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101. Systematic review of intraoperative anesthesia handoffs and handoff tools. | PSNet
     psnet.ahrq.gov/issue/systematic-review-intraoperative-anesthesia-handoffs-and-handoff-tools
     March 10, 2021 - Review Systematic review of intraoperative anesthesia handoffs and handoff tools. … Systematic review of intraoperative anesthesia handoffs and handoff tools. … Systematic review of intraoperative anesthesia handoffs and handoff tools. … July 8, 2020 Complications associated with the anesthesia transport of pediatric patients … March 9, 2022 Safety and Quality in Perioperative Anesthesia Care.

102. Errors and omissions in anesthesia: a pilot study using a pilot's checklist. | PSNet
     psnet.ahrq.gov/issue/errors-and-omissions-anesthesia-pilot-study-using-pilots-checklist
     September 23, 2020 - Study Errors and omissions in anesthesia: a pilot study using a pilot's checklist … Errors and omissions in anesthesia: a pilot study using a pilot's checklist. … authors tested the efficacy of using a verbal checklist to prepare anesthesiologists to give general anesthesia … Errors and omissions in anesthesia: a pilot study using a pilot's checklist. … December 19, 2014 Liability associated with obstetric anesthesia: a closed claims analysis

103. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia | PSNet
     psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
     January 29, 2021 - Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia Citation Text … Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.. PSNet [internet]. … Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.. PSNet [internet]. … Developing the anesthesia workforce: the impact of training nurse anesthetists. … The anesthesia workforce crisis revisited.

104. Anesthesia safety: model or myth? A review of the published literature and analysis of current original data. | PSNet
     psnet.ahrq.gov/issue/anesthesia-safety-model-or-myth-review-published-literature-and-analysis-current-original
     July 13, 2010 - Review Anesthesia safety: model or myth? … Anesthesia safety: model or myth? … The Committee on Quality of Health Care in America for IOM anointed the area of anesthesia as a model … Anesthesia safety: model or myth? … March 27, 2019 Trends in anesthesia-related liability and lessons learned.

105. World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. | PSNet
     psnet.ahrq.gov/issue/world-health-organization-world-federation-societies-anaesthesiologists-who-wfsa
     November 16, 2015 - Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia … Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia … Safe anesthesia is a global concern. … : the Society for Pediatric Anesthesia Critical Events Checklists. … August 9, 2023 Infection prevention in the operating room anesthesia work area.

106. State-of-the-art usage of simulation in anesthesia: skills and teamwork. | PSNet
     psnet.ahrq.gov/issue/state-art-usage-simulation-anesthesia-skills-and-teamwork
     June 18, 2014 - Review State-of-the-art usage of simulation in anesthesia: skills and teamwork. … State-of-the-art usage of simulation in anesthesia: skills and teamwork. … State-of-the-art usage of simulation in anesthesia: skills and teamwork. … November 9, 2016 An embedded checklist in the Anesthesia Information Management System … July 18, 2016 Simulation in obstetric anesthesia.

107. A series of anesthesia-related maternal deaths in Michigan, 1985-2003. | PSNet
     psnet.ahrq.gov/issue/series-anesthesia-related-maternal-deaths-michigan-1985-2003
     February 26, 2009 - Study A series of anesthesia-related maternal deaths in Michigan, 1985-2003. … A series of anesthesia-related maternal deaths in Michigan, 1985-2003. … The researchers retrospectively analyzed cases of pregnancy-associated deaths involving anesthesia care … A series of anesthesia-related maternal deaths in Michigan, 1985-2003. … May 22, 2019 Liability associated with obstetric anesthesia: a closed claims analysis

108. Standards for patient monitoring during general anesthesia at Harvard Medical School. | PSNet
     psnet.ahrq.gov/issue/standards-patient-monitoring-during-general-anesthesia-harvard-medical-school
     February 10, 2011 - Clinical Guideline Standards for patient monitoring during general anesthesia at … Standards for patient monitoring during anesthesia at Harvard Medical School. … To proactively devise a patient safety strategy for anesthesia, the authors of this article summarized … Standards for patient monitoring during anesthesia at Harvard Medical School. … November 13, 2024 Infection prevention in the operating room anesthesia work area.

109. Intraoperative handoffs among anesthesia providers increase the incidence of documentation errors for controlled drugs. | PSNet
     psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence-documentation-errors
     April 12, 2019 - Study Intraoperative handoffs among anesthesia providers increase the incidence of … Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for … Investigators found that handoffs among anesthesia providers that involved a permanent transfer of patient … Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for … April 22, 2020 Survey of the national drug shortage effect on anesthesia and patient

110. Team relations and role perceptions during anesthesia crisis management in magnetic-resonance imaging settings: a mixed-methods exploration. | PSNet
     psnet.ahrq.gov/issue/team-relations-and-role-perceptions-during-anesthesia-crisis-management-magnetic-resonance
     December 13, 2023 - Study Team relations and role perceptions during anesthesia crisis management in … Team relations and role perceptions during anesthesia crisis management in magnetic-resonance imaging … The use of anesthesia in non-operating room settings , such as MRI suites, presents unique patient … This mixed methods study explored role expectations and coordination among anesthesia and non-anesthesia … Team relations and role perceptions during anesthesia crisis management in magnetic-resonance imaging

111. The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection, anticipation. | PSNet
     psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-25-pioneering-success-safety-25th-anniversary-provokes
     January 01, 2015 - Commentary The Anesthesia Patient Safety Foundation at 25: a pioneering success in … The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes … This commentary highlights the Anesthesia Patient Safety Foundation's numerous patient safety improvement … The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes … June 23, 2015 The wolf is crying in the operating room: patient monitor and anesthesia

112. Topic Suggestion Description | Effective Health Care Program
     effectivehealthcare.ahrq.gov/get-involved/nominated-topics/disparities-anesthesia-care
     June 11, 2021 - Topic Suggestion Description Date submitted: June 11, 2021 Disparities in Anesthesia … What are potential methods of decreasing healthcare disparities in patients receiving anesthesia care … For instance, studies have shown a difference in anesthesia type based on race for laboring patients … Racial and Ethnic Disparities in Mode of Anesthesia for Cesarean Delivery. … being developed to decrease healthcare disparities among patients receiving anesthesia care.

113. Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. | PSNet
     psnet.ahrq.gov/issue/wake-safe-and-root-cause-analysis-quality-improvement-pediatric-anesthesia
     February 03, 2021 - Commentary Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia … Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. … Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. … : the Society for Pediatric Anesthesia Critical Events Checklists. … January 2, 2017 Medication errors in pediatric anesthesia: a report from the Wake Up

114. Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases. | PSNet
     psnet.ahrq.gov/issue/duration-anesthesia-indicator-morbidity-and-mortality-office-based-facial-plastic-surgery
     March 19, 2018 - Study Duration of anesthesia as an indicator of morbidity and mortality in office-based … Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery … The investigators reviewed records of patients having greater or less than 4 hours of anesthesia in an … outpatient setting and found that length of anesthesia was not a marker for poor outcomes. … Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery

115. Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association. | PSNet
     psnet.ahrq.gov/issue/analysis-deaths-related-anesthesia-period-1996-2004-closed-claims-registered-danish-patient
     November 13, 2024 - Study Analysis of deaths related to anesthesia in the period 1996-2004 from closed … Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the … The investigators reviewed claims data to identify cases in which patient mortality was related to anesthesia … Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the … November 28, 2016 An anesthesia preinduction checklist to improve information exchange

116. Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would Semmelweis think? | PSNet
     psnet.ahrq.gov/issue/quantification-anesthesia-providers-hand-hygiene-busy-metropolitan-operating-room-what-would
     September 20, 2023 - Study Quantification of anesthesia providers' hand hygiene in a busy metropolitan … Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would … Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would … September 21, 2022 A theoretical model of flow disruptions for the anesthesia team during … September 22, 2021 Quality and Safety in Anesthesia and Perioperative Care.

117. Generic Dashboard Data 2024 (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2024.xlsx
     January 01, 2024 - unit) 6,795 6.6% Surgery or Anesthesia Labor and delivery 1,071 1.0% Surgery or Anesthesia Laboratory … 3.8% Surgery or Anesthesia Other area within the facility 9,086 8.8% Surgery or Anesthesia Unknown … 93 0.1% Surgery or Anesthesia Other location 2,404 2.3% Surgery or Anesthesia Outside area (i.e., … Clinical Protocols 88 0.2% Surgery or Anesthesia Staff qualifications 455 1.0% Surgery or Anesthesia … Supervisor/Support 28 0.1% Surgery or Anesthesia Multiple 1,028 2.3% Surgery or Anesthesia Other:

118. Syringe Swap During Regional Block: A Case of Medication Error and Recovery | PSNet
     psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
     July 22, 2020 - Following appropriate counseling and consent procedures, the initial attempt at local skin anesthesia … Interventions to reduce medication errors in anesthesia: a systematic review. … Preventing medication errors in pediatric anesthesia: a systematic scoping review.  … Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a … and Smart Anesthesia Manager. 

119. Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project. | PSNet
     psnet.ahrq.gov/issue/reducing-automated-dispensing-cabinet-overrides-peri-anesthesia-care-unit-quality-improvement
     June 07, 2023 - Study Reducing automated dispensing cabinet overrides in the peri-anesthesia care … Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement … This article describes a children's hospital's intervention to decrease ADC overrides in the peri-anesthesia … Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement … WebM&M Cases Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia

120. Patient Safety Concerns Dashboard (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2019.xlsx
     January 01, 2019 - Death 0.1% 438 Surgery or Anesthesia Severe Harm 0.1% 445 Surgery or Anesthesia Moderate Harm 0.5% … 2,820 Surgery or Anesthesia Mild Harm 2.2% 13,726 Surgery or Anesthesia No Harm 3.0% 18,967 Surgery … Unknown Harm 1.4% 511 Surgery or Anesthesia Death 1.2% 438 Surgery or Anesthesia Severe Harm 1.2% … 445 Surgery or Anesthesia Moderate Harm 7.6% 2,820 Surgery or Anesthesia Mild Harm 37.2% 13,726 Surgery … No Harm 5.2% 18,967 Surgery or Anesthesia Mild Harm 6.1% 13,726 Surgery or Anesthesia Moderate Harm