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21. Mod01-Grand-Rounds-Slides (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
    April 01, 2016 - Anesthesia was scheduled to be present for this procedure, but due to other emergencies, the GI physician … When he arrived, anesthesia was no longer available. … ) ■ The University of Illinois at Chicago adopted improved policies regarding anesthesia coverage

22. Partnering with Your Malpractice Insurance Program to Improve Safety in Surgery: TeamSTEPPS as Part of a Multi-faceted Program
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-july2015.pptx
    January 01, 2015 - Mod 1 05.2 Page ‹#› TeamSTEPPS® Slide ‹#› Malpractice Insurance/Safe Surgery Partnership 2012 Anesthesia … (p=0.0130) Surgeons (p < 0.0001) TOTAL (p= < 0.0001) 88 68 72 2015 Anesthesia (p=0.0130) Surgeons (

23. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
    September 01, 2022 - measures, including ones related to opioid use/misuse, surgical site infections, and other surgical and anesthesia-related

24. North Dakota Critical Access Hospitals Use AHRQ TeamSTEPPS® to Improve Patient Safety | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/news/newsroom/case-studies/ktcquips32.html
    October 01, 2014 - training, Innovis Health, an 86-bed hospital in Fargo, implemented TeamSTEPPS in its operating rooms, post-anesthesia

25. Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/news/newsroom/case-studies/ktcquips91.html
    October 01, 2014 - The post-anesthesia care unit can now print an updated medication list after surgery, and the surgeon

26. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - documented o Pressure ulcer prevention intervention in place o Secondary patient morbidity • Surgery or anesthesia … COVID- 19 PHE (e.g., falls, pressure injuries, perinatal events, venous thromboembolisms, surgery and anesthesia … infection 1,775 73 Medication or other substance 98 17 Perinatal 37 15 Pressure ulcer 74 12 Surgery or anesthesia

27. Slide 1 (ppt file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/simslides-update-62819.ppt
    January 30, 2006 - The patient’s primary nurse believes epidural anesthesia would be appropriate and informs the obstetrician … handoff techniques TEAMSTEPPS 05.2 Mod 1 05.2 Page * Page * Simulation Individuals MD Nurse Anesthesia

28. Using Simulation in TeamSTEPPS Training: Classroom Slides | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/teamstepps/simulation/simulationslides/simslides.html
    June 01, 2019 - The patient's primary nurse believes epidural anesthesia would be appropriate and informs the obstetrician … handoff techniques   Return to Top   Consider Level of Analysis Individuals MD Nurse Anesthesia

29. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/patient-safety/resources/learning-lab/index.html
    February 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: 09/30/18-07/30/23 Description: This learning lab is conducting 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

30. TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety (pdf file)
    healthcare411.ahrq.gov/downloads/pub/advances2/vol3/advances-king_1.pdf
    April 07, 2008 - emerged in anesthesiology over a decade ago with the work of David Gaba and colleagues who developed Anesthesia … Simulation- based training in anesthesia crisis resource management (ACRM): A decade of experience. … Anesthesia crisis resource management training: Teaching anesthesiologists to handle critical incidents … Trauma: Resuscitation, anesthesia, surgery, and critical care.

31. Implementing TeamSTEPPS to the Perioperative Service Area
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-051017.pptx
    January 01, 2017 - Socialize TeamSTEPPS with Perioperative Leaders: Surgical Chiefs of Service Surgical Service Managers Anesthesia

32. TeamSTEPPS Fundamentals Course: Module 2. Team Structure (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module2/igteamstruct.pdf
    November 18, 2015 - Inpatient (Tertiary Care Facility): • The Contingency Team may be composed of the cardiac surgeon, anesthesia … Inpatient (Operating Room): • The Contingency Team may be composed of anesthesia staff.

33. Ambulatory Procedure/Surgery Center Survey on Patient Safety (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-survey.pdf
    June 06, 2018 - podiatrists, dentists, and others who perform surgeries, procedures, or treatments, including delivery of anesthesia

34. TeamSTEPPS Fundamentals Course: Module 2. Team Structure | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/teamstepps/instructor/fundamentals/module2/igteamstruct.html
    March 01, 2014 - Inpatient (Tertiary Care Facility) : The Contingency Team may be composed of the cardiac surgeon, anesthesia … Inpatient (Operating Room) : The Contingency Team may be composed of anesthesia staff.

35. PQMP Measures | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/pqmp/measures/index.html
    Dedicated to the Obstetrical Service by an Anesthesiologist Who Is Qualified To Provide Obstetrical Anesthesia

36. TeamSTEPPS Fundamentals Course: Module 4. Leading Teams | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/teamstepps/instructor/fundamentals/module4/igleadership.html
    March 01, 2019 - Situational leaders emerge at designated times, such as during anesthesia induction, and at spontaneous … operation, each corresponding to a specific period in the normal flow of work: (1) before the induction of anesthesia

37. Patient Narratives Can Catalyze Staff Improvement and Bolster Survey Scores | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/news/newsletters/e-newsletter/900.html
    February 01, 2024 - Anesthesia workspaces for safe medication practices: design guidelines.

38. Issue Brief Explores the Unique Challenges of Studying and Improving Diagnostic Safety for Children | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/news/newsletters/e-newsletter/879.html
    September 01, 2023 - Anesthesia Risk Alert program: a proactive safety initiative .

39. Antibiotic Use Significantly Reduced in Long-Term Care Facilities Participating in AHRQ-Funded Project | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/news/newsletters/e-newsletter/803.html
    March 01, 2022 - Access the study abstract in Anesthesia & Analgesia.

40. AHRQ Stats: Hospital Admission Emergency Department Visits | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/news/newsletters/e-newsletter/797.html
    January 01, 2022 - lumpectomy did not receive the necessary injection of radiotracer dye before being placed under general anesthesia