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  1. 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
  2. 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
  3. 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
  4. 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.
  5. psnet.ahrq.gov/innovation/novel-approach-engagement-team-training-high-technology-surgery-robotic-assisted-surgery
    June 21, 2023 - April 24, 2018 A theoretical model of flow disruptions for the anesthesia team during
  6. psnet.ahrq.gov/issue/effect-universal-glove-and-gown-use-adverse-events-intensive-care-unit-patients
    December 09, 2015 - April 13, 2017 An analysis of near misses identified by anesthesia providers in the intensive
  7. psnet.ahrq.gov/issue/assessment-implementation-national-patient-safety-alert-reduce-wrong-site-surgery
    March 28, 2011 - May 8, 2024 Developing surgical and anesthesia resident patient safety competencies through
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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.
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. psnet.ahrq.gov/innovation/reducing-hospital-harm-establishing-command-centre-foster-situational-awareness
    June 29, 2022 - June 29, 2022 The impact of hindsight bias on the diagnosis of perioperative events by anesthesia

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