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421. Fatal errors in nitrous oxide delivery. | PSNet
     psnet.ahrq.gov/issue/fatal-errors-nitrous-oxide-delivery
     March 02, 2011 - assessed published evidence along with media reports to analyze incidents of nitrous oxide–related anesthesia … March 27, 2019 Trends in anesthesia-related liability and lessons learned. … January 7, 2011 Injury and liability associated with monitored anesthesia care: a closed

422. Sedation and patient safety. | PSNet
     psnet.ahrq.gov/issue/sedation-and-patient-safety
     August 28, 2024 - Respiratory Depression May 27, 2020 Infection prevention in the operating room anesthesia … April 26, 2017 2008 Recommendations for Pre-Anesthesia Checkout Procedures.  … View More See More About The Topic Physicians Nurses Anesthesiology Anesthesia

423. Too Many Cooks in the Kitchen | PSNet
     psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
     March 07, 2018 - The operation, performed with general anesthesia, was prolonged due to unsuccessful epidural catheter … The patient was hypertensive during his 90-minute stay in the Post-Anesthesia Care Unit (PACU).  … Other options besides simply defaulting to general anesthesia include intrathecal or regional anesthetic … Anesthesia Patient Safety Foundation Newsletter. 2019;33(3).  … Design of a Novel Multifunction Decision Support Display for Anesthesia Care: AlertWatch® OR. 

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49462/psn-pdf
     October 01, 2004 - Anesthesia equipment. St. Louis, Mo: Mosby; 1993. 2. Dorsch J, Dorsch S. … Understanding anesthesia equipment. 4th ed. … The anesthesia machine. New York, NY: Churchill Livingstone Inc.; 1987. 7. … Eisenkraft J: The anesthesia machine. In: Ehrenwerth J, Eisenkraft J, eds. Anesthesia equipment. … Anesthesia. 5th ed. New York, NY: Churchill Livingstone; 2000:174-206. 9. Leveson N.

425. Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. | PSNet
     psnet.ahrq.gov/issue/medication-errors-anesthesiology-it-time-train-example-vignettes-can-assess-error-awareness
     May 26, 2021 - Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia … The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia … August 11, 2021 Safety and Quality in Perioperative Anesthesia Care. … May 9, 2012 Cardiac arrest during anesthesia.

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866964/psn-pdf
     October 16, 2024 - prevention-perioperative-medication-errors https://psnet.ahrq.gov/issue/frequency-medication-error-pediatric-anesthesia-systematic-review-and-meta-analytic-estimate … https://psnet.ahrq.gov/issue/medication-errors-pediatric-anesthesia-report-wake-safe-quality-improvement-initiative

427. Is that solution for IV or irrigation?: Fluid administration errors in the operating room. | PSNet
     psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-errors-operating-room
     January 29, 2021 - To the anesthesia provider, the irrigation bag looked just like all the other intravenous fluid bags … There was also no communication between the scrub staff and the anesthesia team about the presence of … The scrub staff assumed that it would be obvious to the anesthesia staff that the bag they were hanging … This assumption by the scrub staff was wrong and resulted from a lack of knowledge of how frequently anesthesia … Anesthesia for renal transplant surgery: an update. Eur J Anaesthesiol 2012;29(12):552-58.

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39225/psn-pdf
     June 16, 2019 - reports on an error involving products with similar names (quinine and quinidine) and discusses the Anesthesia … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-41 https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43627/psn-pdf
     November 12, 2014 - every public hospital in the United Kingdom and Ireland regarding accidental patient awareness during anesthesia … accidental-awareness-during-general-anaesthesia-patient https://psnet.ahrq.gov/issue/preventing-and-managing-impact-anesthesia-awareness … https://psnet.ahrq.gov/issue/preventing-and-managing-impact-anesthesia-awareness https://psnet.ahrq.gov

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36346/psn-pdf
     April 11, 2011 - Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the … Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the … potential for harm (near misses), such as unanticipated need for bag-mask ventilation or reversal of anesthesia

431. Preprinted order sets as a safety intervention in pediatric sedation. | PSNet
     psnet.ahrq.gov/issue/preprinted-order-sets-safety-intervention-pediatric-sedation
     April 16, 2010 - July 2, 2014 View More Related Resources Perspectives on anesthesia … November 24, 2021 Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement … September 27, 2016 Shortage of perioperative drugs: implications for anesthesia practice … June 20, 2011 Human factors in pediatric anesthesia incidents.

432. Concepts for the development of a customizable checklist for use by patients. | PSNet
     psnet.ahrq.gov/issue/concepts-development-customizable-checklist-use-patients
     June 04, 2014 - June 4, 2014 Office-based anesthesia: safety and outcomes. … March 27, 2019 Leading causes of anesthesia-related liability claims in ambulatory surgery … October 6, 2021 Administrative issues to ensure safe anesthesia care in the office-based … October 7, 2013 Patient safety and office-based anesthesia.

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844756/psn-pdf
     September 18, 2019 - psnet.ahrq.gov/issue/emerging-concepts-patient-safety This publication presents patient safety concepts for anesthesia … practice, including decision aids to educate and empower patients about anesthesia choice, environmental

434. Haste Makes Care Unsafe | PSNet
     psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
     January 07, 2015 - A pulmonary artery (PA) catheter was placed after induction of anesthesia in order to closely monitor … The surgeon was the only cardiac surgeon available that day, and there was also only one cardiac anesthesia … An anesthesia resident accompanied the first patient to the ICU. … Further check by him and the anesthesia resident revealed that the PA catheter balloon was still inflated … The anesthesia resident realized that she had not discussed the PA catheter explicitly (including its

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866437/psn-pdf
     August 07, 2024 - This article describes Wake Up Safe in the United States and similar pediatric anesthesia PSOs implemented … patient-safety-organization-pso-program https://psnet.ahrq.gov/issue/wake-safe https://psnet.ahrq.gov/issue/outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative

436. DNR in the OR and Afterwards | PSNet
     psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
     July 01, 2003 - After the patient has recovered from anesthesia, the clinical conditions that justify “suspending” the … Take-Home Points When a patient with a DNR order undergoes anesthesia or conscious sedation, the … Cardiac arrest during anesthesia. A computer-aided study in 250,543 anaesthetics. … Ethical Guidelines for the Anesthesia Care of Patients with Do-Not-Resuscitate Orders. … Table Suggestions for discussing DNR orders for surgery • “Giving anesthesia can be very similar

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49524/psn-pdf
     November 01, 2006 - She received spinal anesthesia, and the airway was maintained with the use of a laryngeal mask airway … This unusual case of mediastinitis, which temporally followed the use of laryngeal mask airway (LMA) anesthesia … this way, it may provide additional safety over the positive pressure ventilation used in "general anesthesia … During standard preoperative consenting, the anesthesia team discusses the general approach to anesthesia … Such events should reinforce the importance of a comprehensive and vigilant approach to anesthesia care

438. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60169/psn-pdf
     March 25, 2020 - to a 1L bag of normal saline therefore does not immediately trigger an alert in the mind of these anesthesia … To the anesthesia provider, the irrigation bag looked just like all the other intravenous fluid bags … There was also no communication between the scrub staff and the anesthesia team about the presence of … The scrub staff assumed that it would be obvious to the anesthesia staff that the bag they were hanging … Anesthesia for renal transplant surgery: an update. Eur J Anaesthesiol 2012;29(12):552-58. 9.

439. Getting Into Patient Safety: A Personal Story | PSNet
     psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
     August 01, 2006 - When I landed in the Anesthesia Bioengineering Unit at the Massachusetts General Hospital in 1972, I … My lecture was entitled, "The Anesthesia Machine: An Accident Waiting to Happen." … Jeep was Chairman of the Anesthesia Department at what was then the Deaconess Hospital and, in 1983, … Preventable anesthesia mishaps: a study of human factors. Anesthesiology. 1978;49:399-406. … Critical incidents associated with intraoperative exchanges of anesthesia personnel.

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47826/psn-pdf
     March 27, 2019 - ambulatory surgery outcomes and identified risk factors such as case complexity, patient comorbidities, and anesthesia … Few studies examined anesthesia use in dental care .