-
psnet.ahrq.gov/node/49650/psn-pdf
March 01, 2012 - one of the complications involved a wrong-site surgery during a Mohs
procedure performed with local anesthesia
-
psnet.ahrq.gov/node/49438/psn-pdf
March 05, 2004 - Qualitative measures in the ergonomic examination of the
trauma resuscitation unit's anesthesia workspace
-
psnet.ahrq.gov/node/49826/psn-pdf
April 01, 2018 - Anesthesia was not consulted.
-
psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
November 25, 2020 - patients who have difficulty perceiving pain in the injured extremity (e.g., after regional or spinal anesthesia … Paresthesias are an early sign of CS that can progress to hypesthesia and anesthesia if perfusion is
-
psnet.ahrq.gov/web-mm/pca-overdose
April 01, 2017 - She remained alert and oriented and, while in the post-anesthesia care unit (PACU), she began receiving
-
psnet.ahrq.gov/node/61080/psn-pdf
October 28, 2020 - No problems were identified during surgery, but the patient emerged from
anesthesia with left-sided
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.85_slideshow.ppt
March 01, 2005 - Relative risk analysis of factors associated with difficult intubation in obstetric anesthesia.
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
September 01, 2007 - This was recorded on her pre-anesthesia care record, where Neurontin had been entered and crossed out
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.88_slideshow.ppt
March 01, 2005 - Relative risk analysis of factors associated with difficult intubation in obstetric anesthesia.
-
psnet.ahrq.gov/primers-0
March 15, 2025 - (6)
Radiology
(2)
Surgery
(5)
Nurse Care
(20)
Anesthesia
-
psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
September 27, 2017 - December 19, 2018
The impact of hindsight bias on the diagnosis of perioperative events by anesthesia
-
psnet.ahrq.gov/web-mm/x-ray-flip
August 10, 2019 - that active errors in human performance are inevitable in complex systems.( 7 ) Similar to aviation, anesthesia
-
psnet.ahrq.gov/web-mm/patient-mix
December 01, 2007 - 1, 2003
WebM&M Cases
Unexplained Apnea Under Anesthesia
-
psnet.ahrq.gov/node/49853/psn-pdf
February 01, 2019 - adverse-event-during-intrahospital-transport
The Case
A 4-year-old boy underwent surgery under general anesthesia
-
psnet.ahrq.gov/web-mm/picture-speaks-1000-words
July 16, 2015 - October 29, 2017
Anesthesia adverse events voluntarily reported in the Veterans Health
-
psnet.ahrq.gov/web-mm/medication-overdose
September 01, 2011 - Perspective
The Wild West: Patient Safety in Office-Based Anesthesia
-
psnet.ahrq.gov/web-mm/moved-too-soon
November 01, 2006 - Two hours after arriving, while the patient was still groggy from anesthesia, a nurse entered the room
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.ppt
October 01, 2007 - hypertension and severe obstructive sleep apnea requiring CPAP is placed on morphine PCA (patient-controlled anesthesia
-
psnet.ahrq.gov/node/49802/psn-pdf
August 01, 2017 - Ken Catchpole, PhD SmartState Endowed Chair in Clinical Practice and Human Factors Department of
Anesthesia
-
psnet.ahrq.gov/web-mm/central-not-epidural
August 28, 2024 - infusing gases into an intravenous system could cause air emboli, and mistakenly infusing epidural anesthesia