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  1. Predictors of gaps in patient safety and quality in U.S. hospitals. | PSNet

    psnet.ahrq.gov/issue/predictors-gaps-patient-safety-and-quality-us-hospitals
    December 23, 2020 - July 29, 2020 Infection prevention in the operating room anesthesia work area.

  2. Module 2: PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/daily-huddles.pptx
    May 01, 2017 - Sterilization team Consider these staff roles: Staff nurses Charge nurses Nurse managers Administrators Anesthesia

  3. Appendix T. Surgical Infection Society Abstract | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ssi/ssiapt.html
    April 01, 2018 - index and SIR was calculated for each procedure based on the following variables: wound class, age, anesthesia

  4. 4-Overview-Facilitator-Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/4-overview-facilitator-guide.docx
    January 01, 2019 - Multimodal pre-anesthesia medication resulted in decreased pain, decreased postoperative nausea and vomiting … The intraoperative interventions show that: the standard intraoperative anesthesia pathway resulted in

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33630/psn-pdf
    March 01, 2006 - Pratt, MDInstructor in Anesthesia, Harvard Medical SchoolDirector, Obstetric Anesthesia, Beth Israel

  6. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport | PSNet

    psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
    March 12, 2021 - pre-labeled syringes, may help prevent errors. 5 Ready-to-use syringes are also endorsed by ISMP and anesthesia … 1, 2012 WebM&M Cases Unexplained Apnea Under Anesthesia

  7. Network of Patient Safety Databases Chartbook, 2021 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
    January 01, 2021 - results from the remaining three event-specific modules: Healthcare-Associated Infection, Surgery or Anesthesia … Healthcare-Associated Infection, Medication or Other Substance, Perinatal, Pressure Ulcer, Surgery or Anesthesia … There are no detailed sections for the Surgery or Anesthesia EVENT TYPE because too few of the submitted … There are no detailed, event-specific figures for Healthcare-Associated Infection, Surgery or Anesthesia … One of these modules, Surgery or Anesthesia, contained enough information to be included in the Generic

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74121/psn-pdf
    November 30, 2021 - Regional anesthesia was requested. … After dosing of regional anesthesia, the patient was placed in supine position with a leftward tilt. … The patient was hemodynamically stable when transferred to the post-anesthesia care unit (PACU) with

  9. Time of Death? | PSNet

    psnet.ahrq.gov/web-mm/time-death
    January 03, 2017 - skills” can also be offered as a solution.( 18 ) The medical community, beginning with the field of anesthesia … Simulation-based training in anesthesia crisis resource management (ACRM): a decade of experience. … Presented at: Society for Technology in Anesthesia Conference; January 1998; Tucson, AZ. 25.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49491/psn-pdf
    September 01, 2005 - skills” can also be offered as a solution.(18) The medical community, beginning with the field of anesthesia … Simulation-based training in anesthesia crisis resource management (ACRM): a decade of experience. … Presented at: Society for Technology in Anesthesia Conference; January 1998; Tucson, AZ. 25.

  11. Facilitator Guide: Auditing Your Briefings and Debriefings (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing_facnotes.docx
    December 01, 2017 - Typically, one anesthesia team member was present and almost always paused other tasks. … The blue on those three anesthesia rows means one of them wasn’t present. … Surgeons and teams got upset as patients remained under anesthesia longer.

  12. Auditing Your Briefings and Debriefings Process: Facilitator Notes | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-fac-notes.html
    December 01, 2017 - Typically, one anesthesia team member was present and almost always paused other tasks. … The blue on those three anesthesia rows means one of them wasn’t present. … Surgeons and teams got upset as patients remained under anesthesia longer.

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33863/psn-pdf
    August 01, 2018 - Around the same time, David had translated aviation crew resource management into anesthesia crisis … that simulation-based training as part of dyadic teams substantially improved handovers provided by anesthesia … Should they be saying that to graduate in an anesthesia program or a medicine residency you need to

  14. Overview of Major Ambulatory Surgeries Performed in Hospital-Owned Facilities, 2019 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb287-Ambulatory-Surgery-Overview-2019.pdf
    January 01, 2019 - therapeutic surgical procedures that typically require the use of an operating room and regional anesthesia … , general anesthesia, or sedation (i.e., surgeries flagged as “narrow” in the HCUP Surgery Flags Software3 … (invasive, therapeutic procedures that typically require the use of an operating room and regional anesthesia … , general anesthesia, or sedation, flagged as “narrow” surgeries in the HCUP Surgery Flags Softwarec … , general anesthesia, or sedation.

  15. Final Progress Report: Conference Proceedings: Interventions to Improve Quality in the Crowded Emergency Department (pdf file)

    www.ahrq.gov/sites/default/files/2024-04/pines-mccarthy-report.pdf
    January 01, 2024 - breaking point.”1 Emergency medicine as a specialty finds itself at a similar point in time as that of anesthesia … At that time, many patients were suffering from anesthesia-related mishaps because of a poorly designed … To improve the quality of anesthesia care, the specialty borrowed heavily from techniques and lessons … learned in the aviation industry and created basic standards for monitoring during anesthesia.

  16. Making Information Technology a Team Player in Safety: The Case of Infusion Devices (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
    January 01, 2002 - Improving the compatibility between infusion pumps and anesthesia work requirements is not a matter … manually controlled infusion of propofol for anesthesia. … Journal of Cardiothoracic Vascular Anesthesia 1992;6:238–44. 9. Cook RI, Woods DD. … Implications of automation surprises in aviation for the future of total intravenous anesthesia (TIVA

  17. Evidence-based Practice Center Systematic Review Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/hip-fracture-pain_research-protocol.pdf
    December 09, 2009 - interventions directly related to surgical/nonsurgical/medical treatment of the hip fracture (e.g., AEs of anesthesia … Geriatrics Society (AGS), American Physical Therapy Association (APTA), American Society of Regional Anesthesia … Association of Bone and Joint Surgeons (ABJS), European Academy of Anaesthesiology (ESA), International Anesthesia … Online: December 9, 2009 14 Appendix B – Ovid Medline Search Strategy 1. exp Pain/ 2. exp "anesthesia

  18. Intraosseous Line Extravasation in a Pediatric Trauma Patient | PSNet

    psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
    September 29, 2021 - Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia … Catheters October 27, 2021 WebM&M Cases Local Anesthesia-Induced … July 28, 2021 WebM&M Cases Inadequate Anesthesia … Respiratory Depression May 27, 2020 WebM&M Cases Anesthesia

  19. Appendix E. Study Parameters | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/stpra/stpraape.html
    April 01, 2018 - facilities management practices that might affect the introduction of microbes in the Pre-operative and Post Anesthesia

  20. Section 1, Tables 1 to 3 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-section-1-tables-1-3.pdf
    June 02, 2025 - ventilation for an acute process not related to underlying neuromuscular disease or the receipt of general anesthesia
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