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461. Reporting of perioperative adverse events by pediatric anesthesiologists at a tertiary children's hospital: targeted interventions to increase the rate of reporting. | PSNet
     psnet.ahrq.gov/issue/reporting-perioperative-adverse-events-pediatric-anesthesiologists-tertiary-childrens
     April 24, 2018 - June 21, 2015 View More Related Resources Perspectives on anesthesia … Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia … September 1, 2021 Complications associated with the anesthesia transport of pediatric … July 31, 2019 Frequency of medication error in pediatric anesthesia: a systematic review

462. Error traps in acute pain management in children. | PSNet
     psnet.ahrq.gov/issue/error-traps-acute-pain-management-children
     August 24, 2022 - Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia … June 14, 2023 Preventing medication errors in pediatric anesthesia: a systematic scoping … September 1, 2021 Frequency of medication error in pediatric anesthesia: a systematic

463. Decision-making and safety in anesthesiology. | PSNet
     psnet.ahrq.gov/issue/decision-making-and-safety-anesthesiology
     December 02, 2020 - July 21, 2010 The evolution of the Anesthesia Patient Safety Movement in America: lessons … April 27, 2022 WebM&M Cases Local Anesthesia-Induced … November 20, 2015 Quality and safety in pediatric anesthesia: how can guidelines, checklists

464. Checking anaesthetic equipment 2012: Association of Anaesthetists of Great Britain and Ireland. | PSNet
     psnet.ahrq.gov/issue/checking-anaesthetic-equipment-2012-association-anaesthetists-great-britain-and-ireland
     August 04, 2021 - March 1, 2023 Persisting high rates of omissions during anesthesia induction are decreased … Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia … July 16, 2018 2008 Recommendations for Pre-Anesthesia Checkout Procedures. 

465. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49512/psn-pdf
     May 01, 2006 - A prompt examination of both of the patient's ankles under anesthesia did not demonstrate any clinical … The spinal anesthesia was reversed, and the patient was returned to her room and fortunately did not … The final set of errors occurred prior to the patient receiving spinal anesthesia. … This patient was subjected to spinal anesthesia for no reason. … Complications of spinal and epidural anesthesia. Anesthesiol Clin North America. 2000;18:461-485.

466. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836862/psn-pdf
     April 06, 2022 - what-are-we-missing-quality-intraoperative-handover-and-after-introduction- checklist Intraoperative anesthesia … psnet.ahrq.gov/primer/handoffs-and-signouts https://psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among

467. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837805/psn-pdf
     August 10, 2022 - events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia … events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72482/psn-pdf
     November 18, 2020 - for use of the practice in real time, rather than developed in simulated circumstances, to improve anesthesia … primer/debriefing-clinical-learning https://psnet.ahrq.gov/issue/failure-debrief-after-critical-events-anesthesia-associated-failures-communication-during

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60857/psn-pdf
     August 26, 2020 - wedge excision of the germinal layer of the nail edges on the medial and lateral sides under local anesthesia … Dosage of local anesthesia in wide awake hand surgery. J Hand Surg. 2013 Oct;38(10):2025–8.   … Minimally invasive anesthesia in wide awake hand surgery. Hand Clin. 2014 Feb;30(1):1–6.   22. … Epinephrine in local anesthesia in finger and hand surgery: the case for wide- awake anesthesia. … Digital anesthesia with epinephrine: an old myth revisited.

470. Secured But Not Always Safe | PSNet
     psnet.ahrq.gov/web-mm/secured-not-always-safe
     October 01, 2015 - 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

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49731/psn-pdf
     April 01, 2015 - 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. … If heavy sedation with supplemental oxygen is required, the ASA advisory recommends general anesthesia … Anesthesia Patient Safety Foundation, Fire Safety Video. [Available at] 4.

472. Center for Patient Safety. | PSNet
     psnet.ahrq.gov/issue/center-patient-safety
     May 01, 2016 - September 20, 2023 Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement … January 21, 2021 Anesthesia Awareness Registry. … March 17, 2011 WebAIRS Anesthesia Incident Reporting System.

473. Perioperative Safety Culture: Principles, Practices, and Pragmatic Approaches. | PSNet
     psnet.ahrq.gov/issue/perioperative-safety-culture-principles-practices-and-pragmatic-approaches
     January 23, 2013 - January 23, 2013 Quality of Anesthesia Care.  … December 15, 2021 Safety and Quality in Perioperative Anesthesia Care. … April 7, 2021 Quality of Anesthesia Care. 

474. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33892/psn-pdf
     May 03, 2016 - This technique, used in anesthesia to understand failures (see also Cooper et al. 1978 and Flanagan … psnet.ahrq.gov/issue/critical-incident-technique-bibliography-2001 https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors

475. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.311_slideshow.ppt
     December 01, 2013 - Thrombolysis. 2013;36:212-222. http://www.ncbi.nlm.nih.gov/pubmed/23532364 14 TSOACs and Neuraxial Anesthesia … Patients undergoing neuraxial anesthesia (such as the epidural catheter in this case) are at risk for … (2) Recent guidelines from the American Society of Regional Anesthesia and Pain Medicine recommend that … Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society … of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Third Edition).

476. Key vulnerabilities in the surgical environment: container mix-ups and syringe swaps. | PSNet
     psnet.ahrq.gov/issue/key-vulnerabilities-surgical-environment-container-mix-ups-and-syringe-swaps
     June 10, 2018 - November 29, 2017 View More Related Resources Anesthesia Patient … Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia … May 3, 2006 WebM&M Cases Unexplained Apnea Under Anesthesia

477. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46442/psn-pdf
     October 04, 2017 - This special issue focuses on transfers involving anesthesia care. … psnet.ahrq.gov/issue/inadequate-hand-communication https://psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence-documentation-errors

478. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34754/psn-pdf
     February 06, 2018 - He and Morell are well suited to be at the helm of the first anesthesia textbook on patient safety.

479. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35116/psn-pdf
     April 06, 2011 - crises-clinical-care-approach-management This commentary discusses the many facets of crisis management in anesthesia … This commentary is accompanied by a manual of 24 specific sub-algorithms in anesthesia crisis management

480. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38904/psn-pdf
     September 02, 2009 - litigation-related-inadequate-anaesthesia-analysis-claims-against-nhs-england- 1995-2007 Anesthetic awareness, awakening during anesthesia … , and inadequate regional anesthesia were implicated in nearly 20% of malpractice claims filed against