-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new_sops_diagnostic_safety-schiff.pdf
January 01, 2020 - Medication-Related 8.8%
Patient Environment/Safety 1 6.0%
Obstetrics-Related 4.4%
Patient Monitoring 3.0%
Anesthesia-Related
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-King_1.pdf
April 07, 2008 - emerged in anesthesiology over a decade ago with
the work of David Gaba and colleagues who developed Anesthesia … Simulation-
based training in anesthesia crisis resource
management (ACRM): A decade of experience. … Anesthesia
crisis resource management training: Teaching
anesthesiologists to handle critical incidents … Trauma:
Resuscitation, anesthesia, surgery, and critical care.
-
www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-slides.html
February 01, 2025 - Impaired oxygenation in surgical patients during general anesthesia with controlled ventilation. … Impaired oxygenation in surgical patients during general anesthesia with controlled ventilation.
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare-references.html
October 01, 2024 - : designing and implementing a program to support the transition of new graduate nurses into a post anesthesia … A competency-based orientation (CBO) protocol enhances competency among newly hired peri anesthesia nurses
-
www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
January 01, 2024 - Anesthesia practice standards at Harvard: A review. J Clin Aneseth. 1988;55:64-65.
3. Cheney FW. … Prevention of intraoperative anesthesia accidents and related severe
injury through safety monitoring … Standards for
patient monitoring during anesthesia at Harvard Medical School.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-event-reporting_revised.docx
April 01, 2022 - ☐ Nurse from other unit ☐ Attending physician ☐ Resident/fellow
☐ Intern/student ☐ Anesthesia … ☐ YES ☐ NO
36 If patient was transported to a non-nursing unit such as radiology, anesthesia, or the
-
www.ahrq.gov/patient-safety/resources/learning-lab/failure-rescue-long-desc.html
April 01, 2021 - In Society for Technology in Anesthesia (STA) Annual Meeting. 2018.
Smith ME, Ghaferi AA.
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/overview-fac-notes.html
June 01, 2017 - Ambulatory Anesthesia. 2014;2014(1):3-10. DOI: https://dx.doi.org/10.2147/AA.S53280 .
Aston G.
-
www.ahrq.gov/news/newsletters/e-newsletter/942.html
December 01, 2024 - Perspectives on anesthesia and perioperative patient safety: past, present, and future .
-
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
-
www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-slides.html
December 01, 2017 - Anesthesia assistants.
Infection preventionists.
Operating room directors. … adequate resources including protected time:
2 to 4 hours per week for a team leader, surgeon, anesthesia
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/pso-brochure.pdf
March 01, 2020 - Some PSOs specialize in a specific area, such as
anesthesia or medication adverse events, or focus on
-
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.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module-1-slides.pptx
September 01, 2015 - contiguous structures of genitourinary tract
Anticipated prolonged surgery duration (removed in post-anesthesia
-
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
-
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
-
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
-
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
-
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
-
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