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psnet.ahrq.gov/primers-0
March 15, 2025 - (6)
Radiology
(2)
Surgery
(5)
Nurse Care
(20)
Anesthesia
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hcup-us.ahrq.gov/news/awards_archive.jsp
November 01, 2024 - Adverse Events and Factors Associated with Potentially Avoidable Use of General Anesthesia in Cesarean
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hcup-us.ahrq.gov/tech_assist/faq.jsp
October 01, 2024 - procedures which require the use of an operating room, penetrate or break the skin, and involve regional anesthesia … , general anesthesia, or sedation to control pain. … procedures that require the use of an operating room, penetrate or break the skin, and involve regional anesthesia … , general anesthesia, or sedation to control pain. … added v2018)
Excluded are all other ranges of CPT Category I codes
(i.e., codes specific to anesthesia
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psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
September 27, 2017 - December 19, 2018
The impact of hindsight bias on the diagnosis of perioperative events by anesthesia
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psnet.ahrq.gov/web-mm/x-ray-flip
August 10, 2019 - that active errors in human performance are inevitable in complex systems.( 7 ) Similar to aviation, anesthesia
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psnet.ahrq.gov/web-mm/patient-mix
December 01, 2007 - 1, 2003
WebM&M Cases
Unexplained Apnea Under Anesthesia
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psnet.ahrq.gov/node/49853/psn-pdf
February 01, 2019 - adverse-event-during-intrahospital-transport
The Case
A 4-year-old boy underwent surgery under general anesthesia
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psnet.ahrq.gov/web-mm/picture-speaks-1000-words
July 16, 2015 - October 29, 2017
Anesthesia adverse events voluntarily reported in the Veterans Health
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psnet.ahrq.gov/web-mm/medication-overdose
September 01, 2011 - Perspective
The Wild West: Patient Safety in Office-Based Anesthesia
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psnet.ahrq.gov/web-mm/moved-too-soon
November 01, 2006 - Two hours after arriving, while the patient was still groggy from anesthesia, a nurse entered the room
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.ppt
October 01, 2007 - hypertension and severe obstructive sleep apnea requiring CPAP is placed on morphine PCA (patient-controlled anesthesia
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www.ahrq.gov/sites/default/files/2024-02/pittman-report.pdf
January 01, 2024 - Frankel began to divide his time equally between his anesthesia practice and
spreading medical safety
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_1-speaker-notes.docx
September 01, 2015 - contiguous structures of genitourinary tract
· Anticipated prolonged surgery duration (removed in post-anesthesia
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data_facnotes.docx
December 01, 2017 - ASK:
For example, how often were the designated anesthesia team members in the room along with the nursing
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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module1-speaker-notes.html
February 01, 2023 - contiguous structures of genitourinary tract
Anticipated prolonged surgery duration (removed in post-anesthesia
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/deep-root-data-fac-notes.html
December 01, 2017 - Ask:
For example, how often were the designated anesthesia team members in the room along with the
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www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit1.html
July 01, 2018 - X
Organ, tissue, and eye procurement
X
X
Surgical services
n/a
Anesthesia
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psnet.ahrq.gov/node/49802/psn-pdf
August 01, 2017 - Ken Catchpole, PhD SmartState Endowed Chair in Clinical Practice and Human Factors Department of
Anesthesia
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psnet.ahrq.gov/web-mm/central-not-epidural
August 28, 2024 - infusing gases into an intravenous system could cause air emboli, and mistakenly infusing epidural anesthesia
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psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
December 15, 2024 - Related WebM&M
Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia