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Showing results for "anesthesia".
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  1. psnet.ahrq.gov/issue/organizational-learning-morbidity-and-mortality-conference
    June 09, 2015 - Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia
  2. psnet.ahrq.gov/issue/drug-error-anaesthetic-practice-review-896-reports-australian-incident-monitoring-study
    June 13, 2011 - Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia
  3. psnet.ahrq.gov/issue/retained-guidewires-veterans-health-administration-getting-root-problem
    March 13, 2013 - January 17, 2019 Anesthesia adverse events voluntarily reported in the Veterans Health
  4. psnet.ahrq.gov/issue/clinical-pharmacist-led-integrated-approach-evaluation-medication-errors-among-medical
    December 09, 2020 - March 29, 2023 Accuracy of spinal anesthesia drug concentrations in mixtures prepared
  5. psnet.ahrq.gov/issue/use-patient-pictures-and-verification-screens-reduce-computerized-provider-order-entry-errors
    November 16, 2022 - June 12, 2019 Perspectives on anesthesia and perioperative patient safety: past, present
  6. psnet.ahrq.gov/issue/briefing-and-debriefing-operating-room-using-fighter-pilot-crew-resource-management
    May 29, 2024 - June 29, 2011 Medication errors in pediatric anesthesia: a report from the Wake Up Safe
  7. psnet.ahrq.gov/issue/safety-first-using-checklist-intrafacility-transport-adult-intensive-care-patients
    October 09, 2024 - October 9, 2024 Failure to debrief after critical events in anesthesia is associated
  8. psnet.ahrq.gov/issue/examining-nature-interprofessional-interventions-designed-promote-patient-safety-narrative
    August 17, 2018 - March 23, 2011 A theoretical model of flow disruptions for the anesthesia team during
  9. psnet.ahrq.gov/issue/incidence-opioid-misuse-among-surgical-patients-persistent-opioid-use
    October 13, 2018 - emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia
  10. psnet.ahrq.gov/issue/s-teams-truly-multiprofessional-course-focusing-nontechnical-skills-improve-patient-safety
    November 30, 2022 - February 23, 2018 Complications associated with the anesthesia transport of pediatric
  11. 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 anesthesiaAnesthesia Patient Safety Foundation, Fire Safety Video. [Available at] 4.
  13. 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. 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. 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. 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