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psnet.ahrq.gov/issue/management-anesthesia-equipment-failure-simulation-based-resident-skill-assessment
December 20, 2017 - Study
Management of anesthesia equipment failure: a simulation-based resident skill … Management of Anesthesia Equipment Failure: A Simulation-Based Resident Skill Assessment. … Anesthesia & Analgesia. 2009;109(2). doi:10.1213/ane.0b013e3181aa3079. … Anesthesia & Analgesia. 2009;109(2). doi:10.1213/ane.0b013e3181aa3079. … April 16, 2018
Simulation in obstetric anesthesia.
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psnet.ahrq.gov/issue/accuracy-spinal-anesthesia-drug-concentrations-mixtures-prepared-anesthetists
September 21, 2022 - Study
Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists … Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. … Anesthesia medications prepared in the operating room are vulnerable to errors at all stages of medication … In this study, anesthesiologists were asked to prepare the mixture of three drugs used for spinal anesthesia … Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists.
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psnet.ahrq.gov/issue/office-based-surgery-and-patient-outcomes
October 06, 2021 - Few studies examined anesthesia use in dental care . … June 4, 2014
Office-based anesthesia: safety and outcomes. … October 7, 2013
Patient safety and office-based anesthesia. … August 4, 2014
Safety in office-based anesthesia: an updated review of the literature … May 8, 2019
Patient safety and office-based anesthesia.
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psnet.ahrq.gov/issue/outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative
December 22, 2018 - Study
Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative … Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. … The most common anesthesia-related events were medication events , respiratory complications, and cardiac … Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. … September 1, 2021
Complications associated with the anesthesia transport of pediatric
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psnet.ahrq.gov/issue/world-health-organization-world-federation-societies-anaesthesiologists-who-wfsa
November 16, 2015 - Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia … Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia … Safe anesthesia is a global concern. … : the Society for Pediatric Anesthesia Critical Events Checklists. … August 9, 2023
Infection prevention in the operating room anesthesia work area.
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psnet.ahrq.gov/issue/anesthesia-safety-model-or-myth-review-published-literature-and-analysis-current-original
July 13, 2010 - Review
Anesthesia safety: model or myth? … Anesthesia safety: model or myth? … The Committee on Quality of Health Care in America for IOM anointed the area of anesthesia as a model … Anesthesia safety: model or myth? … March 27, 2019
Trends in anesthesia-related liability and lessons learned.
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psnet.ahrq.gov/issue/analysis-deaths-related-anesthesia-period-1996-2004-closed-claims-registered-danish-patient
November 13, 2024 - Study
Analysis of deaths related to anesthesia in the period 1996-2004 from closed … Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the … The investigators reviewed claims data to identify cases in which patient mortality was related to anesthesia … Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the … November 28, 2016
An anesthesia preinduction checklist to improve information exchange
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psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence-documentation-errors
April 12, 2019 - Study
Intraoperative handoffs among anesthesia providers increase the incidence of … Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for … Investigators found that handoffs among anesthesia providers that involved a permanent transfer of patient … Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for … April 22, 2020
Survey of the national drug shortage effect on anesthesia and patient
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psnet.ahrq.gov/issue/adverse-respiratory-events-anesthesia-closed-claims-analysis
February 10, 2011 - Study
Classic
Adverse respiratory events in anesthesia: … Adverse respiratory events in anesthesia: a closed claims analysis. … Adverse respiratory events in anesthesia: a closed claims analysis. … June 23, 2009
Liability associated with obstetric anesthesia: a closed claims analysis … October 1, 2014
Preventable anesthesia mishaps: a study of human factors.
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psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-25-pioneering-success-safety-25th-anniversary-provokes
January 01, 2015 - Commentary
The Anesthesia Patient Safety Foundation at 25: a pioneering success in … The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes … This commentary highlights the Anesthesia Patient Safety Foundation's numerous patient safety improvement … The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes … June 23, 2015
The wolf is crying in the operating room: patient monitor and anesthesia
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psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health-administration-and-lessons
August 21, 2019 - Study
Anesthesia adverse events voluntarily reported in the Veterans Health Administration … Anesthesia Adverse Events Voluntarily Reported in the Veterans Health Administration and Lessons Learned … Anesthesia Adverse Events Voluntarily Reported in the Veterans Health Administration and Lessons Learned … March 1, 2011
How does patient safety culture in the operating room and post-anesthesia … January 9, 2008
WebM&M Cases
Unexplained Apnea Under Anesthesia
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psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia
Citation Text … Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.. PSNet [internet]. … Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.. PSNet [internet]. … Developing the anesthesia workforce: the impact of training nurse anesthetists. … The anesthesia workforce crisis revisited.
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psnet.ahrq.gov/issue/team-relations-and-role-perceptions-during-anesthesia-crisis-management-magnetic-resonance
December 13, 2023 - Study
Team relations and role perceptions during anesthesia crisis management in … Team relations and role perceptions during anesthesia crisis management in magnetic-resonance imaging … The use of anesthesia in non-operating room settings , such as MRI suites, presents unique patient … This mixed methods study explored role expectations and coordination among anesthesia and non-anesthesia … Team relations and role perceptions during anesthesia crisis management in magnetic-resonance imaging
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psnet.ahrq.gov/issue/duration-anesthesia-indicator-morbidity-and-mortality-office-based-facial-plastic-surgery
March 19, 2018 - Study
Duration of anesthesia as an indicator of morbidity and mortality in office-based … Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery … The investigators reviewed records of patients having greater or less than 4 hours of anesthesia in an … outpatient setting and found that length of anesthesia was not a marker for poor outcomes. … Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery
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psnet.ahrq.gov/issue/quantification-anesthesia-providers-hand-hygiene-busy-metropolitan-operating-room-what-would
September 20, 2023 - Study
Quantification of anesthesia providers' hand hygiene in a busy metropolitan … Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would … Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would … September 21, 2022
A theoretical model of flow disruptions for the anesthesia team during … September 22, 2021
Quality and Safety in Anesthesia and Perioperative Care.
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psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - Following appropriate counseling and consent procedures, the initial attempt at local skin anesthesia … Interventions to reduce medication errors in anesthesia: a systematic review. … Preventing medication errors in pediatric anesthesia: a systematic scoping review. … Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a … and Smart Anesthesia Manager.
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psnet.ahrq.gov/issue/standards-patient-monitoring-during-general-anesthesia-harvard-medical-school
February 10, 2011 - Clinical Guideline
Standards for patient monitoring during general anesthesia at … Standards for patient monitoring during anesthesia at Harvard Medical School. … To proactively devise a patient safety strategy for anesthesia, the authors of this article summarized … Standards for patient monitoring during anesthesia at Harvard Medical School. … November 13, 2024
Infection prevention in the operating room anesthesia work area.
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psnet.ahrq.gov/issue/medication-safety-reducing-anesthesia-medication-errors-and-adverse-drug-events-dentistry
June 14, 2006 - Commentary
Medication safety: reducing anesthesia medication errors and adverse drug … Citation Text:
Medication safety: reducing anesthesia medication errors and adverse drug events in … This two-part series discusses anesthesia - and sedation-related medication errors and adverse events … medication safety paradigm - the Dental Anesthesia Medication Safety Paradigm (DAMSP) - which offers … four general guidelines for reducing anesthesia medication errors and adverse drug events in dentistry
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psnet.ahrq.gov/issue/use-second-victim-experience-and-support-tool-svest-assess-impact-departmental-peer-support
December 23, 2020 - Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia … Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia … Second Victim Experience and Support Tool (SVEST) to evaluate the impact of a peer support program on anesthesia … Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia … March 13, 2024
Peer support and second victim programs for anesthesia professionals involved
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psnet.ahrq.gov/issue/reducing-automated-dispensing-cabinet-overrides-peri-anesthesia-care-unit-quality-improvement
June 07, 2023 - Study
Reducing automated dispensing cabinet overrides in the peri-anesthesia care … Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement … This article describes a children's hospital's intervention to decrease ADC overrides in the peri-anesthesia … Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement … WebM&M Cases
Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia