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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
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psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
August 13, 2014 - procedure, has brought national attention to the potential safety hazards of office-based procedural anesthesia … A previous AHRQ WebM&M perspective described office-based anesthesia as the "Wild West" of patient … August 13, 2014
Trends in anesthesia-related liability and lessons learned. … August 22, 2018
Anesthesia-related closed claims in free-standing ambulatory surgery … August 27, 2008
Duration of anesthesia as an indicator of morbidity and mortality in
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psnet.ahrq.gov/node/843091/psn-pdf
January 25, 2023 - Anesthesia outside of the OR: cause for patient safety
concerns? … https://psnet.ahrq.gov/issue/anesthesia-outside-or-cause-patient-safety-concerns
The use of anesthesia … that improved collaboration with
anesthesiologists represents opportunities for nonoperating room anesthesia … https://psnet.ahrq.gov/issue/anesthesia-outside-or-cause-patient-safety-concerns
https://psnet.ahrq.gov … /perspective/wild-west-patient-safety-office-based-anesthesia
https://psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
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psnet.ahrq.gov/node/866588/psn-pdf
August 28, 2024 - The impact of hindsight bias on the diagnosis of
perioperative events by anesthesia providers: a
multicenter … The impact of hindsight bias on the diagnosis of perioperative
events by anesthesia providers: a multicenter … https://psnet.ahrq.gov/issue/impact-hindsight-bias-diagnosis-perioperative-events-anesthesia-providers … This study presented
anesthesia providers with two case scenarios—one which stated the diagnosis at … https://psnet.ahrq.gov/issue/impact-hindsight-bias-diagnosis-perioperative-events-anesthesia-providers-multicenter
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psnet.ahrq.gov/issue/retrospective-analysis-demonstrates-failure-document-key-comorbid-diseases-anesthesia
May 26, 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
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psnet.ahrq.gov/issue/closed-loop-communication-interprofessional-emergency-teams-cross-sectional-observation-study
September 24, 2016 - emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia … emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia … care (as opposed to simulations ), researchers observed 60 interprofessional teams, including 120 anesthesia … emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia … Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia
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psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-procedures-outside
March 01, 2011 - Study
Incidence and nature of adverse events during pediatric sedation/anesthesia … Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the … potential for harm ( near misses ), such as unanticipated need for bag-mask ventilation or reversal of anesthesia … Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the … the Same Author(s)
The incidence and nature of adverse events during pediatric sedation/anesthesia
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psnet.ahrq.gov/issue/how-does-patient-safety-culture-operating-room-and-post-anesthesia-care-unit-compare-rest
October 14, 2009 - Study
How does patient safety culture in the operating room and post-anesthesia care … How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest … This study found that operating room (OR) and post-anesthesia care unit (PACU) staff had a significantly … How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest … February 22, 2019
Quality of Anesthesia Care.
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psnet.ahrq.gov/node/867013/psn-pdf
October 23, 2024 - Reducing automated dispensing cabinet overrides in the
peri-anesthesia care unit: a quality improvement … Reducing automated dispensing cabinet overrides in the peri-
anesthesia care unit: a quality improvement … https://psnet.ahrq.gov/issue/reducing-automated-dispensing-cabinet-overrides-peri-anesthesia-care-unit … This article describes a children's hospital's
intervention to decrease ADC overrides in the peri-anesthesia … https://psnet.ahrq.gov/issue/reducing-automated-dispensing-cabinet-overrides-peri-anesthesia-care-unit-quality-improvement
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psnet.ahrq.gov/node/866158/psn-pdf
June 19, 2024 - Anesthesia-related closed claims in free-standing
ambulatory surgery centers. … Anesthesia-related closed claims in free-standing ambulatory
surgery centers. … https://psnet.ahrq.gov/issue/anesthesia-related-closed-claims-free-standing-ambulatory-surgery-centers … This study examined closed anesthesia-related malpractice claims of ASCs and
hospital-based operating … https://psnet.ahrq.gov/issue/anesthesia-related-closed-claims-free-standing-ambulatory-surgery-centers
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psnet.ahrq.gov/issue/missed-steps-preanesthetic-set
June 26, 2019 - Anesthesia equipment was often improperly set up, potentially exposing patients to safety risks. … September 13, 2017
An embedded checklist in the Anesthesia Information Management System … November 30, 2022
Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement … September 24, 2016
Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia … July 9, 2014
WebM&M Cases
Anesthesia: A Weighty Issue
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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-individual-lifetime-achievement-jeffrey-b-cooper-phd
November 11, 2020 - Jeff Cooper played an instrumental role in advancing patient safety in anesthesia, including his work … Download Citation
Related Resources From the Same Author(s)
The Anesthesia … March 9, 2022
WebM&M Cases
Check the Anesthesia Machine … January 2, 2017
Differences in safety climate among hospital anesthesia departments and … June 16, 2011
View More
Related Resources
Anesthesia Patient Safety
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psnet.ahrq.gov/node/49697/psn-pdf
December 01, 2013 - Check the Anesthesia Machine. PSNet [internet]. 2013. … We expect that the relatively new program for error reporting in
anesthesia by the Anesthesia Quality … Daniel Saddawi-Konefka, MD Instructor in Anesthesia Department of Anesthesia, Critical Care and Pain … Cooper, PhD Professor of Anesthesia Department of Anesthesia, Critical Care and Pain
Medicine Massachusetts … Anesthesia Apparatus Checkout Procedure.
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psnet.ahrq.gov/node/73922/psn-pdf
October 06, 2021 - Leading causes of anesthesia-related liability claims in
ambulatory surgery centers. … Leading causes of anesthesia-related liability claims in ambulatory
surgery centers. … https://psnet.ahrq.gov/issue/leading-causes-anesthesia-related-liability-claims-ambulatory-surgery-centers … This analysis of medical malpractice claims identified four leading causes of anesthesia-related claims … https://psnet.ahrq.gov/issue/leading-causes-anesthesia-related-liability-claims-ambulatory-surgery-centers
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/normothermia-audit.html
December 01, 2017 - 14: Indicate whether a forced air warmer was used in the period between the time of incision and the anesthesia … The duration can be determined from the difference between anesthesia start time and anesthesia stop … Yes ___ No ___
Temperature on arrival to post-anesthesia care unit/intensive care unit … Anesthesia stop time minus anesthesia start time.
_____ hours _____ minutes
ICU = intensive … care unit; OR = operating room; PACU = post-anesthesia care unit
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/normothermia_audit.docx
December 01, 2017 - : Indicate whether a forced air warmer was used in the period between the time of incision and the anesthesia … The duration can be determined from the difference between anesthesia start time and anesthesia stop … Temperature on arrival to post-anesthesia care unit/intensive care unit
_____ oC or NA
16. … Duration of case
Anesthesia stop time minus anesthesia start time
_____ hours _____ minutes
ICU … = intensive care unit; OR = operating room; PACU = post-anesthesia care unit
*Not available
**Use of
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psnet.ahrq.gov/node/46287/psn-pdf
April 12, 2019 - Anesthesia adverse events voluntarily reported in the
Veterans Health Administration and lessons learned … Anesthesia Adverse Events Voluntarily Reported in the Veterans
Health Administration and Lessons Learned … https://psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health-
administration-and-lessons … https://psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health-administration-and-lessons … https://psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health-administration-and-lessons
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psnet.ahrq.gov/node/46774/psn-pdf
April 12, 2019 - Association between handover of anesthesia care and
adverse postoperative outcomes among patients
undergoing … Association Between Handover of Anesthesia Care and Adverse
Postoperative Outcomes Among Patients Undergoing … https://psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative- … https://psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among … https://psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among
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psnet.ahrq.gov/node/837041/psn-pdf
May 04, 2022 - APSF endorsed statement on revising recommendations
for patient monitoring during anesthesia. … //psnet.ahrq.gov/issue/apsf-endorsed-statement-revising-recommendations-patient-monitoring-during-
anesthesia … This
guidance applied expert consensus to examine existing anesthesia monitoring standards worldwide … Recommendations are provided for organizations and providers to guide anesthesia practice in a variety … https://psnet.ahrq.gov/issue/apsf-endorsed-statement-revising-recommendations-patient-monitoring-during-anesthesia
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psnet.ahrq.gov/node/50710/psn-pdf
December 04, 2019 - Safety in office-based anesthesia: an updated review of
the literature from 2016 to 2019
December 4 … Safety in office-based anesthesia. … https://psnet.ahrq.gov/issue/safety-office-based-anesthesia-updated-review-literature-2016-2019
Office-based … anesthesia (OBA) is being performed more commonly internationally. … https://psnet.ahrq.gov/issue/safety-office-based-anesthesia-updated-review-literature-2016-2019
https