; OR = operating room; PACU = post-anesthesia care unit *Not available **Use of

3. High-Risk Deliveries at Facilities With 24/7 In-House Physician Coverage Dedicated to the Obstetrical Service by an Anesthesiologist Who Is Qualified To Provide Obstetrical Anesthesia | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/pqmp/measures/deliveries-with-anesthesiologist.html
   November 01, 2019 - Dedicated to the Obstetrical Service by an Anesthesiologist Who Is Qualified To Provide Obstetrical Anesthesia … Dedicated to the Obstetrical Service by an Anesthesiologist Who Is Qualified To Provide Obstetrical Anesthesia … Dedicated to the Obstetrical Service by an Anesthesiologist Who Is Qualified To Provide Obstetrical Anesthesia

4. Strategy 2: Communicating to Improve Quality (Tool 3) (doc file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/asc-checklist-template.docx
   January 01, 2009 - Surgery Implementation Guide Ambulatory Surgery Checklist Preop Before Patient Enters Room Nurse, Anesthesia … procedure · Patient position · Known allergies · Patient weight · History and physical Nurse and Anesthesia … safety check completed · Type of anesthesia · Anticipated airway and aspiration risk · Changes in patient … Surgeon, Nurse, and Anesthesia Professional perform the Timeout · Patient’s name · Surgical procedure … Briefing Surgeon Shares: · Any changes to operative plan and possible difficulties Anesthesia Professional

5. Strategy 2: Communicating to Improve Quality (Tool 3) (doc file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/endoscopy-checklist-template.docx
   January 01, 2009 - AHRQ Safety Program for Ambulatory Surgery Implementation Guide Before Patient Enters Room Nurse, Anesthesia … matches the consent · Known allergies · Patient height, weight, body mass index · History and physical Anesthesia … Professional and Nurse Discuss: · Anesthesia safety check is completed · Type of anesthesia · Anticipated … Shares: · Any changes to the plan and possible difficulties · Necessary equipment/devices are available Anesthesia

6. Appendix M. Master Risk Factor List with Final Bolded | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapm.html
   April 01, 2018 -   Y   Y   1   intra-op drugs on paper anesthesia record D Electronic 1 Y Y … on paper anesthesia record M Manual not reliably     Temperature on Arrival to PACU I … intra-op drugs on paper anesthesia record D Manual 0     Outpatient Surgery   Y   … Anticoagulation Medication   Y   Y   1   intra-op drugs on paper anesthesia record … on paper anesthesia record M Electronic ?    

7. Tables 2-5 (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0121-tables-2-5.pdf
   October 21, 2019 - high-risk referral center P-value Facility Type Community hospital 61 (58.7%) 207 (91.6%) <0.001 Anesthesia … high-risk referral center P-value Night-time and weekend staffing In-house anesthesiologist or anesthesia … team dedicated to L&D 61 (60.4%) 57 (26.3%) <0.001 In-house anesthesiologist or anesthesia team … year Low risk, ≥1500 births per year Low risk, <1500 births per year P- value Recommended anesthesia

8. High-Risk Deliveries at Facilities with 24/7 In-House Blood Banking/Transfusion Services - Tables 2-5 (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0122-tables2-5.pdf
   September 24, 2019 - Facility Type Annual Delivery volume* Community hospital 61 (58.7%) 207 (91.6%) <0.001 Anesthesia … high-risk referral center P-value Night-time and weekend staffing In-house anesthesiologist or anesthesia … team dedicated to L&D 61 (60.4%) 57 (26.3%) <0.001 In-house anesthesiologist or anesthesia team … Low risk, ≥1500 births per year Low risk, <1500 births per year P- value Recommended anesthesia

9. Tool: OR Briefing and Debriefing Audit Tool (doc file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/or_briefing_audit.docx
   December 01, 2017 - ☐ Surgery Attending ☐ Anesthesia Attending ☐ Surgery Resident ☐ Anesthesia Resident ☐ Nurse ☐ Anesthesia … Surgery Attending Surgery Resident Anesthesia Attending Anesthesia … Resident Anesthesia Certified Registered Nurse Anesthetist Circulator

10. Transcript-Speaking-Up (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/transcript-speaking-up.doc
    May 01, 2017 - Berry: “Anesthesia, I’m concerned about the blood pressure. Is something going on?” … Anesthesia: “Oh it’s fine. I know my job, and it’s fine.” … Anesthesia: “Look Dr. Berry, I have everything under control here. The blood pressure’s fine.” Dr. … Could you call for some anesthesia help to come in here right now?”

11. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/scenarios/operroom.html
    March 01, 2014 - The patient is taken to the operating room and induced by an anesthesia provider. … The team asks for additional anesthesia personnel to assist. … The anesthesia team has tried to intubate the patient three times (once by trainee, twice by staff). … The surgeon and anesthesia team request another anesthesia provider to assist. … The anesthesia resident is reviewing the preoperative section of the anesthesia record, which indicates

12. Normothermia Audit Tool | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/normothermia-audit.html
    December 01, 2017 - 14: Indicate whether a forced air warmer was used in the period between the time of incision and the anesthesia … The duration can be determined from the difference between anesthesia start time and anesthesia stop … Yes ___        No ___ Temperature on arrival to post-anesthesia care unit/intensive care unit. … Anesthesia stop time minus anesthesia start time. _____ hours _____ minutes ICU = intensive care … unit; OR = operating room; PACU = post-anesthesia care unit

13. TeamSTEPPS Specialty Scenarios: OR (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/operroom.pdf
    March 19, 2014 - The patient is taken to the operating room and induced by an anesthesia provider. … An arthroscopy of the left ankle is performed, and the patient is sent to the Post Anesthesia Care Unit … The team asks for additional anesthesia personnel to assist. … The surgeon and anesthesia team request another anesthesia provider to assist. … The anesthesia resident is reviewing the preoperative section of the anesthesia record, which indicates

14. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Safe Cesarean Section (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
    May 01, 2017 - or care teams within a unit, for example transfers between L&D room and OR, and between OR and post-anesthesia … · The L&D/OR/neonatal/anesthesia teams maintain a shared mental model for the safe surgery perioperative … provider confirms: Type of anesthesia used (Spinal/Epidural/Combined/General) Antibiotics infused … provider confirms: Type of anesthesia used (Spinal/Epidural/Combined/General) Antibiotics infused … Additional instruments needed/anticipated: |_| Yes |_| No Anesthesia provider confirms: Type of anesthesia

15. Labor and Delivery Unit Safety: Safe Cesarean Section | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-safe-csection.html
    July 01, 2023 - or care teams within a unit, for example transfers between L&D room and OR, and between OR and post-anesthesia … The L&D/OR/neonatal/anesthesia teams maintain a shared mental model for the safe surgery perioperative … provider confirms: ___ Type of anesthesia used (Spinal / Epidural / Combined / General) … provider confirms: ___ Type of anesthesia used (Spinal / Epidural / Combined / General) … provider confirms:    Type of anesthesia used:      ___ Spinal      ___ Epidural      ___ Combined

16. Section 3-C, Tables 2-5 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-120-section-3c-tables-2-5.pdf
    May 31, 2018 - referral center P-value Facility Type Community hospital 61 (58.7%) 207 (91.6%) <0.001 Anesthesia … high-risk referral center P-value Night-time and weekend staffing In-house anesthesiologist or anesthesia … team dedicated to L&D 61 (60.4%) 57 (26.3%) <0.001 In-house anesthesiologist or anesthesia team … Low risk, ≥1500 births per year Low risk, <1500 births per year P- value Recommended anesthesia

17. Presentation: Auditing Your Briefings and Debriefings
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
    December 01, 2017 - surgeon Surgical Resident Anesthesia Attending Anesthesia CRNA Anesthesia Resident Circulator Scrub … 2 4 1 0 0 1 8 Pauses other tasks Attending surgeon Surgical Resident Anesthesia Attending Anesthesia … Circulator Anesthesia Resident Anesthesia CRNA Anesthesia Attending Surgical Resident Attending Surgeon … surgeon Surgical Resident Anesthesia Attending Anesthesia CRNA Anesthesia Resident Circulator Scrub … 4 6 1 0 0 9 Contributes Attending surgeon Surgical Resident Anesthesia Attending Anesthesia CRNA Anesthesia

18. PowerPoint Presentation
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/10-frontline-provider.pptx
    June 01, 2023 - harms Patient and family education and engagement in perioperative care Standardized perioperative anesthesia … Senior Executive: List for your institution Surgeon Champion: List for your institution Anesthesia … What is the process for the anesthesia provider to follow standardized intraoperative protocol? … ISCR at [Hospital Name] 13 Key Elements Post Anesthesia Care Unit/Postoperative Day 0 Below are examples … of ISCR components that are relevant to the post anesthesia care unit (PACU)/postoperative day 0 work

19. Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-proc-related-catheter-use-slides.html
    December 01, 2017 - Routinely for patients receiving epidural anesthesia/analgesia. Gould C, et al. … Slide 21 Incidence of POUR after Anesthesia and Analgesia: Systematic Review Image: Screen shot … of table showing incidences of POUR after anesthesia and analgesia from a number of studies. … analgesia; SA  spinal anesthesia; SI/II single injection/intermittent injection. … Lower Risk Outpatient Short duration IVF <750 mL Local anesthesia Leads to avoiding IUC.

20. Operating Room Briefing and Debriefing Audit Tool | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/applying-cusp/or-briefing-audit.html
    December 01, 2017 - Surgery Attending   Anesthesia Attending Surgery Resident Anesthesia Resident Nurse Anesthesia … Surgery Attending         Surgery Resident         Anesthesia Attending     …     Anesthesia Resident         Anesthesia Certified Registered Nurse Anesthetist