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2181. Misread Label | PSNet
      psnet.ahrq.gov/web-mm/misread-label
      August 28, 2024 - WebM&M Cases Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia … 1, 2003 WebM&M Cases Unexplained Apnea Under Anesthesia

2182. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49473/psn-pdf
      March 01, 2005 - only when the surgeon was called to start the operation—thankfully before the induction of general anesthesia … In the OR area, a short briefing prior to induction of anesthesia between the team members would have

2183. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49814/psn-pdf
      December 01, 2017 - On the day of surgery, just prior to anesthesia induction, the team conducted a preoperative briefing … The patient's identity, the operation, the surgical site, and the anesthesia plan were verified.

2184. Having a breast biopsy. A review of the research for women and thier families (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/breast-biopsy-update_consumer.pdf
      May 01, 2016 - It is done using local anesthesia (an-ess-THEE-zhuh), which means that the breast will be numbed. … It is done using general anesthesia.

2185. HCUP Fact Sheet
      hcup-us.ahrq.gov/news/exhibit_booth/hcup_fact_sheet.jsp
      April 01, 2022 - surgical procedures that typically require the use of an operating room and require regional anesthesia … , general anesthesia, or sedation.

2186. Final Progress Report: Risks of Inaccurate or Incomplete Preoperative Assessments in Freestanding ASCs (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/kupka-report.pdf
      January 01, 2024 - conduct over 12 million procedures annually, performing a wide variety of surgical procedures involving anesthesia … providing a wide variety of surgical procedures ranging from minimally invasive to complex and involving anesthesia … The studies that do exist have focused on anesthesia administration or lipoplasty, 4 primarily in hospital-based … Preoperative assessments, to confirm that the patient is a good candidate for the intended surgery and anesthesia … Administer general anesthesia onsite, again helping standardize examples of the process being analyzed

2187. High-Volume Invasive, Therapeutic Ambulatory Surgeries Performed in Hospital-Owned Facilities, 2016 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb252-Invasive-Ambulatory-Surgeries-2016.pdf
      January 01, 2016 - therapeutic surgical procedures that typically require the use of an operating room and require regional anesthesia … , general anesthesia, or sedation (i.e., surgeries flagged as “narrow” in the HCUP Surgery Flag Software7 … , general anesthesia or sedation, flagged as “narrow” surgeries in the HCUP Surgery Flag Software12) … therapeutic surgical procedures that typically require the use of an operating room and require regional anesthesia … , general anesthesia, or sedation.

2188. Medical Team Training Programs in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Baker.pdf
      February 01, 2005 - Some of these programs are specialty-specific (e.g., anesthesia), whereas others are multidisciplinary … Simulator-based programs We identified two MTT simulator-based programs: Anesthesia Crisis Resource … Anesthesia Crisis Resource Management (ACRM) The value of ACRM resides in its realistic enactment … Whereas ACRM focuses solely on the responsibilities of the anesthesia crew, TOMS provides interdisciplinary … Simulation- based training in anesthesia crisis resource management (ACRM): a decade of experience.

2189. 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

2190. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment
      October 24, 2018 - November 21, 2012 Anesthesia adverse events voluntarily reported in the Veterans Health

2191. Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/outcomes-and-patient-safety-overlapping-vs-nonoverlapping-total-joint-arthroplasty-systematic
      February 02, 2022 - February 9, 2022 Complications associated with the anesthesia transport of pediatric

2192. Human factor in cardiac surgery: errors and near misses in a high technology medical domain. | PSNet
      psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain
      June 09, 2010 - May 4, 2022 A theoretical model of flow disruptions for the anesthesia team during cardiovascular

2193. Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. | PSNet
      psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys
      January 17, 2012 - October 21, 2015 Developing surgical and anesthesia resident patient safety competencies

2194. Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for residents and fellows. | PSNet
      psnet.ahrq.gov/issue/simulating-quality-centralized-quality-improvement-and-patient-safety-simulation-curriculum
      January 03, 2017 - November 9, 2011 Management of anesthesia equipment failure: a simulation-based resident

2195. The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities. | PSNet
      psnet.ahrq.gov/issue/effects-crew-resource-management-teamwork-and-safety-climate-veterans-health-administration
      December 11, 2024 - November 4, 2020 Anesthesia adverse events voluntarily reported in the Veterans Health

2196. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis-serious-adverse-events-among-older-patients-veterans-health
      August 02, 2015 - October 24, 2018 Anesthesia adverse events voluntarily reported in the Veterans Health

2197. Just what the doctor ordered: missed ordering of venous thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk general surgery patients. | PSNet
      psnet.ahrq.gov/issue/just-what-doctor-ordered-missed-ordering-venous-thromboembolism-chemoprophylaxis-associated
      September 07, 2022 - Patient Safety Innovations Risk Mitigation Using the Anesthesia

2198. Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. | PSNet
      psnet.ahrq.gov/issue/correlates-missed-or-late-versus-timely-diagnosis-dementia-healthcare-settings
      March 09, 2022 - May 29, 2024 Preoperative communication between anesthesia, surgery, and primary care

2199. Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation. | PSNet
      psnet.ahrq.gov/issue/influence-general-practice-pharmacist-medication-management-patients-risk-medicine-related
      May 19, 2021 - June 8, 2022 Leading causes of anesthesia-related liability claims in ambulatory surgery

2200. Outcome differences between surgeons performing first and subsequent coronary artery bypass grafting procedures in a day: a retrospective comparative cohort study. | PSNet
      psnet.ahrq.gov/issue/outcome-differences-between-surgeons-performing-first-and-subsequent-coronary-artery-bypass
      May 25, 2022 - December 29, 2014 The wolf is crying in the operating room: patient monitor and anesthesia