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  1. Safety and Human Performance in the Operating Room and Other Extreme Environments. | PSNet

    psnet.ahrq.gov/issue/safety-and-human-performance-operating-room-and-other-extreme-environments
    December 02, 2020 - Anesthesia is a vital component of surgical care that can be compromised due to human and equipment … II , safety culture implementation, and artificial intelligence applications as they affect safe anesthesia … , 2024 Technology, Education and Safety November 15, 2023 Anesthesia … See More About The Topic Outpatient Surgery Operating Room Anesthesiology Surgery Anesthesia

  2. 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

  3. The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department. | PSNet

    psnet.ahrq.gov/issue/impact-22-month-multistep-implementation-program-speaking-behavior-academic-anesthesia
    January 11, 2023 - The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia … The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia … The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia … November 13, 2024 Peer support and second victim programs for anesthesia professionals … January 26, 2022 Safety and Quality in Perioperative Anesthesia Care.

  4. 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

  5. The APSF: 20-year anniversary of the first patient safety organization: past, present & future. | PSNet

    psnet.ahrq.gov/issue/apsf-20-year-anniversary-first-patient-safety-organization-past-present-future
    October 26, 2022 - The author recounts the launch of the Anesthesia Patient Safety Foundation (APSF) as the first patient … safety-focused organization and describes its continued commitment to safer anesthesia care. … 2023 APSF endorsed statement on revising recommendations for patient monitoring during anesthesia … January 2, 2011 Medication administration in anesthesia: time for a paradigm shift.

  6. Final Progress Report: Reducing the Risk of Preventable Postpartum Lower Extremity Nerve Injuries (pdf file)

    www.ahrq.gov/sites/default/files/2025-03/toledo-report.pdf
    January 01, 2025 - As components of the anesthesia record could not be extracted from the electronic medical record and … The anesthesia record was not available for 12 patients with nerve injuries, so complete data on … Anesthesia Patient Safety Newsletter 2021; 36 (2). … A Century of Progress and Collaboration Between Obstetric Anesthesiologists, Anesthesia & Analgesia … , and the International Anesthesia Research Society.

  7. Labor and Delivery Unit Safety: Safe Cesarean Section | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-safe-csection.html
    July 01, 2023 - or care teams within a unit, for example transfers between L&D room and OR, and between OR and post-anesthesia … The L&D/OR/neonatal/anesthesia teams maintain a shared mental model for the safe surgery perioperative … provider confirms: ___ Type of anesthesia used (Spinal / Epidural / Combined / General) … provider confirms: ___ Type of anesthesia used (Spinal / Epidural / Combined / General) … provider confirms:    Type of anesthesia used:      ___ Spinal      ___ Epidural      ___ Combined

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49719/psn-pdf
    September 01, 2014 - Second, the automated anesthesia record in the OR shows "blank" if there are no new NIBP recordings. … The anesthesia record was manual, and the CRNA kept documenting the same reading for a whole hour. … The risk and safety of anesthesia at remote locations: the US closed claims analysis. … Risk and safety of anesthesia outside the operating room. Minerva Anestesiol. 2009;75:345-348. … Preventable anesthesia mishaps: a study of human factors. Anesthesiology. 1978;49:399-406.

  9. The role of the anesthesiologist in perioperative patient safety. | PSNet

    psnet.ahrq.gov/issue/role-anesthesiologist-perioperative-patient-safety
    November 20, 2015 - This review summarizes the evidence for strategies to enhance the safety of anesthesia in perioperative … November 20, 2015 An anesthesia preinduction checklist to improve information exchange … , knowledge of critical information, perception of safety, and possibly perception of teamwork in anesthesia … March 30, 2022 Systematic review of intraoperative anesthesia handoffs and handoff tools … December 19, 2014 Improving the quality and safety of patient care in cardiac anesthesia

  10. Ocular anesthesia-related closed claims from Ophthalmic Mutual Insurance Company 2008-2018. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/citation/ocular
    January 01, 2023 - Ocular anesthesia-related closed claims from Ophthalmic Mutual Insurance Company 2008-2018. … Ocular anesthesia-related closed claims from Ophthalmic Mutual Insurance Company 2008-2018.

  11. Section 3-C, Tables 2-5 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-120-section-3c-tables-2-5.pdf
    June 02, 2025 - referral center P-value Facility Type Community hospital 61 (58.7%) 207 (91.6%) <0.001 Anesthesia … high-risk referral center P-value Night-time and weekend staffing In-house anesthesiologist or anesthesia … team dedicated to L&D 61 (60.4%) 57 (26.3%) <0.001 In-house anesthesiologist or anesthesia team … Low risk, ≥1500 births per year Low risk, <1500 births per year P- value Recommended anesthesia

  12. Tables 2-5 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0121-tables-2-5.pdf
    June 02, 2025 - high-risk referral center P-value Facility Type Community hospital 61 (58.7%) 207 (91.6%) <0.001 Anesthesia … high-risk referral center P-value Night-time and weekend staffing In-house anesthesiologist or anesthesia … team dedicated to L&D 61 (60.4%) 57 (26.3%) <0.001 In-house anesthesiologist or anesthesia team … year Low risk, ≥1500 births per year Low risk, <1500 births per year P- value Recommended anesthesia

  13. High-Risk Deliveries at Facilities with 24/7 In-House Blood Banking/Transfusion Services - Tables 2-5 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0122-tables2-5.pdf
    June 02, 2025 - Facility Type Annual Delivery volume* Community hospital 61 (58.7%) 207 (91.6%) <0.001 Anesthesia … high-risk referral center P-value Night-time and weekend staffing In-house anesthesiologist or anesthesia … team dedicated to L&D 61 (60.4%) 57 (26.3%) <0.001 In-house anesthesiologist or anesthesia team … Low risk, ≥1500 births per year Low risk, <1500 births per year P- value Recommended anesthesia

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862989/psn-pdf
    February 21, 2024 - Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic … Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic … https://psnet.ahrq.gov/issue/peer-support-and-second-victim-programs-anesthesia-professionals-involved … https://psnet.ahrq.gov/issue/peer-support-and-second-victim-programs-anesthesia-professionals-involved-stressful-or … https://psnet.ahrq.gov/issue/peer-support-and-second-victim-programs-anesthesia-professionals-involved-stressful-or

  15. Appendix M. Master Risk Factor List with Final Bolded | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ssi/ssiapm.html
    April 01, 2018 -   Y   Y   1   intra-op drugs on paper anesthesia record D Electronic 1 Y Y … on paper anesthesia record M Manual not reliably     Temperature on Arrival to PACU … on paper anesthesia record M Electronic not reliably     Peri-Op Glucose <100   Y … intra-op drugs on paper anesthesia record D Manual 0     Outpatient Surgery   Y … on paper anesthesia record M Electronic ?    

  16. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules | PSNet

    psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
    March 25, 2020 - At the conclusion of the surgical case, the patient had delayed emergence from anesthesia. … Medication errors in anesthesia: unacceptable or unavoidable?.  … Anesthesia Safety Foundation Newsletter. June 2018. … Ketamine: Use in anesthesia. CNS Neurosci Ther 2013;19(6):381-89. Rendell-Baker L. … Anesthesia Safety Foundation Newsletter 1987;2(4) This project was funded under contract

  17. Handoff Communication. | PSNet

    psnet.ahrq.gov/issue/handoff-communication
    October 16, 2019 - This special issue focuses on transfers involving anesthesia care . … 2019 APSF endorsed statement on revising recommendations for patient monitoring during anesthesia … March 11, 2020 Association between handover of anesthesia care and adverse postoperative … January 16, 2019 Intraoperative handoffs among anesthesia providers increase the incidence

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47284/psn-pdf
    December 05, 2018 - Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective … Preventable Anesthesia-Related Adverse Events at a Large Tertiary Care Center: A Nine-Year Retrospective … https://psnet.ahrq.gov/issue/preventable-anesthesia-related-adverse-events-large-tertiary-care-center-nine … Researchers examined 747 adverse anesthesia events at a single institution and found that 43% were preventable … https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44069/psn-pdf
    October 08, 2016 - An anesthesia preinduction checklist to improve information exchange, knowledge of critical information … , perception of safety, and possibly perception of teamwork in anesthesia teams. … An Anesthesia Preinduction Checklist to Improve Information Exchange, Knowledge of Critical Information … , Perception of Safety, and Possibly Perception of Teamwork in Anesthesia Teams. … https://psnet.ahrq.gov/issue/anesthesia-preinduction-checklist-improve-information-exchange-knowledge

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73507/psn-pdf
    July 21, 2021 - Systematic review of intraoperative anesthesia handoffs and handoff tools. … Systematic review of intraoperative anesthesia handoffs and handoff tools. … https://psnet.ahrq.gov/issue/systematic-review-intraoperative-anesthesia-handoffs-and-handoff-tools … https://psnet.ahrq.gov/issue/systematic-review-intraoperative-anesthesia-handoffs-and-handoff-tools https … association-intraoperative-anaesthesia-handovers-patient-morbidity-and-mortality-systematic https://psnet.ahrq.gov/issue/intraoperative-patient-information-handover-between-anesthesia-providers
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