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2001. Near-miss events detected using the emergency department trigger tool. | PSNet
      psnet.ahrq.gov/issue/near-miss-events-detected-using-emergency-department-trigger-tool
      August 24, 2022 - emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia

2002. Racial bias in cesarean decision-making. | PSNet
      psnet.ahrq.gov/issue/racial-bias-cesarean-decision-making
      June 02, 2019 - Related Resources From the Same Author(s) Failure to debrief after critical events in anesthesia

2003. Lack of association between intraoperative handoff of care and postoperative complications: a retrospective observational study. | PSNet
      psnet.ahrq.gov/issue/lack-association-between-intraoperative-handoff-care-and-postoperative-complications
      March 14, 2022 - Project   (ACS NSQIP) data, the authors looked at the effects of intraoperative handoffs     involving anesthesia

2004. Does crew resource management training work? An update, an extension, and some critical needs. | PSNet
      psnet.ahrq.gov/issue/does-crew-resource-management-training-work-update-extension-and-some-critical-needs
      January 02, 2017 - November 11, 2020 Medication administration in anesthesia: time for a paradigm shift.

2005. What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare. | PSNet
      psnet.ahrq.gov/issue/what-kinds-insights-do-safety-i-and-safety-ii-approaches-provide-critical-reflection-use
      February 02, 2022 - February 3, 2021 View More Related Resources Perspectives on anesthesia

2006. Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. | PSNet
      psnet.ahrq.gov/issue/discrepancies-written-versus-calculated-durations-opioid-prescriptions-pre-post-study
      October 19, 2022 - May 5, 2021 Differences in safety climate among hospital anesthesia departments and the

2007. Actions and implementation strategies to reduce suicidal events in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/actions-and-implementation-strategies-reduce-suicidal-events-veterans-health-administration
      January 05, 2017 - May 9, 2018 Anesthesia adverse events voluntarily reported in the Veterans Health Administration

2008. An evaluation of hand hygiene in an intensive care unit: are visitors a potential vector for pathogens? | PSNet
      psnet.ahrq.gov/issue/evaluation-hand-hygiene-intensive-care-unit-are-visitors-potential-vector-pathogens
      April 22, 2015 - June 12, 2013 Infection prevention in the operating room anesthesia work area.

2009. Gender, power and leadership: the effect of a superior's gender on respiratory therapists' ability to challenge leadership during a life-threatening emergency. | PSNet
      psnet.ahrq.gov/issue/gender-power-and-leadership-effect-superiors-gender-respiratory-therapists-ability-challenge
      December 02, 2015 - April 6, 2022 The impact of hindsight bias on the diagnosis of perioperative events by anesthesia

2010. Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers. | PSNet
      psnet.ahrq.gov/issue/minimizing-opioid-prescribing-surgery-mopis-initiative-analysis-implementation-barriers
      September 09, 2020 - A retrospective analysis demonstrates that a failure to document key comorbid diseases in the anesthesia

2011. 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

2012. 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.

2013. 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.

2014. 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. 

2015. 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

2016. 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).

2017. 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

2018. 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

2019. 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.

2020. 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