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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Hundt.pdf
January 01, 2003 - drug complications in outpatients3–5 and admissions after outpatient
surgery.6 A study of outcomes of anesthesia … anesthesiologists, what outcomes are more common and/or should
ideally be avoided.7 Similarly a review of the anesthesia … literature has produced a
summary of both the methods used to collect outcomes of anesthesia and the … incidence of various symptoms.8 These authors conclude that efforts must be
made to improve anesthesia … Which
clinical anesthesia outcomes are both common and
important to avoid?
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www.ahrq.gov/sites/default/files/2024-01/scott-report.pdf
January 01, 2024 - Use individual and team training curricula for surgery, gynecology, and anesthesia residents as a
model … Disseminate the results of this study to organized surgical, gynecologic, anesthesia, nursing, and other … outpatient setting, as driven by evolutions in minimally invasive surgical techniques,
improvements in anesthesia … the figures
below show this brand-new environment fully equipped with state-of-the-art operative,
anesthesia
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www.ahrq.gov/news/newsletters/e-newsletter/index.html
August 05, 2025 - Hospital Week Spotlight on Patient Safety Tools
May 6, 2025
Kaiser Permanente School of Anesthesia
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-section-1-tables-1-2.pdf
June 02, 2025 - ventilation
for an acute process not related to underlying neuromuscular disease or the
receipt of general anesthesia
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-tables-1-2.pdf
June 02, 2025 - ventilation for an acute process not related to underlying neuromuscular
disease or the receipt of general anesthesia
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-section-1-tables-1-2.pdf
June 02, 2025 - ventilation for an acute
process not related to underlying neuromuscular disease or the receipt of general
anesthesia
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www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-lit-review.html
January 01, 2017 - (Coppola, 2014) 22
Reviewed current literature on lung-protective ventilation during general anesthesia … Settings were applied immediately after anesthesia induction and continued throughout surgery and subsequent … After induction of anesthesia and 5 hours later, BAL fluid and blood samples were obtained, and markers … Protective lung ventilation during general anesthesia: is there any evidence? … Concluded that strategy should be used for patients who will have prolonged anesthesia, in high-risk
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-litreview.docx
January 01, 2017 - Review
(Coppola, 2014)22
Reviewed current literature on lung-protective ventilation during general anesthesia … Settings were applied immediately after anesthesia induction and continued throughout surgery and subsequent … After induction of anesthesia and 5 hours later, BAL fluid and blood samples were obtained, and markers … Protective lung ventilation during general anesthesia: is there any evidence? … Concluded that strategy should be used for patients who will have prolonged anesthesia, in high-risk
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www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
August 01, 2022 - Anesthesia was scheduled to be present for this procedure, but due to other emergencies, the GI physician … When he arrived, anesthesia was no longer available. … The University of Illinois at Chicago adopted improved policies regarding anesthesia coverage for cases
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www.ahrq.gov/sites/default/files/2024-11/kupka-report.pdf
January 01, 2024 - conduct over 12 million procedures annually, performing a wide variety of surgical
procedures involving anesthesia … providing a wide variety of surgical procedures
ranging from minimally invasive to complex and involving anesthesia … The studies that do exist have focused on anesthesia administration or lipoplasty, 4 primarily in
hospital-based … Preoperative assessments, to confirm that the patient is a good
candidate for the intended surgery and anesthesia … Administer general anesthesia onsite, again helping standardize examples of the process being
analyzed
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www.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
July 01, 2025 - Surgery/Anesthesia. Venous Thromboembolism. Other.
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www.ahrq.gov/news/blog/ahrqviews/maternal-health-indicators.html
October 01, 2024 - complications of labor or delivery, such as renal failure, eclampsia, heart failure, problems with anesthesia
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
March 27, 2008 - including: orthopedic
surgery, neurosurgery, ophthalmologic surgery, ob/gyn surgery, general surgery, anesthesia … Exclusions • Occurrence with the administration of
anesthesia only (Code as 912). … 15 7
Total 202 100
NICU = neonatal intensive care unit; ICU = intensive care unit; PACU = post-anesthesia … ”
• All members of the team (surgical, anesthesia, nursing) must
focus on the “time out.”
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle.pptx
December 01, 2017 - Accurate temperature probes
Point of care glucose monitoring
Under-body warmers
Sanitizing wipes near anesthesia … Interventions
Increased amount of gentamicin available in room
Added dose calculator in anesthesia record … Educated surgery, anesthesia, and nursing staff
Intervention
‹#›
Building Your SSI … Standardize selections based on your hospital procedures
Engage surgery, nursing, and anesthesia areas … Do patients get checked beforehand when they go to a pre-anesthesia clinic?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-cath-use-070814.pptx
January 01, 2015 - contiguous structures of genitourinary tract,
anticipated prolonged surgery duration (removed in post-anesthesia … Routinely for patients receiving epidural anesthesia/analgesia.
Gould C, et al. … Incidence of POUR after Anesthesia and Analgesia: Systematic Review
21
Bladini G, et al. … ; IM intramuscular; IV intravenous; PCA patient-controlled anesthesia; PCEA patient-controlled … Inpatient
Most major surgery
Prolonged duration
IVF >750 mL
Anorectal
Lumbar epidural anesthesia/
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - five event-specific modules: Healthcare-Associated Infection, Perinatal, Pressure Ulcer,
Surgery or Anesthesia … different settings, some addressing “all-cause
harm” and some with specific concentrations such as anesthesia … There are no detailed sections
for the Perinatal, Pressure Ulcer, or Surgery or Anesthesia EVENT TYPES … event-specific figures for Healthcare-Associated Infection, Perinatal,
Pressure Ulcer, Surgery or Anesthesia … Three of these modules, Perinatal, Pressure Ulcer, and Surgery or Anesthesia,
did contain enough information
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
March 01, 2016 - safe
surgery checklist helps ensure certain measures or steps are taken prior to administration of
anesthesia … checklist are encouraged to
make any changes necessary to best address the type of patients, procedures, anesthesia … The developers recommend checking with the physicians, anesthesia
providers, nurses, and facility administrators … Staffing of the postanethesia care unit is based on using the patient acuity tool, designed by
peri-anesthesia … This tool allows staffing points to be
assigned based on the type of anesthesia and the type of surgery
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
April 01, 2016 - Anesthesia was
scheduled to be present for this procedure, but due to other emergencies, the GI
physician … When he arrived, anesthesia was no longer available. … )
■ The University of Illinois at Chicago adopted improved policies regarding
anesthesia coverage
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Baker.pdf
February 01, 2005 - Some of these programs are specialty-specific
(e.g., anesthesia), whereas others are multidisciplinary … Simulator-based programs
We identified two MTT simulator-based programs: Anesthesia Crisis
Resource … Anesthesia Crisis Resource Management (ACRM)
The value of ACRM resides in its realistic enactment … Whereas ACRM focuses solely on the
responsibilities of the anesthesia crew, TOMS provides interdisciplinary … Simulation-
based training in anesthesia crisis resource
management (ACRM): a decade of experience.
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www.ahrq.gov/pqmp/measures/index.html
June 09, 2025 - Dedicated to the Obstetrical Service by an Anesthesiologist Who Is Qualified To Provide Obstetrical Anesthesia