-
psnet.ahrq.gov/node/39324/psn-pdf
April 07, 2010 - Redesigning a morbidity and mortality program in a
university-affiliated pediatric anesthesia department … Redesigning a morbidity and mortality program in a university-affiliated
pediatric anesthesia department … /psnet.ahrq.gov/issue/redesigning-morbidity-and-mortality-program-university-affiliated-pediatric-
anesthesia … ://psnet.ahrq.gov/issue/redesigning-morbidity-and-mortality-program-university-affiliated-pediatric-anesthesia … ://psnet.ahrq.gov/issue/redesigning-morbidity-and-mortality-program-university-affiliated-pediatric-anesthesia
-
psnet.ahrq.gov/node/38484/psn-pdf
March 18, 2009 - Knowledge-based errors in anesthesia: a paired,
controlled trial of learning and retention. … Knowledge-based errors in anesthesia: a paired,
controlled trial of learning and retention. … https://psnet.ahrq.gov/issue/knowledge-based-errors-anesthesia-paired-controlled-trial-learning-and- … https://psnet.ahrq.gov/issue/knowledge-based-errors-anesthesia-paired-controlled-trial-learning-and-retention … https://psnet.ahrq.gov/issue/knowledge-based-errors-anesthesia-paired-controlled-trial-learning-and-retention
-
psnet.ahrq.gov/node/35166/psn-pdf
May 26, 2011 - Errors and omissions in anesthesia: a pilot study using a
pilot's checklist. … Errors and omissions in anesthesia: a pilot study using a pilot's checklist. … https://psnet.ahrq.gov/issue/errors-and-omissions-anesthesia-pilot-study-using-pilots-checklist
The … authors tested the efficacy of using a verbal checklist to prepare anesthesiologists to give general
anesthesia … https://psnet.ahrq.gov/issue/errors-and-omissions-anesthesia-pilot-study-using-pilots-checklist
https
-
psnet.ahrq.gov/node/37649/psn-pdf
September 27, 2017 - Anesthesia machine as a cause of intraoperative "code
red" in the labor and delivery suite. … Anesthesia machine as a cause of intraoperative "code red" in the labor and delivery
suite. … https://psnet.ahrq.gov/issue/anesthesia-machine-cause-intraoperative-code-red-labor-and-delivery-suite … A case of an intraoperative fire caused by a malfunctioning anesthesia machine is reported in this … https://psnet.ahrq.gov/issue/anesthesia-machine-cause-intraoperative-code-red-labor-and-delivery-suite
-
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
-
psnet.ahrq.gov/issue/differences-safety-climate-among-hospital-anesthesia-departments-and-effect-realistic
October 19, 2022 - Study
Differences in safety climate among hospital anesthesia departments and the … Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based … In this study, the investigators analyzed safety culture before and after anesthesia staff underwent … Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based
-
psnet.ahrq.gov/node/40708/psn-pdf
March 02, 2012 - Barriers to adverse event and error reporting in
anesthesia. … Barriers to Adverse Event and Error Reporting in Anesthesia. … Anesthesia & Analgesia. 2011;114(3). doi:10.1213/ane.0b013e31822649e8. … https://psnet.ahrq.gov/issue/barriers-adverse-event-and-error-reporting-anesthesia
This survey found … https://psnet.ahrq.gov/issue/barriers-adverse-event-and-error-reporting-anesthesia
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/61090/psn-pdf
November 04, 2020 - This systematic review explored the impacts
of intraoperative anesthesia handovers (e.g., intraoperative … The researchers pooled four studies and found that an intraoperative
anesthesia handover significantly … psnet.ahrq.gov/primer/handoffs-and-signouts
https://psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence-documentation-errors … https://psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among
-
www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumdaie.html
October 01, 2014 - Determine the extent to which cognitively impaired individuals who receive isoflurane general anesthesia … functional decline in the year after surgery compared to patients receiving other types of general anesthesia … Quantify the effects of isoflurane anesthesia versus other general or regional anesthesia on the rate
-
www.ahrq.gov/teamstepps-program/evidence-base/anesthesiology.html
May 01, 2023 - Simulation-based training in anesthesia crisis resource management (ACRM): A decade of experience. … Anesthesia crisis resource management training: Teaching anesthesiologists to handle critical incidents … Implementing a regional anesthesia block nurse team in the perianesthesia care unit increases patient … Nontechnical skills in anesthesia crisis management with repeated exposure to simulation-based education
-
psnet.ahrq.gov/issue/customer-focused-incident-monitoring-anaesthesia
April 24, 2018 - The authors studied anesthesia-related incident reports at one institution and found that many incidents … Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia … February 23, 2015
Liability associated with obstetric anesthesia: a closed claims analysis … December 9, 2014
Analysis of deaths related to anesthesia in the period 1996-2004 from … March 28, 2011
Knowledge-based errors in anesthesia: a paired, controlled trial of learning
-
psnet.ahrq.gov/node/47144/psn-pdf
June 13, 2018 - Canadian Anesthesia Incident Reporting System. … https://psnet.ahrq.gov/issue/canadian-anesthesia-incident-reporting-system
Reporting mistakes in anesthesiology … https://psnet.ahrq.gov/issue/canadian-anesthesia-incident-reporting-system
https://psnet.ahrq.gov/issue … /association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among
https://psnet.ahrq.gov … impact-comprehensive-safety-initiative-patient-controlled-analgesia-errors
https://psnet.ahrq.gov/issue/influences-observed-incidence-and-reporting-medication-errors-anesthesia
-
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
-
psnet.ahrq.gov/issue/second-victim-traumatic-experience
October 06, 2016 - anesthetists (CRNAs), this article discusses second victim experiences in anesthesiology and implications for anesthesia … Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia … April 3, 2024
Peer support and second victim programs for anesthesia professionals involved … Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia … Executives and Administrators
Quality and Safety Professionals
Organizational Behaviorists
Anesthesia
-
psnet.ahrq.gov/node/49604/psn-pdf
June 01, 2010 - in the operating room (OR)
in hopes that anesthesia would relax the back muscles. … We
can only hope that this will soon lead to more effective handoffs in anesthesia. … Critical incidents associated with intraoperative
exchanges of anesthesia personnel. … Safety in anesthesia. In: Levine WC, Allain RM, Alston TA, Dunn PF,
Kwo J, eds. … Clinical Anesthesia Procedures of the Massachusetts General Hospital: Department of
Anesthesia, Critical
-
psnet.ahrq.gov/node/44364/psn-pdf
September 07, 2016 - Survey of the national drug shortage effect on anesthesia
and patient safety: a patient perspective. … Survey of the National Drug Shortage Effect on Anesthesia and
Patient Safety: A Patient Perspective. … https://psnet.ahrq.gov/issue/survey-national-drug-shortage-effect-anesthesia-and-patient-safety-patient … https://psnet.ahrq.gov/issue/survey-national-drug-shortage-effect-anesthesia-and-patient-safety-patient-perspective … https://psnet.ahrq.gov/issue/survey-national-drug-shortage-effect-anesthesia-and-patient-safety-patient-perspective
-
psnet.ahrq.gov/node/44625/psn-pdf
November 20, 2015 - State-of-the-art usage of simulation in anesthesia: skills
and teamwork. … State-of-the-art usage of simulation in anesthesia: skills and teamwork. … https://psnet.ahrq.gov/issue/state-art-usage-simulation-anesthesia-skills-and-teamwork
Simulation training … This
review discusses simulation training in anesthesia and emphasizes the importance of learning objectives … https://psnet.ahrq.gov/issue/state-art-usage-simulation-anesthesia-skills-and-teamwork
https://psnet.ahrq.gov
-
psnet.ahrq.gov/issue/medication-safety-operating-room-survey-preparation-methods-and-drug-concentration
December 22, 2018 - In 2010, the Anesthesia Patient Safety Foundation recommended that hospital pharmacies supply premixed … Related Resources From the Same Author(s)
Medication errors in pediatric anesthesia … December 22, 2018
Use of a public health law framework to improve medication safety by anesthesia … February 3, 2016
National pediatric anesthesia safety quality improvement program in … May 27, 2011
Medication administration in anesthesia: time for a paradigm shift.
-
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
-
psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
January 29, 2021 - . 14 Anesthesia care providers are in an ideal position to identify patients with undiagnosed sleep … Approaches to Improving Patient Safety
Employ regional anesthesia
Corneal surgery is often performed … under regional anesthesia, which avoids many of the risks of general anesthesia. 18 Regional anesthesia … The benefits of opioid free anesthesia and the precautions necessary when employing it. … Anesthesia for the morbidly obese patient Anesthesiol Clin . 2020;38(1):197-212. [ Available at ]