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1981. Ambulance diversion associated with reduced access to cardiac technology and increased one-year mortality. | PSNet
      psnet.ahrq.gov/issue/ambulance-diversion-associated-reduced-access-cardiac-technology-and-increased-one-year
      October 27, 2016 - March 24, 2019 Survey of the national drug shortage effect on anesthesia and patient

1982. Handoff strategies in settings with high consequences for failure: lessons for health care operations. | PSNet
      psnet.ahrq.gov/issue/handoff-strategies-settings-high-consequences-failure-lessons-health-care-operations
      March 14, 2018 - September 27, 2017 Intraoperative handoffs among anesthesia providers increase the incidence

1983. Prioritizing patient safety interventions in small and rural hospitals. | PSNet
      psnet.ahrq.gov/issue/prioritizing-patient-safety-interventions-small-and-rural-hospitals
      October 14, 2009 - A retrospective analysis demonstrates that a failure to document key comorbid diseases in the anesthesia

1984. Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance | PSNet
      psnet.ahrq.gov/issue/reduce-likelihood-patient-harm-associated-use-anticoagulant-therapy-commentary
      November 07, 2018 - September 14, 2022 The evolution of the Anesthesia Patient Safety Movement in America

1985. Safety of patients isolated for infection control. | PSNet
      psnet.ahrq.gov/issue/safety-patients-isolated-infection-control
      January 15, 2020 - February 13, 2019 Infection prevention in the operating room anesthesia work area.

1986. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/technology-enhanced-simulation-health-professions-education-systematic-review-and-meta
      October 19, 2022 - June 1, 2012 Simulation in obstetric anesthesia.

1987. Communication and birth experiences among Black birthing people who experienced preterm birth. | PSNet
      psnet.ahrq.gov/issue/communication-and-birth-experiences-among-black-birthing-people-who-experienced-preterm-birth
      September 23, 2020 - November 12, 2014 Failure to debrief after critical events in anesthesia is associated

1988. Interprofessional staff perspectives on the adoption of OR black box technology and simulations to improve patient safety: a multi-methods survey. | PSNet
      psnet.ahrq.gov/issue/interprofessional-staff-perspectives-adoption-or-black-box-technology-and-simulations-improve
      May 21, 2009 - March 15, 2023 Systematic review of intraoperative anesthesia handoffs and handoff tools

1989. Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial. | PSNet
      psnet.ahrq.gov/issue/evaluation-web-based-education-program-reducing-medication-dosing-error-multicenter
      May 18, 2022 - June 23, 2009 Injury and liability associated with monitored anesthesia care: a closed

1990. The additional cost of perioperative medication errors | PSNet
      psnet.ahrq.gov/issue/additional-cost-perioperative-medication-errors
      July 24, 2024 - February 9, 2022 The evolution of the Anesthesia Patient Safety Movement in America:

1991. 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

1992. 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.

1993. 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.

1994. 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. 

1995. 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

1996. 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).

1997. 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

1998. 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

1999. 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.

2000. 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