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  1. Tool: Normothermia Audit (doc file)

    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

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50623/psn-pdf
    November 06, 2019 - Adverse Events in Anesthesia: An Integrative Review. … Adverse Events in Anesthesia: An Integrative Review. … https://psnet.ahrq.gov/issue/adverse-events-anesthesia-integrative-review This integrative review examined … the factors contributing to perioperative adverse events resulting from anesthesia. … https://psnet.ahrq.gov/issue/adverse-events-anesthesia-integrative-review https://psnet.ahrq.gov/glossary

  3. Missed steps in the preanesthetic set-up. | PSNet

    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

  4. John M. Eisenberg Patient Safety Awards. Individual lifetime achievement: Jeffrey B. Cooper, Ph.D., Massachusetts General Hospital. | PSNet

    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

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49476/psn-pdf
    March 02, 2005 - Given the risk of spinal hematoma, why use epidural anesthesia? … , spinal anesthesia, epidural anesthesia, or continuous epidural analgesia), carries certain advantages … Anticoagulation and neuraxial regional anesthesia: perspectives. … on Neuraxial Anesthesia and Anticoagulation). … Low molecular weight heparin and neuraxial anesthesia.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47568/psn-pdf
    March 06, 2019 - Trends in anesthesia-related liability and lessons learned. … Trends in Anesthesia-Related Liability and Lessons Learned. … https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned Closed claim analysis … This review examined closed claims for anesthesia and identified types of injuries experienced by patients … receiving anesthesia.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843736/psn-pdf
    February 01, 2023 - Lumbar epidural anesthesia was planned for the cesarean delivery. … After the anesthesia provider inserted the epidural catheter, it was tested using 2 milliliters (ml) … The incidence of “high spinal” anesthesia varies in the literature and is largely unknown due to lack … Anesthesia for pregnant women with pulmonary hypertension.? … the Society for Obstetric Anesthesia and Perinatology.?

  8. Closed-loop communication in interprofessional emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia personnel. | PSNet

    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

  9. Strategy 2: Communicating to Improve Quality (Tool 3) (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/asc-checklist-template.docx
    January 01, 2009 - Surgery Implementation Guide Ambulatory Surgery Checklist Preop Before Patient Enters Room Nurse, Anesthesia … procedure · Patient position · Known allergies · Patient weight · History and physical Nurse and Anesthesia … safety check completed · Type of anesthesia · Anticipated airway and aspiration risk · Changes in patient … Surgeon, Nurse, and Anesthesia Professional perform the Timeout · Patient’s name · Surgical procedure … Briefing Surgeon Shares: · Any changes to operative plan and possible difficulties Anesthesia Professional

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47284/psn-pdf
    December 05, 2018 - Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective … Preventable Anesthesia-Related Adverse Events at a Large Tertiary Care Center: A Nine-Year Retrospective … https://psnet.ahrq.gov/issue/preventable-anesthesia-related-adverse-events-large-tertiary-care-center-nine … Researchers examined 747 adverse anesthesia events at a single institution and found that 43% were preventable … https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44069/psn-pdf
    October 08, 2016 - An anesthesia preinduction checklist to improve information exchange, knowledge of critical information … , perception of safety, and possibly perception of teamwork in anesthesia teams. … An Anesthesia Preinduction Checklist to Improve Information Exchange, Knowledge of Critical Information … , Perception of Safety, and Possibly Perception of Teamwork in Anesthesia Teams. … https://psnet.ahrq.gov/issue/anesthesia-preinduction-checklist-improve-information-exchange-knowledge

  12. Survey of the national drug shortage effect on anesthesia and patient safety: a patient perspective. | PSNet

    psnet.ahrq.gov/issue/survey-national-drug-shortage-effect-anesthesia-and-patient-safety-patient-perspective
    May 23, 2018 - Study Survey of the national drug shortage effect on anesthesia and patient safety … Survey of the National Drug Shortage Effect on Anesthesia and Patient Safety: A Patient Perspective. … Survey of the National Drug Shortage Effect on Anesthesia and Patient Safety: A Patient Perspective. … November 17, 2021 Leading causes of anesthesia-related liability claims in ambulatory … December 19, 2018 Shortage of perioperative drugs: implications for anesthesia practice

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837660/psn-pdf
    July 08, 2022 - An Incomplete Anesthesia History Leads to Adverse Outcomes July 8, 2022 Bohringer C. … An Incomplete Anesthesia History Leads to Adverse Outcomes. PSNet [internet]. 2022. … Educate and empower patients about the nature of the anesthesia problem After an avoidable anesthesia … Dislocation of the temporomandibular joint following general anesthesia. … Preoperative evaluation for ambulatory anesthesia: what, when and how?

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41109/psn-pdf
    January 07, 2015 - The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes … The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes … https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-25-pioneering-success-safety-25th- … anniversary-provokes This commentary highlights the Anesthesia Patient Safety Foundation's numerous … https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation

  15. Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. | PSNet

    psnet.ahrq.gov/issue/handling-injectable-medications-anaesthesia-guidelines-association-anaesthetists
    March 14, 2022 - Anesthesia provision is a high-risk practice. … recommends approaches for both clinicians and organizations to enable collaborative safety efforts in anesthesia … Regional Block: A Case of Medication Error and Recovery January 31, 2024 Anesthesia … August 24, 2022 Infection prevention in the operating room anesthesia work area. … See More About The Topic Outpatient Surgery Operating Room Anesthesiology Anesthesia

  16. Wake Up Safe in the USA & international patient safety. | PSNet

    psnet.ahrq.gov/issue/wake-safe-usa-international-patient-safety
    August 23, 2023 - This article describes Wake Up Safe in the United States and similar pediatric anesthesia PSOs implemented … March 4, 2015 Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia … July 28, 2021 View More Related Resources Perspectives on anesthesia … December 14, 2022 Canadian Anesthesia Incident Reporting System. … See More About The Topic Operating Room Anesthesiology Pediatric Surgery Anesthesia

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73507/psn-pdf
    July 21, 2021 - Systematic review of intraoperative anesthesia handoffs and handoff tools. … Systematic review of intraoperative anesthesia handoffs and handoff tools. … https://psnet.ahrq.gov/issue/systematic-review-intraoperative-anesthesia-handoffs-and-handoff-tools … https://psnet.ahrq.gov/issue/systematic-review-intraoperative-anesthesia-handoffs-and-handoff-tools https … association-intraoperative-anaesthesia-handovers-patient-morbidity-and-mortality-systematic https://psnet.ahrq.gov/issue/intraoperative-patient-information-handover-between-anesthesia-providers

  18. Ocular anesthesia-related closed claims from Ophthalmic Mutual Insurance Company 2008-2018. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/citation/ocular
    January 01, 2023 - Ocular anesthesia-related closed claims from Ophthalmic Mutual Insurance Company 2008-2018. … Ocular anesthesia-related closed claims from Ophthalmic Mutual Insurance Company 2008-2018.

  19. A retrospective analysis demonstrates that a failure to document key comorbid diseases in the anesthesia preoperative evaluation associates with increased length of stay and mortality. | PSNet

    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

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45855/psn-pdf
    March 15, 2017 - The development and implementation of cognitive aids for critical events in pediatric anesthesia: the … Society for Pediatric Anesthesia Critical Events Checklists. … The Development and Implementation of Cognitive Aids for Critical Events in Pediatric Anesthesia: The … Society for Pediatric Anesthesia Critical Events Checklists. … https://psnet.ahrq.gov/issue/development-and-implementation-cognitive-aids-critical-events-pediatric- anesthesia-society
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