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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46264/psn-pdf
    August 09, 2017 - Intraoperative handoffs among anesthesia providers increase the incidence of documentation errors for … Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for … https://psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence- … Investigators found that handoffs among anesthesia providers that involved a permanent transfer of patient … https://psnet.ahrq.gov/issue/intraoperative-patient-information-handover-between-anesthesia-providers

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34781/psn-pdf
    June 23, 2015 - Standards for patient monitoring during general anesthesia at Harvard Medical School. … Standards for patient monitoring during anesthesia at Harvard Medical School. … https://psnet.ahrq.gov/issue/standards-patient-monitoring-during-general-anesthesia-harvard-medical- … school To proactively devise a patient safety strategy for anesthesia, the authors of this article … https://psnet.ahrq.gov/issue/standards-patient-monitoring-during-general-anesthesia-harvard-medical-school

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45060/psn-pdf
    January 01, 2017 - Patient safety during sedation by anesthesia professionals during routine upper endoscopy and colonoscopy … Patient safety during sedation by anesthesia professionals during routine upper endoscopy and colonoscopy … https://psnet.ahrq.gov/issue/patient-safety-during-sedation-anesthesia-professionals-during-routine-upper … patients who underwent either a colonoscopy or upper endoscopy procedure found that the use of an anesthesia … upper endoscopy, there was an increased rate of serious adverse events in cases that involved an anesthesia

  4. Anesthesiologist group says hospitals can prevent fatal errors like Vanderbilt's. | PSNet

    psnet.ahrq.gov/issue/anesthesiologist-group-says-hospitals-can-prevent-fatal-errors-vanderbilts
    June 01, 2022 - This article summarizes an  Anesthesia Patient Safety Foundation statement directing organizations and … individuals that provide anesthesia care to protect patients and encourage learning from error . … February 7, 2024 Anesthesia workspaces for safe medication practices: design guidelines … See More About The Topic Hospitals Risk Managers Anesthesiology Nurse Care Anesthesia

  5. 015-Ss-Hand-Hygiene-Periop-Fg (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/015-ss-hand-hygiene-periop-fg.docx
    April 01, 2025 - Slide 19 Hand Hygiene for Anesthesia SAY: It would be remiss not to take a moment to highlight the … challenges associated with hand hygiene among anesthesia team members. … Anesthesia providers come into frequent contact with the patient and their environment. … Even when anesthesia providers know the risk, overcoming it is a challenge. … Overall anesthesia hand hygiene adherence has been reported to be 18 percent.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39287/psn-pdf
    February 10, 2010 - Office-based anesthesia. February 10, 2010 Kurrek MM, Twersky RS. Office-based anesthesia. … https://psnet.ahrq.gov/issue/office-based-anesthesia This study reviews important issues and aspects … of providing safe care in office-based anesthesia practices, a setting the authors suggest will receive … https://psnet.ahrq.gov/issue/office-based-anesthesia https://psnet.ahrq.gov/issue/office-based-anesthesia-new-frontiers-better-outcomes-and-emphasis-safety

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41767/psn-pdf
    August 04, 2014 - Patient safety and office-based anesthesia. August 4, 2014 Urman RD, Punwani N, Shapiro FE. … Patient safety and office-based anesthesia. … https://psnet.ahrq.gov/issue/patient-safety-and-office-based-anesthesia This narrative review explores … https://psnet.ahrq.gov/issue/patient-safety-and-office-based-anesthesia https://psnet.ahrq.gov/issue/ … office-based-anesthesia

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35511/psn-pdf
    May 31, 2011 - An objective methodology for task analysis and workload assessment in anesthesia providers. … An Objective Methodology for Task Analysis and Workload Assessment in Anesthesia Providers. … https://psnet.ahrq.gov/issue/objective-methodology-task-analysis-and-workload-assessment-anesthesia- … Using three measurement strategies, the investigators studied two cohorts of anesthesia providers, including … Their study represents one of the first to apply human factors research techniques to a clinical anesthesia

  9. To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room | PSNet

    psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
    July 28, 2021 - In the preoperative holding area, the anesthesia team took the patient’s history and performed a brief … The anesthesia team consisted of an attending anesthesiologist and a resident from another specialty. … According to the Anesthesia Closed Claims Project, about 4% of claims against anesthesia providers are … for Intravenous Anesthesia, and the Safe Anesthesia Liaison Group (SALG) and Australian and New Zealand … General anesthesia for surgeons. In: StatPearls .

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47502/psn-pdf
    June 02, 2019 - Failure to debrief after critical events in anesthesia is associated with failures in communication … Failure to Debrief after Critical Events in Anesthesia Is Associated with Failures in Communication … https://psnet.ahrq.gov/issue/failure-debrief-after-critical-events-anesthesia-associated-failures- communication-during … https://psnet.ahrq.gov/issue/failure-debrief-after-critical-events-anesthesia-associated-failures-communication-during … https://psnet.ahrq.gov/issue/failure-debrief-after-critical-events-anesthesia-associated-failures-communication-during

  11. A novel approach to implementation of quality and safety programmes in anaesthesiology. | PSNet

    psnet.ahrq.gov/issue/novel-approach-implementation-quality-and-safety-programmes-anaesthesiology
    January 15, 2014 - This commentary describes a project to improve quality and safety education for anesthesia residents. … October 19, 2022 Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia … June 14, 2023 Failure to debrief after critical events in anesthesia is associated with … March 19, 2018 Simulation in obstetric anesthesia. … January 4, 2012 Management of anesthesia equipment failure: a simulation-based resident

  12. Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia. | PSNet

    psnet.ahrq.gov/issue/adverse-events-infants-less-6-months-age-after-ambulatory-surgery-and-diagnostic-imaging
    August 12, 2020 - events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia … events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia … events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia … May 18, 2022 View More Related Resources Perspectives on anesthesia … Cardiac Arrest January 26, 2022 Outcomes from Wake Up Safe, the pediatric anesthesia

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34137/psn-pdf
    February 06, 2018 - Anesthesia Patient Safety Foundation. February 6, 2018 P.O. Box 6668, Rochester, MN 55903. … https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation The Anesthesia Patient Safety Foundation's … (APSF) mission is to ensure that no patient is harmed by the effects of anesthesia. … https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-newsletter

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42703/psn-pdf
    December 06, 2013 - Administrative issues to ensure safe anesthesia care in the office-based setting. … Administrative issues to ensure safe anesthesia care in the office- based setting. … https://psnet.ahrq.gov/issue/administrative-issues-ensure-safe-anesthesia-care-office-based-setting … https://psnet.ahrq.gov/issue/administrative-issues-ensure-safe-anesthesia-care-office-based-setting https … ://psnet.ahrq.gov/issue/patient-safety-and-office-based-anesthesia

  15. 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

  16. Transcript-Speaking-Up (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/transcript-speaking-up.doc
    May 01, 2017 - Berry: “Anesthesia, I’m concerned about the blood pressure. Is something going on?” … Anesthesia: “Oh it’s fine. I know my job, and it’s fine.” … Anesthesia: “Look Dr. Berry, I have everything under control here. The blood pressure’s fine.” Dr. … Could you call for some anesthesia help to come in here right now?”

  17. Center for Medical Simulation. | PSNet

    psnet.ahrq.gov/issue/center-medical-simulation
    January 17, 2024 - 2005 The Center for Medical Simulation (CMS) is a not-for-profit corporation founded by the anesthesia … dynamic teaching tools under the direction of Jeffrey Cooper, Ph.D, a pioneer in the study of safety in anesthesia … July 10, 2013 Differences in safety climate among hospital anesthesia departments and

  18. Appendices for Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016–2021 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/HCUP-SB-312-Appendices-508.pdf
    September 01, 2024 - due to anesthesia during pregnancy, unspecified trimester O29122 Cardiac failure due to anesthesia … anesthesia during pregnancy, unspecified trimester O29212 Cerebral anoxia due to anesthesia during … complications of anesthesia during labor and delivery O742 Cardiac complications of anesthesia during … of anesthesia during the puerperium O891 Cardiac complications of anesthesia during the puerperium … to anesthesia, initial encounter T883XXA Malignant hyperthermia due to anesthesia, initial encounter

  19. Medication handling: towards a practical, human-centred approach. | PSNet

    psnet.ahrq.gov/issue/medication-handling-towards-practical-human-centred-approach
    September 23, 2020 - Medication errors in anesthesia practice can result in serious patient harm. … July 26, 2023 View More Related Resources Perspectives on anesthesia … November 18, 2020 Quality and Safety in Anesthesia and Perioperative Care. … May 22, 2019 Use of a public health law framework to improve medication safety by anesthesia

  20. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Safe Cesarean Section (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
    May 01, 2017 - or care teams within a unit, for example transfers between L&D room and OR, and between OR and post-anesthesia … · The L&D/OR/neonatal/anesthesia teams maintain a shared mental model for the safe surgery perioperative … provider confirms: Type of anesthesia used (Spinal/Epidural/Combined/General) Antibiotics infused … provider confirms: Type of anesthesia used (Spinal/Epidural/Combined/General) Antibiotics infused … Additional instruments needed/anticipated: |_| Yes |_| No Anesthesia provider confirms: Type of anesthesia
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