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381. Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
     April 07, 2008 - form is now kept in a zip-lock bag with three blood tubes on the wall in the operating room near the anesthesia … Simulation-based training in anesthesia crisis resource management (ACRM): A decade of experience.

382. Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
     July 23, 2008 - Acknowledge consult and provide feedback 4 Consultation Team-oriented Standardized and clarified pre-anesthesia … Education “We had a couple of issues with anesthesia communication.

383. Pillars of a Smart, Safe Operating Room (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
     April 07, 2008 - Anesthesia crisis resource management training: Teaching anesthesiologists to handle critical incidents … awkwardness of workplace layout: Dispersion of attentional and psychomotor resources within the anesthesia

384. Final Progress Report: Improving the safety of pediatric tracheal intubation in ICUs with apneic oxygenation and video laryngoscopes (pdf file)
     www.ahrq.gov/sites/default/files/2025-06/nishisaki3-report.pdf
     January 01, 2025 - Pediatric anesthesia and emergency medicine literature describe the successful use of apneic oxygenation

385. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
     November 01, 2017 - percent), hypertensive disorders of pregnancy (7.4 percent), amniotic fluid embolisms (5.5 percent), and anesthesia … "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, … Costs associated with anesthesia-related adverse events during labor and delivery in New York state,

386. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
     November 01, 2017 - percent), hypertensive disorders of pregnancy (7.4 percent), amniotic fluid embolisms (5.5 percent), and anesthesia … "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, … Costs associated with anesthesia-related adverse events during labor and delivery in New York state,

387. Prompting Removal of Unnecessary Indwelling Urinary Catheters
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal.pptx
     April 01, 2022 - PACU (post-anesthesia care unit) Postoperative Day 1 Other: ___________ WHO Surgical Safety Checklist46

388. Improving Healthcare Safety by Enhancing Care Coordination (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
     June 30, 2025 - ■ A new screening tool for providers in ambulatory care settings to predict patient anesthesia needs … create a more efficient and effective way to schedule ambulatory procedures by estimating the need for anesthesia … support for patients by: (1) developing a reliable tool to screen patients and predict their need for anesthesia

389. Comparing Patient Safety in Rural Hospitals by Bed Count (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Loux.pdf
     January 01, 2004 - for individual PSIs: rural hospitals had the highest PSI rates for five of the 19 PSI categories: anesthesia … Number of hospitals) Hospital bed count Patient safety indicator <50 Beds 50–99 Beds 100+ Beds Anesthesia

390. Appendix B. Clinical Materials to Share With Primary Care Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb.html
     December 01, 2013 - infants beyond the immediate neonatal period can experience apnea following ketamine sedation or general anesthesia

391. Appendix B. Clinical Materials to Share With Primary Care Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb.html
     December 01, 2013 - infants beyond the immediate neonatal period can experience apnea following ketamine sedation or general anesthesia

392. 103-How-To-Integrate-Cusp-Approach-Periop-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/103-how-to-integrate-cusp-approach-periop-fg.docx
     April 01, 2025 - patient’s home, the operating room (OR) prep area before surgery, the OR, and the recovery room or post-anesthesia

393. Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb2.html
     January 01, 2020 - Obese female still groggy post-anesthesia. No acute distress. Chest – clear to auscultation.

394. Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appb2.html
     January 01, 2020 - Obese female still groggy post-anesthesia. No acute distress. Chest – clear to auscultation.

395. Building Your SSI Prevention Bundle: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-fac-notes.html
     December 01, 2017 - Do patients get checked beforehand when they go to a pre-anesthesia clinic?

396. Facilitator Guide: Building Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle_facnotes.docx
     December 01, 2017 - Do patients get checked beforehand when they go to a pre-anesthesia clinic?

397. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety: Rapid Response Systems (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
     May 01, 2017 - delivery; NC = nasal canula; NICU = neonatal intensive care unit; NRB = non-rebreather PACU = post-anesthesia

398. Pain Management Injection Therapies for Low-back Pain: Topic Refinement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/lbpinject-topicref.pdf
     March 03, 2014 - of Anesthesiologists Task Force on Chronic Pain Management and the American Society of Regional Anesthesia

399. Applying Patient Safety Indicators (PSIs) Across Health Care Systems: Achieving Data Comparability (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rivard.pdf
     May 01, 2004 - For example, the rate of the hospital-level PSI Complications of Anesthesia is the number of discharges … excludes obstetric and birth trauma indicators) Indicator Numerator Denominator Complications of anesthesia … Discharge with codes for anesthesia complications in any secondary diagnosis field All surgical

400. Improving Communication and Teamwork in the Surgical Environment
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-slideset.pptx
     May 01, 2017 - Ambulatory Surgery 19 This team will ideally include the following members: health administrator anesthesia