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301. Measures of Cognitive Load | Agency for Healthcare Research and Quality
     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

302. What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare (pdf file)
     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

303. Making Health Care Safer II, Executive Summary (pdf file)
     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

304. Central Venous Catheter Maintenance
     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

305. Making It Work Tip Sheet: Empowering Nurses To Implement Nurse-Driven Protocols for Reducing CAUTI in the ICU Setting (pdf file)
     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

306. Experiences From the Frontline: Case Studies (pdf file)
     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

307. Can We Talk? Priorities for Patient Care Differed Among Health Care Providers (pdf file)
     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.

308. Presentation: Program Overview
     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.

309. AHRQ Safety Program for Surgery: Final Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
     December 01, 2017 - Hospital Survey On Patient Safety Culture; PREOP = preoperative area; OR = operating room; PACU = Post-anesthesia … Team members conducted observations in the operating room, preoperative units, the post-anesthesia care … It is worth exploring whether an intense identification with preoperative, operating room, or post-anesthesia … Rapid resumption of regular oral intake Chlorhexidine bathing (SSI prevention) Intraoperative anesthesia … management protocol (epidural anesthesia, total intravenous anesthesia, colloid and crystalloid

310. Strategies for Improving Patient Experience with Ambulatory Care: Price Transparency (pdf file)
     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

311. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
     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

312. High-Hanging Fruit: Improving Transitions in Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
     March 27, 2008 - occur between workers at this time.32 Research on signovers in the nuclear reprocessing industry, anesthesia … Critical incidents associated with intraoperative exchanges of anesthesia personnel.

313. Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
     May 05, 2008 - surgical intervention for cardiac defects. 3 The study population for this second phase consisted of anesthesia … the care team— specifically, at least one representative from the pediatric cardiothoracic surgery, anesthesia

314. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
     December 01, 2017 - At Hopkins, for example, we have been using this approach with the support of anesthesia, nursing, and … nurses Executive partner Nurse leaders Enhancing Team Members Physician assistants Nurse educators Anesthesia … minimum Has adequate resources including protected time 2 to 4 hours per week for a team leader, surgeon, anesthesia … Your team leader, surgeon, anesthesia, nurse, and infection preventionist specialist will need 2 to 4

315. Final Progress Report: Incident Reporting Practices in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
     January 01, 2025 - incident reports used in medicine can be traced to a landmark study that examined sentinel events in anesthesia … motivation for this study was the rising cost of malpractice insurance, it was instrumental in changing anesthesia … practice, which has ultimately led to significant improvements in anesthesia safety.18 Anesthesiology

316. Implementing the Surgical Safety Checklist | Agency for Healthcare Research and Quality
     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

317. Final Progress Report: Improving quality of postoperative pain care through innovative use of electronic health records (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/hernandez-boussard-report.pdf
     January 01, 2024 - Too commonly, surgical pain management consists only of general anesthesia and discharge with an … and laboratory results, as well as unstructured data, such as discharge summaries, progress notes, anesthesia

318. Appendixes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-appendix.html
     November 01, 2017 - "Cerebrovascular Trauma"[Mesh] OR "Cerebrovascular Disorders"[Mesh] OR "Pulmonary Edema"[Mesh] OR "Anesthesia … , Obstetrical/adverse effects"[Mesh] OR "Anesthesia, Obstetrical/complications"[Mesh] OR "Sepsis"[Mesh … Costs associated with anesthesia-related adverse events during labor and delivery in New York state,

319. Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
     January 29, 2008 - Specifically, anesthesia reactions and complications decreased by 18 percent, and foreign bodies left … Complications of anesthesia 3. … Improving anesthesia nurse compliance with universal precautions using group goals and public feedback

320. Final Progress Report: Four Safety Strategies: A Symposium on Implementation (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/pittman-report.pdf
     January 01, 2024 - Frankel began to divide his time equally between his anesthesia practice and spreading medical safety