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  1. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdf
    January 01, 2021 - which she affixed to the patient’s gurney mattress 8 Case #2 Details • At handoff to the post-anesthesia … into the vagina in the OR or procedural area, where the patient is likely sedated or under general anesthesia
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49816/psn-pdf
    January 01, 2018 - pain: a clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia … and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia,
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838855/psn-pdf
    October 27, 2022 - The procedure was performed under general anesthesia, by an attending physician and a fellow, without … Medications provided to induce various levels of sedation (from light to general anesthesia) can have
  4. psnet.ahrq.gov/web-mm/ounce-prevention
    February 17, 2011 - lower-extremity DVT often is caused by prolonged bed rest; the risk increases when surgery and general anesthesia … Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-event-reporting-revised.docx
    April 01, 2022 - (use hospital policy) ☐ Acute urinary retention (e.g., due to medication [anesthesia, opioids, paralytics … prolonged duration of surgery (Note: catheters placed for this reason should be removed in the post-anesthesia
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49654/psn-pdf
    June 01, 2012 - During induction of anesthesia, the patient rapidly became hypotensive and required vasopressors. … following her operation on hospital day 2, medical records arrived from the referring hospital and the anesthesia
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49573/psn-pdf
    January 01, 2009 - An example of this approach is the Post Anesthesia Care Unit (PACU) Dashboard developed by Massachusetts … Critical incidents associated with intraoperative exchanges of anesthesia personnel.
  8. psnet.ahrq.gov/web-mm/code-blue-where
    March 30, 2020 - Thus, the "code team" (comprised of a senior medical resident, medical intern, anesthesia resident, anesthesia
  9. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - documented o Pressure ulcer prevention intervention in place o Secondary patient morbidity • Surgery or anesthesia … COVID- 19 PHE (e.g., falls, pressure injuries, perinatal events, venous thromboembolisms, surgery and anesthesia … infection 1,775 73 Medication or other substance 98 17 Perinatal 37 15 Pressure ulcer 74 12 Surgery or anesthesia
  10. psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
    January 01, 2023 - General Anesthesia: “A drug-induced loss of consciousness during which patients are not arousable, even … Anesthesiologists (ASA) Physical Status Classification System was created in 1962 to assess patients’ pre-anesthesia … Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the
  11. psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
    January 23, 2017 - General Anesthesia: “A drug-induced loss of consciousness during which patients are not arousable, even … Anesthesiologists (ASA) Physical Status Classification System was created in 1962 to assess patients’ pre-anesthesia … Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the
  12. hcup-us.ahrq.gov/reports/statbriefs/sb188-Surgeries-Hospital-Outpatient-Facilities-2012.jsp
    February 01, 2015 - penetrates or breaks the skin; typically require use of an operating room; and also require regional anesthesia … , general anesthesia, or sedation to control pain. … penetrates or breaks the skin; typically requires use of an operating room; and also requires regional anesthesia … , general anesthesia, or sedation to control pain.
  13. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions4.html
    June 01, 2023 - the competing prioritization of information among team members from different disciplines, including anesthesia
  14. www.ahrq.gov/sites/default/files/2024-04/singer-report.pdf
    January 01, 2024 - Anesthesia Crisis Resource Management simulation developers refer to making inquiries and assertions … to introduce themselves by name and role; the surgeon to discuss anticipated critical events; the anesthesiaAnesthesia crisis resource management: Real-life simulation training in operating room crises. … Journal of Clinical Anesthesia, 7(8), 675–687. Howard, S., Gaba, D., Fish, K., & et al. (1992). … Anesthesia crisis resource management training: teaching anesthesiologists to handle critical incidents
  15. hcup-us.ahrq.gov/db/nation/nass/2018_NASS_Introduction.pdf
    January 01, 2018 - , general anesthesia, or sedation to control pain. … , general anesthesia, or sedation to control pain. … , general anesthesia, or sedation to control pain. … , general anesthesia, or sedation to control pain. … , general anesthesia, or sedation.
  16. hcup-us.ahrq.gov/db/nation/nass/NASS_Introduction_2019.jsp
    January 01, 2019 - , general anesthesia, or sedation to control pain. … , general anesthesia, or sedation to control pain. … , general anesthesia, or sedation to control pain. … , general anesthesia, or sedation to control pain. … , general anesthesia, or sedation.
  17. digital.ahrq.gov/sites/default/files/docs/resource/James_Fricton_IQHIT_Q1_HP_Recommendations_for_Preventing_Complications_for_Chronic_Illnesses.pdf
    January 01, 2005 - Avoidance of outpatient general anesthesia and inform dentist prior to and during appointment … Avoidance of outpatient general anesthesia and inform dentist prior to and during appointment … Outpatient general anesthesia contraindicated 9. … Avoidance of general anesthesia in severe diabetics morning or midmorning c.
  18. psnet.ahrq.gov/web-mm/death-pca
    January 06, 2017 - Two hours after delivery, the post-anesthesia care unit (PACU) nurse removed the patient's epidural catheter … Thus, confirmation bias ( 9 ) likely occurred with the post-anesthesia care unit (PACU) nurses.
  19. www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
    December 01, 2017 - It covers Sign In (before induction of anesthesia), Time Out (before skin incision), and Sign Out (before … Preoperative checklists and anesthesia checklists (ch. 13).
  20. hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2018_ED_MaskedStats.PDF
    January 01, 2018 - : NEDS 2018 ED File Frequency Distribution for CPT1 CPT1 Frequency Percent Blank 2,124,006 6.91 Anesthesia … Extracorporeal shock wave, other than urinary <= 10 *.** 231: Other therapeutic procedures 2,344,158 7.63 232: Anesthesia