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421. Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
     January 01, 2025 - By applying these methods, the medical field of anesthesia reduced death rates associated with anesthesia

422. Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
     January 01, 2024 - . - Permanent dialysis - Major surgery with general anesthesia - PTSD - Prolonged hospitalization 7 … hospitalization to stabilize -Cardiac cath -Short-term dialysis -Invasive procedure but no general anesthesia

423. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
     January 01, 2025 - Purpose: To use simulation learning to evaluate and improve communication and coordination between anesthesia … providers and nurses as care is transitioned from the operating room to the post-anesthesia care unit … and Improved Teamwork (STRAIT), a comprehensive intervention to improve patient handovers between anesthesia

424. PowerPoint Presentation: Learn From Defects Through Sensemaking
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
     December 01, 2017 - Everyone in the operating room, from preoperative to post-anesthesia care unit (PACU) staff, can and … SAY: If the patient was part of the defect process (e.g., alert, rather than under anesthesia), ask the

425. Implementation Guide: MRSA and SSI Prevention (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/147-implementation-guide.pdf
     April 01, 2025 - This includes the post-anesthesia care unit (PACU) and may include other postoperative inpatient settings

426. Final Progress Report: Pursuing Perfection in Pediatric Therapeutics (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lannon1-report.pdf
     January 01, 2024 - Pain Service added Post Period Intervention Period Pre/Baseline Period January 2008 - Began post-anesthesia

427. Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership.pdf
     June 03, 2021 - Associate Professor, Anesthesia and Critical Care Medicine Johns Hopkins School of Medicine Armstrong

428. 7-Implementation-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/7-implementation-guide.docx
     June 01, 2023 - your hospital’s ISCR pathway ISCR team ISCR Pathway Worksheet ISCR evidence reviews: surgery and anesthesia

429. Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership-cx.pdf
     June 03, 2021 - Associate Professor, Anesthesia and Critical Care Medicine Johns Hopkins School of Medicine Armstrong

430. Preventing CAUTI in the ICU Setting Facilitator’s Guide Transcript | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-transcript.html
     February 01, 2023 - contiguous structures of genitourinary tract Anticipated prolonged surgery duration (removed in post-anesthesia

431. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
     March 11, 2005 - cases are culled from a variety of specialties, with the majority from medicine (47 percent), surgery/anesthesia

432. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
     May 01, 2017 - . · Assess the need for increased analgesia or epidural anesthesia. 7.Communication · Use briefings

433. Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
     July 01, 2003 - following hospital departments were recruited to help enhance compliance: Infectious Disease, Surgery, Anesthesia

434. Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
     June 04, 2008 - Dickerman); Department of Anesthesia, Utretch University Medical Center, Netherlands and College of

435. Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf
     September 01, 2015 - Catheters placed for surgery duration should be removed in the post-anesthesia care unit. … Urinary catheters should not be used routinely for patients receiving epidural anesthesia or analgesia

436. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
     September 01, 2015 - Spinal or epidural anesthesia may lead to urinary retention (prompt discontinuation of this type of anesthesia

437. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
     September 01, 2015 - Spinal or epidural anesthesia may lead to urinary retention (prompt discontinuation of this type of anesthesia

438. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
     September 01, 2015 - Spinal or epidural anesthesia may lead to urinary retention (prompt discontinuation of this type of anesthesia

439. Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
     September 01, 2015 - Catheters placed for surgery duration should be removed in the post-anesthesia care unit. … Urinary catheters should not be used routinely for patients receiving epidural anesthesia or analgesia

440. Low Tidal Volume Ventilation Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-mvpguide.pdf
     January 01, 2017 - Protective mechanical ventilation during general anesthesia for open abdominal surgery improves postoperative … Respiratory mechanics at different PEEP level during general anesthesia in the elderly: A pilot study