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481. Do Not Disturb! | PSNet
     psnet.ahrq.gov/web-mm/do-not-disturb
     February 03, 2011 - requiring CPAP (continuous positive airway pressure) is placed on morphine PCA (patient-controlled anesthesia

482. Cognitive Overload in the ICU | PSNet
     psnet.ahrq.gov/web-mm/cognitive-overload-icu
     June 01, 2005 - Situation awareness in anesthesia: concept and research. Anesthesiology. 2013;118:729-742.

483. Palliative Care: Comfort vs. Harm | PSNet
     psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
     December 04, 2016 - May 18, 2022 State-of-the-art usage of simulation in anesthesia: skills and teamwork.

484. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49831/psn-pdf
     June 01, 2018 - Mohr, MD, MS Associate Professor of Emergency Medicine and Anesthesia Critical Care University of Iowa

485. Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy | PSNet
     psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
     July 01, 2008 - Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia

486. Which Line: Ordering Provider or Proceduralist? | PSNet
     psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
     September 16, 2015 - For example, anesthesia gas tubing has different connector configurations for different types of gases

487. Robotic Surgery: Risks vs. Rewards | PSNet
     psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
     October 31, 2023 - laparoscopic surgery, including the potential for infection, bleeding, and the cardiopulmonary risks of anesthesia

488. Pitfalls in Diagnosing Necrotizing Fasciitis | PSNet
     psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis
     March 24, 2021 - bullae formation (serous fluid) Skin fluctuance Skin induration Hemorrhagic bullae Skin anesthesia

489. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. | PSNet
     psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
     March 03, 2021 - August 29, 2012 View More Related Resources Perspectives on anesthesia

490. Retained Surgical Items: Causation and Prevention | PSNet
     psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
     January 04, 2024 - For example, surgeons and anesthesia care providers are required to remove any items not intended to

491. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49714/psn-pdf
     August 21, 2014 - Blister or bullae formation (serous fluid) Skin fluctuance Skin induration Hemorrhagic bullae Skin anesthesia

492. A Loss of Trust and a Missed Diagnosis | PSNet
     psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
     October 31, 2023 - These include new urinary retention, fecal incontinence, saddle anesthesia, history of intravenous drug

493. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event | PSNet
     psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
     July 01, 2017 - The patient was seen by the surgical and anesthesia teams in the preoperative holding area the morning

494. Dying in the Hospital With Advanced Dementia | PSNet
     psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
     November 01, 2016 - Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia

495. The Johns Hopkins Venous Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent Avoidable Cases of Hospital Associated VTE | PSNet
     psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
     June 19, 2024 - Patient Safety Innovations Risk Mitigation Using the Anesthesia

496. Delayed Evaluation of Abdominal Pain in an Elderly Patient. | PSNet
     psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
     February 26, 2020 - Although occasional patients become so physiologically unstable that general anesthesia cannot be administered

497. What Makes a Good Checklist | PSNet
     psnet.ahrq.gov/perspective/what-makes-good-checklist
     October 01, 2010 - Pronovost, MD, PhD, is a Professor of Anesthesia, Critical Care, and Health Policy at Johns Hopkins University

498. In Conversation With... Katie J. Suda, PharmD, MS | PSNet
     psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
     December 07, 2020 - October 7, 2020 Medication safety: reducing anesthesia medication errors and adverse

499. Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing | PSNet
     psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
     August 21, 2005 - patient non-adherence, insurance-related problems (as in this case), procedures involving spinal/epidural anesthesia

500. In Conversation with...Allan Frankel, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
     July 01, 2006 - RW: How much of your interest in safety came from being in anesthesia, the medical field that became