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psnet.ahrq.gov/web-mm/allergy-holter
May 01, 2008 - 1, 2003
WebM&M Cases
Unexplained Apnea Under Anesthesia
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psnet.ahrq.gov/node/73229/psn-pdf
May 26, 2021 - in patient populations where physiologic doses of
vasopressor are used to counteract the effects of anesthesia
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psnet.ahrq.gov/node/33709/psn-pdf
July 01, 2011 - In Post-Anesthesia Care Units (PACU), this approach proved highly effective in improving
handover quality
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psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool
November 21, 2018 - WebM&M Cases
Polypharmacy
May 1, 2013
Anesthesia
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psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
April 24, 2024 - Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia
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psnet.ahrq.gov/node/49458/psn-pdf
September 01, 2004 - The patient was taken to the operating room for resection
under general anesthesia.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.113_slideshow.ppt
January 01, 2006 - pelvic, and neurosurgery
Trauma
Lower extremities and pelvis
Increased with surgery and general anesthesia
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psnet.ahrq.gov/web-mm/mistaken-identity
December 18, 2014 - Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia
-
psnet.ahrq.gov/node/49490/psn-pdf
September 01, 2005 - Following placement of epidural anesthesia, a fetal heart rate
deceleration occurred due to maternal
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psnet.ahrq.gov/web-mm/privacy-gone-awry
February 24, 2011 - Transport
February 1, 2019
WebM&M Cases
Residual Anesthesia
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psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
June 28, 2023 - April 21, 2021
Medication safety: reducing anesthesia medication errors and adverse drug
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psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
June 15, 2024 - WebM&M Cases
Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia
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psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
May 16, 2022 - Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia
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psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
June 16, 2021 - The Case A 4-year-old boy underwent surgery under general anesthesia for correction of a congenital
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psnet.ahrq.gov/web-mm/baffled-botulinum-toxin
July 17, 2024 - January 16, 2008
Improving documentation of a beta-blocker quality measure through an anesthesia
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psnet.ahrq.gov/node/49495/psn-pdf
December 01, 2005 - attending surgeons, clearly
atop the authority chain, perceived teamwork to be strong, while only 10% of anesthesia
-
psnet.ahrq.gov/node/60543/psn-pdf
May 27, 2020 - Relevant documentation includes the case history, physical examination, signed
consent form, and pre-anesthesia
-
psnet.ahrq.gov/web-mm/electronic-err
April 01, 2014 - March 24, 2010
WebM&M Cases
Unexplained Apnea Under Anesthesia
-
psnet.ahrq.gov/node/851568/psn-pdf
July 31, 2023 - It is used as a sedative in intravenous form in general
anesthesia in the ICU and for monitored anesthesia
-
psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
August 01, 2012 - push technique,” depending on available supplies and proceduralist preference. 5,8,9 Under general anesthesia … bedside procedure options present a timely, cost-efficient alternative, avoiding the risk of general anesthesia