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www.ahrq.gov/news/newsletters/e-newsletter/845.html
January 01, 2023 - In addition, he developed novel graphic designs to reduce anesthesia medication errors.
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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
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www.ahrq.gov/es/hai/pfp/haccost2017-results.html
November 01, 2017 - deliveries in a single State, and adverse events included postpartum hemorrhage, preeclampsia/eclampsia, and anesthesia-related … percent), hypertensive disorders of pregnancy (7.4 percent), amniotic fluid embolisms (5.5 percent), and anesthesia … transfusion, and eclampsia/hypertensive complications; three studies included amniotic fluid embolisms and anesthesia
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-appcusp.pdf
December 01, 2017 - The team includes your team leader, a surgeon champion, an anesthesia provider
champion, and a nursing … includes people from across the perioperative area—frontline staff from the preoperative
unit, OR, post anesthesia … –Anesthesia Champion
Applying CUSP To
Promote Safe Surgery 13
https://www.ahrq.gov/sites/default
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www.ahrq.gov/news/newsletters/e-newsletter/846.html
January 01, 2023 - Articles featured this week include:
Accuracy of spinal anesthesia drug concentrations in mixtures
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module2/igteamstruct.pdf
November 18, 2015 - Inpatient (Tertiary Care Facility):
• The Contingency Team may be composed of the cardiac
surgeon, anesthesia … Inpatient (Operating Room):
• The Contingency Team may be composed of anesthesia staff.
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www.ahrq.gov/downloads/pub/advances2/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.
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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-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.
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www.ahrq.gov/downloads/monahrq/pdf/MONAHRQ1_0and1_1Comparison.pdf
November 23, 2010 - Carotid endarterectomy (IQI 7)
Hospital-level Patient Safety Indicators
Complications of anesthesia
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-survey.pdf
June 06, 2018 - podiatrists, dentists, and others who perform surgeries, procedures,
or treatments, including delivery of anesthesia
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.pdf
June 06, 2018 - podiatrists, dentists, and others who perform surgeries, procedures,
or treatments, including delivery of anesthesia
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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.
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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
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www.ahrq.gov/research/findings/studies/index.html?page=277
January 01, 2024 - There were 37 AEs reported, with 15 anesthesia related, 5 were wrong eye blocks, 3 cases of hemodynamic … of contributing factors to the state's cataract surgery-related AEs: systems failures and choice of anesthesia
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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.
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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
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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
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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.
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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.
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www.ahrq.gov/teamstepps/instructor/fundamentals/module4/igleadership.html
March 01, 2019 - Situational leaders emerge at designated times, such as during anesthesia induction, and at spontaneous … operation, each corresponding to a specific period in the normal flow of work: (1) before the induction of anesthesia