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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46198/psn-pdf
    August 16, 2017 - https://psnet.ahrq.gov/issue/challenging-authority-during-emergency-effect-teaching-intervention Anesthesia … challenging-authority-during-emergency-effect-teaching-intervention https://psnet.ahrq.gov/issue/intraoperative-patient-information-handover-between-anesthesia-providers

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44540/psn-pdf
    September 30, 2015 - This commentary reviews existing practice guidelines for providing safe anesthesia during surgery and … issue/patient-safety-challenges-low-income-and-middle-income-countries https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation

  3. Medication errors in anaesthesia and critical care. | PSNet

    psnet.ahrq.gov/issue/medication-errors-anaesthesia-and-critical-care
    January 18, 2011 - May 22, 2019 Infection prevention in the operating room anesthesia work area. … January 30, 2019 2008 Recommendations for Pre-Anesthesia Checkout Procedures.  … View More See More About The Topic Physicians Nurses Anesthesiology Anesthesia

  4. Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core issue. | PSNet

    psnet.ahrq.gov/issue/three-quarters-preventable-patient-harm-stems-situation-awareness-breakdowns-recognizing-and
    September 11, 2009 - March 13, 2024 Peer support and second victim programs for anesthesia professionals involved … 2022 APSF endorsed statement on revising recommendations for patient monitoring during anesthesia … See More About The Topic Outpatient Surgery Operating Room Anesthesiology Anesthesia

  5. Liposuction Gone Awry | PSNet

    psnet.ahrq.gov/web-mm/liposuction-gone-awry
    July 01, 2003 - plastic surgeon’s office, he underwent neck and facial liposuction with eyelid tightening under local anesthesia … Office-Based Anesthesia and Surgery. American Society of Anesthesiologists Web site. … Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery … Anesthesia Who is qualified to administer the anesthesia? … August 10, 2022 Safety in office-based anesthesia: an updated review of the literature

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45625/psn-pdf
    November 01, 2017 - building-comprehensive-strategies-obstetric-safety-simulation-drills-and- communication Most safety improvement interventions in obstetrics do not reflect insights from anesthesia … psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited https://psnet.ahrq.gov/issue/simulation-obstetric-anesthesia

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49725/psn-pdf
    January 01, 2015 - A pulmonary artery (PA) catheter was placed after induction of anesthesia in order to closely monitor … The surgeon was the only cardiac surgeon available that day, and there was also only one cardiac anesthesia … An anesthesia resident accompanied the first patient to the ICU. … Further check by him and the anesthesia resident revealed that the PA catheter balloon was still inflated … The anesthesia resident realized that she had not discussed the PA catheter explicitly (including its

  8. Spotlight Case (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
    May 01, 2006 - The next morning, the patient was taken to the OR and spinal anesthesia was administered. … A prompt examination of both of the patient's ankles under anesthesia did not demonstrate any clinical … Spinal anesthesia was reversed, and the patient was returned to her room and did not have any consequences … for no reason; although risks are low, spinal anesthesia is occasionally associated with severe risks … Complications of spinal and epidural anesthesia.

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43568/psn-pdf
    April 25, 2016 - /medication-safety-operating-room-survey-preparation-methods-and-drug- concentration In 2010, the Anesthesia … medication-safety-operating-room-survey-preparation-methods-and-drug-concentration https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38499/psn-pdf
    March 01, 2011 - The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures … The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46137/psn-pdf
    August 03, 2017 - In this closed claims analysis of anesthesia malpractice claims for death or brain damage, researchers … frequency-and-type-situational-awareness-errors-contributing-death-and-brain-damage-closed https://psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care

  12. Medication errors—new approaches to prevention. | PSNet

    psnet.ahrq.gov/issue/medication-errors-new-approaches-prevention
    November 18, 2016 - Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia … May 23, 2018 Improving the quality and safety of patient care in cardiac anesthesia. … January 7, 2015 Improving the quality and safety of patient care in cardiac anesthesia

  13. Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance. | PSNet

    psnet.ahrq.gov/issue/smarter-clinical-checklists-how-minimize-checklist-fatigue-and-maximize-clinician-performance
    July 10, 2017 - Citation Related Resources From the Same Author(s) Assessing the impact of the anesthesia … medication template on medication errors during anesthesia: a prospective study. … July 10, 2017 Anesthesia medication handling needs a new vision.

  14. Time for prefilled syringes - everywhere. | PSNet

    psnet.ahrq.gov/issue/time-prefilled-syringes-everywhere
    July 13, 2010 - February 26, 2025 Reducing automated dispensing cabinet overrides in the peri-anesthesia … Regional Block: A Case of Medication Error and Recovery January 31, 2024 Anesthesia … More About The Topic Outpatient Surgery Hospitals Operating Room Anesthesiology Anesthesia

  15. Interruptions and blood transfusion checks: lessons from the simulated operating room. | PSNet

    psnet.ahrq.gov/issue/interruptions-and-blood-transfusion-checks-lessons-simulated-operating-room
    September 24, 2016 - September 29, 2017 Barriers to adverse event and error reporting in anesthesia. … March 15, 2023 Persisting high rates of omissions during anesthesia induction are … July 31, 2019 An embedded checklist in the Anesthesia Information Management System improves

  16. Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-project-reduce-perioperative-opioid-oversedation-events-paediatric
    April 13, 2011 - June 21, 2015 View More Related Resources Perspectives on anesthesia … Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia … November 24, 2021 Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34812/psn-pdf
    March 05, 2008 - The technique has been adopted and applied to health care, specifically in studying anesthesia mishaps … https://psnet.ahrq.gov/issue/critical-incident-technique https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35104/psn-pdf
    April 06, 2011 - crisis-management-during-anaesthesia-development-anaesthetic-crisis- management-manual This study describes the development of specific algorithms in clinical anesthesia … an introduction to a set of 24 resources that outline structured approaches to crisis management in anesthesia

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38843/psn-pdf
    June 28, 2011 - hospitals internationally and discovered that certain indicators (e.g., birth trauma and complications of anesthesia … /issue/road-zero-preventable-birth-injuries https://psnet.ahrq.gov/issue/adverse-respiratory-events-anesthesia-closed-claims-analysis

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47476/psn-pdf
    February 13, 2019 - facilitated-self-reported-anaesthetic-medication-errors-and-after- implementation-safety This pre–post study of errors in anesthesia … facilitated-self-reported-anaesthetic-medication-errors-and-after-implementation-safety https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors
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