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261. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36917/psn-pdf
     September 01, 2011 - Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the … Analysis of deaths related to anesthesia in the period 1996- 2004 from closed claims registered by the … https://psnet.ahrq.gov/issue/analysis-deaths-related-anesthesia-period-1996-2004-closed-claims- registered-danish-patient … The investigators reviewed claims data to identify cases in which patient mortality was related to anesthesia … https://psnet.ahrq.gov/issue/analysis-deaths-related-anesthesia-period-1996-2004-closed-claims-registered-danish-patient

262. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73715/psn-pdf
     September 15, 2021 - The successful anesthesia patient safety officer. September 15, 2021 Cohen JB, Patel SY. … The successful anesthesia patient safety officer. Anesth Analg. 2021;133(3):816-820. … https://psnet.ahrq.gov/issue/successful-anesthesia-patient-safety-officer Designated safety leadership … https://psnet.ahrq.gov/issue/successful-anesthesia-patient-safety-officer https://psnet.ahrq.gov/issue

263. Customer focused incident monitoring in anaesthesia. | PSNet
     psnet.ahrq.gov/issue/customer-focused-incident-monitoring-anaesthesia
     April 24, 2018 - The authors studied anesthesia-related incident reports at one institution and found that many incidents … Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia … February 23, 2015 Liability associated with obstetric anesthesia: a closed claims analysis … December 9, 2014 Analysis of deaths related to anesthesia in the period 1996-2004 from … March 28, 2011 Knowledge-based errors in anesthesia: a paired, controlled trial of learning

264. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42050/psn-pdf
     January 07, 2015 - The association between frequency of self-reported medical errors and anesthesia trainee supervision … The association between frequency of self-reported medical errors and anesthesia trainee supervision … https://psnet.ahrq.gov/issue/association-between-frequency-self-reported-medical-errors-and-anesthesia … - trainee-supervision In this nationwide survey of anesthesia residents, lower reported supervision … https://psnet.ahrq.gov/issue/association-between-frequency-self-reported-medical-errors-and-anesthesia-trainee-supervision

265. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37398/psn-pdf
     March 28, 2012 - A facilitated survey instrument captures significantly more anesthesia events than does traditional … A facilitated survey instrument captures significantly more anesthesia events than does traditional … https://psnet.ahrq.gov/issue/facilitated-survey-instrument-captures-significantly-more-anesthesia-events … does-traditional This study describes the development of an open-ended survey tool administered to anesthesia … https://psnet.ahrq.gov/issue/facilitated-survey-instrument-captures-significantly-more-anesthesia-events-does-traditional

266. Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate. | PSNet
     psnet.ahrq.gov/issue/frequency-medication-error-pediatric-anesthesia-systematic-review-and-meta-analytic-estimate
     December 11, 2024 - Review Frequency of medication error in pediatric anesthesia: a systematic review … Frequency of medication error in pediatric anesthesia: A systematic review and meta-analytic estimate … Frequency of medication error in pediatric anesthesia: A systematic review and meta-analytic estimate … April 5, 2023 Differences in safety climate among hospital anesthesia departments and

267. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44858/psn-pdf
     February 10, 2016 - Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting … Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting … https://psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical … - incident-reporting This retrospective review of anesthesia and critical care cases in the German … https://psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical-incident-reporting

268. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39990/psn-pdf
     June 08, 2011 - The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns … The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns … https://psnet.ahrq.gov/issue/wolf-crying-operating-room-patient-monitor-and-anesthesia-workstation- … alarming-patterns Anesthesia equipment alarms went off approximately once per minute during cardiac … https://psnet.ahrq.gov/issue/wolf-crying-operating-room-patient-monitor-and-anesthesia-workstation-alarming-patterns

269. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43182/psn-pdf
     May 14, 2014 - Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve … Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve … https://psnet.ahrq.gov/issue/quality-and-safety-pediatric-anesthesia-how-can-guidelines-checklists-and … infections, improve reliability of handoffs, and increase adherence to best practices in pediatric anesthesia … https://psnet.ahrq.gov/issue/quality-and-safety-pediatric-anesthesia-how-can-guidelines-checklists-and-initiatives-improve

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46808/psn-pdf
     February 14, 2018 - Anesthesia medication handling needs a new vision. February 14, 2018 Grigg EB, Roesler A. … Anesthesia Medication Handling Needs a New Vision. … https://psnet.ahrq.gov/issue/anesthesia-medication-handling-needs-new-vision Anesthesiology has been … /anesthesia-patient-safety-foundation https://psnet.ahrq.gov/issue/patient-safety-anesthetic-practice … https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors https://psnet.ahrq.gov

271. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46861/psn-pdf
     February 28, 2018 - Special K with no license to kill: accidental ketamine overdose on induction of general anesthesia. … Accidental Ketamine Overdose on Induction of General Anesthesia. Am J Case Rep. 2018;19:10-12. … https://psnet.ahrq.gov/issue/special-k-no-license-kill-accidental-ketamine-overdose-induction-general- anesthesia … https://psnet.ahrq.gov/issue/special-k-no-license-kill-accidental-ketamine-overdose-induction-general-anesthesia … https://psnet.ahrq.gov/issue/special-k-no-license-kill-accidental-ketamine-overdose-induction-general-anesthesia

272. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48146/psn-pdf
     July 17, 2019 - Quality and Safety in Anesthesia and Perioperative Care. … https://psnet.ahrq.gov/issue/quality-and-safety-anesthesia-and-perioperative-care The perioperative … https://psnet.ahrq.gov/issue/quality-and-safety-anesthesia-and-perioperative-care https://psnet.ahrq.gov … /issue/patient-safety-surgery-0 https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors

273. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853980/psn-pdf
     September 27, 2023 - RFID tags reduce restocking errors of anesthesia medications. September 27, 2023 Banks MA. … https://psnet.ahrq.gov/issue/rfid-tags-reduce-restocking-errors-anesthesia-medications Radiofrequency … This article examines the use of RFID tracking to build reliability into operating room anesthesia medication … https://psnet.ahrq.gov/issue/rfid-tags-reduce-restocking-errors-anesthesia-medications https://psnet.ahrq.gov

274. Second victim: a traumatic experience. | PSNet
     psnet.ahrq.gov/issue/second-victim-traumatic-experience
     October 06, 2016 - anesthetists (CRNAs), this article discusses second victim experiences in anesthesiology and implications for anesthesia … Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia … April 3, 2024 Peer support and second victim programs for anesthesia professionals involved … Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia … Executives and Administrators Quality and Safety Professionals Organizational Behaviorists Anesthesia

275. Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. | PSNet
     psnet.ahrq.gov/issue/implementing-human-factors-anaesthesia-guidance-clinicians-departments-and-hospitals
     February 15, 2023 - hierarchy of controls framework to organize human-factors recommendations focusing on the design of anesthesia … February 1, 2023 View More Related Resources Perspectives on anesthesia … 2022 APSF endorsed statement on revising recommendations for patient monitoring during anesthesia … May 4, 2022 The successful anesthesia patient safety officer.

276. From aviation to pediatric surgery. | PSNet
     psnet.ahrq.gov/issue/aviation-pediatric-surgery
     January 12, 2022 - This article discusses the use of checklists to systematize anesthesia and reduce risk in pediatric … October 15, 2014 View More Related Resources Perspectives on anesthesia … Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia … The Topic Operating Room Anesthesiology Pediatric Surgery Medical/Surgical Nursing Anesthesia

277. Preoperative multidisciplinary team huddle improves communication and safety for unscheduled cesarean deliveries: a system redesign using improvement science. | PSNet
     psnet.ahrq.gov/issue/preoperative-multidisciplinary-team-huddle-improves-communication-and-safety-unscheduled
     October 19, 2022 - and delivery unit implemented a bedside, multidisciplinary pre-cesarean delivery huddle involving anesthesia … November 3, 2015 View More Related Resources Perspectives on anesthesia … WebM&M Cases Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia … More See More About The Topic Labor and Delivery Anesthesiology Obstetrics Anesthesia

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46925/psn-pdf
     March 07, 2018 - Interventional procedures outside of the operating room: results from the National Anesthesia Clinical … Interventional Procedures Outside of the Operating Room: Results From the National Anesthesia Clinical … https://psnet.ahrq.gov/issue/interventional-procedures-outside-operating-room-results-national-anesthesia … - clinical This retrospective study of the National Anesthesia Clinical Outcomes Registry database … https://psnet.ahrq.gov/issue/interventional-procedures-outside-operating-room-results-national-anesthesia-clinical

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46357/psn-pdf
     May 17, 2018 - Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the … Safe Labeling Practices to Minimize Medication Errors in Anesthesia. … https://psnet.ahrq.gov/issue/safe-labeling-practices-minimize-medication-errors-anesthesia-5-case-reports … incomplete labeling can affect care and summarizes recommendations to improve labeling practices for anesthesia … https://psnet.ahrq.gov/issue/safe-labeling-practices-minimize-medication-errors-anesthesia-5-case-reports-and-review

280. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35593/psn-pdf
     January 02, 2011 - Anesthesia Patient Safety Foundation Newsletter. January 2, 2011 Greenberg S, Banayan J, eds. … Rochester, MN; Anesthesia Patient Safety Foundation. … https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-newsletter This quarterly newsletter … reports on incidents, preventative measures, and research programs focused on patient safety in anesthesia … https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-newsletter