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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/18-template-ISCR-pathway.docx
June 01, 2023 - For example, it may not be practical to list the entire intraoperative anesthesia protocol in this grid … Preop multimodal analgesia bundle
Regional analgesia
Modify and add details:
Examples:
Standard anesthesia … discontinue; intraop = interoperative; IV = intravenous; N/A = not applicable; OOB = out of bed; PACU = post-anesthesia
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-f.docx
September 01, 2016 - Will the anesthesia professional and nurse discuss critical preprocedural safety steps together before … When an anesthesia professional is present, will s/he share the anesthetic plan, airway, and other
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ce.effectivehealthcare.ahrq.gov/patient-safety/resources/learning-lab/ripchdor-long-desc.html
April 01, 2022 - The specific aims were to:
Improve the usability of anesthesia-related alarms in the OR. … configurations of surgical flows to identify barriers and facilitators. 2-6 The team also created an anesthesia … Developing a 3D gestural interface for anesthesia-related human-computer interaction tasks using both … Investigating Intraoperative and Intraprofessional Handoffs in Anesthesia. … Clemson, SC: Clemson University School of Architecture; 2016-2017.
2016
Betza, S.M., et al., Anesthesia
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/getting_ready.pdf
May 01, 2017 - The anesthesia provider,
your doctor, and other members of your care team
may talk with you during … � Discharge: You will be discharged to go home
after you have recovered from the anesthesia. … The members of the anesthesia team vary and might include nurses, anesthesiologists, and certified registered … Recovery room or post-anesthesia care unit (PACU) nurse: a nurse who monitors you immediately after surgery
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-tables1-10.pdf
October 16, 2019 - for intracranial procedures; not otherwise specified 00210
Anesthesia for intracranial procedures; … craniotomy or craniectomy for evacuation of hematoma 00211
Anesthesia for intracranial procedures; … subdural taps 00212
Anesthesia for intracranial procedures; burr holes, including ventriculography … 00214
Anesthesia for intracranial procedures; cranioplasty or elevation of depressed skull fracture, … 00216
Anesthesia for intracranial procedures; procedures in sitting position 00218
Anesthesia for
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-tables1-9.pdf
October 16, 2019 - for intracranial procedures; not otherwise specified 00210
Anesthesia for intracranial procedures; … craniotomy or craniectomy for evacuation of hematoma 00211
Anesthesia for intracranial procedures; … subdural taps 00212
Anesthesia for intracranial procedures; burr holes, including ventriculography … 00214
Anesthesia for intracranial procedures; cranioplasty or elevation of depressed skull fracture … 00216
Anesthesia for intracranial procedures; procedures in sitting position 00218
Anesthesia for
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/applying-cusp/briefing-debriefing.html
December 01, 2017 - Start with “Before Induction of Anesthesia.” Then, go to “Before Skin Incision.” … Through Collective Sensemaking Tool in the AHRQ Toolkit to Promote Safe Surgery
Before Induction of Anesthesia … unexpected steps, operative duration, anticipated blood loss
Separation of clean and dirty instruments
Anesthesia … , indicate not applicable (N/A):___________
Attending surgeon: ________________________________
Anesthesia
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0121-fullreport.pdf
October 01, 2019 - Dedicated to the Obstetrical Service by an Anesthesiologist Who Is Qualified to Provide Obstetrical Anesthesia … • 24/7 in-house obstetrical anesthesia services. … The anesthesia workforce and levels of maternal care. Anesthesia
Analgesia 2016; 122(6):1763-5. … Obstetric Anesthesia Workforce Survey: A 30-year
update. … Anesthesia Analgesia 2016; 122(6):1939-46.
Virnig BA, McBean M.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-dec2013.pptx
January 01, 2013 - ☐
Surgery:
Attending,
Resident
☐
Anesthesia:
Attending,
CRNA,
Resident … ,
Attending
Surgeon,
Resident
Anesthesia … ,
Attending
Anesthesia,
CRNA*
Anesthesia … *If
you
can’t
identify
what
type
of
anesthesia
provider
is
present,
-
ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-slides.html
October 01, 2020 - Anesthesia professional shares anesthetic plan and airway and/or other concerns. … Slide 31: Ambulatory Surgery Center Checklist: Before Patient Enters Room
Nurse, Anesthesia Professional … safety check is completed
Type of anesthesia
Anticipated airway and aspiration risk
Changes in … Surgeon, nurse, and anesthesia professional perform the timeout
Patient's name. … Anesthesia professional shares—
Anesthetic plan.
Airway and other concerns.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-checklist.docx
April 21, 2014 - available
· Risk of hypothermia if the operation is longer than 1 hour
· Risk of venous thromboembolism
· Anesthesia … safety check is completed
· Type of anesthesia
· Anticipated airway and aspiration risk
· Changes in … if applicable
· Any changes to operative plan and possible difficulties
· Anesthetic plan
· Airway
· Anesthesia
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiexh68-70.html
April 01, 2018 - 1.12
0.2634
Charlson score *
0.20
1.96
0.0496
Diabetes
-1.07
-1.12
0.2646
General anesthesia … 0.21
0.8311
Charleson score *
-0.32
-0.78
0.4367
Diabetes
1.90
1.24
0.2134
General anesthesia … 1.01
0.3142
Charlson score *
0.16
1.65
0.0995
Diabetes
-0.62
-0.79
0.4299
General anesthesia
-
ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiexh62-64.html
April 01, 2018 - 0.0197
Charlson score *
-0.47
-1.07
0.2827
Emergency surgery
1.75
2.38
0.0172
General anesthesia … 0.4999
Charlson score *
0.08
0.33
0.7412
Emergency surgery
0.95
1.18
0.2372
General anesthesia … 0.0205
Charlson score *
-0.14
-0.63
0.5271
Emergency surgery
1.31
2.60
0.0094
General anesthesia
-
ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiexh65-67.html
April 01, 2018 - Probability
Intercept
-6.27
-3.13
0.0025
Charlson score *
0.32
2.03
0.0423
General anesthesia … Probability
Intercept
-3.76
-2.23
0.0256
Charlson score *
-0.51
-1.75
0.0793
General anesthesia … Probability
Intercept
-4.57
-3.79
0.0002
Charlson score *
0.03
0.19
0.8475
General anesthesia
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/17-engaging-stakeholders-data.docx
June 01, 2023 - registered nurse anesthetists, operating room nurses, pharmacy staff, infection control staff, prep/post-anesthesia … Normothermia
- Enter here
- Enter here
Multimodal pain management
- Enter here
- Enter here
Regional anesthesia … Stakeholders
Approach to Data Sharing
Example: Surgical site infection
Ex: Surgeons, inpatient nurses, anesthesia
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/Data_Submission_Dashboard_Data_2023.xlsx
January 01, 2023 - 2,617,691
Fall CFER-H V1.1 20,445 7.6% 2,617,691
Fall CFER-H V1.2 246,758 10.5% 2,617,691
Surgery or Anesthesia … CFER-H V1.1 25,264 9.4% 2,617,691
Surgery or Anesthesia CFER-H V1.2 131,045 5.6% 2,617,691
Pressure
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
May 01, 2017 - for Ambulatory Surgery
30
Ambulatory Surgery Center Checklist:
Before Patient Enters Room
Nurse, Anesthesia … safety check is completed
Type of anesthesia
Anticipated airway and aspiration risk
Changes in patient … Surgeon, nurse, and anesthesia professional perform the timeout
Patient’s name
Planned surgical procedure … Briefing
Surgeon shares—
Any changes to operative plan and possible difficulties
Anesthesia professional … your facility
At a minimum the team should include at least one—
Administrator
Surgeon/physician
Anesthesia
-
ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-transcript.html
December 01, 2017 - , and for routine use in patients receiving epidural anesthesia or analgesia. … In other words, just because you're getting an epidural for pain relief or inter-operative anesthesia … We're going to talk at some length about the role of anesthesia and a choice of anesthesia causing post-operative … All of them underwent spinal anesthesia and an additional third had a peripheral nerve block. … ; overall risks associated with general anesthesia was 17 percent.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0206-technicalspecs.pdf
May 01, 2016 - for intracranial procedures; not otherwise specified 00210
Anesthesia for intracranial procedures; … craniotomy or craniectomy for evacuation of
hematoma 00211
Anesthesia for intracranial procedures; … subdural taps 00212
Anesthesia for intracranial procedures; burr holes, including ventriculography … , extradural (simple or compound) 00215
Anesthesia for intracranial procedures; vascular procedures … 00216
Anesthesia for intracranial procedures; procedures in sitting position 00218
Anesthesia for
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapd.html
April 01, 2018 - Patient follows pre-surgery food instructions
Nothing to eat or drink after midnight for any anesthesia … The patient anesthesia guidelines for all have changed recently to not eating 8 hours before surgery … Intake information collected: antibiotics taken, previous anesthesia experiences, allergies, recent events … , but sometime local turns general), no ride home (with general anesthesia. … surgeon of any variations between pre-op call information and intake information
Notify anesthesia