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Showing results for "anesthesia".
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421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49853/psn-pdf
     February 01, 2019 - adverse-event-during-intrahospital-transport The Case A 4-year-old boy underwent surgery under general anesthesia

422. X-ray Flip | PSNet
     psnet.ahrq.gov/web-mm/x-ray-flip
     August 10, 2019 - that active errors in human performance are inevitable in complex systems.( 7 ) Similar to aviation, anesthesia

423. Procedural Mishap: Learning Curve? | PSNet
     psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
     April 28, 2021 - Perspective The Wild West: Patient Safety in Office-Based Anesthesia

424. Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. | PSNet
     psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
     July 02, 2011 - No problems were identified during surgery, but the patient emerged from anesthesia with left-sided paralysis

425. Insert Omission | PSNet
     psnet.ahrq.gov/web-mm/insert-omission
     May 09, 2014 - July 10, 2024 Anesthesia-related closed claims in free-standing ambulatory surgery centers

426. Building a Safety Program in a Vast Health Care Network | PSNet
     psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
     March 01, 2019 - I would initiate relationship-building with the leaders of obstetrics, neonatology, nursing, and anesthesia—because … June 13, 2012 WebM&M Cases Unexplained Apnea Under Anesthesia

427. PCA Overdose | PSNet
     psnet.ahrq.gov/web-mm/pca-overdose
     April 01, 2017 - She remained alert and oriented and, while in the post-anesthesia care unit (PACU), she began receiving

428. Think Like a Surgeon | PSNet
     psnet.ahrq.gov/web-mm/think-surgeon
     December 04, 2024 - Mishap June 1, 2010 WebM&M Cases Check the Anesthesia

429. Inpatient Transitions of Care: Challenges and Safety Practices | PSNet
     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

430. Near Miss With Neonate | PSNet
     psnet.ahrq.gov/web-mm/near-miss-neonate
     August 15, 2018 - WebM&M Cases Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia

431. Misidentifying the Unidentified – John Doe and the EHR | PSNet
     psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
     September 27, 2017 - December 19, 2018 The impact of hindsight bias on the diagnosis of perioperative events by anesthesia

432. Not a Miscarriage | PSNet
     psnet.ahrq.gov/web-mm/not-miscarriage
     June 01, 2005 - Pre-anesthesia checklists to improve patient safety.

433. A "Weak" Response | PSNet
     psnet.ahrq.gov/web-mm/weak-response
     February 24, 2011 - WebM&M Cases Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia

434. Fumbled Handoff | PSNet
     psnet.ahrq.gov/web-mm/fumbled-handoff
     September 01, 2006 - Assuming it was related to the epidural placed preoperatively, the nurse called anesthesia, and they

435. Adverse Drug Event (ADE) Surveillance and Pharmacist Counseling | PSNet
     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

436. Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital | PSNet
     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

437. Building a Safety Program Using Principles of Resilience Engineering | PSNet
     psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
     October 23, 2013 - been designed to elicit seminarrative information about adaptive practices, including workarounds, in anesthesia

438. In Conversation With... Elsabeth Kalenderian, DDS, MPH, PhD and Muhammad F. Walji, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
     December 22, 2020 - We have recently applied for a grant to look at sedation and general anesthesia related adverse events … October 7, 2020 Medication safety: reducing anesthesia medication errors and adverse

439. The Unintended Consequences of Florida Medical Liability Legislation | PSNet
     psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation
     February 01, 2003 - the Same Author(s) WebM&M Cases Unexplained Apnea Under Anesthesia

440. Situational Awareness and Patient Safety | PSNet
     psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
     May 01, 2012 - Unexpected August 25, 2021 WebM&M Cases Inadequate Anesthesia