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461. Labor and Delivery Unit Safety: Shoulder Dystocia | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-shoulder-dystocia.html
     July 01, 2023 - It involves dividing the symphysis pubis under local anesthesia.

462. Final Progress Report: Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and Redesign (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17118-Dierks-report.pdf
     June 01, 2011 - procurement of shared ancillary resources, such as radiology technical support, laboratory support, and anesthesia … Finally, this and other non-OR procedural areas do not have a mandatory pre-anesthesia screening process

463. Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/taekman-report.pdf
     January 01, 2010 - Simulation-based training in anesthesia crisis resource management (ACRM): A decade of experience. … Foundation for Anesthesia Education and Research Lecture, American Society of Anesthesiologists Annual

464. The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
     March 03, 2008 - medication reconciliation); or department- ased systems adoption (e.g., the deployment of electronic anesthesia … Radiology report completion Deploy anesthesia electronic flow sheets Deploy charting system in

465. The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
     April 08, 2004 - Barach, for example, described a 1-month patient safety elective for anesthesia residents in Harvard … most cases the target audiences for the proposed curricula consist of narrowly defined groups such as anesthesia

466. Serious Reportable Adverse Events in Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
     December 01, 2000 - post-operative death in an ASA Class I patient Includes all ASA Class I patient deaths in situations where anesthesia … Immediately post-operative means within 24 hours after induction of anesthesia (if surgery not completed

467. Technical Interventions To Prevent CAUTI | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
     October 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

468. Final Progress Report: Opioid Stewardship in Urology (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/smith-report.pdf
     January 01, 2024 - None of the procedures required opiates as part of anesthesia. … For anesthesia, he received an opioid-free regimen of propofol, ketamine, and Precedex. … opioid-free procedures are possible,32 and many institutions are developing multimodal, opioid-free anesthesia

469. Final Progress Report: Medication Error Reduction, Technologies and Human Factors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14253-Carayon-draft-1.pdf
     December 01, 2006 - Pump observations Observations of nurses and anesthesia staff programming IV pumps occurred both at pre … Anesthesia users were hand distributed the questionnaire by the Co-PI at training sessions. … Most users displayed good practice; however, some anesthesia staff were unaware of the practice of threading

470. AHRQ Safety Program for Perinatal Care: Sample Scenario for Shoulder Dystocia In Situ Simulation (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_shoulder-dystocia.docx
     May 01, 2017 - Team mobilizes additional help (e.g., OR staff, anesthesia staff, pediatrics).

471. Final Progress Report: METs: Preventing Patient Crisies; Protecting Patients in Crisis (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/devita-report.pdf
     January 01, 2024 - Anesthesia 1999; 54:853-860. xxv Kohn LT, Corrigan JM, Donaldson MD, eds.

472. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load-references.html
     May 01, 2024 - Multiple measures of anesthesia workload during teaching and nonteaching cases.

473. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-ref.html
     May 01, 2023 - Costs associated with anesthesia-related adverse events during labor and delivery in New York state,

474. Final Progress Report: Topical Vancomycin for Neurosurgery Wound Prophylaxis (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/connolly-report.pdf
     January 01, 2024 - The wound was examined 4-6 hours after surgery, and the patients were transferred from the post-anesthesia

475. Final Progress Report: Diagnostic Error in Medicine Conference (pdf file)
     www.ahrq.gov/sites/default/files/2025-04/graber-report.pdf
     January 01, 2025 - While I’m glad I chose this conference, I wonder if HF and anesthesia representation might have been

476. Rapid Response for Perinatal Safety: Rapid Response Systems | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/tool-rapid-response-systems.html
     July 01, 2023 - delivery; NC = nasal canula; NICU = neonatal intensive care unit; NRB = non-rebreather PACU = post-anesthesia

477. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
     July 01, 2022 - Continuous Respiratory Monitoring and "Smart" Infusion System Improve Safety of Patient-Controlled Anesthesia

478. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/hai/pfp/haccost2017-ref.html
     November 01, 2017 - Costs associated with anesthesia-related adverse events during labor and delivery in New York state,

479. TeamSTEPPS Fundamentals Course: Module 1 | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/instructor/fundamentals/module1/m1evidencebase.html
     March 01, 2014 - Trauma: resuscitation, anesthesia, surgery, and critical care: New York: Dekker; 2004. p. 101-13.

480. TeamSTEPPS 2.0 Evidence Base: Introduction (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module1/m1evidencebase.pdf
     August 08, 2013 - Trauma: resuscitation, anesthesia, surgery, and critical care: New York: Dekker; 2004. p. 101-13.