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2761. The Wrong Shot: Error Disclosure | PSNet
      psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
      May 01, 2011 - 1, 2003 WebM&M Cases Unexplained Apnea Under Anesthesia

2762. Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
      March 12, 2008 - • Heparin (central line) • Hypertensive emergency • Hypoglycemia • Labor admission • Local anesthesia

2763. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49669/psn-pdf
      November 01, 2012 - Anesthesia in cases of poor surgical risk: some suggestions for decreasing the risk.

2764. Final Progress Report: Diagnostic Error in Medicine Conference (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/graber-report.pdf
      January 01, 2025 - While I’m glad I chose this conference, I wonder if HF and anesthesia representation might have been

2765. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33746/psn-pdf
      March 01, 2013 - Gaba, MD, is a Professor of Anesthesia at the Stanford University School of Medicine.

2766. Rapid Response for Perinatal Safety: Rapid Response Systems | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/tool-rapid-response-systems.html
      July 01, 2023 - delivery; NC = nasal canula; NICU = neonatal intensive care unit; NRB = non-rebreather PACU = post-anesthesia

2767. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33635/psn-pdf
      July 01, 2006 - RW: How much of your interest in safety came from being in anesthesia, the medical field that became

2768. Module 1: Overview | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod1.html
      February 01, 2023 - contiguous structures of genitourinary tract Anticipated prolonged surgery duration (removed in post-anesthesia

2769. Antibiotic Stewardship Program Development: Part 2 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-facilitator-guide.pdf
      November 01, 2019 - This includes working with surgery and anesthesia colleagues to determine antibiotic selection and

2770. From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient | PSNet
      psnet.ahrq.gov/web-mm/pain-relief-risk-case-suspected-opioid-overdose-pediatric-patient
      October 04, 2023 - The Society of Pediatric Anesthesia recommendations for us of opioids in children during the perioperative

2771. Low on the Totem Pole | PSNet
      psnet.ahrq.gov/web-mm/low-totem-pole
      October 01, 2003 - attending surgeons, clearly atop the authority chain, perceived teamwork to be strong, while only 10% of anesthesia

2772. Final Progress Report: Topical Vancomycin for Neurosurgery Wound Prophylaxis (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/connolly-report.pdf
      January 01, 2024 - The wound was examined 4-6 hours after surgery, and the patients were transferred from the post-anesthesia

2773. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33875/psn-pdf
      March 01, 2019 - I would initiate relationship-building with the leaders of obstetrics, neonatology, nursing, and anesthesia—because

2774. Findings | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
      August 01, 2022 - In addition, decision aids have been developed for use with anesthesia patients but have not yet been

2775. Root Cause Analysis Gone Wrong | PSNet
      psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
      August 28, 2024 - 1, 2003 WebM&M Cases Unexplained Apnea Under Anesthesia

2776. When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)! | PSNet
      psnet.ahrq.gov/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
      February 01, 2023 - consider the patient's medical history, the type of surgery being performed, and the planned type of anesthesia

2777. The Other Side | PSNet
      psnet.ahrq.gov/web-mm/other-side
      May 01, 2007 - After the patient was intubated for general anesthesia, the trainee reviewed her chart and noted that

2778. Techno Trip | PSNet
      psnet.ahrq.gov/web-mm/techno-trip
      May 01, 2005 - Cook, MD Associate Professor, Department of Anesthesia and Critical Care Director, Cognitive Technologies

2779. Transforming the Morbidity and Mortality Conference into an Instrument for Systemwide Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Deis_82.pdf
      June 03, 2008 - lack identification and discussion of adverse outcomes.5, 6, 7 Biddle reviewed cases presented at the anesthesia

2780. Impact of Staff-Led Safety Walk Rounds (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Montgomery_42.pdf
      March 05, 2008 - • Inadequate hand-off tool between staff of the cardiac catheterization laboratory, the post- anesthesia