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psnet.ahrq.gov/web-mm/undetected-foreign-object
April 24, 2018 - 1, 2003
WebM&M Cases
Unexplained Apnea Under Anesthesia
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psnet.ahrq.gov/web-mm/other-side
May 01, 2007 - After the patient was intubated for general anesthesia, the trainee reviewed her chart and noted that
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psnet.ahrq.gov/web-mm/good-catch-operating-room
August 27, 2017 - 1, 2019
WebM&M Cases
Unexplained Apnea Under Anesthesia
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psnet.ahrq.gov/web-mm/techno-trip
May 01, 2005 - Cook, MD Associate Professor, Department of Anesthesia and Critical Care Director, Cognitive Technologies
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psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
May 16, 2022 - Relevant documentation includes the case history, physical examination, signed consent form, and pre-anesthesia
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psnet.ahrq.gov/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
February 01, 2023 - consider the patient's medical history, the type of surgery being performed, and the planned type of anesthesia
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psnet.ahrq.gov/node/866205/psn-pdf
July 10, 2024 - whether cultural or communication
barriers, or implicit bias related to the patient's age or post-anesthesia
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psnet.ahrq.gov/node/33635/psn-pdf
July 01, 2006 - RW: How much of your interest in safety came from being in anesthesia, the medical field that became
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psnet.ahrq.gov/node/33875/psn-pdf
March 01, 2019 - I would
initiate relationship-building with the leaders of obstetrics, neonatology, nursing, and anesthesia—because
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psnet.ahrq.gov/node/49669/psn-pdf
November 01, 2012 - Anesthesia in cases of poor surgical risk: some suggestions for decreasing the
risk.
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psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
August 28, 2024 - 1, 2003
WebM&M Cases
Unexplained Apnea Under Anesthesia
-
psnet.ahrq.gov/node/33746/psn-pdf
March 01, 2013 - Gaba, MD, is a Professor of Anesthesia at the Stanford University School of
Medicine.
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psnet.ahrq.gov/web-mm/failure-latch
November 27, 2012 - Status
December 23, 2020
WebM&M Cases
Residual Anesthesia
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - May 20, 2019
An analysis of near misses identified by anesthesia providers in the intensive
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psnet.ahrq.gov/web-mm/pain-relief-risk-case-suspected-opioid-overdose-pediatric-patient
October 04, 2023 - The Society of Pediatric Anesthesia recommendations for us of opioids in children during the perioperative
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psnet.ahrq.gov/web-mm/low-totem-pole
October 01, 2003 - attending surgeons, clearly atop the authority chain, perceived teamwork to be strong, while only 10% of anesthesia
-
psnet.ahrq.gov/node/857059/psn-pdf
November 29, 2023 - “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
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psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
March 09, 2022 - Most CSF leaks are iatrogenic, due to a dural tear during spinal surgery or anesthesia. … May 20, 2019
Infection prevention in the operating room anesthesia work area.
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psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
November 16, 2022 - Chest closure was delayed until postoperative day 3, following routine practice, and performed under anesthesia
-
psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - Evaluation of a Standardized Sedation Assessment for Opioid Administration in the Post Anesthesia Care