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261. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43529/psn-pdf
     October 01, 2014 - National pediatric anesthesia safety quality improvement program in the United States. … National pediatric anesthesia safety quality improvement program in the United States. … https://psnet.ahrq.gov/issue/national-pediatric-anesthesia-safety-quality-improvement-program-united- … https://psnet.ahrq.gov/issue/national-pediatric-anesthesia-safety-quality-improvement-program-united-states … https://psnet.ahrq.gov/issue/national-pediatric-anesthesia-safety-quality-improvement-program-united-states

262. 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

263. Appendix M. Master Risk Factor List with Final Bolded | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssiapm.html
     April 01, 2018 -   Y   Y   1   intra-op drugs on paper anesthesia record D Electronic 1 Y Y … on paper anesthesia record M Manual not reliably     Temperature on Arrival to PACU … on paper anesthesia record M Electronic not reliably     Peri-Op Glucose <100   Y … intra-op drugs on paper anesthesia record D Manual 0     Outpatient Surgery   Y … on paper anesthesia record M Electronic ?    

264. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42050/psn-pdf
     January 07, 2015 - The association between frequency of self-reported medical errors and anesthesia trainee supervision … The association between frequency of self-reported medical errors and anesthesia trainee supervision … https://psnet.ahrq.gov/issue/association-between-frequency-self-reported-medical-errors-and-anesthesia … - trainee-supervision In this nationwide survey of anesthesia residents, lower reported supervision … https://psnet.ahrq.gov/issue/association-between-frequency-self-reported-medical-errors-and-anesthesia-trainee-supervision

265. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37398/psn-pdf
     March 28, 2012 - A facilitated survey instrument captures significantly more anesthesia events than does traditional … A facilitated survey instrument captures significantly more anesthesia events than does traditional … https://psnet.ahrq.gov/issue/facilitated-survey-instrument-captures-significantly-more-anesthesia-events … does-traditional This study describes the development of an open-ended survey tool administered to anesthesia … https://psnet.ahrq.gov/issue/facilitated-survey-instrument-captures-significantly-more-anesthesia-events-does-traditional

266. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38343/psn-pdf
     December 09, 2014 - Liability associated with obstetric anesthesia: a closed claims analysis. … Liability associated with obstetric anesthesia: a closed claims analysis. … https://psnet.ahrq.gov/issue/liability-associated-obstetric-anesthesia-closed-claims-analysis The use … This study uses a previously described database to compare liability profiles in obstetric anesthesia … https://psnet.ahrq.gov/issue/liability-associated-obstetric-anesthesia-closed-claims-analysis https:/

267. Weighing In on Surgical Safety | PSNet
     psnet.ahrq.gov/web-mm/weighing-surgical-safety
     August 04, 2021 - Explain the most effective strategies for managing anesthesia and postoperative pain control in the obese … As a rule, general anesthesia and airway manipulation are best avoided in the extremely obese patient … For induction of general anesthesia, always ensure proper positioning to maximize oxygen reserves. … Regional anesthesia and obesity. Curr Opin Anaesthesiol. 2009;22:683-686. [go to PubMed] 5. … A preliminary study of the optimal anesthesia positioning for the morbidly obese patient.

268. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/856640/psn-pdf
     November 29, 2023 - Data reviewed include cesarean and pediatric regional anesthesia incidents submitted to webAIRS over … https://psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system … https://psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system https://psnet.ahrq.gov/web-mm … /hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency

269. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73715/psn-pdf
     September 15, 2021 - The successful anesthesia patient safety officer. September 15, 2021 Cohen JB, Patel SY. … The successful anesthesia patient safety officer. Anesth Analg. 2021;133(3):816-820. … https://psnet.ahrq.gov/issue/successful-anesthesia-patient-safety-officer Designated safety leadership … https://psnet.ahrq.gov/issue/successful-anesthesia-patient-safety-officer https://psnet.ahrq.gov/issue

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46287/psn-pdf
     April 12, 2019 - Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned … Anesthesia Adverse Events Voluntarily Reported in the Veterans Health Administration and Lessons Learned … https://psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health- administration-and-lessons … https://psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health-administration-and-lessons … https://psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health-administration-and-lessons

271. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44858/psn-pdf
     February 10, 2016 - Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting … Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting … https://psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical … - incident-reporting This retrospective review of anesthesia and critical care cases in the German … https://psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical-incident-reporting

272. 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

273. 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:

274. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35593/psn-pdf
     January 02, 2011 - Anesthesia Patient Safety Foundation Newsletter. January 2, 2011 Greenberg S, Banayan J, eds. … Rochester, MN; Anesthesia Patient Safety Foundation. … https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-newsletter This quarterly newsletter … reports on incidents, preventative measures, and research programs focused on patient safety in anesthesia … https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-newsletter

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38006/psn-pdf
     August 20, 2008 - Cardiac arrest during anesthesia. August 20, 2008 Zuercher M, Ummenhofer W. … Cardiac arrest during anesthesia. Curr Opin Crit Care. 2008;14(3):269-74. … https://psnet.ahrq.gov/issue/cardiac-arrest-during-anesthesia This article reviews factors contributing … to anesthesia-related cardiac arrests and details prevention strategies. … https://psnet.ahrq.gov/issue/cardiac-arrest-during-anesthesia

276. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46808/psn-pdf
     February 14, 2018 - Anesthesia medication handling needs a new vision. February 14, 2018 Grigg EB, Roesler A. … Anesthesia Medication Handling Needs a New Vision. … https://psnet.ahrq.gov/issue/anesthesia-medication-handling-needs-new-vision Anesthesiology has been … /anesthesia-patient-safety-foundation https://psnet.ahrq.gov/issue/patient-safety-anesthetic-practice … https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors https://psnet.ahrq.gov

277. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43182/psn-pdf
     May 14, 2014 - Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve … Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve … https://psnet.ahrq.gov/issue/quality-and-safety-pediatric-anesthesia-how-can-guidelines-checklists-and … infections, improve reliability of handoffs, and increase adherence to best practices in pediatric anesthesia … https://psnet.ahrq.gov/issue/quality-and-safety-pediatric-anesthesia-how-can-guidelines-checklists-and-initiatives-improve

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46861/psn-pdf
     February 28, 2018 - Special K with no license to kill: accidental ketamine overdose on induction of general anesthesia. … Accidental Ketamine Overdose on Induction of General Anesthesia. Am J Case Rep. 2018;19:10-12. … https://psnet.ahrq.gov/issue/special-k-no-license-kill-accidental-ketamine-overdose-induction-general- anesthesia … https://psnet.ahrq.gov/issue/special-k-no-license-kill-accidental-ketamine-overdose-induction-general-anesthesia … https://psnet.ahrq.gov/issue/special-k-no-license-kill-accidental-ketamine-overdose-induction-general-anesthesia

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39990/psn-pdf
     June 08, 2011 - The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns … The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns … https://psnet.ahrq.gov/issue/wolf-crying-operating-room-patient-monitor-and-anesthesia-workstation- … alarming-patterns Anesthesia equipment alarms went off approximately once per minute during cardiac … https://psnet.ahrq.gov/issue/wolf-crying-operating-room-patient-monitor-and-anesthesia-workstation-alarming-patterns

280. Final Progress Report: Reducing the Risk of Preventable Postpartum Lower Extremity Nerve Injuries (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/toledo-report.pdf
     January 01, 2025 - As components of the anesthesia record could not be extracted from the electronic medical record and … The anesthesia record was not available for 12 patients with nerve injuries, so complete data on … Anesthesia Patient Safety Newsletter 2021; 36 (2). … A Century of Progress and Collaboration Between Obstetric Anesthesiologists, Anesthesia & Analgesia … , and the International Anesthesia Research Society.