-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/pso-brochure.pdf
March 01, 2020 - Some PSOs specialize in a specific area, such as
anesthesia or medication adverse events, or focus on
-
psnet.ahrq.gov/primer/reporting-patient-safety-events
March 30, 2022 - such as the Intensive Care Unit Safety Reporting System and systems for reporting surgical and anesthesia-related
-
www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6n-price-transparency.html
March 01, 2020 - average total costs for the procedure, where total cost includes physician services, facility fees, anesthesia
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4t_combo_pdi08-postophemorrhage-bestpractices.pdf
May 16, 2016 - medical_education_residency/program_directors
/Reprint259_Surgical.pdf
• Periprocedural and Regional Anesthesia
-
digital.ahrq.gov/sites/default/files/docs/resource/Logan_ExcellenceReportExample.pdf
March 15, 2009 - procedures with documentation that no medications were given, of residual
sedation present, or of managed by anesthesia
-
psnet.ahrq.gov/node/49537/psn-pdf
June 01, 2007 - preoperative medical evaluation provides an opportunity for
collaboration between medicine, surgery, and anesthesia … Case & Commentary: Part 3
Review of the preoperative assessment by anesthesia and orthopedics revealed
-
psnet.ahrq.gov/node/843051/psn-pdf
February 01, 2023 - The patient recovered in the Post-Anesthesia Care Unit (PACU) overnight, was evaluated by
physical therapy … Surgical and anesthesia teams should work together to ensure a plan for airway access, as hematoma
evacuation
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
July 01, 2023 - C/S). 5,6
Image: Three rows of text boxes describe the process:
When (first row):
Before Anesthesia … Type of anesthesia.
-
effectivehealthcare.ahrq.gov/sites/default/files/11_pepticulcer_potential_high_impact_june_2012.pdf
January 01, 2012 - POEM is performed with the
patient under general anesthesia. … Overall, the experts assumed that if POEM remains an inpatient procedure with
general anesthesia, the … needed and, thus, the
overall invasiveness.
20
POEM is performed with the patient under general anesthesia … However, it is expected to carry
the risks associated with surgery, such as general anesthesia, or … The experts generally assume if POEM remains an inpatient procedure
with general anesthesia the impacts
-
psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
August 14, 2024 - The patient recovered in the Post-Anesthesia Care Unit (PACU) overnight, was evaluated by physical therapy … Surgical and anesthesia teams should work together to ensure a plan for airway access, as hematoma evacuation
-
psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
May 16, 2022 - The anesthesia team, the surgical team, the operating room nurse, and the scrub technician all can ask … October 27, 2021
WebM&M Cases
Inadequate Anesthesia
-
psnet.ahrq.gov/web-mm/monitoring-fetal-health
September 08, 2010 - monitor critical life signals of patients in the ICU, labor and delivery units, or individuals under anesthesia … WebM&M Cases
Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia
-
psnet.ahrq.gov/node/73153/psn-pdf
April 28, 2021 - At the handoff to the post-anesthesia care unit (PACU) nurse, the OR nurse stated that there was packing … into the vagina in the OR or procedural area, where the patient is likely sedated or under general
anesthesia
-
psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
November 25, 2020 - Liberal use of local or regional anesthesia facilitates adequate exploration. … believed to cause digital ischemia, its use is now considered safe and highly effective at prolonging anesthesia
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/specific-pt-populations-slides.pdf
May 01, 2025 - formal
childbirth
education
Variable communication on
options/choices
Hospital
Nurse
Provider
Anesthesia
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
March 10, 2008 - Major diagnosis
category
(MDC) exclusion
Procedure codes
requirement
PSI 1: Complications
of anesthesia … representatives to our Consortium described some validity concerns about the
indicator complications of anesthesia … during pregnancy, childbirth, and the puerperium were not included in the
AHRQ PSI 1 (complications of anesthesia … For example, the ICD-10-WHO coding
13
algorithm for PSI 1 (complications of anesthesia) does
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
May 05, 2008 - Anesthesia, critical care, and trauma teams have
employed simulation training with a positive effect … implemented changes included:
• Establishing a specialty service for pediatric deep sedation and anesthesia … Life Specialist
Parents
Anxiety
Dangerous Movement Mechanical
Procedure operator
Airway
Local anesthesia … Deep Sedation/GA
Deep Sedation/GA
Treatment RN
Positive Pressure Ventilation
Respiratory Therapy/Anesthesia
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/structured-handoff-rapid-research.pdf
January 01, 2025 - Systematic
review of intraoperative anesthesia handoffs
and handoff tools. … Systematic
review of intraoperative anesthesia handoff
tools. … Anesthesia handoffs
4. Agency for Healthcare Research and Quality.
TeamSTEPPS Updates. … Anesthesia handoffs
15. Bowes MR, Santiago PN, Hepps JH, et al. … Anesthesia handoffs
42. Li P, Ali S, Tang C, et al.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/hemophilia-dental-rapid-response.pdf
July 01, 2024 - In dental procedures that required local anesthesia, it was
recommended that children on routine prophylaxis … receive factor replacement
therapy prior to administration of anesthesia … In dental
procedures that required local anesthesia, recommendations for factor therapy differed for … that children on routine prophylaxis receive factor replacement therapy
prior to administration of anesthesia … discussed the various aspects of dental care, including
preventive measures, orthodontic treatment, anesthesia
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/sleep-apnea_research-protocol.pdf
March 15, 2010 - Preoperative testing
People with sleep apnea are at increased risk of surgical and anesthesia-related … baseline / time of screening
KQ 4
• Pre-operative patients, all surgeries, to receive general anesthesia … www.effectivehealthcare.ahrq.gov
Published Online: March 15, 2010
17
40 exp Therapeutics/ 2836406
41 exp Anesthesia