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psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
December 15, 2024 - Related WebM&M
Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia
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psnet.ahrq.gov/periodic-issue/weekly-resource
March 25, 2025 - Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia
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psnet.ahrq.gov/node/33600/psn-pdf
June 16, 2024 - incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical
https://psnet.ahrq.gov/issue/anesthesia-related-closed-claims-free-standing-ambulatory-surgery-centers
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psnet.ahrq.gov/web-mm/weak-response
February 24, 2011 - WebM&M Cases
Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia
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psnet.ahrq.gov/web-mm/near-miss-neonate
August 15, 2018 - WebM&M Cases
Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia
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psnet.ahrq.gov/web-mm/fumbled-handoff
September 01, 2006 - Assuming it was related to the epidural placed preoperatively, the nurse called anesthesia, and they
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psnet.ahrq.gov/web-mm/not-miscarriage
June 01, 2005 - Pre-anesthesia checklists to improve patient safety.
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psnet.ahrq.gov/perspective/safety-retail-pharmacy
May 11, 2016 - safety in other health care settings such as intensive care units, emergency departments, surgery, and anesthesia
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psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
February 15, 2017 - events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.368_slideshow.ppt
February 01, 2016 - and traditional laparoscopic surgery
Including potential for infection, bleeding, and the risks of anesthesia
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psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
January 01, 2020 - The use of cognitive aids during emergencies in anesthesia: a review of the literature.
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psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
February 14, 2024 - events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia
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psnet.ahrq.gov/node/49517/psn-pdf
August 01, 2006 - Seminars in Anesthesia, Perioperative Medicine and Pain. 2004;23:271-280.
11.
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psnet.ahrq.gov/node/49398/psn-pdf
May 01, 2003 - Blood contamination of anesthesia equipment and monitoring equipment.
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psnet.ahrq.gov/node/49722/psn-pdf
December 01, 2014 - Preventable anesthesia mishaps: a study of human
factors. Anesthesiology. 1978;49:399-406.
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psnet.ahrq.gov/node/33786/psn-pdf
May 01, 2015 - Level One
Trauma Anesthesia Simulation. Hum Factors. 1996;38:623-635. [go to PubMed]
6.
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psnet.ahrq.gov/node/49815/psn-pdf
December 01, 2017 - Given the invasive nature of surgery, the need for anesthesia, the associated risk of bleeding and
thrombosis
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psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
April 28, 2021 - Perspective
The Wild West: Patient Safety in Office-Based Anesthesia
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psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
October 23, 2013 - been designed to elicit seminarrative information about adaptive practices, including workarounds, in anesthesia
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psnet.ahrq.gov/web-mm/air-side-caution
April 21, 2015 - Anesthesia was not consulted.