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281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41890/psn-pdf
     December 12, 2012 - Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would … Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would … https://psnet.ahrq.gov/issue/quantification-anesthesia-providers-hand-hygiene-busy-metropolitan- operating-room-what-would … This study found that anesthesia providers had poor rates of hand hygiene, which led to multiple interventions … https://psnet.ahrq.gov/issue/quantification-anesthesia-providers-hand-hygiene-busy-metropolitan-operating-room-what-would

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43659/psn-pdf
     November 05, 2014 - Intraoperative patient information handover between anesthesia providers. … Intraoperative patient information handover between anesthesia providers. … https://psnet.ahrq.gov/issue/intraoperative-patient-information-handover-between-anesthesia-providers … Despite its low response rate, the study raises concerns that handoffs remain a safety gap in anesthesia … https://psnet.ahrq.gov/issue/intraoperative-patient-information-handover-between-anesthesia-providers

283. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47084/psn-pdf
     July 25, 2018 - Best Practices for Safe Medication Administration During Anesthesia Care. … Anesthesia Patient Safety Foundation. … https://psnet.ahrq.gov/issue/best-practices-safe-medication-administration-during-anesthesia-care Medication … errors in anesthesia practice can be result in serious patient harm. … https://psnet.ahrq.gov/issue/best-practices-safe-medication-administration-during-anesthesia-care https

284. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40512/psn-pdf
     September 07, 2016 - Shortage of perioperative drugs: implications for anesthesia practice and patient safety. … Shortage of perioperative drugs: implications for anesthesia practice and patient safety. … https://psnet.ahrq.gov/issue/shortage-perioperative-drugs-implications-anesthesia-practice-and-patient … - safety Several commonly used anesthesia medications are among the 140 medications currently considered … https://psnet.ahrq.gov/issue/shortage-perioperative-drugs-implications-anesthesia-practice-and-patient-safety

285. 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.

286. 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

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36917/psn-pdf
     September 01, 2011 - Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the … Analysis of deaths related to anesthesia in the period 1996- 2004 from closed claims registered by the … https://psnet.ahrq.gov/issue/analysis-deaths-related-anesthesia-period-1996-2004-closed-claims- registered-danish-patient … The investigators reviewed claims data to identify cases in which patient mortality was related to anesthesia … https://psnet.ahrq.gov/issue/analysis-deaths-related-anesthesia-period-1996-2004-closed-claims-registered-danish-patient

288. 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

289. 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

290. 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:

291. 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:/

292. 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

293. 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

294. Tables 2-5 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0121-tables-2-5.pdf
     October 21, 2019 - high-risk referral center P-value Facility Type Community hospital 61 (58.7%) 207 (91.6%) <0.001 Anesthesia … high-risk referral center P-value Night-time and weekend staffing In-house anesthesiologist or anesthesia … team dedicated to L&D 61 (60.4%) 57 (26.3%) <0.001 In-house anesthesiologist or anesthesia team … year Low risk, ≥1500 births per year Low risk, <1500 births per year P- value Recommended anesthesia

295. High-Risk Deliveries at Facilities with 24/7 In-House Blood Banking/Transfusion Services - Tables 2-5 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0122-tables2-5.pdf
     September 24, 2019 - Facility Type Annual Delivery volume* Community hospital 61 (58.7%) 207 (91.6%) <0.001 Anesthesia … high-risk referral center P-value Night-time and weekend staffing In-house anesthesiologist or anesthesia … team dedicated to L&D 61 (60.4%) 57 (26.3%) <0.001 In-house anesthesiologist or anesthesia team … Low risk, ≥1500 births per year Low risk, <1500 births per year P- value Recommended anesthesia

296. 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

297. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853980/psn-pdf
     September 27, 2023 - RFID tags reduce restocking errors of anesthesia medications. September 27, 2023 Banks MA. … https://psnet.ahrq.gov/issue/rfid-tags-reduce-restocking-errors-anesthesia-medications Radiofrequency … This article examines the use of RFID tracking to build reliability into operating room anesthesia medication … https://psnet.ahrq.gov/issue/rfid-tags-reduce-restocking-errors-anesthesia-medications https://psnet.ahrq.gov

298. 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

299. 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

300. 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