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Showing results for "anesthesia".
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  1. Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents reported to a national database of errors. | PSNet

    psnet.ahrq.gov/issue/patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm-through-analysis
    December 18, 2013 - November 17, 2021 Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement

  2. Ambulatory care adverse events and preventable adverse events leading to a hospital admission. | PSNet

    psnet.ahrq.gov/issue/ambulatory-care-adverse-events-and-preventable-adverse-events-leading-hospital-admission
    April 11, 2011 - May 30, 2012 Incidence and nature of adverse events during pediatric sedation/anesthesia

  3. Resident fatigue: is there a patient safety issue? | PSNet

    psnet.ahrq.gov/issue/resident-fatigue-there-patient-safety-issue
    February 03, 2010 - December 15, 2011 The impact of hindsight bias on the diagnosis of perioperative events by anesthesia

  4. The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization. | PSNet

    psnet.ahrq.gov/issue/henry-ford-production-system-reduction-surgical-pathology-process-misidentification-defects
    July 16, 2013 - Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia

  5. Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. | PSNet

    psnet.ahrq.gov/issue/prioritising-recommendations-following-analyses-adverse-events-healthcare-systematic-review
    April 20, 2022 - March 30, 2022 Patient safety in obstetrics and obstetric anesthesia.

  6. Adoption of National Quality Forum safe practices by magnet hospitals. | PSNet

    psnet.ahrq.gov/issue/adoption-national-quality-forum-safe-practices-magnet-hospitals
    May 15, 2019 - September 20, 2011 Differences in safety climate among hospital anesthesia departments

  7. US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016. | PSNet

    psnet.ahrq.gov/issue/us-national-trends-pediatric-deaths-prescription-and-illicit-opioids-1999-2016
    January 23, 2017 - February 17, 2017 Situation awareness errors in anesthesia and critical care in 200 cases

  8. Institution of just culture physician peer review in an academic medical center. | PSNet

    psnet.ahrq.gov/issue/institution-just-culture-physician-peer-review-academic-medical-center
    October 20, 2021 - June 16, 2021 Leading causes of anesthesia-related liability claims in ambulatory surgery

  9. Hospital and procedure incidence of pediatric retained surgical items. | PSNet

    psnet.ahrq.gov/issue/hospital-and-procedure-incidence-pediatric-retained-surgical-items
    December 02, 2020 - December 20, 2023 Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement

  10. Residents' reluctance to challenge negative hierarchy in the operating room: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/residents-reluctance-challenge-negative-hierarchy-operating-room-qualitative-study
    March 11, 2013 - June 26, 2019 Failure to debrief after critical events in anesthesia is associated with

  11. 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

  12. 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.

  13. 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.

  14. 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. 

  15. 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

  16. 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).

  17. 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

  18. 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

  19. 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.

  20. 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
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