-
www.ahrq.gov/sites/default/files/2025-03/toledo-report.pdf
January 01, 2025 - As components of the anesthesia record could not be extracted from the
electronic medical record and … The
anesthesia record was not available for 12 patients with nerve injuries, so complete data
on … Anesthesia Patient Safety Newsletter 2021; 36 (2). … A Century of Progress and Collaboration Between Obstetric
Anesthesiologists, Anesthesia & Analgesia … , and the International Anesthesia Research
Society.
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0121-tables-2-5.pdf
October 21, 2019 - high-risk referral
center
P-value
Facility Type
Community hospital 61 (58.7%) 207 (91.6%) <0.001
Anesthesia … high-risk
referral center
P-value
Night-time and weekend staffing
In-house anesthesiologist or anesthesia … team dedicated to L&D
61 (60.4%) 57 (26.3%) <0.001
In-house anesthesiologist or anesthesia
team … year
Low risk,
≥1500 births
per year
Low risk,
<1500 births
per year
P-
value
Recommended
anesthesia
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0122-tables2-5.pdf
September 24, 2019 - Facility Type
Annual Delivery volume*
Community hospital 61 (58.7%) 207 (91.6%) <0.001
Anesthesia … high-risk
referral center
P-value
Night-time and weekend staffing
In-house anesthesiologist or anesthesia … team dedicated to L&D
61 (60.4%) 57 (26.3%) <0.001
In-house anesthesiologist or anesthesia
team … Low risk,
≥1500 births
per year
Low risk,
<1500 births
per year
P-
value
Recommended
anesthesia
-
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?”
-
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.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/operroom.pdf
March 19, 2014 - The patient is taken to the operating room and induced by an anesthesia
provider. … An arthroscopy of the left ankle is
performed, and the patient is sent to the Post Anesthesia Care Unit … The team asks for additional anesthesia personnel to assist. … The surgeon and anesthesia
team request another anesthesia provider to assist. … The
anesthesia resident is reviewing the preoperative section of the anesthesia record, which
indicates
-
www.ahrq.gov/teamstepps/instructor/scenarios/operroom.html
March 01, 2014 - The patient is taken to the operating room and induced by an anesthesia provider. … An arthroscopy of the left ankle is performed, and the patient is sent to the Post Anesthesia Care Unit … The team asks for additional anesthesia personnel to assist. … The surgeon and anesthesia team request another anesthesia provider to assist. … The anesthesia resident is reviewing the preoperative section of the anesthesia record, which indicates
-
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
-
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
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-120-section-3c-tables-2-5.pdf
May 31, 2018 - referral
center
P-value
Facility Type
Community hospital 61 (58.7%) 207 (91.6%) <0.001
Anesthesia … high-risk
referral center
P-value
Night-time and weekend staffing
In-house anesthesiologist or anesthesia … team dedicated to L&D
61 (60.4%) 57 (26.3%) <0.001
In-house anesthesiologist or anesthesia
team … Low risk,
≥1500 births
per year
Low risk,
<1500 births
per year
P-
value
Recommended
anesthesia
-
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
-
www.ahrq.gov/teamstepps/evidence-base/anesthesiology.html
July 01, 2015 - 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
-
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
-
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
-
www.ahrq.gov/funding/grantee-profiles/grtprofile-weinger.html
September 01, 2018 - With AHRQ funding, he has studied ways to better understand the human factors affecting anesthesia care … interdisciplinary simulation-focused training would improve communication during post-operative handoffs between anesthesia … providers and nurses in post-anesthesia care units (PACUs). … Gravenstein Award from the Society for Technology in Anesthesia (STA) for "significant contributions … to the advancement of anesthesia technology throughout his career."
-
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
-
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.
-
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