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441. An observational study of practice during transfer of patients from anaesthetic room to operating theatre. | PSNet
     psnet.ahrq.gov/issue/observational-study-practice-during-transfer-patients-anaesthetic-room-operating-theatre
     September 27, 2016 - Dilute: Drug Errors and Consequences in the Operating Room October 27, 2021 An anesthesia … exchange, knowledge of critical information, perception of safety, and possibly perception of teamwork in anesthesia … December 23, 2012 Analysis of deaths related to anesthesia in the period 1996-2004 from … March 28, 2011 Injury and liability associated with monitored anesthesia care: a closed

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48145/psn-pdf
     July 17, 2019 - relationships-multitasking-physicians-strain-and-performance-observational-study-ward https://psnet.ahrq.gov/issue/quality-and-safety-anesthesia-and-perioperative-care … https://psnet.ahrq.gov/issue/quality-and-safety-anesthesia-and-perioperative-care

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47540/psn-pdf
     April 03, 2019 - psnet.ahrq.gov/issue/medication-handling-towards-practical-human-centred-approach Medication errors in anesthesia … medication-handling-towards-practical-human-centred-approach https://psnet.ahrq.gov/issue/patient-safety-during-sedation-anesthesia-professionals-during-routine-upper-endoscopy-and

444. In Conversation with...Lucian Leape, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
     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.

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48081/psn-pdf
     January 01, 2021 - Health Administration efforts surrounding the lessons learned process for adverse events occurring in anesthesia … sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide https://psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health-administration-and-lessons

446. 'Cyberloafing' in health care: a real risk to patient safety. | PSNet
     psnet.ahrq.gov/issue/cyberloafing-health-care-real-risk-patient-safety
     June 19, 2024 - RIS Download Citation Related Resources From the Same Author(s) Anesthesia-related … View More Related Resources Infection prevention in the operating room anesthesia … See More About The Topic Hospitals Nurses Nurse Managers Anesthesiology Anesthesia

447. Fire in the Hole!—An OR Fire | PSNet
     psnet.ahrq.gov/web-mm/fire-hole-or-fire
     August 03, 2017 - OR Fires in Malpractice Claims Using the Anesthesia Closed Claims database, we reviewed 103 closed … The percentage of OR fires increased over time, from less than 1% of all surgical anesthesia claims in … 1985–1994 to 4.4% of all surgical anesthesia claims between 2000–2009.( 7 ) This trend was especially … pronounced among claims for monitored anesthesia. … Anesthesia Patient Safety Foundation, Fire Safety Video. [Available at] 4.

448. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49848/psn-pdf
     January 01, 2019 - After induction of general anesthesia, the patient could be ventilated but her trachea could not be … and an oral tumor mass at the base of the tongue was booked for a biopsy of this mass under general anesthesia … The anesthesiologist induced general anesthesia, but laryngoscopy and intubation proved extremely difficult … Miller's Anesthesia. 8th ed. Philadelphia, PA: Saunders: 2013;1647-1683. IBSN: 9780702052835. 6. … Emergency manual implementation in a large academic anesthesia practice: strategy and improvement in

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852286/psn-pdf
     August 09, 2023 - environment, and training to guide the consideration of human factors in improvement actions during critical anesthesia … psnet.ahrq.gov/issue/patient-safety-human-factors-approach https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853077/psn-pdf
     August 30, 2023 - Adelman, MD, MS, and North American Partners in Anesthesia (NAPA). … risk-wrong-patient-orders-among-multiple-vs-singleton-births-neonatal-intensive-care-units-2 https://psnet.ahrq.gov/issue/anesthesia-risk-alert-program-proactive-safety-initiative

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73295/psn-pdf
     May 19, 2021 - issue/hospira-issues-voluntary-nationwide-recall-one-lot-05-bupivacaine- hydrochloride-injection-usp Anesthesia … hospira-issues-voluntary-nationwide-recall-one-lot-05-bupivacaine-hydrochloride-injection-usp https://psnet.ahrq.gov/issue/anesthesia-medication-handling-needs-new-vision

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50888/psn-pdf
     February 12, 2020 - associated with preventable events were communication failures, violations of the AANA Standards for Nurse Anesthesia … preventable-closed-claims-aana-foundation-closed-malpractice-claims-database https://psnet.ahrq.gov/issue/adverse-events-anesthesia-integrative-review

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852800/psn-pdf
     August 23, 2023 - psnet.ahrq.gov/issue/handling-injectable-medications-anaesthesia-guidelines-association- anaesthetists Anesthesia … recommends approaches for both clinicians and organizations to enable collaborative safety efforts in anesthesia

454. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72753/psn-pdf
     February 17, 2021 - incidence-accidental-awareness-during-general-anaesthesia-obstetrics- multicentre-prospective Accidental patient awareness during anesthesia … cohort study, including 3,115 patients, identified high rates of accidental awareness during general anesthesia

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846708/psn-pdf
     March 29, 2023 - psnet.ahrq.gov/perspective/handoffs-and-transitions https://psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among … https://psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836755/psn-pdf
     March 16, 2022 - blame or lack of education regarding the importance of identifying reportable events, and the role of Anesthesia … reporting-patient-safety-events https://psnet.ahrq.gov/issue/barriers-adverse-event-and-error-reporting-anesthesia

457. Risk factors for adverse events in emergency department procedural sedation for children. | PSNet
     psnet.ahrq.gov/issue/risk-factors-adverse-events-emergency-department-procedural-sedation-children
     January 19, 2014 - September 19, 2013 Incidence and nature of adverse events during pediatric sedation/anesthesia … April 11, 2011 The incidence and nature of adverse events during pediatric sedation/anesthesia … March 1, 2023 Increasing compliance of safe medication administration in pediatric anesthesia … June 19, 2019 Medication errors in pediatric anesthesia: a report from the Wake Up Safe

458. When do supervising physicians decide to entrust residents with unsupervised tasks? | PSNet
     psnet.ahrq.gov/issue/when-do-supervising-physicians-decide-entrust-residents-unsupervised-tasks
     October 03, 2012 - June 14, 2023 Failure to debrief after critical events in anesthesia is associated with … April 11, 2018 Simulation in obstetric anesthesia. … January 4, 2012 An objective methodology for task analysis and workload assessment in anesthesia … May 31, 2011 Management of anesthesia equipment failure: a simulation-based resident

459. Improving anesthesiologists' ability to speak up in the operating room: a randomized controlled experiment of a simulation-based intervention and a qualitative analysis of hurdles and enablers. | PSNet
     psnet.ahrq.gov/issue/improving-anesthesiologists-ability-speak-operating-room-randomized-controlled-experiment
     June 15, 2012 - November 18, 2020 An anesthesia preinduction checklist to improve information exchange … , knowledge of critical information, perception of safety, and possibly perception of teamwork in anesthesia … April 16, 2018 An embedded checklist in the Anesthesia Information Management System … June 15, 2011 Management of anesthesia equipment failure: a simulation-based resident

460. Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety. | PSNet
     psnet.ahrq.gov/issue/inter-professional-clinical-handover-post-anaesthetic-care-units-tools-improve-quality-and
     April 24, 2013 - View More Related Resources Failure to debrief after critical events in anesthesia … February 13, 2019 Assessing the impact of the anesthesia medication template on medication … errors during anesthesia: a prospective study. … February 1, 2013 Barriers to adverse event and error reporting in anesthesia.