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121. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
     January 01, 2014 - Arrives at 4 p.m., at which point anesthesia not available for elective case Twice the dose of fentanyl … Anesthesia was scheduled to be present for this procedure, but due to other emergencies and the GI physician … being late for this scheduled procedure, anesthesia was no longer available when the physician arrived … Better policies around anesthesia coverage. … The University of Illinois at Chicago adopted improved policies regarding anesthesia coverage for cases

122. TeamSTEPPS Research/Evidence Base: Simulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/evidence-base/simulation.html
     July 01, 2023 - 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

123. Surgical Safety: Addressing the JCAHO Goals for Reducing Wrong-site, Wrong-patient, Wrong-procedure Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ludwick.pdf
     June 21, 2004 - RN Anesthesia Provider Surgeon Verify patient using 2 Identifiers. … RN and Anesthesia Provider will verify. … RN Anesthesia Provider Surgeon Confirm patient identity, consent, operative procedure, and laterality … implants, special equipment or other special requirements is verbally confirmed by the Surgeon, Anesthesia … Signatures: Date: Surgeon: _____________________________________________________________________ Anesthesia

124. Ratio of Magnetic Resonance Imaging Scans to Computed Tomography Scans for the Evaluation of Children with Atraumatic Seizure: Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-fullreport.pdf
     November 01, 2019 - Use of MRI is limited by availability of scanners and the frequent need for sedation or anesthesia to … Children are also at risk for complications from sedation or anesthesia, which are often required for … Sedation and general anesthesia in children undergoing MRI and CT: Adverse events and outcomes. … Society for Pediatric Anesthesia (SPA). … Frequently asked questions: What are the risks of anesthesia? Richmond, VA: SPA; 2014.

125. Ratio of Magnetic Resonance Imaging Scans to Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-fullreport.pdf
     January 01, 2020 - Children are also at risk for complications from sedation or anesthesia, which are often required for … Sedation and Anesthesia-Related Burden and Risk Some children will require sedation to ensure minimal … The most severe risks, though rare, include brain damage and death (Society for Pediatric Anesthesia … Sedation and general anesthesia in children undergoing MRI and CT: Adverse events and outcomes. … Society for Pediatric Anesthesia. Frequently asked questions: What are the risks of anesthesia?

126. Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blike.pdf
     January 01, 2003 - Three physicians who practice pediatric anesthesia, pediatric intensive care, and pediatric cardiac … anesthesia participated in a structured interview to define the onset and cessation of hypoxia, and … Video review by pediatric anesthesia experts identified care management problems and the contributory … Unplanned incidents during comprehensive anesthesia simulation. … Anesthesia & Analgesia 1990 Jul;71(1):77–82. 24. Cooper JB, Newbower RS, Long CD, et al.

127. Improving-Facnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
     May 01, 2017 - The anesthesia professional shares the anesthetic plan and airway and other concerns, allowing adequate … It is at this point that the nurse and anesthesia professional discuss necessary information with the … Similar sharing is encouraged from the anesthesia professional, the circulating nurse, and the scrub … The team should include at least one— · Administrator · Surgeon/physician · Anesthesia professional … Make sure that your implementation team also includes an anesthesia professional.

128. Transcript: How To Empower Staff To Speak Up To Stop a Central Line Insertion if They See a Breach in Aseptic Technique, Including How To Obtain Buy-In From Physicians (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empower-staff-transcript.pdf
     April 01, 2022 - Assistant Clinical Professor Associate Program Director, Anesthesia Critical Care Fellowship Program … Departments of Anesthesia and Critical Care Medicine University of California, San Francisco San … I'm Kate Schmidgall and I'm joined here by Anne Donovan, assistant clinical professor of anesthesia

129. Final Progress Report: IMPACTS: Improving Medical Performance during Acute Crises Through Simulation (pdf file)
     www.ahrq.gov/sites/default/files/2025-07/weinger3-report.pdf
     January 01, 2025 - Sixty board-certified anesthesiologists (BCAs) and 42 anesthesia residents managed four standardized … Participants were clinically active (≥50%) in any anesthesia subspecialty except chronic pain. … Junior anesthesia residents needed to have more than 6 months (but <1.5 years) of clinical anesthesia … B.: “Navigating the nexus of innovation and design: AI's impact on anesthesia clinical decision-making … Society for Technology in Anesthesia (STA) Annual Meeting.

130. NICU Family Information Packet, Appendix B, Apnea Of Prematurity (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-apnea.pdf
     June 02, 2025 - infants beyond the immediate neonatal period can experience apnea following ketamine sedation or general anesthesia

131. Dear [NURSES NAMES]-- (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap9.doc
     June 02, 2025 - Was this line manipulated or used by any other staff besides the unit’s physicians or nurses (e.g., anesthesia

132. Dear [NURSES NAMES]-- (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap8.doc
     June 02, 2025 - Was this line manipulated or used by any other staff besides the unit’s physicians or nurses (e.g., anesthesia

133. Learn From Defects Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
     December 01, 2017 - At a minimum, this should include the surgeon, anesthesia provider, nurse, administrator, and other specialized … A lot of our anesthesia providers wanted to trial the bladder temperature probes that the cardiac surgery … ” – Surgical safety team Anesthesia Champion AHRQ Safety Program for Surgery Learn … At a minimum, this should include the surgeon, anesthesia provider, nurse, administrator, and other … At a minimum, this should include the surgeon, anesthesia provider, nurse, administrator, and other

134. Debrief Example - Implementation Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k.html
     May 01, 2017 - Technician   –  -  Surgeon   –  -  Data collector   –  -  Anesthesia … Technician   –  -  Pre-op/Post-Anesthesia Care Unit Nurse (PACU)   –  

135. Module 1: PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/overview.pptx
     May 01, 2017 - Ambulatory Anesthesia. 2014;2014(1):3-10. DOI: https://dx.doi.org/10.2147/AA.S53280. Aston G. … Ambulatory Anesthesia. 2014;2014(1):3-10. DOI: https://dx.doi.org/10.2147/AA.S53280. Aston G.

136. Final Progress report: Creating High Reliability Organizations (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/small-report.pdf
     January 01, 2024 - General vs. regional anesthesia not an arbitrary decision: how should health workers handle fear … Related Institutions Orlando, Florida Medical Simulation University of Chicago Department of Anesthesia … Challenges for Clinicians in the New Millenium Department of Anesthesia and Critical Care 6th Annual … Immersive Systems Simulations for Patient Safety and Medical Disaster Management, World Congress of Anesthesia … to perform small systems or microsystems simulations, such as those in emergency rooms and post-anesthesia

137. Leadership To Improve Diagnosis: A Call to Action | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership.html
     July 01, 2021 - Associate Professor, Anesthesia and Critical Care Medicine Johns Hopkins School of Medicine Armstrong

138. High-Risk Deliveries at Facilities With 24/7 In-House Physician Capable of Safely Managing Labor and Delivery and Performing a Cesarean Section, Including an Emergent Cesarean Section (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0120-fullreport.pdf
     May 01, 2018 - Professional societies in pediatrics, anesthesia, and obstetrics provide guidance about the need for … Although 24-hour in-house anesthesia coverage has not been evaluated in a randomized trial, evidence … Presence of a 24-hour obstetrical anesthesiologist capable of managing routine and emergent anesthesia … Obstetric anesthesia workforce survey: Twenty- year update. Anesthesiology 2005; 103(3):645-53. … ACOG committee opinion No. 433: Optimal goals for anesthesia care in obstetrics.

139. Appendix D, Table D2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpraapd2.html
     April 01, 2018 - This causes risk to patient because they are under anesthesia longer than they're supposed to be if equipment … Anesthesia provider not scrubbed but at head of patient so in gown. … Brought out of anesthesia Yes. Yes. Yes. Yes. … OR cleaned between cases Cleaning staff come in and change the anesthesia circuit and wipe all … They clean the bed and floor and anesthesia equipment, anything specific to patient and instruments. 

140. Appendix D, Table D3 | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpraapd3.html
     April 01, 2018 - PACU facility 9 bays separated by curtains. 3 reclining chairs for local anesthesia patients.  … If bleeding not stopping will call anesthesia, they will then give instructions on what to do. … will have written instructions about what to do before discharge but the final decision comes from anesthesia