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1941. Examining the relationship between nurse fatigue, alertness, and medication errors. | PSNet
      psnet.ahrq.gov/issue/examining-relationship-between-nurse-fatigue-alertness-and-medication-errors
      October 10, 2015 - November 9, 2022 Analysis of deaths related to anesthesia in the period 1996-2004 from

1942. Procedural timeout compliance is improved with real-time clinical decision support. | PSNet
      psnet.ahrq.gov/issue/procedural-timeout-compliance-improved-real-time-clinical-decision-support
      October 11, 2017 - October 4, 2023 Persisting high rates of omissions during anesthesia induction are decreased

1943. Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-governance-and-systems-through-learning-successes-and-failures
      May 08, 2017 - Population: ED-SAFE April 24, 2024 Peer support and second victim programs for anesthesia

1944. The morbidity and mortality conference: opportunities for enhancing patient safety. | PSNet
      psnet.ahrq.gov/issue/morbidity-and-mortality-conference-opportunities-enhancing-patient-safety
      March 17, 2021 - Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia

1945. Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy. | PSNet
      psnet.ahrq.gov/issue/challenging-authority-during-life-threatening-crisis-effect-operating-theatre-hierarchy
      December 02, 2015 - In this simulation study, the majority of anesthesia trainees complied with a supervisor's order to transfuse

1946. Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. | PSNet
      psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk
      October 04, 2023 - Medication Labeling in an Operating Room April 27, 2022 The evolution of the Anesthesia

1947. Systems errors versus physicians' errors: finding the balance in medical education. | PSNet
      psnet.ahrq.gov/issue/systems-errors-versus-physicians-errors-finding-balance-medical-education
      October 12, 2012 - October 12, 2012 Anesthesia Risk Alert program: a proactive safety initiative.

1948. Deficiencies in electronic medical record inpatient list capabilities negatively impact patient safety, resident education, and wellness. | PSNet
      psnet.ahrq.gov/issue/deficiencies-electronic-medical-record-inpatient-list-capabilities-negatively-impact-patient
      October 19, 2022 - Diagnosis Reflects Systemic Failures October 31, 2023 Developing surgical and anesthesia

1949. Parents' perceptions of patient safety in paediatric hospital care-a mixed-methods systematic review. | PSNet
      psnet.ahrq.gov/issue/parents-perceptions-patient-safety-paediatric-hospital-care-mixed-methods-systematic-review
      May 01, 2024 - Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia

1950. A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions." | PSNet
      psnet.ahrq.gov/issue/new-approach-assessing-patient-safety-aspects-routine-practice-using-example-doctors
      April 24, 2019 - April 3, 2024 Situation awareness errors in anesthesia and critical care in 200 cases

1951. Secured But Not Always Safe | PSNet
      psnet.ahrq.gov/web-mm/secured-not-always-safe
      October 01, 2015 - She received spinal anesthesia, and the airway was maintained with the use of a laryngeal mask airway … This unusual case of mediastinitis, which temporally followed the use of laryngeal mask airway (LMA) anesthesia … this way, it may provide additional safety over the positive pressure ventilation used in "general anesthesia … During standard preoperative consenting, the anesthesia team discusses the general approach to anesthesia … Such events should reinforce the importance of a comprehensive and vigilant approach to anesthesia care

1952. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49731/psn-pdf
      April 01, 2015 - The percentage of OR fires increased over time, from less than 1% of all surgical anesthesia claims … in 1985–1994 to 4.4% of all surgical anesthesia claims between 2000–2009.(7) This trend was especially … pronounced among claims for monitored anesthesia. … If heavy sedation with supplemental oxygen is required, the ASA advisory recommends general anesthesia … Anesthesia Patient Safety Foundation, Fire Safety Video. [Available at] 4.

1953. Center for Patient Safety. | PSNet
      psnet.ahrq.gov/issue/center-patient-safety
      May 01, 2016 - September 20, 2023 Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement … January 21, 2021 Anesthesia Awareness Registry. … March 17, 2011 WebAIRS Anesthesia Incident Reporting System.

1954. Perioperative Safety Culture: Principles, Practices, and Pragmatic Approaches. | PSNet
      psnet.ahrq.gov/issue/perioperative-safety-culture-principles-practices-and-pragmatic-approaches
      January 23, 2013 - January 23, 2013 Quality of Anesthesia Care.  … December 15, 2021 Safety and Quality in Perioperative Anesthesia Care. … April 7, 2021 Quality of Anesthesia Care. 

1955. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33892/psn-pdf
      May 03, 2016 - This technique, used in anesthesia to understand failures (see also Cooper et al. 1978 and Flanagan … psnet.ahrq.gov/issue/critical-incident-technique-bibliography-2001 https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors

1956. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.311_slideshow.ppt
      December 01, 2013 - Thrombolysis. 2013;36:212-222. http://www.ncbi.nlm.nih.gov/pubmed/23532364 14 TSOACs and Neuraxial Anesthesia … Patients undergoing neuraxial anesthesia (such as the epidural catheter in this case) are at risk for … (2) Recent guidelines from the American Society of Regional Anesthesia and Pain Medicine recommend that … Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society … of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Third Edition).

1957. Key vulnerabilities in the surgical environment: container mix-ups and syringe swaps. | PSNet
      psnet.ahrq.gov/issue/key-vulnerabilities-surgical-environment-container-mix-ups-and-syringe-swaps
      June 10, 2018 - November 29, 2017 View More Related Resources Anesthesia Patient … Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia … May 3, 2006 WebM&M Cases Unexplained Apnea Under Anesthesia

1958. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46442/psn-pdf
      October 04, 2017 - This special issue focuses on transfers involving anesthesia care. … psnet.ahrq.gov/issue/inadequate-hand-communication https://psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence-documentation-errors

1959. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34754/psn-pdf
      February 06, 2018 - He and Morell are well suited to be at the helm of the first anesthesia textbook on patient safety.

1960. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35116/psn-pdf
      April 06, 2011 - crises-clinical-care-approach-management This commentary discusses the many facets of crisis management in anesthesia … This commentary is accompanied by a manual of 24 specific sub-algorithms in anesthesia crisis management