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  1. A blueprint for success: implementation of the Center for Medicare and Medicaid Services mandated anesthesiology oversight for procedural sedation in a large health system. | PSNet

    psnet.ahrq.gov/issue/blueprint-success-implementation-center-medicare-and-medicaid-services-mandated
    September 09, 2020 - A 2009 CMS Condition of Participation (CoP) requires that a director of anesthesia services assume … overall responsibility for anesthesia administered in the hospital, including procedural sedation provided … September 9, 2020 Systematic review of intraoperative anesthesia handoffs and handoff … September 2, 2020 Complications associated with the anesthesia transport of pediatric … February 9, 2022 The evolution of the Anesthesia Patient Safety Movement in America:

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841468/psn-pdf
    December 14, 2022 - anterior cervical discectomy (levels C4-C7) and plating for cervical spinal stenosis under general anesthesia … The patient was placed under general anesthesia and intubated. … During extubation after surgery, the anesthesia care provider noticed a large (approximately 4-5 cm) … This finding was attributed to the fact that the inexperienced anesthesia care provider was unaware … Dental injury associated with anesthesia: a report of 161,687 anesthetics given over 14 years. 

  3. Exploring everyday work as a dynamic non-event and adaptations to manage safety in intraoperative anaesthesia care: an interview study. | PSNet

    psnet.ahrq.gov/issue/exploring-everyday-work-dynamic-non-event-and-adaptations-manage-safety-intraoperative
    February 03, 2021 - This study used cognitive task analysis (CTA) to explore how anesthesia nurses and anesthesiologists … Patient Safety Innovations Risk Mitigation Using the Anesthesia … January 31, 2024 Anesthesia workspaces for safe medication practices: design guidelines … operating room: a narrative review of environmental and self-initiated distractions and their effect on anesthesia … View More See More About The Topic Operating Room Anesthesiology Anesthesia

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41109/psn-pdf
    January 07, 2015 - The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes … The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes … https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-25-pioneering-success-safety-25th- … anniversary-provokes This commentary highlights the Anesthesia Patient Safety Foundation's numerous … https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45855/psn-pdf
    March 15, 2017 - The development and implementation of cognitive aids for critical events in pediatric anesthesia: the … Society for Pediatric Anesthesia Critical Events Checklists. … The Development and Implementation of Cognitive Aids for Critical Events in Pediatric Anesthesia: The … Society for Pediatric Anesthesia Critical Events Checklists. … https://psnet.ahrq.gov/issue/development-and-implementation-cognitive-aids-critical-events-pediatric- anesthesia-society

  6. 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/endoscopy-checklist-template.docx
    January 01, 2009 - AHRQ Safety Program for Ambulatory Surgery Implementation Guide Before Patient Enters Room Nurse, Anesthesia … matches the consent · Known allergies · Patient height, weight, body mass index · History and physical Anesthesia … Professional and Nurse Discuss: · Anesthesia safety check is completed · Type of anesthesia · Anticipated … Shares: · Any changes to the plan and possible difficulties · Necessary equipment/devices are available Anesthesia

  7. Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. | PSNet

    psnet.ahrq.gov/issue/peer-support-and-second-victim-programs-anesthesia-professionals-involved-stressful-or
    October 26, 2022 - Study Peer support and second victim programs for anesthesia professionals involved … 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 … March 13, 2024 Anesthesia workspaces for safe medication practices: design guidelines … See More About The Topic Outpatient Surgery Operating Room Anesthesiology Anesthesia

  8. Operating Room Briefing and Debriefing Audit Tool | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/or-briefing-audit.html
    December 01, 2017 - Surgery Attending   Anesthesia Attending Surgery Resident Anesthesia Resident Nurse Anesthesia … Surgery Attending         Surgery Resident         Anesthesia Attending …         Anesthesia Resident         Anesthesia Certified Registered Nurse

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38867/psn-pdf
    March 01, 2011 - Management of anesthesia equipment failure: a simulation-based resident skill assessment. … Management of Anesthesia Equipment Failure: A Simulation- Based Resident Skill Assessment. … Anesthesia & Analgesia. 2009;109(2). doi:10.1213/ane.0b013e3181aa3079. … https://psnet.ahrq.gov/issue/management-anesthesia-equipment-failure-simulation-based-resident-skill- … assessment Anesthesia residents' ability to handle intraoperative equipment failure was evaluated

  10. Innovation in Perioperative Patient Safety. | PSNet

    psnet.ahrq.gov/issue/innovation-perioperative-patient-safety
    January 02, 2011 - Articles in this special issue discuss strategies to improve safety in anesthesia, including simulation … Related Resources From the Same Author(s) Medication administration in anesthesia … September 20, 2011 View More Related Resources Anesthesia Risk … January 19, 2022 WebM&M Cases Local Anesthesia-Induced … July 31, 2019 An embedded checklist in the Anesthesia Information Management System improves

  11. Kaiser Permanente School of Anesthesia Uses AHRQ’s Surveys on Patient Safety Culture, TeamSTEPPS® | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsletters/e-newsletter/956.html
    May 01, 2025 - Kaiser Permanente School of Anesthesia Uses AHRQ’s Surveys on Patient Safety Culture, TeamSTEPPS® … Today’s Headlines: Kaiser Permanente School of Anesthesia Uses AHRQ’s Surveys on Patient Safety Culture … Kaiser Permanente School of Anesthesia Uses AHRQ’s Surveys on Patient Safety Culture, TeamSTEPPS® The … Kaiser Permanente (KP) School of Anesthesia in Pasadena, Calif., uses AHRQ’s  Surveys on Patient Safety … In response to the project results, the KP School of Anesthesia is improving its TeamSTEPPS training

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33928/psn-pdf
    June 23, 2015 - Anesthesia safety: model or myth? … Anesthesia safety: model or myth? … https://psnet.ahrq.gov/issue/anesthesia-safety-model-or-myth-review-published-literature-and-analysis … current-original The Committee on Quality of Health Care in America for IOM anointed the area of anesthesia … This study examines those claims by conducting a literature review of anesthesia- related mortality

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35668/psn-pdf
    July 10, 2008 - Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery … Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery … https://psnet.ahrq.gov/issue/duration-anesthesia-indicator-morbidity-and-mortality-office-based-facial … plastic-surgery The investigators reviewed records of patients having greater or less than 4 hours of anesthesia … in an outpatient setting and found that length of anesthesia was not a marker for poor outcomes.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837741/psn-pdf
    July 27, 2022 - 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 … /psnet.ahrq.gov/issue/impact-22-month-multistep-implementation-program-speaking-behavior- academic-anesthesia … ://psnet.ahrq.gov/issue/impact-22-month-multistep-implementation-program-speaking-behavior-academic-anesthesia … ://psnet.ahrq.gov/issue/impact-22-month-multistep-implementation-program-speaking-behavior-academic-anesthesia

  15. Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. | PSNet

    psnet.ahrq.gov/issue/differences-safety-climate-among-hospital-anesthesia-departments-and-effect-realistic
    October 19, 2022 - Study Differences in safety climate among hospital anesthesia departments and the … Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based … In this study, the investigators analyzed safety culture before and after anesthesia staff underwent … Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based

  16. Knowledge-based errors in anesthesia: a paired, controlled trial of learning and retention. | PSNet

    psnet.ahrq.gov/issue/knowledge-based-errors-anesthesia-paired-controlled-trial-learning-and-retention
    December 06, 2023 - Study Knowledge-based errors in anesthesia: a paired, controlled trial of learning … Knowledge-based errors in anesthesia: a paired, controlled trial of learning and retention. … Knowledge-based errors in anesthesia: a paired, controlled trial of learning and retention. … Related Resources WebM&M Cases Inadequate Anesthesia

  17. Tool: OR Briefing and Debriefing Audit Tool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/or_briefing_audit.docx
    December 01, 2017 - ☐ Surgery Attending ☐ Anesthesia Attending ☐ Surgery Resident ☐ Anesthesia Resident ☐ Nurse ☐ Anesthesia … Surgery Attending Surgery Resident Anesthesia Attending Anesthesia … Resident Anesthesia Certified Registered Nurse Anesthetist Circulator

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854626/psn-pdf
    October 18, 2023 - Developing surgical and anesthesia resident patient safety competencies through systems-based event … Developing surgical and anesthesia resident patient safety competencies through systems-based event … https://psnet.ahrq.gov/issue/developing-surgical-and-anesthesia-resident-patient-safety-competencies- … https://psnet.ahrq.gov/issue/developing-surgical-and-anesthesia-resident-patient-safety-competencies-through-systems-based … https://psnet.ahrq.gov/issue/developing-surgical-and-anesthesia-resident-patient-safety-competencies-through-systems-based

  19. Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. | PSNet

    psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
    January 29, 2021 - . 14 Anesthesia care providers are in an ideal position to identify patients with undiagnosed sleep … Approaches to Improving Patient Safety Employ regional anesthesia Corneal surgery is often performed … under regional anesthesia, which avoids many of the risks of general anesthesia. 18 Regional anesthesia … The benefits of opioid free anesthesia and the precautions necessary when employing it. … Anesthesia for the morbidly obese patient Anesthesiol Clin . 2020;38(1):197-212. [ Available at ]

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46247/psn-pdf
    August 08, 2018 - Distractions in the anesthesia work environment: impact on patient safety? … Report of a meeting sponsored by the Anesthesia Patient Safety Foundation. … Distractions in the Anesthesia Work Environment: Impact on Patient Safety? … Report of a Meeting Sponsored by the Anesthesia Patient Safety Foundation. Anesth Analg. 2017. … https://psnet.ahrq.gov/issue/distractions-anesthesia-work-environment-impact-patient-safety-report-
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