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121. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865570/psn-pdf
     April 10, 2024 - Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review … - approach-data Summary North American Partners in Anesthesia (NAPA) is a nationwide anesthesia practice … , the NAPA Anesthesia Patient Safety Institute (NAPSI). … No other organizations use the Anesthesia Risk Alert program. Footnotes 1. … Anesthesia risk alert program: a proactive safety initiative.

122. Use of a public health law framework to improve medication safety by anesthesia providers. | PSNet
     psnet.ahrq.gov/issue/use-public-health-law-framework-improve-medication-safety-anesthesia-providers
     December 22, 2018 - Commentary Use of a public health law framework to improve medication safety by anesthesia … Use of a public health law framework to improve medication safety by anesthesia providers. … This commentary explores how gaps in legal and regulatory structure affect anesthesia medication safety … Use of a public health law framework to improve medication safety by anesthesia providers. … Related Resources From the Same Author(s) Medication errors in pediatric anesthesia

123. Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
     January 01, 2023 - • Define safe time frames for neuraxial anesthesia following anticoagulation use. … • The anesthesia care provider inserted a spinal needle swiftly and uneventfully. … • Whether to administer general anesthesia or neuraxial anesthesia prior to cesarean delivery depends … general anesthesia instead … • Although regional anesthesia is generally preferred for all deliveries requiring anesthesia (even

124. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866826/psn-pdf
     September 25, 2024 - with local infiltration anesthesia of the operative site. … When using low flow or closed-circuit anesthesia, a hypoxic gas mixture may develop in the anesthesia … Low flow anesthesia is used to reduce the amount of sevoflurane used during anesthesia and to prevent … the anesthesia circuit At the beginning of every day prior to starting the first anesthesia case, the … New anesthesia machines automatically increase the flow of oxygen during low flow anesthesia to achieve

125. 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

126. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/864859/psn-pdf
     March 20, 2024 - Team relations and role perceptions during anesthesia crisis management in magnetic-resonance imaging … Team relations and role perceptions during anesthesia crisis management in magnetic-resonance imaging … https://psnet.ahrq.gov/issue/team-relations-and-role-perceptions-during-anesthesia-crisis-management- … magnetic-resonance The use of anesthesia in non-operating room settings, such as MRI suites, presents … This mixed methods study explored role expectations and coordination among anesthesia and non-anesthesia

127. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849661/psn-pdf
     June 28, 2023 - Define safe time frames for neuraxial anesthesia following anticoagulation use. … Whether to administer general anesthesia or neuraxial anesthesia prior to cesarean delivery depends … general anesthesia instead. … Although regional anesthesia is generally preferred for all deliveries requiring anesthesia (even emergent … https://www.uptodate.com/contents/anesthesia-for-cesarean-delivery?

128. Informed or Misled? | PSNet
     psnet.ahrq.gov/web-mm/informed-or-misled
     April 24, 2018 - Based on preoperative discussions, the patient expected to receive spinal anesthesia. … The patient reportedly signed an anesthesia permit required by this hospital that stated that any change … in the anesthesia plan must occur in writing. … The anesthesia records failed to note or explain any change in the anesthesia plan. … Without evidence of either general anesthesia being emergently required for the patient, or general anesthesia

129. Wake Up Safe. | PSNet
     psnet.ahrq.gov/issue/wake-safe
     April 22, 2020 - Society for Pediatric Anesthesia. … Society for Pediatric Anesthesia. … November 9, 2022 Medication errors in pediatric anesthesia: a report from the Wake Up … April 13, 2011 A theoretical model of flow disruptions for the anesthesia team during … October 22, 2014 National pediatric anesthesia safety quality improvement program in

130. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60305/psn-pdf
     May 06, 2020 - Medication safety: reducing anesthesia medication errors and adverse drug events in dentistry part I …   https://psnet.ahrq.gov/issue/medication-safety-reducing-anesthesia-medication-errors-and-adverse-drug … - events-dentistry This two-part series discusses anesthesia- and sedation-related medication errors … 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

131. Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery. | PSNet
     psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among
     March 02, 2022 - Study Classic Association between handover of anesthesia … Association Between Handover of Anesthesia Care and Adverse Postoperative Outcomes Among Patients Undergoing … developing standardized handoff procedures, may result in more meaningful enhancements for intraoperative anesthesia … Association Between Handover of Anesthesia Care and Adverse Postoperative Outcomes Among Patients Undergoing … October 4, 2017 Intraoperative handoffs among anesthesia providers increase the incidence

132. Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system. | PSNet
     psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical-incident-reporting
     August 03, 2017 - Study Situation awareness errors in anesthesia and critical care in 200 cases of … Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting … This retrospective review of anesthesia and critical care cases in the German incident reporting system … Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting … November 6, 2015 An analysis of near misses identified by anesthesia providers in the

133. The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system. | PSNet
     psnet.ahrq.gov/issue/use-patient-digital-facial-images-confirm-patient-identity-childrens-hospitals-anesthesia
     May 06, 2009 - The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia … The Use of Patient Digital Facial Images to Confirm Patient Identity in a Children's Hospital's Anesthesia … a digital photograph to the pre-anesthesia checklist to prompt visual inspection of the patient’s facial … The Use of Patient Digital Facial Images to Confirm Patient Identity in a Children's Hospital's Anesthesia … May 21, 2009 Human factors in pediatric anesthesia incidents.

134. Quality improvement and patient safety organizations in anesthesiology. | PSNet
     psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-organizations-anesthesiology
     March 07, 2018 - This commentary outlines safety efforts in this setting, particularly around the creation of the Anesthesia … Patient Safety Foundation and the Anesthesia Quality Institute, to frame how organizational partnerships … Jeffrey Cooper about patient safety in anesthesia. … April 29, 2018 An anesthesia preinduction checklist to improve information exchange, … November 1, 2012 Quality of Anesthesia Care. 

135. Tacit Handover, Overt Mishap | PSNet
     psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
     August 01, 2006 - in the operating room (OR) in hopes that anesthesia would relax the back muscles. … We can only hope that this will soon lead to more effective handoffs in anesthesia. … Safety in anesthesia. In: Levine WC, Allain RM, Alston TA, Dunn PF, Kwo J, eds. … Clinical Anesthesia Procedures of the Massachusetts General Hospital: Department of Anesthesia, Critical … Anesthesia Patient Safety Foundation Newsletter. 2007;21:69-71.

136. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. | PSNet
     psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
     January 29, 2021 - In the operating room after induction of anesthesia, he was able to open the patient’s mouth just enough … For this reason, the responsibility of obtaining such details falls on both the surgical and anesthesia … Production pressure, medical errors, and the pre-anesthesia checkout. … Preoperative evaluation for ambulatory anesthesia: what, when, and how? … A Synopsis of contemporary anesthesia airway management.

137. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/839825/psn-pdf
     November 09, 2022 - Preventing medication errors in pediatric anesthesia: a systematic scoping review. … Preventing medication errors in pediatric anesthesia: a systematic scoping review. … https://psnet.ahrq.gov/issue/preventing-medication-errors-pediatric-anesthesia-systematic-scoping-review … This scoping review characterizing medication errors in pediatric anesthesia found that dosing errors … Recommendations to minimize or prevent medication errors in pediatric anesthesia commonly related to

138. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72702/psn-pdf
     February 03, 2021 - Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. … Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. … https://psnet.ahrq.gov/issue/outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative … The Wake Up Safe initiative includes a registry of serious adverse events occurring in pediatric anesthesia … The most common anesthesia-related events were medication events, respiratory complications, and cardiac

139. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853059/psn-pdf
     August 30, 2023 - Anesthesia Risk Alert program: a proactive safety initiative. … Anesthesia Risk Alert program: a proactive safety initiative. … https://psnet.ahrq.gov/issue/anesthesia-risk-alert-program-proactive-safety-initiative Perioperative … and anesthesia care present unique patient safety challenges. … This article describes the development and implementation of the Anesthesia Risk Alert (ARA) program

140. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47568/psn-pdf
     March 06, 2019 - Trends in anesthesia-related liability and lessons learned. … Trends in Anesthesia-Related Liability and Lessons Learned. … https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned Closed claim analysis … This review examined closed claims for anesthesia and identified types of injuries experienced by patients … receiving anesthesia.