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Showing results for "anesthesia".
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361. Hospital safety climate and safety outcomes: is there a relationship in the VA? | PSNet
     psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-outcomes-there-relationship-va
     October 14, 2009 - June 16, 2011 How does patient safety culture in the operating room and post-anesthesia

362. Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-and-actions-prevention-medical-errors-quality-improvement-and-resident
     October 19, 2016 - October 21, 2015 Developing surgical and anesthesia resident patient safety competencies

363. Health professionals' experiences of whistleblowing in maternal and newborn healthcare settings: a scoping review and thematic analysis. | PSNet
     psnet.ahrq.gov/issue/health-professionals-experiences-whistleblowing-maternal-and-newborn-healthcare-settings
     November 02, 2010 - June 17, 2009 Team relations and role perceptions during anesthesia crisis management

364. An assessment of the impact of just culture on quality and safety in US hospitals. | PSNet
     psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals
     April 13, 2017 - August 28, 2024 Anesthesia-related closed claims in free-standing ambulatory surgery

365. From box ticking to the black box: the evolution of operating room safety. | PSNet
     psnet.ahrq.gov/issue/box-ticking-black-box-evolution-operating-room-safety
     October 29, 2017 - March 29, 2023 The Anesthesia Patient Safety Foundation Stoelting Conference 2019

366. Exploring care left undone in pediatric nursing. | PSNet
     psnet.ahrq.gov/issue/exploring-care-left-undone-pediatric-nursing
     October 25, 2017 - January 26, 2022 Preventing medication errors in pediatric anesthesia: a systematic scoping

367. Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review. | PSNet
     psnet.ahrq.gov/issue/facilitators-and-barriers-implementation-surgical-safety-checklist-ssc-integrative-review
     September 07, 2016 - Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Perspectives on anesthesia

368. Wrong-side thoracentesis: lessons learned from root cause analysis. | PSNet
     psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
     July 16, 2015 - October 24, 2018 Anesthesia adverse events voluntarily reported in the Veterans Health

369. WebM&M: Case Studies | PSNet
     psnet.ahrq.gov/webmm-case-studies
     March 25, 2025 - Urology (3) Vascular Surgery (5) Nurse Care (109) Anesthesia … The commentary discusses several approaches to improving patient safety during anesthesia administration … devices were placed on both calves to prevent venous thrombosis (DVT), but on awakening from general anesthesia

370. Safety I, Safety II, and the New Views of Safety | PSNet
     psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
     October 02, 2024 - is notable because some of the greatest successes in patient safety resulted from pioneering work in anesthesia … beginning in the 1980s, with the creation of the Anesthesia Patient Safety Foundation in 1985. … medical literature. 10 Despite Leape’s introduction and the success of multidisciplinary efforts in anesthesia

371. Patient and public involvement in healthcare: a systematic mapping review of systematic reviews - identification of current research and possible directions for future research. | PSNet
     psnet.ahrq.gov/issue/patient-and-public-involvement-healthcare-systematic-mapping-review-systematic-reviews
     August 24, 2016 - January 15, 2025 Adverse Events in Anesthesia: An Integrative Review.

372. Coping and recovery in surgical residents after adverse events: the second victim phenomenon. | PSNet
     psnet.ahrq.gov/issue/coping-and-recovery-surgical-residents-after-adverse-events-second-victim-phenomenon
     July 11, 2012 - events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia

373. Incidence of adverse drug events and potential adverse drug events: implications for prevention. | PSNet
     psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-potential-adverse-drug-events-implications-prevention
     February 10, 2011 - May 27, 2011 Incidence and nature of adverse events during pediatric sedation/anesthesia

374. Human factor in cardiac surgery: errors and near misses in a high technology medical domain. | PSNet
     psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain
     June 09, 2010 - May 4, 2022 A theoretical model of flow disruptions for the anesthesia team during cardiovascular

375. Incorporation of quality and safety principles in maintenance of certification: a qualitative analysis of American Board of Medical Specialties member boards. | PSNet
     psnet.ahrq.gov/issue/incorporation-quality-and-safety-principles-maintenance-certification-qualitative-analysis
     July 18, 2018 - November 13, 2024 The Anesthesia Patient Safety Foundation Stoelting Conference 2019:

376. The effect of multidisciplinary care teams on intensive care unit mortality. | PSNet
     psnet.ahrq.gov/issue/effect-multidisciplinary-care-teams-intensive-care-unit-mortality
     January 17, 2018 - July 10, 2019 Failure to debrief after critical events in anesthesia is associated with

377. Incident reporting system does not detect adverse drug events: a problem for quality improvement. | PSNet
     psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement
     February 10, 2011 - June 13, 2011 Standards for patient monitoring during general anesthesia at Harvard Medical

378. TRIAD IX: can a patient testimonial safely help ensure prehospital appropriate critical versus end-of-life care? | PSNet
     psnet.ahrq.gov/issue/triad-ix-can-patient-testimonial-safely-help-ensure-prehospital-appropriate-critical-versus
     April 03, 2017 - January 12, 2022 A theoretical model of flow disruptions for the anesthesia team during

379. Impact of automated alerts on discharge opioid overprescribing after general surgery. | PSNet
     psnet.ahrq.gov/issue/impact-automated-alerts-discharge-opioid-overprescribing-after-general-surgery
     September 29, 2017 - Resources Patient Safety Innovations Risk Mitigation Using the Anesthesia

380. Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. | PSNet
     psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys
     January 17, 2012 - October 21, 2015 Developing surgical and anesthesia resident patient safety competencies