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161. Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes. | PSNet
     psnet.ahrq.gov/issue/association-between-paediatric-intraoperative-anaesthesia-handover-and-adverse-postoperative
     July 21, 2021 - Prior research  has found that intraoperative  anesthesia  handovers can increase patient morbidity and … retrospective cohort study, focused on pediatric surgical patients treated, found that intraoperative anesthesia … Related Resources From the Same Author(s) Systematic review of intraoperative anesthesia … events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia … April 28, 2021 Complications associated with the anesthesia transport of pediatric patients

162. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/843460/psn-pdf
     February 01, 2023 - Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre … Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre … https://psnet.ahrq.gov/issue/persisting-high-rates-omissions-during-anesthesia-induction-are-decreased … This study evaluated a pre- and post-anesthesia induction checklist to determine the omission rate and … https://psnet.ahrq.gov/issue/persisting-high-rates-omissions-during-anesthesia-induction-are-decreased-utilization-pre

163. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47867/psn-pdf
     June 19, 2019 - Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized … Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized … https://psnet.ahrq.gov/issue/increasing-compliance-safe-medication-administration-pediatric-anesthesia … analysis to identify process weaknesses in perioperative acetaminophen administration in pediatric anesthesia … https://psnet.ahrq.gov/issue/increasing-compliance-safe-medication-administration-pediatric-anesthesia-use-standardized

164. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50804/psn-pdf
     January 15, 2020 - 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 … psnet.ahrq.gov/issue/use-patient-digital-facial-images-confirm-patient-identity-childrens-hospitals- anesthesia … In an effort to reduce wrong-patient charting and near-miss events involving anesthesia, this study … implemented a digital photograph to the pre-anesthesia checklist to prompt visual inspection of the

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850935/psn-pdf
     June 21, 2023 - Non–operating room anesthesia challenges. June 21, 2023 Smith MJ. Anesthesiology News. … https://psnet.ahrq.gov/issue/non-operating-room-anesthesia-challenges The use of office-based anesthesia … This article summarizes frontline concerns regarding the use of non–operating room anesthesia and highlights … https://psnet.ahrq.gov/issue/non-operating-room-anesthesia-challenges https://psnet.ahrq.gov/issue/safety-office-based-anesthesia-updated-review-literature

166. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. | PSNet
     psnet.ahrq.gov/issue/safety-ii-and-resilience-way-ahead-patient-safety-anaesthesiology
     October 08, 2016 - Download Citation Related Resources From the Same Author(s) An anesthesia … February 15, 2023 Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement … June 12, 2019 Trends in anesthesia-related liability and lessons learned. … December 19, 2014 Improving the quality and safety of patient care in cardiac anesthesia … June 19, 2013 Cardiac arrest during anesthesia.

167. Research from webAIRS incident reporting system. | PSNet
     psnet.ahrq.gov/issue/research-webairs-incident-reporting-system
     February 15, 2023 - Data reviewed include cesarean and pediatric regional anesthesia incidents submitted to webAIRS over … February 22, 2011 View More Related Resources Perspectives on anesthesia … Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia … August 24, 2022 Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement … October 5, 2011 WebAIRS Anesthesia Incident Reporting System.

168. Quality and Safety. | PSNet
     psnet.ahrq.gov/issue/quality-and-safety-1
     September 21, 2022 - II concepts in high- and middle- to lower-income countries around the world support safe pediatric anesthesia … Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia … August 24, 2022 Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement … October 5, 2022 Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement … June 20, 2011 Human factors in pediatric anesthesia incidents.

169. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/863756/psn-pdf
     March 06, 2024 - Preoperative communication between anesthesia, surgery, and primary care providers for older surgical … Preoperative communication between anesthesia, surgery, and primary care providers for older surgical … https://psnet.ahrq.gov/issue/preoperative-communication-between-anesthesia-surgery-and-primary-care- … This cross-sectional study including 265 surgical patients and 249 providers (primary care, anesthesia … https://psnet.ahrq.gov/issue/preoperative-communication-between-anesthesia-surgery-and-primary-care-providers-older

170. Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. | PSNet
     psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
     August 13, 2014 - procedure, has brought national attention to the potential safety hazards of office-based procedural anesthesia … A previous AHRQ WebM&M perspective described office-based anesthesia as the "Wild West" of patient … August 13, 2014 Trends in anesthesia-related liability and lessons learned. … August 22, 2018 Anesthesia-related closed claims in free-standing ambulatory surgery … August 27, 2008 Duration of anesthesia as an indicator of morbidity and mortality in

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/843091/psn-pdf
     January 25, 2023 - Anesthesia outside of the OR: cause for patient safety concerns? … https://psnet.ahrq.gov/issue/anesthesia-outside-or-cause-patient-safety-concerns The use of anesthesia … that improved collaboration with anesthesiologists represents opportunities for nonoperating room anesthesia … https://psnet.ahrq.gov/issue/anesthesia-outside-or-cause-patient-safety-concerns https://psnet.ahrq.gov … /perspective/wild-west-patient-safety-office-based-anesthesia https://psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866588/psn-pdf
     August 28, 2024 - The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter … The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter … https://psnet.ahrq.gov/issue/impact-hindsight-bias-diagnosis-perioperative-events-anesthesia-providers … This study presented anesthesia providers with two case scenarios—one which stated the diagnosis at … https://psnet.ahrq.gov/issue/impact-hindsight-bias-diagnosis-perioperative-events-anesthesia-providers-multicenter

173. A retrospective analysis demonstrates that a failure to document key comorbid diseases in the anesthesia preoperative evaluation associates with increased length of stay and mortality. | PSNet
     psnet.ahrq.gov/issue/retrospective-analysis-demonstrates-failure-document-key-comorbid-diseases-anesthesia
     May 26, 2021 - A retrospective analysis demonstrates that a failure to document key comorbid diseases in the anesthesia … A retrospective analysis demonstrates that a failure to document key comorbid diseases in the anesthesia … Anesthesia -related adverse events have been associated with increased length of stay, morbidity and … A retrospective analysis demonstrates that a failure to document key comorbid diseases in the anesthesia

174. Closed-loop communication in interprofessional emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia personnel. | PSNet
     psnet.ahrq.gov/issue/closed-loop-communication-interprofessional-emergency-teams-cross-sectional-observation-study
     September 24, 2016 - emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia … emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia … care (as opposed to simulations ), researchers observed 60 interprofessional teams, including 120 anesthesia … emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia … Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia

175. Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. | PSNet
     psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-procedures-outside
     March 01, 2011 - Study Incidence and nature of adverse events during pediatric sedation/anesthesia … Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the … potential for harm ( near misses ), such as unanticipated need for bag-mask ventilation or reversal of anesthesia … Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the … the Same Author(s) The incidence and nature of adverse events during pediatric sedation/anesthesia

176. How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? | PSNet
     psnet.ahrq.gov/issue/how-does-patient-safety-culture-operating-room-and-post-anesthesia-care-unit-compare-rest
     October 14, 2009 - Study How does patient safety culture in the operating room and post-anesthesia care … How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest … This study found that operating room (OR) and post-anesthesia care unit (PACU) staff had a significantly … How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest … February 22, 2019 Quality of Anesthesia Care. 

177. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867013/psn-pdf
     October 23, 2024 - Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement … Reducing automated dispensing cabinet overrides in the peri- anesthesia care unit: a quality improvement … https://psnet.ahrq.gov/issue/reducing-automated-dispensing-cabinet-overrides-peri-anesthesia-care-unit … This article describes a children's hospital's intervention to decrease ADC overrides in the peri-anesthesia … https://psnet.ahrq.gov/issue/reducing-automated-dispensing-cabinet-overrides-peri-anesthesia-care-unit-quality-improvement

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866158/psn-pdf
     June 19, 2024 - Anesthesia-related closed claims in free-standing ambulatory surgery centers. … Anesthesia-related closed claims in free-standing ambulatory surgery centers. … https://psnet.ahrq.gov/issue/anesthesia-related-closed-claims-free-standing-ambulatory-surgery-centers … This study examined closed anesthesia-related malpractice claims of ASCs and hospital-based operating … https://psnet.ahrq.gov/issue/anesthesia-related-closed-claims-free-standing-ambulatory-surgery-centers

179. Missed steps in the preanesthetic set-up. | PSNet
     psnet.ahrq.gov/issue/missed-steps-preanesthetic-set
     June 26, 2019 - Anesthesia equipment was often improperly set up, potentially exposing patients to safety risks. … September 13, 2017 An embedded checklist in the Anesthesia Information Management System … November 30, 2022 Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement … September 24, 2016 Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia … July 9, 2014 WebM&M Cases Anesthesia: A Weighty Issue

180. John M. Eisenberg Patient Safety Awards. Individual lifetime achievement: Jeffrey B. Cooper, Ph.D., Massachusetts General Hospital. | PSNet
     psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-individual-lifetime-achievement-jeffrey-b-cooper-phd
     November 11, 2020 - Jeff Cooper played an instrumental role in advancing patient safety in anesthesia, including his work … Download Citation Related Resources From the Same Author(s) The Anesthesia … March 9, 2022 WebM&M Cases Check the Anesthesia Machine … January 2, 2017 Differences in safety climate among hospital anesthesia departments and … June 16, 2011 View More Related Resources Anesthesia Patient Safety