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psnet.ahrq.gov/primer/root-cause-analysis
March 30, 2022 - Work environment An anesthesia care provider, who had only slept 3 of the previous 32 hours on-call
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psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
January 01, 2015 - There had been a longstanding history of using regional anesthesia to block the pain signals as they … Care must be taken, however, to use only the minimum effective amount of anesthesia in order to avoid … the emergency department, get admitted to the floor, and then get worked up by medicine, surgery, and anesthesia
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psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - There had been a longstanding history of using regional anesthesia to block the pain signals as they … Care must be taken, however, to use only the minimum effective amount of anesthesia in order to avoid … the emergency department, get admitted to the floor, and then get worked up by medicine, surgery, and anesthesia
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psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
August 14, 2024 - The patient recovered in the Post-Anesthesia Care Unit (PACU) overnight, was evaluated by physical therapy … Surgical and anesthesia teams should work together to ensure a plan for airway access, as hematoma evacuation
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psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
November 25, 2020 - Liberal use of local or regional anesthesia facilitates adequate exploration. … believed to cause digital ischemia, its use is now considered safe and highly effective at prolonging anesthesia
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psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
June 01, 2014 - like the 1975 Congressional hearings on unnecessary surgery and ABC's 1982 "The Deep Sleep" special on anesthesia … National Patient Safety Foundation (NPSF), an attempt to duplicate for mainstream medicine the success the Anesthesia … Anesthesia Patient Safety Foundation Newsletter. Spring 2007;22. [Available at]
5.
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psnet.ahrq.gov/primer/reporting-patient-safety-events
March 30, 2022 - such as the Intensive Care Unit Safety Reporting System and systems for reporting surgical and anesthesia-related
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psnet.ahrq.gov/web-mm/no-blood-please
January 14, 2011 - Many providers, such as emergency department, laboratory medicine, and anesthesia staff, will likely
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psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety
September 15, 2024 - Related WebM&M
Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia
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psnet.ahrq.gov/topics-0
March 03, 2025 - Surgery Go to this topic
Nurse Care Go to this topic
Anesthesia
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psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
December 15, 2024 - June 19, 2024
Anesthesia Patient Safety Podcast.
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psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
November 25, 2020 - patients who have difficulty perceiving pain in the injured extremity (e.g., after regional or spinal anesthesia … Paresthesias are an early sign of CS that can progress to hypesthesia and anesthesia if perfusion is
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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/perspective/evolution-patient-safety-surgery
August 01, 2017 - And, of course, some of the gains in surgical outcomes can be traced to major improvements in anesthesia … Perspective
The Wild West: Patient Safety in Office-Based Anesthesia
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psnet.ahrq.gov/primers-0
March 15, 2025 - (6)
Radiology
(2)
Surgery
(5)
Nurse Care
(20)
Anesthesia
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psnet.ahrq.gov/node/33715/psn-pdf
July 01, 2011 - Adverse respiratory events in anesthesia: a closed claims
analysis.
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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/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/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/web-mm/infection-after-carpal-tunnel-surgery
May 28, 2014 - carpal tunnel surgery including open and endoscopic techniques using general, regional block or local anesthesia … the infection rate of carpal tunnel syndrome and trigger finger release performed under wide-awake anesthesia