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101. The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection, anticipation. | PSNet
     psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-25-pioneering-success-safety-25th-anniversary-provokes
     January 01, 2015 - Commentary The Anesthesia Patient Safety Foundation at 25: a pioneering success in … The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes … This commentary highlights the Anesthesia Patient Safety Foundation's numerous patient safety improvement … The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes … June 23, 2015 The wolf is crying in the operating room: patient monitor and anesthesia

102. Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. | PSNet
     psnet.ahrq.gov/issue/wake-safe-and-root-cause-analysis-quality-improvement-pediatric-anesthesia
     February 03, 2021 - Commentary Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia … Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. … Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. … : the Society for Pediatric Anesthesia Critical Events Checklists. … January 2, 2017 Medication errors in pediatric anesthesia: a report from the Wake Up

103. Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases. | PSNet
     psnet.ahrq.gov/issue/duration-anesthesia-indicator-morbidity-and-mortality-office-based-facial-plastic-surgery
     March 19, 2018 - Study Duration of anesthesia as an indicator of morbidity and mortality in office-based … Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery … The investigators reviewed records of patients having greater or less than 4 hours of anesthesia in an … outpatient setting and found that length of anesthesia was not a marker for poor outcomes. … Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery

104. Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association. | PSNet
     psnet.ahrq.gov/issue/analysis-deaths-related-anesthesia-period-1996-2004-closed-claims-registered-danish-patient
     November 13, 2024 - Study Analysis of deaths related to anesthesia in the period 1996-2004 from closed … Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the … The investigators reviewed claims data to identify cases in which patient mortality was related to anesthesia … Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the … November 28, 2016 An anesthesia preinduction checklist to improve information exchange

105. Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would Semmelweis think? | PSNet
     psnet.ahrq.gov/issue/quantification-anesthesia-providers-hand-hygiene-busy-metropolitan-operating-room-what-would
     September 20, 2023 - Study Quantification of anesthesia providers' hand hygiene in a busy metropolitan … Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would … Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would … September 21, 2022 A theoretical model of flow disruptions for the anesthesia team during … September 22, 2021 Quality and Safety in Anesthesia and Perioperative Care.

106. Syringe Swap During Regional Block: A Case of Medication Error and Recovery | PSNet
     psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
     July 22, 2020 - Following appropriate counseling and consent procedures, the initial attempt at local skin anesthesia … Interventions to reduce medication errors in anesthesia: a systematic review. … Preventing medication errors in pediatric anesthesia: a systematic scoping review.  … Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a … and Smart Anesthesia Manager. 

107. Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project. | PSNet
     psnet.ahrq.gov/issue/reducing-automated-dispensing-cabinet-overrides-peri-anesthesia-care-unit-quality-improvement
     June 07, 2023 - Study Reducing automated dispensing cabinet overrides in the peri-anesthesia care … Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement … This article describes a children's hospital's intervention to decrease ADC overrides in the peri-anesthesia … Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement … WebM&M Cases Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia

108. Medication safety: reducing anesthesia medication errors and adverse drug events in dentistry part I and II. | PSNet
     psnet.ahrq.gov/issue/medication-safety-reducing-anesthesia-medication-errors-and-adverse-drug-events-dentistry
     June 14, 2006 - Commentary Medication safety: reducing anesthesia medication errors and adverse drug … Citation Text: Medication safety: reducing anesthesia medication errors and adverse drug events in … This two-part series discusses anesthesia - and sedation-related medication errors and adverse events … medication safety paradigm - the Dental Anesthesia Medication Safety Paradigm (DAMSP) - which offers … four general guidelines for reducing anesthesia medication errors and adverse drug events in dentistry

109. Anaesthesia clinicians' perception of safety, workload, anxiety, and stress in a remote hybrid suite compared with the operating room. | PSNet
     psnet.ahrq.gov/issue/anaesthesia-clinicians-perception-safety-workload-anxiety-and-stress-remote-hybrid-suite
     March 20, 2024 - This study evaluated perceptions of workload, anxiety and stress among anesthesia providers working in … Related Resources From the Same Author(s) Team relations and role perceptions during anesthesia … : the Society for Pediatric Anesthesia Critical Events Checklists. … July 19, 2023 View More Related Resources Perspectives on anesthesia … December 6, 2023 Anesthesia workspaces for safe medication practices: design guidelines

110. Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. | PSNet
     psnet.ahrq.gov/issue/redesigning-morbidity-and-mortality-program-university-affiliated-pediatric-anesthesia
     March 27, 2024 - Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia … Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department … Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department

111. Use of the Second Victim Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia professionals' second victim experiences (SVEs) and perceptions of support two years after implementation. | PSNet
     psnet.ahrq.gov/issue/use-second-victim-experience-and-support-tool-svest-assess-impact-departmental-peer-support
     December 23, 2020 - Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia … Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia … Second Victim Experience and Support Tool (SVEST) to evaluate the impact of a peer support program on anesthesia … Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia … March 13, 2024 Peer support and second victim programs for anesthesia professionals involved

112. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866370/psn-pdf
     July 31, 2024 - of anesthesia drugs necessary for preventing awareness in that patient. … The anesthesia record should be reviewed for evidence of inadequate depth of anesthesia. … Clinical signs of depth of anesthesia need to be assessed continuously. … The incidence of awareness during anesthesia: a multicenter United States study. … Monitoring of anesthesia by Bispectral Analysis of EEG Signals.

113. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_intraoperative_awareness_during_rhinoplasty_slides_final.pptx
     January 01, 2024 - of anesthesia drugs necessary for preventing awareness in that patient. … The anesthesia record should be reviewed for evidence of inadequate depth of anesthesia. … Clinical signs of depth of anesthesia need to be assessed continuously. … Monitoring of Anesthesia by Bispectral Analysis of EEG Signals. … Awareness under general anesthesia. Dtsch Arztebl Int. 2011;108(1-2):1-7.

114. International advocacy for education and safety. | PSNet
     psnet.ahrq.gov/issue/international-advocacy-education-and-safety
     August 04, 2021 - Describing challenges to ensuring anesthesia and surgical safety in developing countries , this review … August 4, 2021 Complications associated with the anesthesia transport of pediatric patients … April 22, 2015 Medication errors in pediatric anesthesia: a report from the Wake Up Safe … December 19, 2014 Improving the quality and safety of patient care in cardiac anesthesia … February 24, 2012 Quality of Anesthesia Care. 

115. Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. | PSNet
     psnet.ahrq.gov/issue/preventable-anesthesia-related-adverse-events-large-tertiary-care-center-nine-year
     November 12, 2014 - Study Preventable anesthesia-related adverse events at a large tertiary care center … Preventable Anesthesia-Related Adverse Events at a Large Tertiary Care Center: A Nine-Year Retrospective … Preventable Anesthesia-Related Adverse Events at a Large Tertiary Care Center: A Nine-Year Retrospective … December 7, 2016 An embedded checklist in the Anesthesia Information Management System … October 5, 2011 Preventable anesthesia mishaps: a study of human factors.

116. The association between frequency of self-reported medical errors and anesthesia trainee supervision: a survey of United States anesthesiology residents-in-training. | PSNet
     psnet.ahrq.gov/issue/association-between-frequency-self-reported-medical-errors-and-anesthesia-trainee-supervision
     July 19, 2017 - Study The association between frequency of self-reported medical errors and anesthesia … The association between frequency of self-reported medical errors and anesthesia trainee supervision: … In this nationwide survey of anesthesia residents, lower reported supervision scores were associated … The association between frequency of self-reported medical errors and anesthesia trainee supervision: … July 19, 2017 Shortage of perioperative drugs: implications for anesthesia practice and

117. No BP During NIBP | PSNet
     psnet.ahrq.gov/web-mm/no-bp-during-nibp
     March 01, 2011 - The anesthesia record was manual, and the CRNA kept documenting the same reading for a whole hour. … The risk and safety of anesthesia at remote locations: the US closed claims analysis. … Risk and safety of anesthesia outside the operating room. Minerva Anestesiol. 2009;75:345-348. … Preventable anesthesia mishaps: a study of human factors. Anesthesiology. 1978;49:399-406. … Anesthesia equipment and human error. J Clin Monit Comput. 1999;15:319-323.

118. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837895/psn-pdf
     August 24, 2022 - Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia. … Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia. … Harm from pediatric anesthesia-related errors is infrequent, but largely preventable. … This pediatric hospital developed and implemented an anesthesia-specific checklist to be used before … anesthesia induction.

119. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851364/psn-pdf
     April 24, 2024 - Anesthesia Patient Safety Podcast. … April 24, 2024 Anesthesia Patient Safety Foundation. 2020-2024. … https://psnet.ahrq.gov/issue/anesthesia-patient-safety-podcast Work to improve anesthesia is longstanding … This free podcast series from the Anesthesia Patient Safety Foundation is updated regularly to cover … https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation

120. Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis. | PSNet
     psnet.ahrq.gov/issue/frequency-and-type-situational-awareness-errors-contributing-death-and-brain-damage-closed
     September 01, 2021 - In this closed claims analysis of anesthesia malpractice claims for death or brain damage, researchers … September 13, 2017 Situation awareness errors in anesthesia and critical care in 200 … July 13, 2010 Liability associated with obstetric anesthesia: a closed claims analysis … errors during anesthesia: a prospective study. … June 21, 2016 Situation awareness errors in anesthesia and critical care in 200 cases