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1. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
   pcmh.ahrq.gov/teamstepps/instructor/scenarios/operroom.html
   March 01, 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

2. Appendix D. Ambulatory Surgery Center Checklist Template - Implementation Guide | Agency for Healthcare Research and Quality
   pcmh.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-d.html
   April 01, 2017 - Implementation Guide Ambulatory Surgery Checklist - Preop Before Patient Enters Room Nurse, Anesthesia … venous thromboembolism             - Compression boots and/or anticoagulants in place |___| Anesthesia … safety check completed |___| Type of anesthesia |___| Anticipated airway and aspiration risk … Surgeon, Nurse, and Anesthesia Professional perform the Timeout |___| Patient's name |___| Surgical … Briefing Surgeon Shares: |___| Any changes to operative plan and possible difficulties Anesthesia

3. Appendix E. Endoscopy Checklist Template - Implementation Guide | Agency for Healthcare Research and Quality
   pcmh.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-e.html
   May 01, 2017 - Endoscopy Safety Checklist - Preprocedure Area/Procedure Room Before Patient Enters Room Nurse, Anesthesia … Known allergies |___| Patient height, weight, body mass index |___| History and physical Anesthesia … Professional and Nurse Discuss: |___| Anesthesia safety check is completed |___| Type of anesthesia … Any changes to the plan and possible difficulties |___| Necessary equipment/devices are available Anesthesia

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

5. Auditing Your Briefings and Debriefings Process: Slide Presentation | Agency for Healthcare Research and Quality
   pcmh.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.

6. Human Factors in Surgery: Shifting the Paradigm on Patient Safety | Agency for Healthcare Research and Quality
   pcmh.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

7. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)
   pcmh.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.

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

9. Communication-Material-Guide (doc file)
   pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/communication-material-guide.docx
   May 01, 2017 - Materials: Slides 12-25, Example Briefing and Debriefing videos Audience: Surgeons, anesthesia, scrub … Materials: Slides 26-32, examples of checklists Audience: Administration, surgeons, anesthesia, all … Materials: Slides 33-41, Tabletop Simulation video, checklist Audience: Administration, surgeons, anesthesia

10. Team Training in Healthcare and TeamSTEPPS at Johns Hopkins
    pcmh.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,  

11. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/teamstepps/instructor/scenarios/labordel.html
    March 01, 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.

12. Getting Ready for Your Ambulatory Surgery | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/getting-ready.html
    August 01, 2017 - The anesthesia provider, your doctor, and other members of your care team may talk with you during this … 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

13. Weighted Summary Statistics: PUF Medicare Outpatient File (Version 2) (pdf file)
    pcmh.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

14. Improving Communication and Teamwork in the Surgical Environment
    pcmh.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

15. CAHPS Surgical Care Survey | Agency for Healthcare Research and Quality
    pcmh.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

16. Appendix I. Checklist Observation Tool and FAQs - Implementation Guide | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-i.html
    May 01, 2017 - 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 | … Any changes to operative plan and possible difficulties |___| Anesthetic plan |___| Airway |___| Anesthesia

17. TeamSTEPPS Speciality Scenarios, Labor & Delivery (pdf file)
    pcmh.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.

18. TeamSTEPPS for Code Blue Teams: Piloting SBAR & CUS for Interprofessional Team Education
    pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-april2015.pptx
    January 01, 2015 - Overview Code Blue Team Composition Medical ICU Resident and Intern Coronary Care Unit Resident and Intern Anesthesia … July 2014 – Department of Anesthesia commits residents to the IPE sessions. … Assertive Statement, CUS Examples of the Problem While waiting for norepinephrine drip to be prepared, the anesthesia … Providers cognitively segregate based on tasks (Ex – airway team only communicating with each other) Anesthesia

19. PowerPoint Presentation
    pcmh.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

20. Improving-Facnotes (doc file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
    May 01, 2017 - The anesthesia professional shares the anesthetic plan and airway and other concerns, allowing adequate … It is at this point that the nurse and anesthesia professional discuss necessary information with the … Similar sharing is encouraged from the anesthesia professional, the circulating nurse, and the scrub … The team should include at least one— · Administrator · Surgeon/physician · Anesthesia professional … Make sure that your implementation team also includes an anesthesia professional.