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141. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60305/psn-pdf
     May 06, 2020 - Medication safety: reducing anesthesia medication errors and adverse drug events in dentistry part I …   https://psnet.ahrq.gov/issue/medication-safety-reducing-anesthesia-medication-errors-and-adverse-drug … - events-dentistry This two-part series discusses anesthesia- and sedation-related medication errors … medication safety paradigm - the Dental Anesthesia Medication Safety Paradigm (DAMSP) - which offers … four general guidelines for reducing anesthesia medication errors and adverse drug events in dentistry

142. Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery. | PSNet
     psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among
     March 02, 2022 - Study Classic Association between handover of anesthesia … Association Between Handover of Anesthesia Care and Adverse Postoperative Outcomes Among Patients Undergoing … developing standardized handoff procedures, may result in more meaningful enhancements for intraoperative anesthesia … Association Between Handover of Anesthesia Care and Adverse Postoperative Outcomes Among Patients Undergoing … October 4, 2017 Intraoperative handoffs among anesthesia providers increase the incidence

143. Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system. | PSNet
     psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical-incident-reporting
     August 03, 2017 - Study Situation awareness errors in anesthesia and critical care in 200 cases of … Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting … This retrospective review of anesthesia and critical care cases in the German incident reporting system … Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting … November 6, 2015 An analysis of near misses identified by anesthesia providers in the

144. The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system. | PSNet
     psnet.ahrq.gov/issue/use-patient-digital-facial-images-confirm-patient-identity-childrens-hospitals-anesthesia
     May 06, 2009 - The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia … The Use of Patient Digital Facial Images to Confirm Patient Identity in a Children's Hospital's Anesthesia … a digital photograph to the pre-anesthesia checklist to prompt visual inspection of the patient’s facial … The Use of Patient Digital Facial Images to Confirm Patient Identity in a Children's Hospital's Anesthesia … May 21, 2009 Human factors in pediatric anesthesia incidents.

145. Quality improvement and patient safety organizations in anesthesiology. | PSNet
     psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-organizations-anesthesiology
     March 07, 2018 - This commentary outlines safety efforts in this setting, particularly around the creation of the Anesthesia … Patient Safety Foundation and the Anesthesia Quality Institute, to frame how organizational partnerships … Jeffrey Cooper about patient safety in anesthesia. … April 29, 2018 An anesthesia preinduction checklist to improve information exchange, … November 1, 2012 Quality of Anesthesia Care. 

146. 115-How-To-Randomly-Order-High-Touch (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/115-how-to-randomly-order-high-touch.docx
     April 01, 2025 - How To Randomly Order Lists of Rooms (Preoperative, Post-Anesthesia Care Unit, and Operating Room) and … placement is important, to ensure every operating room (OR) and patient area in the preoperative or post-anesthesia … Anesthesia computer mouse OR bed Nurse computer mouse Med cart – handles Nurse computer keyboard OR door … bar or handle Anesthesia chair Patient chart Nurse phone Anesthesia machine gas knobs IV pole Anesthesia … machine computer screen Anesthesia computer keyboard Arm board Surgical light – handle References

147. Tacit Handover, Overt Mishap | PSNet
     psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
     August 01, 2006 - in the operating room (OR) in hopes that anesthesia would relax the back muscles. … We can only hope that this will soon lead to more effective handoffs in anesthesia. … Safety in anesthesia. In: Levine WC, Allain RM, Alston TA, Dunn PF, Kwo J, eds. … Clinical Anesthesia Procedures of the Massachusetts General Hospital: Department of Anesthesia, Critical … Anesthesia Patient Safety Foundation Newsletter. 2007;21:69-71.

148. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. | PSNet
     psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
     January 29, 2021 - In the operating room after induction of anesthesia, he was able to open the patient’s mouth just enough … For this reason, the responsibility of obtaining such details falls on both the surgical and anesthesia … Production pressure, medical errors, and the pre-anesthesia checkout. … Preoperative evaluation for ambulatory anesthesia: what, when, and how? … A Synopsis of contemporary anesthesia airway management.

149. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/839825/psn-pdf
     November 09, 2022 - Preventing medication errors in pediatric anesthesia: a systematic scoping review. … Preventing medication errors in pediatric anesthesia: a systematic scoping review. … https://psnet.ahrq.gov/issue/preventing-medication-errors-pediatric-anesthesia-systematic-scoping-review … This scoping review characterizing medication errors in pediatric anesthesia found that dosing errors … Recommendations to minimize or prevent medication errors in pediatric anesthesia commonly related to

150. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72702/psn-pdf
     February 03, 2021 - Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. … Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. … https://psnet.ahrq.gov/issue/outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative … The Wake Up Safe initiative includes a registry of serious adverse events occurring in pediatric anesthesia … The most common anesthesia-related events were medication events, respiratory complications, and cardiac

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853059/psn-pdf
     August 30, 2023 - Anesthesia Risk Alert program: a proactive safety initiative. … Anesthesia Risk Alert program: a proactive safety initiative. … https://psnet.ahrq.gov/issue/anesthesia-risk-alert-program-proactive-safety-initiative Perioperative … and anesthesia care present unique patient safety challenges. … This article describes the development and implementation of the Anesthesia Risk Alert (ARA) program

152. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47568/psn-pdf
     March 06, 2019 - Trends in anesthesia-related liability and lessons learned. … Trends in Anesthesia-Related Liability and Lessons Learned. … https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned Closed claim analysis … This review examined closed claims for anesthesia and identified types of injuries experienced by patients … receiving anesthesia.

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846169/psn-pdf
     March 15, 2023 - After induction of general anesthesia, a laryngeal mask was inserted easily and general anesthesia was … to reduce distractions for the anesthesia care provider while the patient is under anesthesia. … Optimize availability of anesthesia technologists Anesthesia technologists are very familiar with anesthesia … equipment and anesthesia crisis scenarios. … The assistance of an anesthesia technologist is a very important component of providing safe anesthesia

154. Saved by ECMO | PSNet
     psnet.ahrq.gov/web-mm/saved-ecmo
     May 05, 2017 - Lumbar epidural anesthesia was planned for the cesarean delivery. … After the anesthesia provider inserted the epidural catheter, it was tested using 2 milliliters (ml) … The incidence of “high spinal” anesthesia varies in the literature and is largely unknown due to lack … Anesthesia for pregnant women with pulmonary hypertension.  … the Society for Obstetric Anesthesia and Perinatology.  

155. Hypoxic Gas Supply from Cross-Connected Pipelines | PSNet
     psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
     February 05, 2020 - 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 … the desired FIO2 set by the anesthesia clinician.

156. Emerging Concepts in Patient Safety. | PSNet
     psnet.ahrq.gov/issue/emerging-concepts-patient-safety
     March 27, 2024 - This publication presents patient safety concepts for anesthesia practice, including decision aids … to educate and empower patients about anesthesia choice, environmental hazards, interpersonal communication … Patient Safety January 13, 2021 Safety and Quality in Perioperative Anesthesia … August 9, 2013 Quality of Anesthesia Care. 

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73456/psn-pdf
     June 30, 2021 - Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia. … Whenever adequate oxygen saturation cannot be maintained under anesthesia, the anesthesia either needs … Obese patients may be difficult to oxygenate under general anesthesia. … High risk patients should be managed by experienced anesthesia providers. … A synopsis of contemporary anesthesia airway management.

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/855426/psn-pdf
     November 15, 2023 - Anesthesia workspaces for safe medication practices: design guidelines. … Anesthesia workspaces for safe medication practices: design guidelines. … https://psnet.ahrq.gov/issue/anesthesia-workspaces-safe-medication-practices-design-guidelines Well-designed … Recommendations include demarcating an anesthesia zone with adequate space for equipment and storage … https://psnet.ahrq.gov/issue/anesthesia-workspaces-safe-medication-practices-design-guidelines https:

159. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867337/psn-pdf
     December 11, 2024 - Perspectives on anesthesia and perioperative patient safety: past, present, and future. … Perspectives on anesthesia and perioperative patient safety: past, present, and future. … https://psnet.ahrq.gov/issue/perspectives-anesthesia-and-perioperative-patient-safety-past-present-and … Safety II, and Safety III frameworks and how each can support safety analytics in perioperative and anesthesia … https://psnet.ahrq.gov/issue/perspectives-anesthesia-and-perioperative-patient-safety-past-present-and-future

160. Technology, Education and Safety | PSNet
     psnet.ahrq.gov/issue/technology-education-and-safety-2
     December 02, 2020 - safety management that create the sociotechnical system within which technology is used to deliver anesthesia … June 30, 2010 Safety and Quality in Perioperative Anesthesia Care. … April 7, 2021 View More Related Resources Perspectives on anesthesia … November 15, 2023 Anesthesia workspaces for safe medication practices: design guidelines … See More About The Topic Outpatient Surgery Operating Room Anesthesiology Anesthesia