-
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
-
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,
-
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
-
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
-
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
-
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
-
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.
-
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
-
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
-
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
-
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
-
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.
-
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
-
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 anesthesia … Anesthesia 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
-
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.
-
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.
-
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.
-
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.
-
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).
-
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