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541. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
     May 01, 2017 - It involves dividing the symphysis pubis under local anesthesia.

542. 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

543. Antibiotic Stewardship Program Development: Part 2 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-facilitator-guide.pdf
     November 01, 2019 - This includes working with surgery and anesthesia colleagues to determine antibiotic selection and

544. Module 1: Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod1.html
     February 01, 2023 - contiguous structures of genitourinary tract Anticipated prolonged surgery duration (removed in post-anesthesia

545. Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
     August 01, 2022 - In addition, decision aids have been developed for use with anesthesia patients but have not yet been

546. Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/capacity/candor/demo-program/plan-grants/findings.html
     May 01, 2016 - In addition, decision aids have been developed for use with anesthesia patients but have not yet been

547. Rapid Response for Perinatal Safety: Rapid Response Systems | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/perinatal-care/modules/strategies/rapid-response/tool-rapid-response-systems.html
     May 01, 2017 - delivery; NC = nasal canula; NICU = neonatal intensive care unit; NRB = non-rebreather PACU = post-anesthesia

548. Transforming the Morbidity and Mortality Conference into an Instrument for Systemwide Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Deis_82.pdf
     June 03, 2008 - lack identification and discussion of adverse outcomes.5, 6, 7 Biddle reviewed cases presented at the anesthesia

549. Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
     March 12, 2008 - • Heparin (central line) • Hypertensive emergency • Hypoglycemia • Labor admission • Local anesthesia

550. AHRQ-Funded Patient Safety Project Highlights (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
     June 01, 2024 - settings was developed to minimize opportunities for bypassing safety screens and can predict patient anesthesia … 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

551. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
     April 20, 2004 - At a multidisciplinary meeting with pharmacy, nursing, and anesthesia clinical staff, it was discovered … that anesthesia staff did not realize the importance of the barcode labels that the pharmacy had affixed

552. 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.

553. 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.

554. 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

555. Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
     March 26, 2008 - The Anesthesia Patient Safety Foundation (APSF) notes a significant, underappreciated risk of serious … Anesthesia Patient Safety Foundation Newsletter 2006-2007; 21: 61-88.

556. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
     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

557. Program Overview: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
     December 01, 2017 - Johns Hopkins, for example, has been using this approach with the support of anesthesia, nursing, and … Your team leader, surgeon, anesthesia, nurse, and infection preventionist specialist will need 2 to 4

558. Facilitator Guide: Overview of the Improvement Model (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel_facnotes.docx
     December 01, 2017 - Johns Hopkins, for example, has been using this approach with the support of anesthesia, nursing, and … Your team leader, surgeon, anesthesia, nurse, and infection preventionist specialist will need 2 to 4

559. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
     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

560. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/advances-in-patient-safety-2/index.html
     March 01, 2017 - Continuous Respiratory Monitoring and "Smart" Infusion System Improve Safety of Patient-Controlled Anesthesia