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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/transcript-closed-loop.doc
May 01, 2017 - Anesthesia Technician:
“Dr.
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www.ahrq.gov/news/newsroom/case-studies/cdom0501.html
October 01, 2014 - tool uses secondary diagnosis codes to detect 23 types of adverse events, such as complications of anesthesia … The selected AHRQ PSIs included in the Virginia Anthem program are as follows: Complications of anesthesia
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-a.docx
January 01, 2016 - Facility personnel include: surgeons, physicians, proceduralists, anesthesiologists, nurse anesthetists, anesthesia
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www.ahrq.gov/news/avoiding-severe-medical-errors.html
January 01, 2022 - lumpectomy did not receive the necessary injection of radiotracer dye before being placed under general anesthesia
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8_program-evaluation.pptx
July 01, 2023 - Hypertensive disorder of pregnancy Infection Thrombotic pulmonary embolism Amniotic fluid embolism Anesthesia … Hypertensive disorder of pregnancy Infection Thrombotic pulmonary embolism Amniotic fluid embolism Anesthesia … Hypertensive disorder of pregnancy Infection Thrombotic pulmonary embolism Amniotic fluid embolism Anesthesia … Hypertensive disorder of pregnancy Infection Thrombotic pulmonary embolism Amniotic fluid embolism Anesthesia … Hypertensive disorder of pregnancy Infection Thrombotic pulmonary embolism Amniotic fluid embolism Anesthesia
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8_program-evaluation.pptx
July 01, 2023 - Hypertensive disorder of pregnancy Infection Thrombotic pulmonary embolism Amniotic fluid embolism Anesthesia … Hypertensive disorder of pregnancy Infection Thrombotic pulmonary embolism Amniotic fluid embolism Anesthesia … Hypertensive disorder of pregnancy Infection Thrombotic pulmonary embolism Amniotic fluid embolism Anesthesia … Hypertensive disorder of pregnancy Infection Thrombotic pulmonary embolism Amniotic fluid embolism Anesthesia … Hypertensive disorder of pregnancy Infection Thrombotic pulmonary embolism Amniotic fluid embolism Anesthesia
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www.ahrq.gov/research/findings/studies/index.html?page=1
January 01, 2024 - This study examined the association between prenatal exposure to general anesthesia for maternal surgery … Multivariate matching was used to match each child prenatally exposed to general anesthesia owing to … Taylor MG , Toledo P Readability, content, and quality of online patient education materials on anesthesia … The authors identified 27 PEMs pertaining to pediatric anesthesia and eight to neurotoxicity. … Readability, content, and quality of online patient education materials on anesthesia and neurotoxicity
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www.ahrq.gov/research/findings/studies/index.html?page=319
January 01, 2024 - Ing C , Sun LS , Friend AF Differences in intraoperative hemodynamics between spinal and general anesthesia … The purpose of this study is to evaluate hemodynamic effects of spinal anesthesia compared to general … anesthesia in a cohort of healthy infants. … Its findings show that spinal anesthesia performed in healthy infants undergoing pyloromyotomy results … Differences in intraoperative hemodynamics between spinal and general anesthesia in infants undergoing
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/014-ss-cleaning.pptx
April 01, 2025 - infection (SSI) prevention, particularly in high turnover areas such as preoperative areas and post anesthesia … Often this responsibility lies with multiple different roles, such as seen in the following examples:
Anesthesia … : Anesthesia work area
Equipment management: Equipment entering and exiting the operating room
Environmental … the OR20
Author High-Touch Surface Sample Size Percent Reduction After UV*
Villacis et al., 2019 Anesthesia … machine 4 67 percent
Simmons et al., 2018 Anesthesia machine 147 87 percent
Green et al., 2017 Anesthesia
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www.ahrq.gov/research/findings/studies/index.html?page=137
January 01, 2024 - This retrospective cohort study evaluated the risk of general anesthesia use in cesarean delivery versus … neuraxial anesthesia on maternal mental health. … The majority of cesareans used neuraxial anesthesia and only 8% (34,356) had general anesthesia. … General anesthesia was found to be associated with a 54% increased odds of PPD, and a 91% increased odds … Exposure to general anesthesia for cesarean delivery and odds of severe postpartum depression requiring
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www.ahrq.gov/cpi/about/organization/nac/angood.html
February 01, 2025 - Angood completed his academic career as a full professor of surgery, anesthesia, and emergency medicine
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-blank-template.pptx
April 21, 2014 - insert name> - Scrub Technician
- Surgeon
- Data collector
- Anesthesia … Technician
- Pre-op/Post-Anesthesia Care Unit Nurse (PACU)
- Physician Assistant
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-obstetric-hemorrhage-scenarios.pptx
July 01, 2023 - The L&D anesthesia team presents to the room to assist. … The L&D anesthesia team is notified and presents to the room to assist. … Sonentag calls for a brief huddle with OB anesthesia and nursing.
49
Dr. … Williams to the operating room for additional intervention with anesthesia present. … I’ll notify the OR and prep for anesthesia.
Dr. Larsen, anesthesiologist
Dr.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/063-ssi-investigation-tool-cusp.docx
April 01, 2025 - Insert answer here
Primary Nurse:
Insert answer here
Scrub Technician:
Insert answer here
Anesthesia … Nurses:
Scrub Techs:
Anesthesia providers:
Others (residents, medical students, PA, etc.):
Any unusual
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-figures-1-3.pdf
June 30, 2015 - obtained
without likely benefit
to the patient
Complication of
Imaging Overuse
•Of sedation or
anesthesia
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-april2015.pptx
January 01, 2015 - Overview
Code Blue Team Composition
Medical ICU Resident and Intern
Coronary Care Unit Resident and Intern
Anesthesia … July 2014 – Department of Anesthesia commits residents to the IPE sessions. … Assertive Statement, CUS
Examples of the Problem
While waiting for norepinephrine drip to be prepared, the anesthesia … Providers cognitively segregate based on tasks (Ex – airway team only communicating with each other)
Anesthesia
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www.ahrq.gov/teamstepps/evidence-base/trauma.html
July 01, 2016 - Resuscitation, Anesthesia and Emergency Surgery (pp. 101-13). New York: Taylor & Francis.
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www.ahrq.gov/teamstepps/evidence-base/simulation.html
July 01, 2015 - Simulation-based training in anesthesia crisis resource management (ACRM): A decade of experience. … Nontechnical skills in anesthesia crisis management with repeated exposure to simulation-based education
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/45-iscr-pathway-audit-tool.xlsx
June 01, 2023 - Pre-anesthesia multimodal pain management given 0 0 ERROR:#DIV/0! … Intraoperative anesthesia or analgesia given 0 0 ERROR:#DIV/0!
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/ssi-investigation.html
December 01, 2017 - of procedure:
Primary nurse:
Scrub technician:
Anesthesia … Surgeons:
Nurses:
Scrub technicians:
Anesthesia providers:
Other:
Any unusual