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  1. Spotlight

    psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_intraoperative_awareness_during_rhinoplasty_slides_final.pptx
    January 01, 2024 - of anesthesia drugs necessary for preventing awareness in that patient. … The anesthesia record should be reviewed for evidence of inadequate depth of anesthesia. … Clinical signs of depth of anesthesia need to be assessed continuously. … Monitoring of Anesthesia by Bispectral Analysis of EEG Signals. … Awareness under general anesthesia. Dtsch Arztebl Int. 2011;108(1-2):1-7.

  2. Patient safety during sedation by anesthesia professionals during routine upper endoscopy and colonoscopy: an analysis of 1.38 million procedures. | PSNet

    psnet.ahrq.gov/issue/patient-safety-during-sedation-anesthesia-professionals-during-routine-upper-endoscopy-and
    August 20, 2018 - Study Patient safety during sedation by anesthesia professionals during routine upper … Patient safety during sedation by anesthesia professionals during routine upper endoscopy and colonoscopy … upper endoscopy, there was an increased rate of serious adverse events in cases that involved an anesthesia … Patient safety during sedation by anesthesia professionals during routine upper endoscopy and colonoscopy … March 29, 2017 The association between frequency of self-reported medical errors and anesthesia

  3. APSF Stoelting Conference. | PSNet

    psnet.ahrq.gov/issue/apsf-stoelting-conference
    September 19, 2024 - Anesthesia Patient Safety Foundation. … Share Facebook Twitter Linkedin Copy URL June 17, 2024 Anesthesia … Anesthesia is a high-risk activity that has achieved safety successes. … Anesthesia Patient Safety Foundation. … February 10, 2021 The Anesthesia Patient Safety Foundation Stoelting Conference 2019:

  4. Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety (pdf file)

    www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
    January 01, 2024 - Still photos of videotaped anesthesia cases containing NRE. … Some feel intraoperative reading lowers the quality of anesthesia care because, when the anesthesia … Understanding the Post-Anesthesia Extubation Decision. … Weinger MB: Anesthesia incidents and accidents. … Understanding the Post-Anesthesia Extubation Decision.

  5. Final Progress Report: Improved Patient Safety Through Web-Based Education (pdf file)

    www.ahrq.gov/sites/default/files/2024-02/hendee-report.pdf
    January 01, 2024 - For the anesthesia module, input from representative of the Anesthesia Patient Safety Foundation was … Associate Professor of Anesthesia, Harvard Medical School Department of Anesthesia and Critical Care … Keating-Christensen: patients and families anticipating anesthesia). … • Introduction • General Overview • Before Anesthesia • After Anesthesia • Anesthesia Safety for … Special Populations & Chronically Ill • Alternative Medicine & Anesthesia • Anesthesia Safety for

  6. Don’t Bite Your Tongue. | PSNet

    psnet.ahrq.gov/web-mm/dont-bite-your-tongue
    September 18, 2024 - The patient was placed under general anesthesia and intubated. … During extubation after surgery, the anesthesia care provider noticed a large (approximately 4-5 cm) … This finding was attributed to the fact that the inexperienced anesthesia care provider was unaware of … Dental injury associated with anesthesia: a report of 161,687 anesthetics given over 14 years.  … Airway injury during anesthesia: a closed claims analysis. 

  7. Intraoperative Awareness during Rhinoplasty | PSNet

    psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
    January 29, 2021 - The anesthesia record should be reviewed for evidence of inadequate depth of anesthesia. … Awareness and recall during general anesthesia. … Awareness during anesthesia: a closed claims analysis. … Awareness under general anesthesia. … Awareness in cardiac anesthesia.

  8. Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the literature. | PSNet

    psnet.ahrq.gov/issue/safe-labeling-practices-minimize-medication-errors-anesthesia-5-case-reports-and-review
    March 26, 2014 - Commentary Safe labeling practices to minimize medication errors in anesthesia: 5 … Safe Labeling Practices to Minimize Medication Errors in Anesthesia. … Safe Labeling Practices to Minimize Medication Errors in Anesthesia. … April 3, 2019 Anesthesia medication handling needs a new vision. … December 20, 2017 Shortage of perioperative drugs: implications for anesthesia practice

  9. Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post-induction checklist. | PSNet

    psnet.ahrq.gov/issue/persisting-high-rates-omissions-during-anesthesia-induction-are-decreased-utilization-pre
    July 20, 2022 - Study Persisting high rates of omissions during anesthesia induction are decreased … Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- … This study evaluated a pre- and post-anesthesia induction checklist to determine the omission rate and … Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- … Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia

  10. Improving the quality and safety of patient care in cardiac anesthesia. | PSNet

    psnet.ahrq.gov/issue/improving-quality-and-safety-patient-care-cardiac-anesthesia
    September 26, 2012 - Review Improving the quality and safety of patient care in cardiac anesthesia. … Improving the quality and safety of patient care in cardiac anesthesia. … Improving the quality and safety of patient care in cardiac anesthesia. … Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837895/psn-pdf
    August 24, 2022 - Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia. … Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia. … Harm from pediatric anesthesia-related errors is infrequent, but largely preventable. … This pediatric hospital developed and implemented an anesthesia-specific checklist to be used before … anesthesia induction.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865570/psn-pdf
    April 10, 2024 - Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review … - approach-data Summary North American Partners in Anesthesia (NAPA) is a nationwide anesthesia practice … , the NAPA Anesthesia Patient Safety Institute (NAPSI). … No other organizations use the Anesthesia Risk Alert program. Footnotes 1. … Anesthesia risk alert program: a proactive safety initiative.

  13. Use of a public health law framework to improve medication safety by anesthesia providers. | PSNet

    psnet.ahrq.gov/issue/use-public-health-law-framework-improve-medication-safety-anesthesia-providers
    December 22, 2018 - Commentary Use of a public health law framework to improve medication safety by anesthesia … Use of a public health law framework to improve medication safety by anesthesia providers. … This commentary explores how gaps in legal and regulatory structure affect anesthesia medication safety … Use of a public health law framework to improve medication safety by anesthesia providers. … Related Resources From the Same Author(s) Medication errors in pediatric anesthesia

  14. Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
    January 01, 2023 - • Define safe time frames for neuraxial anesthesia following anticoagulation use. … • The anesthesia care provider inserted a spinal needle swiftly and uneventfully. … • Whether to administer general anesthesia or neuraxial anesthesia prior to cesarean delivery depends … general anesthesia instead … • Although regional anesthesia is generally preferred for all deliveries requiring anesthesia (even

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866826/psn-pdf
    September 25, 2024 - with local infiltration anesthesia of the operative site. … When using low flow or closed-circuit anesthesia, a hypoxic gas mixture may develop in the anesthesia … Low flow anesthesia is used to reduce the amount of sevoflurane used during anesthesia and to prevent … the anesthesia circuit At the beginning of every day prior to starting the first anesthesia case, the … New anesthesia machines automatically increase the flow of oxygen during low flow anesthesia to achieve

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851364/psn-pdf
    April 24, 2024 - Anesthesia Patient Safety Podcast. … April 24, 2024 Anesthesia Patient Safety Foundation. 2020-2024. … https://psnet.ahrq.gov/issue/anesthesia-patient-safety-podcast Work to improve anesthesia is longstanding … This free podcast series from the Anesthesia Patient Safety Foundation is updated regularly to cover … https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864859/psn-pdf
    March 20, 2024 - Team relations and role perceptions during anesthesia crisis management in magnetic-resonance imaging … Team relations and role perceptions during anesthesia crisis management in magnetic-resonance imaging … https://psnet.ahrq.gov/issue/team-relations-and-role-perceptions-during-anesthesia-crisis-management- … magnetic-resonance The use of anesthesia in non-operating room settings, such as MRI suites, presents … This mixed methods study explored role expectations and coordination among anesthesia and non-anesthesia

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849661/psn-pdf
    June 28, 2023 - Define safe time frames for neuraxial anesthesia following anticoagulation use. … Whether to administer general anesthesia or neuraxial anesthesia prior to cesarean delivery depends … general anesthesia instead. … Although regional anesthesia is generally preferred for all deliveries requiring anesthesia (even emergent … https://www.uptodate.com/contents/anesthesia-for-cesarean-delivery?

  19. Informed or Misled? | PSNet

    psnet.ahrq.gov/web-mm/informed-or-misled
    April 24, 2018 - Based on preoperative discussions, the patient expected to receive spinal anesthesia. … The patient reportedly signed an anesthesia permit required by this hospital that stated that any change … in the anesthesia plan must occur in writing. … The anesthesia records failed to note or explain any change in the anesthesia plan. … Without evidence of either general anesthesia being emergently required for the patient, or general anesthesia

  20. Wake Up Safe. | PSNet

    psnet.ahrq.gov/issue/wake-safe
    April 22, 2020 - Society for Pediatric Anesthesia. … Society for Pediatric Anesthesia. … November 9, 2022 Medication errors in pediatric anesthesia: a report from the Wake Up … April 13, 2011 A theoretical model of flow disruptions for the anesthesia team during … October 22, 2014 National pediatric anesthesia safety quality improvement program in
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