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  1. Labor and Delivery Unit Safety: Safe Cesarean Section | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-safe-csection.html
    July 01, 2023 - 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) … provider confirms: ___ Type of anesthesia used (Spinal / Epidural / Combined / General) … provider confirms:    Type of anesthesia used:      ___ Spinal      ___ Epidural      ___ Combined

  2. 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?”

  3. Exploring everyday work as a dynamic non-event and adaptations to manage safety in intraoperative anaesthesia care: an interview study. | PSNet

    psnet.ahrq.gov/issue/exploring-everyday-work-dynamic-non-event-and-adaptations-manage-safety-intraoperative
    February 03, 2021 - This study used cognitive task analysis (CTA) to explore how anesthesia nurses and anesthesiologists … Patient Safety Innovations Risk Mitigation Using the Anesthesia … January 31, 2024 Anesthesia workspaces for safe medication practices: design guidelines … operating room: a narrative review of environmental and self-initiated distractions and their effect on anesthesia … View More See More About The Topic Operating Room Anesthesiology Anesthesia

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40915/psn-pdf
    January 04, 2012 - Simulation in obstetric anesthesia. January 4, 2012 Pratt SD. … Focused review: simulation in obstetric anesthesia. Anesth Analg. 2012;114(1):186-90. … https://psnet.ahrq.gov/issue/simulation-obstetric-anesthesia This review examines how simulation training … can improve performance, identification of safety concerns, and teamwork in obstetric anesthesia. … https://psnet.ahrq.gov/issue/simulation-obstetric-anesthesia https://psnet.ahrq.gov/issue/recurrent-obstetric-management-mistakes-identified-simulation

  5. 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

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48146/psn-pdf
    July 17, 2019 - Quality and Safety in Anesthesia and Perioperative Care. … https://psnet.ahrq.gov/issue/quality-and-safety-anesthesia-and-perioperative-care The perioperative … https://psnet.ahrq.gov/issue/quality-and-safety-anesthesia-and-perioperative-care https://psnet.ahrq.gov … /issue/patient-safety-surgery-0 https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46774/psn-pdf
    April 12, 2019 - Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing … Association Between Handover of Anesthesia Care and Adverse Postoperative Outcomes Among Patients Undergoing … https://psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative- … https://psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among … https://psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46925/psn-pdf
    March 07, 2018 - Interventional procedures outside of the operating room: results from the National Anesthesia Clinical … Interventional Procedures Outside of the Operating Room: Results From the National Anesthesia Clinical … https://psnet.ahrq.gov/issue/interventional-procedures-outside-operating-room-results-national-anesthesia … - clinical This retrospective study of the National Anesthesia Clinical Outcomes Registry database … https://psnet.ahrq.gov/issue/interventional-procedures-outside-operating-room-results-national-anesthesia-clinical

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46357/psn-pdf
    May 17, 2018 - Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the … Safe Labeling Practices to Minimize Medication Errors in Anesthesia. … https://psnet.ahrq.gov/issue/safe-labeling-practices-minimize-medication-errors-anesthesia-5-case-reports … incomplete labeling can affect care and summarizes recommendations to improve labeling practices for anesthesia … https://psnet.ahrq.gov/issue/safe-labeling-practices-minimize-medication-errors-anesthesia-5-case-reports-and-review

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34851/psn-pdf
    December 23, 2016 - Preventing, and managing the impact of, anesthesia awareness. … December 23, 2016 Preventing, and managing the impact of, anesthesia awareness. … https://psnet.ahrq.gov/issue/preventing-and-managing-impact-anesthesia-awareness This alert provides … recommendations for minimizing the risk of anesthesia awareness.  … https://psnet.ahrq.gov/issue/preventing-and-managing-impact-anesthesia-awareness

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38661/psn-pdf
    May 27, 2009 - Quality and safety indicators in anesthesia: a systematic review. … Quality and safety indicators in anesthesia: a systematic review. … https://psnet.ahrq.gov/issue/quality-and-safety-indicators-anesthesia-systematic-review This review … characterizes the various quality indicators used in anesthesia, and assesses the strength of the evidence … https://psnet.ahrq.gov/issue/quality-and-safety-indicators-anesthesia-systematic-review

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47077/psn-pdf
    May 23, 2018 - Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia … Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia … psnet.ahrq.gov/issue/world-health-organization-world-federation-societies-anaesthesiologists-who- wfsa Safe anesthesia … recommendations for clinicians, administrators, and governments as they review, implement, and manage anesthesia … professional qualification; facilities and equipment; medications and intravenous fluids; monitoring; and anesthesia

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46347/psn-pdf
    December 22, 2018 - Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative … Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative … https://psnet.ahrq.gov/issue/medication-errors-pediatric-anesthesia-report-wake-safe-quality-improvement … - initiative This study describes serious adverse events in pediatric anesthesia, based on reporting … https://psnet.ahrq.gov/issue/medication-errors-pediatric-anesthesia-report-wake-safe-quality-improvement-initiative

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47608/psn-pdf
    March 20, 2019 - Use of a public health law framework to improve medication safety by anesthesia providers. … Use of a public health law framework to improve medication safety by anesthesia providers. … https://psnet.ahrq.gov/issue/use-public-health-law-framework-improve-medication-safety-anesthesia- providers … This commentary explores how gaps in legal and regulatory structure affect anesthesia medication safety … https://psnet.ahrq.gov/issue/use-public-health-law-framework-improve-medication-safety-anesthesia-providers

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37030/psn-pdf
    June 23, 2017 - A series of anesthesia-related maternal deaths in Michigan, 1985-2003. … A series of anesthesia-related maternal deaths in Michigan, 1985- 2003. … https://psnet.ahrq.gov/issue/series-anesthesia-related-maternal-deaths-michigan-1985-2003 The researchers … retrospectively analyzed cases of pregnancy-associated deaths involving anesthesia care and found that … https://psnet.ahrq.gov/issue/series-anesthesia-related-maternal-deaths-michigan-1985-2003

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41357/psn-pdf
    May 24, 2012 - Influences observed on incidence and reporting of medication errors in anesthesia. … Influences observed on incidence and reporting of medication errors in anesthesia. … https://psnet.ahrq.gov/issue/influences-observed-incidence-and-reporting-medication-errors-anesthesia … Provider inexperience was found to be a risk factor for medication errors in anesthesia, in this prospective … https://psnet.ahrq.gov/issue/influences-observed-incidence-and-reporting-medication-errors-anesthesia

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38408/psn-pdf
    February 11, 2009 - Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety. … Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety. … https://psnet.ahrq.gov/issue/office-based-anesthesia-new-frontiers-better-outcomes-and-emphasis-safety … This review article examines the evolution of safety in office-based anesthesia along with the need … https://psnet.ahrq.gov/issue/office-based-anesthesia-new-frontiers-better-outcomes-and-emphasis-safety

  18. 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

  19. 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

  20. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules | PSNet

    psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
    March 25, 2020 - At the conclusion of the surgical case, the patient had delayed emergence from anesthesia. … Medication errors in anesthesia: unacceptable or unavoidable?.  … Anesthesia Safety Foundation Newsletter. June 2018. … Ketamine: Use in anesthesia. CNS Neurosci Ther 2013;19(6):381-89. Rendell-Baker L. … Anesthesia Safety Foundation Newsletter 1987;2(4) This project was funded under contract
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