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261. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/resources/learning-lab/index.html
     April 01, 2024 - The specific aims were to: Improve the usability of anesthesia-related alarms in the OR. … Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery Principal Investigator … .: HS26625 Project Period: 09/30/18-07/31/23 Description: This learning lab conducted a study of anesthesia … engineers, pharmacists, and certified registered nurse anesthesiologists to engineer reductions in anesthesia … Understand and improve workspace design and safety culture to influence anesthesia medication selection

262. Sample “Plan-Do-Study-Act” Form | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-pdsa-form.html
     June 01, 2017 - Alternatively, consider: (b) Preoperative or (c) post-anesthesia care unit.

263. TeamSTEPPS Specialty Scenarios: Ambulatory Care (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ambulatory.pdf
     March 19, 2014 - At this point, the patient’s physician decides to send her to the OR for reduction under anesthesia.

264. Making Health Care Safer II, Executive Summary (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
     March 01, 2013 - Surgery, Anesthesia, and Perioperative Medicine Preoperative checklists and anesthesia checklists to … Strongly encouraged patient safety practices • Preoperative checklists and anesthesia checklists to

265. What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
     January 01, 2003 - studies omitted the cost of services that were not billed by the hospital (e.g., physician services for anesthesia … These 14 adverse events are anesthesia complications, accidental puncture or laceration during the … particular, the EPC found that 5 of the 14 indicators could clearly be “labeled” as medical errors: anesthesia

266. Open Communication, Involvement in Quality Improvement Reduces Burnout Among Nurses, Study Finds | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/845.html
     January 01, 2023 - In addition, he developed novel graphic designs to reduce anesthesia medication errors.

267. Study Finds Evidence of Intentional Inappropriate Painkiller Prescribing | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/846.html
     January 01, 2023 - Articles featured this week include: Accuracy of spinal anesthesia drug concentrations in mixtures

268. Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Slide Presentation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-slides.html
     February 01, 2017 - Impaired oxygenation in surgical patients during general anesthesia with controlled ventilation. … Impaired oxygenation in surgical patients during general anesthesia with controlled ventilation.

269. Can We Talk? Priorities for Patient Care Differed Among Health Care Providers (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Evanoff.pdf
     January 01, 2003 - 73 percent of surgical residents and 64 percent of consultant surgeons, but by only 39 percent of anesthesia … consultants, 28 percent of surgical nurses, and 10 percent of anesthesia residents.

270. Chapter 1: Background on Patient Safety and LEP Populations | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/health-literacy/professional-training/lepguide/chapter1.html
     September 01, 2020 - Anesthesiologists need to ensure that the patient can tolerate anesthesia and intubation and does not … Anesthesia unable to give proper report or orders for hypertension management due to lack of information

271. Labor and Delivery Unit Safety: Slide Presentation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
     July 01, 2023 - sections (C/S). 5,6 Image: Three rows of text boxes describe the process: When (first row): Before Anesthesia … Type of anesthesia.

272. Strategies for Improving Patient Experience with Ambulatory Care: Price Transparency (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6n.pdf
     October 01, 2017 - average total costs for the procedure, where total cost includes physician services, facility fees, anesthesia

273. Experiences From the Frontline: Case Studies (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
     May 01, 2015 - Training for anesthesia resident physicians now also incorporates standardized EFM nomenclature, and … I specifically saw all the things that we had worked on. (…) Anesthesia was already on the unit, we … support from the hospital president, the chief quality officer (CQO), and the director of obstetrical anesthesia … the L&D unit attended by all key staff from the L&D unit, the intensive-care unit (ICU), the NICU, anesthesia … throughout labor when the family might be asked to step out, such as during the placement of epidural anesthesia

274. Presentation: Program Overview
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-intro-slides.pptx
     January 01, 2017 - Impaired oxygenation in surgical patients during general anesthesia with controlled ventilation. … Impaired oxygenation in surgical patients during general anesthesia with controlled ventilation.

275. Gap Analysis Facilitator's Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3.html
     August 01, 2022 - including: President of medical staff Department heads Radiology Emergency medicine Anesthesia

276. AHRQ Safety Program for Surgery: Final Report (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
     December 01, 2017 - Hospital Survey On Patient Safety Culture; PREOP = preoperative area; OR = operating room; PACU = Post-anesthesia … Team members conducted observations in the operating room, preoperative units, the post-anesthesia care … It is worth exploring whether an intense identification with preoperative, operating room, or post-anesthesia … Rapid resumption of regular oral intake Chlorhexidine bathing (SSI prevention) Intraoperative anesthesia … management protocol (epidural anesthesia, total intravenous anesthesia, colloid and crystalloid

277. Presentation: Program Overview
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
     December 01, 2017 - At Hopkins, for example, we have been using this approach with the support of anesthesia, nursing, and … nurses Executive partner Nurse leaders Enhancing Team Members Physician assistants Nurse educators Anesthesia … minimum Has adequate resources including protected time 2 to 4 hours per week for a team leader, surgeon, anesthesia … Your team leader, surgeon, anesthesia, nurse, and infection preventionist specialist will need 2 to 4

278. Failure to Rescue Patient Safety Learning Lab (FTR PSLL) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/resources/learning-lab/failure-rescue-long-desc.html
     April 01, 2021 - In Society for Technology in Anesthesia (STA) Annual Meeting. 2018. Smith ME, Ghaferi AA.

279. Preventing-Cauti-Icu-Setting-Module 1-Speaker-Notes (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_1-speaker-notes.docx
     September 01, 2015 - contiguous structures of genitourinary tract · Anticipated prolonged surgery duration (removed in post-anesthesia

280. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
     April 09, 2004 - The Anesthesia Patient Safety Foundation (APSF), a pioneer in reporting adverse events/medical errors … loss of function 67 2.7 Patient elopement 48 2.0 Fire 45 1.8 Ventilator death/injury 38 1.5 Anesthesia-related … Comments from the Anesthesia Patient Safety Foundation; 2000. http://www.gasnet.org/societies/ apsf