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1. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Safe Cesarean Section (doc file)
   patientregistry.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

2. Auditing Your Briefings and Debriefings Process: Slide Presentation | Agency for Healthcare Research and Quality
   patientregistry.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
   December 01, 2017 - Anesthesia attending. Surgery resident. Anesthesia resident. Nurse. Anesthesia CRNA. … Anesthesia resident  - 78% NP, 0% FP, 22% POT. Anesthesia CRNA - 22% NP, 0% FP, 78% POT. … Anesthesia attending - 66% NP, 12% FP, 22% POT. Surgical resident - 10% NP, 40% FP, 50% POT. … Anesthesia resident - 78% NP, 0% DNC, 22% C. Anesthesia CRNA - 22% NP, 0% DNC, 78% C. … Anesthesia attending - 68% NP, 10% DNC, 22% C. Surgical resident  - 10% NP, 60% DNC, 30% C.

3. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)
   patientregistry.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
   January 01, 2024 - Surgeons, anesthesia providers, nurses, and techs were involved throughout the project and actively … The surgical table placement also positions the anesthesia work area in a more protected location, … by passing through either the anesthesia or surgeon workstation zones. … Investigating Intraoperative and Intraprofessional Handoffs in Anesthesia. … Anesthesia maintenance and vigilance examining task switching.

4. Human Factors in Surgery: Shifting the Paradigm on Patient Safety | Agency for Healthcare Research and Quality
   patientregistry.ahrq.gov/funding/grantee-profiles/grtprofile-catchpole.html
   December 01, 2022 - Catchpole study strategies to improve anesthesia medication delivery, robotic surgery integration, and … The project, Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery  , focuses … on reducing the 200,000 to 20 million anesthesia-related medication injuries that occur annually in … He is a member of the Anesthesia Patient Safety Foundation Scientific Evaluation Committee and the Society

5. Realizing Improved Patient Care Through Human-Centered Design in the Operating Room (RIPCHD.OR) | Agency for Healthcare Research and Quality
   patientregistry.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

6. Weighted Summary Statistics: PUF Medicare Outpatient File (Version 2) (pdf file)
   patientregistry.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicare-Outpatient-Weighted.pdf
   September 26, 2023 - Cumulative Percent (Null Value) Missing/Unknown 118,491,598 68.79 118,491,598 68.79 00100-01999: Anesthesia … Cumulative Percent (Null Value) Missing/Unknown 127,769,237 74.18 127,769,237 74.18 00100-01999: Anesthesia … Cumulative Percent (Null Value) Missing/Unknown 135,054,336 78.40 135,054,336 78.40 00100-01999: Anesthesia … Cumulative Percent (Null Value) Missing/Unknown 140,688,781 81.68 140,688,781 81.68 00100-01999: Anesthesia … Cumulative Percent (Null Value) Missing/Unknown 145,396,740 84.41 145,396,740 84.41 00100-01999: Anesthesia

7. TeamSTEPPS Speciality Scenarios, Labor & Delivery (pdf file)
   patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/labordel.pdf
   March 18, 2014 - The patient’s primary nurse believes epidural anesthesia would be appropriate and informs the obstetrician … Under spinal anesthesia, a manual removal of the placenta is performed. … The nurse repeats back that general anesthesia should be avoided, and it is confirmed. … Christine receives regional anesthesia and states, “My water just broke.” … intubation is likely if general anesthesia is required.

8. Agency for Healthcare Research and Quality
   patientregistry.ahrq.gov/research/findings/studies/index.html?page=1
   January 01, 2024 - › ›› last » Last » MohammadiGorji S , Joseph A , Mihandoust S Anesthesia … workspaces to support safer anesthesia medication tasks in operating rooms (ORs). … zone, 3) identify and delineate a clear anesthesia zone with adequate space for the anesthesia provider … , 4) maximize the ability to reconfigure the anesthesia workspace, 5) minimize workspace clutter from … Anesthesia workspaces for safe medication practices: design guidelines.

9. PowerPoint Presentation
   patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
   January 01, 2014 - Arrives at 4 p.m., at which point anesthesia not available for elective case Twice the dose of fentanyl … Anesthesia was scheduled to be present for this procedure, but due to other emergencies and the GI physician … being late for this scheduled procedure, anesthesia was no longer available when the physician arrived … Better policies around anesthesia coverage. … The University of Illinois at Chicago adopted improved policies regarding anesthesia coverage for cases

10. CAHPS Surgical Care Survey | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/cahps/surveys-guidance/surgical/index.html
    February 01, 2018 - specialty care, by incorporating domains that are relevant to surgical care, such as informed consent, anesthesia … surgeon's office Patients' rating of the surgeon Additionally, two measures of patient experience with anesthesia

11. Patient Safety Organizations: A Summary of 2014 Profiles (pdf file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
    January 01, 2014 - PSOs that collect patient safety event reports for single event types did so only for anesthesia, surgery … PSOs collected information on all event categories, and the other six collected information only on anesthesia-related … Summary of Initial Report Form) and then applying Common Formats for falls, pressure ulcers, surgery/anesthesia … An article published in the July 2014 issue of Anesthesia and Analgesia describes Wake Up Safe’s standardized

12. Weighted Summary Statistics: PUF Commercial Inpatient File (Version 2) (pdf file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Commercial-Inpatient-Weighted.pdf
    September 26, 2023 - Frequency Cumulative Percent (Null Value) Missing/Unknown 9,121,460 95.64 9,121,460 95.64 00100-01999: Anesthesia … Frequency Cumulative Percent (Null Value) Missing/Unknown 9,231,154 96.80 9,231,154 96.80 00100-01999: Anesthesia … Frequency Cumulative Percent (Null Value) Missing/Unknown 9,291,639 97.43 9,291,639 97.43 00100-01999: Anesthesia … Frequency Cumulative Percent (Null Value) Missing/Unknown 9,330,342 97.84 9,330,342 97.84 00100-01999: Anesthesia … Frequency Cumulative Percent (Null Value) Missing/Unknown 9,355,942 98.10 9,355,942 98.10 00100-01999: Anesthesia

13. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
    September 01, 2022 - Radiological Safety Practices for Hospitalized or Institutionalized Elders Sepsis Recognition Surgery, Anesthesia …   Patient Monitoring Systems (Not reviewed) (Not reviewed) Summary of Evidence   Surgery, Anesthesia … Prevention of Surgical Items Being Left Inside Patient Summary of Evidence Update (Not reviewed) Pre-Anesthesia

14. Section 2: Explanation of Key Team Leadership Concepts and Tools | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/teamstepps-program/curriculum/team/tools/index.html
    July 01, 2023 - 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. … Situational leaders emerge at designated times, such as during anesthesia induction, and spontaneously

15. Grand Rounds Presentation | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
    August 01, 2022 - 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 for cases

16. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
    patientregistry.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

17. Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation | Agency for Healthcare Research and Quality
    patientregistry.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

18. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
    patientregistry.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

19. TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety (pdf file)
    patientregistry.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.

20. TeamSTEPPS Fundamentals Course: Module 2. Team Structure (pdf file)
    patientregistry.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.