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521. AHRQ-Funded Patient Safety Project Highlights (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-pfe.pdf
     January 01, 2023 - units); nurses (13 units); patients and families (8 units); and patients and families anticipating anesthesia … Key Findings/Impact: After receiving broad stakeholder feedback, the grantee revised anesthesia decision

522. Final Grant Report: Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/guise2-report.pdf
     January 01, 2024 - was to bring simulation technology and team performance training, proven in aviation, the military, anesthesia

523. NPSD Data Spotlight: Patterns of Fall Interventions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
     September 01, 2023 - Healthcare-Associated Infection, Medication or Other Substance, Perinatal, Pressure Ulcer, Surgery or Anesthesia

524. Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
     September 01, 2008 - • Neural-axial anesthesia guidelines.

525. Final Progress Report: AUA 2022 Quality Improvement Summit: Opportunities to Improve Care in Urology (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/gore-report.pdf
     January 01, 2024 - surgical patients using systematic frailty screening and a multidisciplinary case review involving anesthesia … The conclusion of a combined geriatrics and anesthesia preoperative evaluation clinic to which she was

526. Effect of Recent Refresher Training on in Situ Simulated Pediatric Tracheal Intubation Psychomotor Skill Performance (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nishisaki_44.pdf
     April 19, 2008 - Nontechnical skills in anesthesia crisis management with repeated exposure to simulation-based education

527. Making Healthcare Safer Practices: 14. Delirium (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
     March 01, 2020 - Comparison of CAM-ICU with NuDESC Prospective study; 91 patients; adults aged 70+ receiving general anesthesia … DDS Observational study; 154 patients; adults aged 18+ admitted to recovery room after general anesthesia … surgery patients Intensive care Delirium measured at 2, 4, 8, and 16 hours after awakening from anesthesia

528. AHRQ Individual Research Career Development (K) Award Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/kaward/kaward-evalreport.pdf
     August 01, 2016 - Annual Symposium proceedings Anesthesia and Analgesia Annals of Allergy, Asthma, and Immunology … Survivorship Journal of Cardiac Failure Journal of Cardiac Surgery Journal of Cardiothoracic and Vascular Anesthesia

529. Final Progress Report: Brief, Risky, High-Benefit Procedures: Best Practice Model (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
     January 01, 2024 - monitors in use, patient positioned correctly (e.g., ipsilateral hand above shoulder), analgesia/anesthesia

530. Safety Climate on Hospital Units: A New Measure (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
     January 01, 2004 - using a safety climate tool developed from five previously existing surveys (OR management attitudes, anesthesia

531. Improving Patient Safety by Engaging Patients and Families (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
     April 30, 2025 - units); nurses (13 units); patients and families (8 units); and patients and families anticipating anesthesia … Key Findings/Impact: After receiving broad stakeholder feedback, the grantee revised anesthesia decision

532. Final Progress Report: Regional Approach for THQIT in Rural Settings – Implementation (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/richards-report.pdf
     January 01, 2024 - Advisor Greg Miller IT Lead Analyst, Geisinger Implementation Manager Ruth Nolan Vice President of Anesthesia

533. Severe Hypertension Scenarios: PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-hypertension-scenarios.pptx
     July 01, 2023 - Smith, I’ll be back to do your anesthesia evaluation and discuss pain control. Thank you, all. Ms.

534. Is There an Association Between Patient Safety Indicators and Hospital Teaching Status? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Rivard_97.pdf
     April 28, 2008 - We did not include complications of anesthesia or transfusion reaction because their low occurrence

535. Preventing-Cauti-Icu-Setting-Facilitators-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-facilitators-guide.docx
     September 01, 2015 - contiguous structures of genitourinary tract · Anticipated prolonged surgery duration (removed in post-anesthesia

536. Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Carayon.pdf
     November 01, 2004 - and providing the surgery centers with access to this information; and (4) creating an electronic anesthesia

537. What Exactly Is Patient Safety? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
     July 02, 2008 - (e.g., incompatible connectors that prevent connecting an anesthetic gas to the oxygen port of an anesthesia

538. Risk-Based Patient Safety Metrics (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
     March 25, 2008 - The perception of a sequence of events associated with the administration of anesthesia can be significantly

539. Specific Tools To Support Change (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g2_pdi_specifictoolstosupportchange.pdf
     January 01, 2011 - • Operative and postoperative complications: complications of anesthesia, postoperative hip fracture

540. Specific Tools To Support Change (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
     January 01, 2011 - • Operative and postoperative complications: complications of anesthesia, postoperative hip fracture