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www.ahrq.gov/news/newsletters/e-newsletter/942.html
December 01, 2024 - Perspectives on anesthesia and perioperative patient safety: past, present, and future .
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/specific-pt-populations-slides.pdf
May 01, 2025 - formal
childbirth
education
Variable communication on
options/choices
Hospital
Nurse
Provider
Anesthesia
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6n-price-transparency.html
March 01, 2020 - average total costs for the procedure, where total cost includes physician services, facility fees, anesthesia
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/CHIPRA_1415-P010-1-EF.pdf
March 01, 2015 - parents are the only or best
source of information (e.g., patients are not asked about the quality of anesthesia
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4f_pdi08-postophemorrhage-bestpractices.pdf
May 16, 2016 - medical_education_residency/program_directors
/Reprint259_Surgical.pdf
• Periprocedural and Regional Anesthesia
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4t_combo_pdi08-postophemorrhage-bestpractices.pdf
May 16, 2016 - medical_education_residency/program_directors
/Reprint259_Surgical.pdf
• Periprocedural and Regional Anesthesia
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
July 01, 2023 - C/S). 5,6
Image: Three rows of text boxes describe the process:
When (first row):
Before Anesthesia … Type of 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-Quan_52.pdf
March 10, 2008 - Major diagnosis
category
(MDC) exclusion
Procedure codes
requirement
PSI 1: Complications
of anesthesia … representatives to our Consortium described some validity concerns about the
indicator complications of anesthesia … during pregnancy, childbirth, and the puerperium were not included in the
AHRQ PSI 1 (complications of anesthesia … For example, the ICD-10-WHO coding
13
algorithm for PSI 1 (complications of anesthesia) does
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
May 05, 2008 - Anesthesia, critical care, and trauma teams have
employed simulation training with a positive effect … implemented changes included:
• Establishing a specialty service for pediatric deep sedation and anesthesia … Life Specialist
Parents
Anxiety
Dangerous Movement Mechanical
Procedure operator
Airway
Local anesthesia … Deep Sedation/GA
Deep Sedation/GA
Treatment RN
Positive Pressure Ventilation
Respiratory Therapy/Anesthesia
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load4.html
May 01, 2024 - laparoscopic performance 50 and increasing educational workload is associated with reduced vigilance during anesthesia
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-maintenance.pptx
April 01, 2022 - prompts that highlight assessment criteria
Discuss line during handoffs – consider including ED and anesthesia
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses.pdf
April 01, 2022 - Concerns regarding early removal in surgical patients because of retention due to residual
effects of anesthesia
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
January 01, 2003 - studies omitted the cost of services that were not
billed by the hospital (e.g., physician services for anesthesia … These 14 adverse
events are anesthesia complications, accidental puncture or laceration during the … particular, the EPC found that 5 of the 14 indicators could clearly be
“labeled” as medical errors: anesthesia
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - Surgery, Anesthesia, and Perioperative Medicine
Preoperative checklists and anesthesia
checklists to … Strongly encouraged patient safety practices
• Preoperative checklists and anesthesia checklists to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Evanoff.pdf
January 01, 2003 - 73 percent of surgical residents and 64 percent of
consultant surgeons, but by only 39 percent of anesthesia … consultants, 28 percent
of surgical nurses, and 10 percent of anesthesia residents.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-slides.pptx
January 01, 2017 - Impaired oxygenation in surgical patients during general anesthesia with controlled ventilation. … Impaired oxygenation in surgical patients during general anesthesia with controlled ventilation.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
May 01, 2015 - Training for anesthesia resident physicians
now also incorporates standardized EFM nomenclature, and … I specifically
saw all the things that we had worked on. (…) Anesthesia was already on the unit, we … support from the hospital president, the chief
quality officer (CQO), and the director of obstetrical anesthesia … the L&D unit attended by all key staff from the L&D unit, the intensive-care unit
(ICU), the NICU, anesthesia … throughout labor when the family might be asked to step out, such as during the placement of
epidural anesthesia
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-implement.html
November 01, 2017 - Engaging Physicians
It is important to find a physician and an anesthesia professional who can participate
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6n.pdf
October 01, 2017 - average total costs for the procedure, where total cost
includes physician services, facility fees, anesthesia
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
April 09, 2004 - The Anesthesia
Patient Safety Foundation (APSF), a pioneer in reporting adverse events/medical
errors … loss of function 67 2.7
Patient elopement 48 2.0
Fire 45 1.8
Ventilator death/injury 38 1.5
Anesthesia-related … Comments from the Anesthesia Patient Safety
Foundation; 2000. http://www.gasnet.org/societies/
apsf