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221. Quality and Safety. | PSNet
     psnet.ahrq.gov/issue/quality-and-safety-1
     September 21, 2022 - II concepts in high- and middle- to lower-income countries around the world support safe pediatric anesthesia … Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia … August 24, 2022 Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement … October 5, 2022 Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement … June 20, 2011 Human factors in pediatric anesthesia incidents.

222. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35703/psn-pdf
     July 13, 2010 - Injury and liability associated with monitored anesthesia care: a closed claims analysis. … Injury and liability associated with monitored anesthesia care: a closed claims analysis. … https://psnet.ahrq.gov/issue/injury-and-liability-associated-monitored-anesthesia-care-closed-claims- … care (MAC) and a liability profile similar to that of general anesthesia. … https://psnet.ahrq.gov/issue/adverse-respiratory-events-anesthesia-closed-claims-analysis

223. Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes. | PSNet
     psnet.ahrq.gov/issue/association-between-paediatric-intraoperative-anaesthesia-handover-and-adverse-postoperative
     July 21, 2021 - Prior research  has found that intraoperative  anesthesia  handovers can increase patient morbidity and … retrospective cohort study, focused on pediatric surgical patients treated, found that intraoperative anesthesia … Related Resources From the Same Author(s) Systematic review of intraoperative anesthesia … events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia … April 28, 2021 Complications associated with the anesthesia transport of pediatric patients

224. Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. | PSNet
     psnet.ahrq.gov/issue/handling-injectable-medications-anaesthesia-guidelines-association-anaesthetists
     March 14, 2022 - Anesthesia provision is a high-risk practice. … recommends approaches for both clinicians and organizations to enable collaborative safety efforts in anesthesia … Regional Block: A Case of Medication Error and Recovery January 31, 2024 Anesthesia … August 24, 2022 Infection prevention in the operating room anesthesia work area. … See More About The Topic Outpatient Surgery Operating Room Anesthesiology Anesthesia

225. Normothermia Audit Tool | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/normothermia-audit.html
     December 01, 2017 - 14: Indicate whether a forced air warmer was used in the period between the time of incision and the anesthesia … The duration can be determined from the difference between anesthesia start time and anesthesia stop … Yes ___        No ___ Temperature on arrival to post-anesthesia care unit/intensive care unit … Anesthesia stop time minus anesthesia start time. _____ hours _____ minutes ICU = intensive … care unit; OR = operating room; PACU = post-anesthesia care unit

226. Tool: Normothermia Audit (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/normothermia_audit.docx
     December 01, 2017 - : Indicate whether a forced air warmer was used in the period between the time of incision and the anesthesia … The duration can be determined from the difference between anesthesia start time and anesthesia stop … Temperature on arrival to post-anesthesia care unit/intensive care unit _____ oC or NA 16. … Duration of case Anesthesia stop time minus anesthesia start time _____ hours _____ minutes ICU … = intensive care unit; OR = operating room; PACU = post-anesthesia care unit *Not available **Use of

227. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867759/psn-pdf
     March 12, 2025 - Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia … Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia … psnet.ahrq.gov/issue/intrahospital-patient-transport-checklists-adverse-events-and-other- considerations-anesthesia … psnet.ahrq.gov/issue/intrahospital-patient-transport-checklists-adverse-events-and-other-considerations-anesthesia … psnet.ahrq.gov/issue/intrahospital-patient-transport-checklists-adverse-events-and-other-considerations-anesthesia

228. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34815/psn-pdf
     January 31, 2011 - The role of anesthesia in surgical mortality. January 31, 2011 DRIPPS RD, LAMONT A, ECKENHOFF JE. … The role of anesthesia in surgical mortality. JAMA. 1961;178:261-6. … https://psnet.ahrq.gov/issue/role-anesthesia-surgical-mortality The authors of this study characterized … receiving anesthesia during a 10-year period. … https://psnet.ahrq.gov/issue/role-anesthesia-surgical-mortality

229. Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients. | PSNet
     psnet.ahrq.gov/issue/preoperative-communication-between-anesthesia-surgery-and-primary-care-providers-older
     April 11, 2011 - Study Preoperative communication between anesthesia, surgery, and primary care providers … Preoperative communication between anesthesia, surgery, and primary care providers for older surgical … This cross-sectional study including 265 surgical patients and 249 providers (primary care, anesthesia … Preoperative communication between anesthesia, surgery, and primary care providers for older surgical … From the Same Author(s) Incidence and nature of adverse events during pediatric sedation/anesthesia

230. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49476/psn-pdf
     March 02, 2005 - Given the risk of spinal hematoma, why use epidural anesthesia? … , spinal anesthesia, epidural anesthesia, or continuous epidural analgesia), carries certain advantages … Anticoagulation and neuraxial regional anesthesia: perspectives. … on Neuraxial Anesthesia and Anticoagulation). … Low molecular weight heparin and neuraxial anesthesia.

231. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/843736/psn-pdf
     February 01, 2023 - Lumbar epidural anesthesia was planned for the cesarean delivery. … After the anesthesia provider inserted the epidural catheter, it was tested using 2 milliliters (ml) … The incidence of “high spinal” anesthesia varies in the literature and is largely unknown due to lack … Anesthesia for pregnant women with pulmonary hypertension.? … the Society for Obstetric Anesthesia and Perinatology.?

232. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50623/psn-pdf
     November 06, 2019 - Adverse Events in Anesthesia: An Integrative Review. … Adverse Events in Anesthesia: An Integrative Review. … https://psnet.ahrq.gov/issue/adverse-events-anesthesia-integrative-review This integrative review examined … the factors contributing to perioperative adverse events resulting from anesthesia. … https://psnet.ahrq.gov/issue/adverse-events-anesthesia-integrative-review https://psnet.ahrq.gov/glossary

233. Missed steps in the preanesthetic set-up. | PSNet
     psnet.ahrq.gov/issue/missed-steps-preanesthetic-set
     June 26, 2019 - Anesthesia equipment was often improperly set up, potentially exposing patients to safety risks. … September 13, 2017 An embedded checklist in the Anesthesia Information Management System … November 30, 2022 Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement … September 24, 2016 Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia … July 9, 2014 WebM&M Cases Anesthesia: A Weighty Issue

234. John M. Eisenberg Patient Safety Awards. Individual lifetime achievement: Jeffrey B. Cooper, Ph.D., Massachusetts General Hospital. | PSNet
     psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-individual-lifetime-achievement-jeffrey-b-cooper-phd
     November 11, 2020 - Jeff Cooper played an instrumental role in advancing patient safety in anesthesia, including his work … Download Citation Related Resources From the Same Author(s) The Anesthesia … March 9, 2022 WebM&M Cases Check the Anesthesia Machine … January 2, 2017 Differences in safety climate among hospital anesthesia departments and … June 16, 2011 View More Related Resources Anesthesia Patient Safety

235. Strategy 2: Communicating to Improve Quality (Tool 3) (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/asc-checklist-template.docx
     January 01, 2009 - Surgery Implementation Guide Ambulatory Surgery Checklist Preop Before Patient Enters Room Nurse, Anesthesia … procedure · Patient position · Known allergies · Patient weight · History and physical Nurse and Anesthesia … safety check completed · Type of anesthesia · Anticipated airway and aspiration risk · Changes in patient … Surgeon, Nurse, and Anesthesia Professional perform the Timeout · Patient’s name · Surgical procedure … Briefing Surgeon Shares: · Any changes to operative plan and possible difficulties Anesthesia Professional

236. Wake Up Safe in the USA & international patient safety. | PSNet
     psnet.ahrq.gov/issue/wake-safe-usa-international-patient-safety
     August 23, 2023 - This article describes Wake Up Safe in the United States and similar pediatric anesthesia PSOs implemented … March 4, 2015 Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia … July 28, 2021 View More Related Resources Perspectives on anesthesia … December 14, 2022 Canadian Anesthesia Incident Reporting System. … See More About The Topic Operating Room Anesthesiology Pediatric Surgery Anesthesia

237. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837660/psn-pdf
     July 08, 2022 - An Incomplete Anesthesia History Leads to Adverse Outcomes July 8, 2022 Bohringer C. … An Incomplete Anesthesia History Leads to Adverse Outcomes. PSNet [internet]. 2022. … Educate and empower patients about the nature of the anesthesia problem After an avoidable anesthesia … Dislocation of the temporomandibular joint following general anesthesia. … Preoperative evaluation for ambulatory anesthesia: what, when and how?

238. How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? | PSNet
     psnet.ahrq.gov/issue/how-does-patient-safety-culture-operating-room-and-post-anesthesia-care-unit-compare-rest
     October 14, 2009 - Study How does patient safety culture in the operating room and post-anesthesia care … How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest … This study found that operating room (OR) and post-anesthesia care unit (PACU) staff had a significantly … How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest … February 22, 2019 Quality of Anesthesia Care. 

239. Closed-loop communication in interprofessional emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia personnel. | PSNet
     psnet.ahrq.gov/issue/closed-loop-communication-interprofessional-emergency-teams-cross-sectional-observation-study
     September 24, 2016 - emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia … emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia … care (as opposed to simulations ), researchers observed 60 interprofessional teams, including 120 anesthesia … emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia … Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia

240. Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. | PSNet
     psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-procedures-outside
     March 01, 2011 - Study Incidence and nature of adverse events during pediatric sedation/anesthesia … Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the … potential for harm ( near misses ), such as unanticipated need for bag-mask ventilation or reversal of anesthesia … Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the … the Same Author(s) The incidence and nature of adverse events during pediatric sedation/anesthesia