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161. 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. 

162. 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:

163. 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

164. 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

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49661/psn-pdf
     August 01, 2012 - Approach to Anesthesia in Ambulatory Surgery Anesthesia for ambulatory surgery focuses on (i) rapid … When traditional general anesthesia is chosen, providers typically employ total IV anesthesia, using … The Post Anesthesia Discharge Score (PADS) is used to assess fitness for discharge home.(7) Post Anesthesia … Post Anesthesia Discharge Score "add-on module" for patients after spinal anesthesia. … Spinal Anesthesia Add-on Module 1.

166. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61016/psn-pdf
     October 14, 2020 - Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake … Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake … https://psnet.ahrq.gov/issue/complications-associated-anesthesia-transport-pediatric-patients-analysis … used perioperative adverse event data reported to a patient safety organization to identify pediatric anesthesia … A small proportion (5%) of pediatric anesthesia adverse events were associated with transport, but the

167. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34641/psn-pdf
     March 03, 2011 - Study of the deaths associated with anesthesia and surgery: based on a study of 599, 548 anesthesias … A study of the deaths associated with anesthesia and surgery: based on a study of 599, 548 anesthesias … Published in 1954, this article examines the death rate attributable to anesthesia in the surgical … There was one anesthesia death for every 1,560 patients, a death rate of 0.06%. … , and anesthesia should be viewed as a major public health problem.

168. 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

169. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45857/psn-pdf
     July 11, 2017 - Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a … Assessing the Impact of the Anesthesia Medication Template on Medication Errors During Anesthesia: A … - anesthesia Medication errors represent a significant source of harm to patients. … https://psnet.ahrq.gov/issue/assessing-impact-anesthesia-medication-template-medication-errors-during-anesthesia … https://psnet.ahrq.gov/issue/assessing-impact-anesthesia-medication-template-medication-errors-during-anesthesia

170. 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

171. 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.

172. 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.

173. 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

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74710/psn-pdf
     January 26, 2022 - The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations … The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations … https://psnet.ahrq.gov/issue/evolution-anesthesia-patient-safety-movement-america-lessons-learned-and … https://psnet.ahrq.gov/issue/evolution-anesthesia-patient-safety-movement-america-lessons-learned-and-considerations … https://psnet.ahrq.gov/issue/wake-safe-and-root-cause-analysis-quality-improvement-pediatric-anesthesia

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850935/psn-pdf
     June 21, 2023 - Non–operating room anesthesia challenges. June 21, 2023 Smith MJ. Anesthesiology News. … https://psnet.ahrq.gov/issue/non-operating-room-anesthesia-challenges The use of office-based anesthesia … This article summarizes frontline concerns regarding the use of non–operating room anesthesia and highlights … https://psnet.ahrq.gov/issue/non-operating-room-anesthesia-challenges https://psnet.ahrq.gov/issue/safety-office-based-anesthesia-updated-review-literature

176. 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.

177. 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

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/842415/psn-pdf
     January 11, 2023 - Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. … Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. … https://psnet.ahrq.gov/issue/accuracy-spinal-anesthesia-drug-concentrations-mixtures-prepared- anesthetists … Anesthesia medications prepared in the operating room are vulnerable to errors at all stages of medication … https://psnet.ahrq.gov/issue/accuracy-spinal-anesthesia-drug-concentrations-mixtures-prepared-anesthetists

179. 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.

180. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/863756/psn-pdf
     March 06, 2024 - Preoperative communication between anesthesia, surgery, and primary care providers for older surgical … Preoperative communication between anesthesia, surgery, and primary care providers for older surgical … https://psnet.ahrq.gov/issue/preoperative-communication-between-anesthesia-surgery-and-primary-care- … This cross-sectional study including 265 surgical patients and 249 providers (primary care, anesthesia … https://psnet.ahrq.gov/issue/preoperative-communication-between-anesthesia-surgery-and-primary-care-providers-older