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  1. Disciplinary action by medical boards and prior behavior in medical schools. | PSNet

    psnet.ahrq.gov/issue/disciplinary-action-medical-boards-and-prior-behavior-medical-schools
    October 19, 2022 - Perspective The Wild West: Patient Safety in Office-Based Anesthesia

  2. Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review. | PSNet

    psnet.ahrq.gov/issue/facilitators-and-barriers-implementation-surgical-safety-checklist-ssc-integrative-review
    September 07, 2016 - Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Perspectives on anesthesia

  3. “I’m concerned”: a multi-site assessment of emergency medicine resident speaking up behaviors. | PSNet

    psnet.ahrq.gov/issue/im-concerned-multi-site-assessment-emergency-medicine-resident-speaking-behaviors
    December 02, 2020 - The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia

  4. Development of a pediatric adverse events terminology. | PSNet

    psnet.ahrq.gov/issue/development-pediatric-adverse-events-terminology
    November 16, 2022 - November 4, 2015 The incidence and nature of adverse events during pediatric sedation/anesthesia

  5. Variation in the reporting of elective surgeries and its influence on patient safety indicators. | PSNet

    psnet.ahrq.gov/issue/variation-reporting-elective-surgeries-and-its-influence-patient-safety-indicators
    June 30, 2021 - July 28, 2021 Systematic review of intraoperative anesthesia handoffs and handoff tools

  6. Hospital safety climate and safety outcomes: is there a relationship in the VA? | PSNet

    psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-outcomes-there-relationship-va
    October 14, 2009 - June 16, 2011 How does patient safety culture in the operating room and post-anesthesia

  7. Experiences of nurses speaking up in healthcare settings: a qualitative metasynthesis. | PSNet

    psnet.ahrq.gov/issue/experiences-nurses-speaking-healthcare-settings-qualitative-metasynthesis
    September 23, 2020 - March 25, 2020 Failure to debrief after critical events in anesthesia is associated with

  8. Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/patient-reported-harm-following-cancellation-planned-surgery-danish-university-hospital-cross
    June 03, 2020 - April 29, 2020 View More Related Resources Anesthesia workspaces

  9. Adverse patient safety events during the COVID epidemic. | PSNet

    psnet.ahrq.gov/issue/adverse-patient-safety-events-during-covid-epidemic
    May 03, 2023 - December 11, 2024 Anesthesia adverse events voluntarily reported in the Veterans Health

  10. Understanding the roles of three academic communities in a prospective learning health ecosystem for diagnostic excellence. | PSNet

    psnet.ahrq.gov/issue/understanding-roles-three-academic-communities-prospective-learning-health-ecosystem
    October 19, 2022 - December 19, 2018 Infection prevention in the operating room anesthesia work area.

  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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