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201. Special K with no license to kill: accidental ketamine overdose on induction of general anesthesia. | PSNet
     psnet.ahrq.gov/issue/special-k-no-license-kill-accidental-ketamine-overdose-induction-general-anesthesia
     March 17, 2021 - Special K with no license to kill: accidental ketamine overdose on induction of general anesthesia … Accidental Ketamine Overdose on Induction of General Anesthesia. Am J Case Rep. 2018;19:10-12. … Accidental Ketamine Overdose on Induction of General Anesthesia. Am J Case Rep. 2018;19:10-12. … March 15, 2023 The evolution of the Anesthesia Patient Safety Movement in America: lessons … December 20, 2017 Shortage of perioperative drugs: implications for anesthesia practice

202. 40 years behind the mask: safety revisited. | PSNet
     psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited
     January 13, 2012 - (ASA), the author provides an historical perspective on the birth of patient safety in the field of anesthesia … deaths, the presentation provides a unique perspective on the gradual emergence of safety efforts in anesthesia … Committee on Patient Safety and Risk Management, host the first International Symposium on Preventable Anesthesia … Mortality and Morbidity, and form the Anesthesia Patient Safety Foundation . … October 11, 2023 The Anesthesia Patient Safety Foundation Stoelting Conference 2019:

203. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35703/psn-pdf
     July 13, 2010 - Injury and liability associated with monitored anesthesia care: a closed claims analysis. … Injury and liability associated with monitored anesthesia care: a closed claims analysis. … https://psnet.ahrq.gov/issue/injury-and-liability-associated-monitored-anesthesia-care-closed-claims- … care (MAC) and a liability profile similar to that of general anesthesia. … https://psnet.ahrq.gov/issue/adverse-respiratory-events-anesthesia-closed-claims-analysis

204. Learning from patient safety incidents: The Green Cross method. | PSNet
     psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cross-method
     June 14, 2023 - This study describes post-anesthesia care unit (PACU) nurses' experience with the Green Cross method … January 15, 2025 Perspectives on anesthesia and perioperative patient safety: past, present … December 11, 2024 Reducing automated dispensing cabinet overrides in the peri-anesthesia … Patient Safety Innovations Risk Mitigation Using the Anesthesia … 2022 View More See More About The Topic Hospitals Operating Room Anesthesia

205. Sharing lessons learned to prevent adverse events in anesthesiology nationwide. | PSNet
     psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide
     April 12, 2019 - Administration efforts surrounding the lessons learned process for adverse events occurring in anesthesia … RIS Download Citation Related Resources From the Same Author(s) Anesthesia … Evolution of Root Cause Analysis February 26, 2025 Developing surgical and anesthesia … March 25, 2020 Anesthesia adverse events voluntarily reported in the Veterans Health … July 16, 2015 Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia

206. Safety and Human Performance in the Operating Room and Other Extreme Environments. | PSNet
     psnet.ahrq.gov/issue/safety-and-human-performance-operating-room-and-other-extreme-environments
     December 02, 2020 - Anesthesia is a vital component of surgical care that can be compromised due to human and equipment … II , safety culture implementation, and artificial intelligence applications as they affect safe anesthesia … , 2024 Technology, Education and Safety November 15, 2023 Anesthesia … See More About The Topic Outpatient Surgery Operating Room Anesthesiology Surgery Anesthesia

207. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50623/psn-pdf
     November 06, 2019 - Adverse Events in Anesthesia: An Integrative Review. … Adverse Events in Anesthesia: An Integrative Review. … https://psnet.ahrq.gov/issue/adverse-events-anesthesia-integrative-review This integrative review examined … the factors contributing to perioperative adverse events resulting from anesthesia. … https://psnet.ahrq.gov/issue/adverse-events-anesthesia-integrative-review https://psnet.ahrq.gov/glossary

208. The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department. | PSNet
     psnet.ahrq.gov/issue/impact-22-month-multistep-implementation-program-speaking-behavior-academic-anesthesia
     January 11, 2023 - The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia … The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia … The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia … November 13, 2024 Peer support and second victim programs for anesthesia professionals … January 26, 2022 Safety and Quality in Perioperative Anesthesia Care.

209. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34815/psn-pdf
     January 31, 2011 - The role of anesthesia in surgical mortality. January 31, 2011 DRIPPS RD, LAMONT A, ECKENHOFF JE. … The role of anesthesia in surgical mortality. JAMA. 1961;178:261-6. … https://psnet.ahrq.gov/issue/role-anesthesia-surgical-mortality The authors of this study characterized … receiving anesthesia during a 10-year period. … https://psnet.ahrq.gov/issue/role-anesthesia-surgical-mortality

210. The APSF: 20-year anniversary of the first patient safety organization: past, present & future. | PSNet
     psnet.ahrq.gov/issue/apsf-20-year-anniversary-first-patient-safety-organization-past-present-future
     October 26, 2022 - The author recounts the launch of the Anesthesia Patient Safety Foundation (APSF) as the first patient … safety-focused organization and describes its continued commitment to safer anesthesia care. … 2023 APSF endorsed statement on revising recommendations for patient monitoring during anesthesia … January 2, 2011 Medication administration in anesthesia: time for a paradigm shift.

211. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49719/psn-pdf
     September 01, 2014 - Second, the automated anesthesia record in the OR shows "blank" if there are no new NIBP recordings. … 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.

212. The role of the anesthesiologist in perioperative patient safety. | PSNet
     psnet.ahrq.gov/issue/role-anesthesiologist-perioperative-patient-safety
     November 20, 2015 - This review summarizes the evidence for strategies to enhance the safety of anesthesia in perioperative … November 20, 2015 An anesthesia preinduction checklist to improve information exchange … , knowledge of critical information, perception of safety, and possibly perception of teamwork in anesthesia … March 30, 2022 Systematic review of intraoperative anesthesia handoffs and handoff tools … December 19, 2014 Improving the quality and safety of patient care in cardiac anesthesia

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862989/psn-pdf
     February 21, 2024 - Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic … Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic … https://psnet.ahrq.gov/issue/peer-support-and-second-victim-programs-anesthesia-professionals-involved … https://psnet.ahrq.gov/issue/peer-support-and-second-victim-programs-anesthesia-professionals-involved-stressful-or … https://psnet.ahrq.gov/issue/peer-support-and-second-victim-programs-anesthesia-professionals-involved-stressful-or

214. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules | PSNet
     psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
     March 25, 2020 - At the conclusion of the surgical case, the patient had delayed emergence from anesthesia. … Medication errors in anesthesia: unacceptable or unavoidable?.  … Anesthesia Safety Foundation Newsletter. June 2018. … Ketamine: Use in anesthesia. CNS Neurosci Ther 2013;19(6):381-89. Rendell-Baker L. … Anesthesia Safety Foundation Newsletter 1987;2(4) This project was funded under contract

215. Handoff Communication. | PSNet
     psnet.ahrq.gov/issue/handoff-communication
     October 16, 2019 - This special issue focuses on transfers involving anesthesia care . … 2019 APSF endorsed statement on revising recommendations for patient monitoring during anesthesia … March 11, 2020 Association between handover of anesthesia care and adverse postoperative … January 16, 2019 Intraoperative handoffs among anesthesia providers increase the incidence

216. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47284/psn-pdf
     December 05, 2018 - 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 … https://psnet.ahrq.gov/issue/preventable-anesthesia-related-adverse-events-large-tertiary-care-center-nine … Researchers examined 747 adverse anesthesia events at a single institution and found that 43% were preventable … https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44069/psn-pdf
     October 08, 2016 - An anesthesia preinduction checklist to improve information exchange, knowledge of critical information … , perception of safety, and possibly perception of teamwork in anesthesia teams. … An Anesthesia Preinduction Checklist to Improve Information Exchange, Knowledge of Critical Information … , Perception of Safety, and Possibly Perception of Teamwork in Anesthesia Teams. … https://psnet.ahrq.gov/issue/anesthesia-preinduction-checklist-improve-information-exchange-knowledge

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73507/psn-pdf
     July 21, 2021 - Systematic review of intraoperative anesthesia handoffs and handoff tools. … Systematic review of intraoperative anesthesia handoffs and handoff tools. … https://psnet.ahrq.gov/issue/systematic-review-intraoperative-anesthesia-handoffs-and-handoff-tools … https://psnet.ahrq.gov/issue/systematic-review-intraoperative-anesthesia-handoffs-and-handoff-tools https … association-intraoperative-anaesthesia-handovers-patient-morbidity-and-mortality-systematic https://psnet.ahrq.gov/issue/intraoperative-patient-information-handover-between-anesthesia-providers

219. A blueprint for success: implementation of the Center for Medicare and Medicaid Services mandated anesthesiology oversight for procedural sedation in a large health system. | PSNet
     psnet.ahrq.gov/issue/blueprint-success-implementation-center-medicare-and-medicaid-services-mandated
     September 09, 2020 - A 2009 CMS Condition of Participation (CoP) requires that a director of anesthesia services assume … overall responsibility for anesthesia administered in the hospital, including procedural sedation provided … September 9, 2020 Systematic review of intraoperative anesthesia handoffs and handoff … September 2, 2020 Complications associated with the anesthesia transport of pediatric … February 9, 2022 The evolution of the Anesthesia Patient Safety Movement in America:

220. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841468/psn-pdf
     December 14, 2022 - anterior cervical discectomy (levels C4-C7) and plating for cervical spinal stenosis under general anesthesia … The patient was placed under general anesthesia and intubated. … During extubation after surgery, the anesthesia care provider noticed a large (approximately 4-5 cm) … This finding was attributed to the fact that the inexperienced anesthesia care provider was unaware … Dental injury associated with anesthesia: a report of 161,687 anesthetics given over 14 years.