-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2022.xlsx
January 01, 2022 - No Harm 40.6% 39,833 1,567,355
Surgery or Anesthesia Mild Harm 24.5% 24,048 1,567,355
Surgery or Anesthesia … Moderate Harm 4.9% 4,804 1,567,355
Surgery or Anesthesia Severe Harm 0.9% 860 1,567,355
Surgery or … Anesthesia Death 0.8% 818 1,567,355
Surgery or Anesthesia Unknown Harm 28.3% 27,797 1,567,355
Other … No Harm 5.2% 39,833 1,567,355
Surgery or Anesthesia Mild Harm 6.0% 24,048 1,567,355
Surgery or Anesthesia … or Anesthesia Death 10.3% 818 1,567,355
Surgery or Anesthesia Unknown Harm 8.1% 27,797 1,567,355
Other
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2021.xlsx
January 01, 2021 - No Harm 36.0% 29,592 1,267,662
Surgery or Anesthesia Mild Harm 25.6% 21,018 1,267,662
Surgery or Anesthesia … Moderate Harm 5.2% 4,273 1,267,662
Surgery or Anesthesia Severe Harm 0.8% 636 1,267,662
Surgery or … Anesthesia Death 0.8% 631 1,267,662
Surgery or Anesthesia Unknown Harm 31.6% 25,948 1,267,662
Other … No Harm 5.4% 29,592 1,267,662
Surgery or Anesthesia Mild Harm 6.0% 21,018 1,267,662
Surgery or Anesthesia … or Anesthesia Death 11.3% 631 1,267,662
Surgery or Anesthesia Unknown Harm 7.9% 25,948 1,267,662
Other
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2020.xlsx
January 01, 2020 - No Harm 45.4% 28,208 1,075,547
Surgery or Anesthesia Mild Harm 32.8% 20,337 1,075,547
Surgery or Anesthesia … Moderate Harm 6.3% 3,913 1,075,547
Surgery or Anesthesia Severe Harm 1.0% 598 1,075,547
Surgery or … Anesthesia Death 1.0% 615 1,075,547
Surgery or Anesthesia Unknown Harm 13.6% 8,422 1,075,547
Other … No Harm 5.4% 28,208 1,075,547
Surgery or Anesthesia Mild Harm 5.9% 20,337 1,075,547
Surgery or Anesthesia … or Anesthesia Death 11.1% 615 1,075,547
Surgery or Anesthesia Unknown Harm 5.2% 8,422 1,075,547
Other
-
psnet.ahrq.gov/issue/shortage-perioperative-drugs-implications-anesthesia-practice-and-patient-safety
April 11, 2018 - Commentary
Shortage of perioperative drugs: implications for anesthesia practice … Shortage of perioperative drugs: implications for anesthesia practice and patient safety. … Several commonly used anesthesia medications are among the 140 medications currently considered to be … Shortage of perioperative drugs: implications for anesthesia practice and patient safety. … July 19, 2017
The association between frequency of self-reported medical errors and anesthesia
-
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.
-
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?
-
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
-
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
-
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
-
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
-
psnet.ahrq.gov/issue/snomed-ct-electronic-health-record-enhances-anesthesia-patient-safety
March 14, 2022 - Commentary
SNOMED CT: electronic health record enhances anesthesia patient safety … SNOMED CT: electronic health record enhances anesthesia patient safety. … SNOMED CT: electronic health record enhances anesthesia patient safety. … October 15, 2014
Survey of the national drug shortage effect on anesthesia and patient … April 22, 2020
Adverse Events in Anesthesia: An Integrative Review.
-
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
-
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
-
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 most common anesthesia-related
events were medication events, respiratory complications, and cardiac … https://psnet.ahrq.gov/issue/outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative
https
-
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
-
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.
-
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.
-
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
-
psnet.ahrq.gov/node/47284/psn-pdf
December 05, 2018 - Preventable anesthesia-related adverse events at a large
tertiary care center: a nine-year retrospective … Preventable Anesthesia-Related Adverse Events at a Large
Tertiary Care Center: A Nine-Year Retrospective … https://psnet.ahrq.gov/issue/preventable-anesthesia-related-adverse-events-large-tertiary-care-center-nine … Researchers examined 747 adverse anesthesia events at a single
institution and found that 43% were preventable … https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation
https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors
-
psnet.ahrq.gov/issue/retrospective-analysis-demonstrates-failure-document-key-comorbid-diseases-anesthesia
September 22, 2021 - A retrospective analysis demonstrates that a failure to document key comorbid diseases in the anesthesia … A retrospective analysis demonstrates that a failure to document key comorbid diseases in the anesthesia … Anesthesia -related adverse events have been associated with increased length of stay, morbidity and … A retrospective analysis demonstrates that a failure to document key comorbid diseases in the anesthesia