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2041. Safety I, Safety II, and the New Views of Safety | PSNet
      psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
      October 02, 2024 - is notable because some of the greatest successes in patient safety resulted from pioneering work in anesthesia … beginning in the 1980s, with the creation of the Anesthesia Patient Safety Foundation in 1985. … medical literature. 10 Despite Leape’s introduction and the success of multidisciplinary efforts in anesthesia

2042. Poor Prognosis | PSNet
      psnet.ahrq.gov/web-mm/poor-prognosis
      March 15, 2016 - The patient was taken to the operating room for resection under general anesthesia. … August 28, 2024 The role of anesthesia in surgical mortality.

2043. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49687/psn-pdf
      August 21, 2013 - between ward and intensive care, involving higher levels of monitoring and nursing care but without anesthesia … increased awareness of the risk of sudden deterioration of this patient's condition on induction of anesthesia

2044. Caution, Interrupted | PSNet
      psnet.ahrq.gov/web-mm/caution-interrupted
      October 01, 2016 - A 50 ml bottle of Diprivan (propofol, an intravenous sedative-hypnotic commonly used in anesthesia) that … 1, 2003 WebM&M Cases Unexplained Apnea Under Anesthesia

2045. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49547/psn-pdf
      October 01, 2007 - Thus, the "code team" (comprised of a senior medical resident, medical intern, anesthesia resident, … anesthesia attending, and critical care nurse) within the main hospital was activated.

2046. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
      January 01, 2022 - • The procedure was performed under general anesthesia, by an attending physician and a fellow, without … – Medications provided to induce sedation (from light to general anesthesia) can have hemodynamic

2047. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
      June 01, 2012 - During induction of anesthesia, the patient rapidly became hypotensive and required vasopressors. … following her operation on hospital day 2, medical records arrived from the referring hospital and the anesthesia

2048. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49445/psn-pdf
      May 01, 2004 - Many providers, such as emergency department, laboratory medicine, and anesthesia staff, will likely

2049. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33572/psn-pdf
      December 15, 2024 - implementation of a surgical safety checklist, which included specific steps during induction of anesthesia

2050. Premature Closure: Was It Just Syncope? | PSNet
      psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
      February 10, 2021 - “Confirm the patient’s identity, surgical site, and procedure” and “Anesthesia staff review concerns … For example, in order to avoid the administration of the wrong medication during an anesthesia procedure … The use of cognitive aids during emergencies in anesthesia: a review of the literature.

2051. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49676/psn-pdf
      February 01, 2013 - Two hours after delivery, the post-anesthesia care unit (PACU) nurse removed the patient's epidural … Thus, confirmation bias (9) likely occurred with the post-anesthesia care unit (PACU) nurses.

2052. Silent Pain in the Neck | PSNet
      psnet.ahrq.gov/web-mm/silent-pain-neck
      August 19, 2020 - of post-CEA hematoma formation include non-reversal of heparin, intraoperative hypotension, general anesthesia … Director, Critical Care Fellowship Associate Director, Surgical Intensive Care Unit Department of Anesthesia

2053. Empty Handoff | PSNet
      psnet.ahrq.gov/web-mm/empty-handoff
      August 01, 2017 - handoff of information, equipment, and physical transfer between care teams of different specialties (anesthesia … May 1, 2024 Anesthesia workspaces for safe medication practices: design guidelines.

2054. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdf
      January 01, 2021 - which she affixed to the patient’s gurney mattress 8 Case #2 Details • At handoff to the post-anesthesia … into the vagina in the OR or procedural area, where the patient is likely sedated or under general anesthesia

2055. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49816/psn-pdf
      January 01, 2018 - pain: a clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia … and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia,

2056. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838855/psn-pdf
      October 27, 2022 - The procedure was performed under general anesthesia, by an attending physician and a fellow, without … Medications provided to induce various levels of sedation (from light to general anesthesia) can have

2057. An Ounce of Prevention | PSNet
      psnet.ahrq.gov/web-mm/ounce-prevention
      February 17, 2011 - lower-extremity DVT often is caused by prolonged bed rest; the risk increases when surgery and general anesthesia … Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia

2058. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49654/psn-pdf
      June 01, 2012 - During induction of anesthesia, the patient rapidly became hypotensive and required vasopressors. … following her operation on hospital day 2, medical records arrived from the referring hospital and the anesthesia

2059. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49573/psn-pdf
      January 01, 2009 - An example of this approach is the Post Anesthesia Care Unit (PACU) Dashboard developed by Massachusetts … Critical incidents associated with intraoperative exchanges of anesthesia personnel.

2060. Code Blue—Where To? | PSNet
      psnet.ahrq.gov/web-mm/code-blue-where
      March 30, 2020 - Thus, the "code team" (comprised of a senior medical resident, medical intern, anesthesia resident, anesthesia