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1961. The impact of the built environment on patient falls in hospital rooms: an integrative review. | PSNet
      psnet.ahrq.gov/issue/impact-built-environment-patient-falls-hospital-rooms-integrative-review
      July 27, 2022 - The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia

1962. Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. | PSNet
      psnet.ahrq.gov/issue/implementing-receiver-driven-handoffs-emergency-department-reduce-miscommunication
      December 05, 2018 - emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia

1963. Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. | PSNet
      psnet.ahrq.gov/issue/fake-and-expired-medications-simulation-based-education-underappreciated-risk-patient-safety
      September 26, 2012 - Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia

1964. Team experiences of the root cause analysis process after a sentinel event: a qualitative case study. | PSNet
      psnet.ahrq.gov/issue/team-experiences-root-cause-analysis-process-after-sentinel-event-qualitative-case-study
      October 07, 2020 - August 17, 2016 State-of-the-art usage of simulation in anesthesia: skills and teamwork

1965. Adverse events in patients transitioning from the emergency department to the inpatient setting. | PSNet
      psnet.ahrq.gov/issue/adverse-events-patients-transitioning-emergency-department-inpatient-setting
      September 07, 2022 - emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia

1966. Medical students' experiences, perceptions, and management of second victim: an interview study. | PSNet
      psnet.ahrq.gov/issue/medical-students-experiences-perceptions-and-management-second-victim-interview-study
      March 05, 2014 - October 27, 2021 Complications associated with the anesthesia transport of pediatric

1967. A longitudinal study on the impact of simulation on positive deviance through speaking up. | PSNet
      psnet.ahrq.gov/issue/longitudinal-study-impact-simulation-positive-deviance-through-speaking
      August 24, 2022 - The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia

1968. Workplace factors associated with burnout of family physicians. | PSNet
      psnet.ahrq.gov/issue/workplace-factors-associated-burnout-family-physicians
      July 03, 2016 - December 19, 2018 Improving documentation of a beta-blocker quality measure through an anesthesia

1969. Assessing nourishment problems at a hospital: what can we learn from them? | PSNet
      psnet.ahrq.gov/issue/assessing-nourishment-problems-hospital-what-can-we-learn-them
      January 08, 2025 - February 3, 2021 Analysis of deaths related to anesthesia in the period 1996-2004 from

1970. Reduction in opioid prescribing through evidence-based prescribing guidelines. | PSNet
      psnet.ahrq.gov/issue/reduction-opioid-prescribing-through-evidence-based-prescribing-guidelines
      January 27, 2019 - Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia

1971. 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

1972. 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.

1973. 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.

1974. 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. 

1975. 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

1976. 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).

1977. 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

1978. 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

1979. 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.

1980. 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