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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/or_briefing_audit.docx
    December 01, 2017 - ☐ Surgery Attending ☐ Anesthesia Attending ☐ Surgery Resident ☐ Anesthesia Resident ☐ Nurse ☐ Anesthesia … Surgery Attending Surgery Resident Anesthesia Attending Anesthesia … Resident Anesthesia Certified Registered Nurse Anesthetist Circulator
  2. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/015-ss-hand-hygiene-periop-fg.docx
    April 01, 2025 - Slide 19 Hand Hygiene for Anesthesia SAY: It would be remiss not to take a moment to highlight the … challenges associated with hand hygiene among anesthesia team members. … Anesthesia providers come into frequent contact with the patient and their environment. … Even when anesthesia providers know the risk, overcoming it is a challenge. … Overall anesthesia hand hygiene adherence has been reported to be 18 percent.
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/transcript-speaking-up.doc
    May 01, 2017 - Berry: “Anesthesia, I’m concerned about the blood pressure. Is something going on?” … Anesthesia: “Oh it’s fine. I know my job, and it’s fine.” … Anesthesia: “Look Dr. Berry, I have everything under control here. The blood pressure’s fine.” Dr. … Could you call for some anesthesia help to come in here right now?”
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
    May 01, 2017 - or care teams within a unit, for example transfers between L&D room and OR, and between OR and post-anesthesia … · The L&D/OR/neonatal/anesthesia teams maintain a shared mental model for the safe surgery perioperative … provider confirms: Type of anesthesia used (Spinal/Epidural/Combined/General) Antibiotics infused … provider confirms: Type of anesthesia used (Spinal/Epidural/Combined/General) Antibiotics infused … Additional instruments needed/anticipated: |_| Yes |_| No Anesthesia provider confirms: Type of anesthesia
  5. www.ahrq.gov/teamstepps-program/evidence-base/anesthesiology.html
    May 01, 2023 - Simulation-based training in anesthesia crisis resource management (ACRM): A decade of experience.  … Anesthesia crisis resource management training: Teaching anesthesiologists to handle critical incidents … Implementing a regional anesthesia block nurse team in the perianesthesia care unit increases patient … Nontechnical skills in anesthesia crisis management with repeated exposure to simulation-based education
  6. www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumdaie.html
    October 01, 2014 - Determine the extent to which cognitively impaired individuals who receive isoflurane general anesthesia … functional decline in the year after surgery compared to patients receiving other types of general anesthesia … Quantify the effects of isoflurane anesthesia versus other general or regional anesthesia on the rate
  7. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/116-evaluating-cleaning-data-collection-tool.docx
    April 01, 2025 - __________ Environmental Cleaning Supervisor Name: _________________________ High-Touch Surfaces *Anesthesia … computer mouse *Operating room bed *Nurse computer mouse *Operating room door *Anesthesia medical cart … (drawer) Nurse computer keyboard Operating room door bar or handle Anesthesia chair Patient chair Nurse … phone Anesthesia machine gas knobs Intravenous pole Anesthesia machine computer screen Anesthesia computer
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
    December 01, 2017 - surgeon Surgical Resident Anesthesia Attending Anesthesia CRNA Anesthesia Resident Circulator Scrub … 2 4 1 0 0 1 8 Pauses other tasks Attending surgeon Surgical Resident Anesthesia Attending Anesthesia … Circulator Anesthesia Resident Anesthesia CRNA Anesthesia Attending Surgical Resident Attending Surgeon … surgeon Surgical Resident Anesthesia Attending Anesthesia CRNA Anesthesia Resident Circulator Scrub … 4 6 1 0 0 9 Contributes Attending surgeon Surgical Resident Anesthesia Attending Anesthesia CRNA Anesthesia
  9. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/10-frontline-provider.pptx
    June 01, 2023 - harms Patient and family education and engagement in perioperative care Standardized perioperative anesthesia … Senior Executive: List for your institution Surgeon Champion: List for your institution Anesthesia … What is the process for the anesthesia provider to follow standardized intraoperative protocol? … ISCR at [Hospital Name] 13 Key Elements Post Anesthesia Care Unit/Postoperative Day 0 Below are examples … of ISCR components that are relevant to the post anesthesia care unit (PACU)/postoperative day 0 work
  10. www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-proc-related-catheter-use-slides.html
    December 01, 2017 - Routinely for patients receiving epidural anesthesia/analgesia. Gould C, et al. … Slide 21 Incidence of POUR after Anesthesia and Analgesia: Systematic Review Image: Screen shot … of table showing incidences of POUR after anesthesia and analgesia from a number of studies. … analgesia; SA  spinal anesthesia; SI/II single injection/intermittent injection. … Lower Risk Outpatient Short duration IVF <750 mL Local anesthesia Leads to avoiding IUC
  11. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/58-frontline-presentation-template.docx
    June 01, 2023 - stay Care of [service line] surgery patients is highly variable for: Preoperative education Plan for anesthesia … harms Patient and family education and engagement in perioperative care Standardized perioperative anesthesia … commitment: Senior Executive: List for your institution Surgeon Champion: List for your institution Anesthesia … What is the process for the anesthesia provider to follow standardized intraoperative protocol? … Slide 13 Key Elements Post Anesthesia Care Unit/Postoperative Day 0 Below are examples of ISCR components
  12. www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/antibiotic-audit.html
    December 01, 2017 - Question 11: Document the anesthesia stop time. … Question 14: Determine if the length of time between first antibiotic infusion stop time and anesthesia … Question 11: Document the anesthesia stop time. … Question 14: Determine the length of time between first antibiotic infusion stop time and anesthesia … Yes ___        No ___ Anesthesia stop time.  
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/antibiotic_audit.docx
    December 01, 2017 - Question 11: Document the anesthesia stop time. … Anesthesia stop time 12. Was cefotetan used as antibiotic prophylaxis? … Question 11: Document the anesthesia stop time. … Anesthesia stop time 12. Was clindamycin or cefotetan used as antibiotic prophylaxis? … What was the length of time between first antibiotic infusion stop and anesthesia stop?
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
    January 01, 2004 - Investigations into causes of error in anesthesia have revealed a similar pattern. … Critical incident studies in anesthesia have found that around 80 percent of reported incidents involve … Explicit training in nontechnical skills for anesthesia has previously been limited; however, with … Video of simulated anesthesia cases showed that even with minimal training of the raters, there were … in each hospital and the directors of anesthesia training programs were informed about the study.
  15. www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
    December 01, 2017 - Anesthesia attending. Surgery resident. Anesthesia resident. Nurse. Anesthesia CRNA. … Anesthesia resident  - 78% NP, 0% FP, 22% POT. Anesthesia CRNA - 22% NP, 0% FP, 78% POT. … Anesthesia attending - 66% NP, 12% FP, 22% POT. Surgical resident - 10% NP, 40% FP, 50% POT. … Anesthesia resident - 78% NP, 0% DNC, 22% C. Anesthesia CRNA - 22% NP, 0% DNC, 78% C. … Anesthesia attending - 68% NP, 10% DNC, 22% C. Surgical resident  - 10% NP, 60% DNC, 30% C.
  16. www.ahrq.gov/topics/outcomes.html
    Children’s Center Uses AHRQ-Funded I-PASS Tool to Boost Patient Safety Kaiser Permanente School of Anesthesia
  17. www.ahrq.gov/cahps/surveys-guidance/surgical/index.html
    March 01, 2025 - specialty care, by incorporating domains that are relevant to surgical care, such as informed consent, anesthesia … surgeon's office Patients' rating of the surgeon Additionally, two measures of patient experience with anesthesia
  18. www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/briefing-debriefing.html
    December 01, 2017 - Start with “Before Induction of Anesthesia.” Then, go to “Before Skin Incision.” … Through Collective Sensemaking Tool in the AHRQ Toolkit to Promote Safe Surgery Before Induction of Anesthesia … steps, operative duration, anticipated blood loss Separation of clean and dirty instruments Anesthesia … , indicate not applicable (N/A):___________ Attending surgeon: ________________________________ Anesthesia
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/briefing_debriefing.docx
    December 01, 2017 - Start with “Before Induction of Anesthesia.” Then, go to “Before Skin Incision.” … Before Induction of Anesthesia SIGN IN · Patient has confirmed: · Identity (name and date of birth … unexpected steps, operative duration, anticipated blood loss · Separation of clean and dirty instruments · Anesthesia … comments, indicate not applicable (N/A):___________ · Attending surgeon: ___________________________ · Anesthesia
  20. www.ahrq.gov/research/findings/final-reports/ssi/ssiexh65-67.html
    April 01, 2018 - Intercept -6.27 -3.13 0.0025 Charlson score * 0.32 2.03 0.0423 General anesthesia … Intercept -3.76 -2.23 0.0256 Charlson score * -0.51 -1.75 0.0793 General anesthesia … Intercept -4.57 -3.79 0.0002 Charlson score * 0.03 0.19 0.8475 General anesthesia

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