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321. The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac surgery. | PSNet
     psnet.ahrq.gov/issue/wolf-crying-operating-room-patient-monitor-and-anesthesia-workstation-alarming-patterns
     April 17, 2013 - Study The wolf is crying in the operating room: patient monitor and anesthesia workstation … The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns … Anesthesia equipment alarms went off approximately once per minute during cardiac surgical procedures … The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns

322. Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate. | PSNet
     psnet.ahrq.gov/issue/frequency-medication-error-pediatric-anesthesia-systematic-review-and-meta-analytic-estimate
     December 11, 2024 - Review Frequency of medication error in pediatric anesthesia: a systematic review … Frequency of medication error in pediatric anesthesia: A systematic review and meta-analytic estimate … Frequency of medication error in pediatric anesthesia: A systematic review and meta-analytic estimate … April 5, 2023 Differences in safety climate among hospital anesthesia departments and

323. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862983/psn-pdf
     February 28, 2024 - Anesthesia was maintained with sevoflurane and remifentanil target-controlled infusion. … To prevent exacerbating the neurologic deficit, it is of utmost importance for the anesthesia clinician … Excessive background noise in the operating room should be avoided so that anesthesia clinicians can … Anesthesia can be maintained with intravenous propofol. … A synopsis of contemporary anesthesia airway management. Transl Perioper Pain Med. 2019;6(1):5-16.

324. Medication safety in the operating room: a survey of preparation methods and drug concentration consistencies in children's hospitals in the United States. | PSNet
     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.

325. Psn-Pdf (pdf file)
     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

326. Preoperative multidisciplinary team huddle improves communication and safety for unscheduled cesarean deliveries: a system redesign using improvement science. | PSNet
     psnet.ahrq.gov/issue/preoperative-multidisciplinary-team-huddle-improves-communication-and-safety-unscheduled
     October 19, 2022 - and delivery unit implemented a bedside, multidisciplinary pre-cesarean delivery huddle involving anesthesia … November 3, 2015 View More Related Resources Perspectives on anesthesia … WebM&M Cases Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia … More See More About The Topic Labor and Delivery Anesthesiology Obstetrics Anesthesia

327. Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. | PSNet
     psnet.ahrq.gov/issue/implementing-human-factors-anaesthesia-guidance-clinicians-departments-and-hospitals
     February 15, 2023 - hierarchy of controls framework to organize human-factors recommendations focusing on the design of anesthesia … February 1, 2023 View More Related Resources Perspectives on anesthesia … 2022 APSF endorsed statement on revising recommendations for patient monitoring during anesthesia … May 4, 2022 The successful anesthesia patient safety officer.

328. From aviation to pediatric surgery. | PSNet
     psnet.ahrq.gov/issue/aviation-pediatric-surgery
     January 12, 2022 - This article discusses the use of checklists to systematize anesthesia and reduce risk in pediatric … October 15, 2014 View More Related Resources Perspectives on anesthesia … Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia … The Topic Operating Room Anesthesiology Pediatric Surgery Medical/Surgical Nursing Anesthesia

329. Guidelines on Human Factors in Critical Situations 2023. | PSNet
     psnet.ahrq.gov/issue/guidelines-human-factors-critical-situations-2023
     November 29, 2023 - and training to guide the consideration of human factors in improvement actions during critical anesthesia … January 15, 2025 Perspectives on anesthesia and perioperative patient safety: past, present … 2022 APSF endorsed statement on revising recommendations for patient monitoring during anesthesia … See More About The Topic Outpatient Surgery Operating Room Anesthesiology Anesthesia

330. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49625/psn-pdf
     May 01, 2011 - Surgery proceeded uneventfully under general anesthesia. … of the unique nature of the anesthesia task. … Take-Home Points This case illustrates several points about drug safety in anesthesia: Anesthesia drug … in drug safety in anesthesia. … Preventable anesthesia mishaps: a study of human factors. Anesthesiology. 1978;49:399-406.

331. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841139/psn-pdf
     December 14, 2022 - Spanish-speaking woman with a past medical history of hypertension and asthma presented to the pre-anesthesia … The anesthesiologist proceeded with his plan for general anesthesia via laryngeal mask airway (LMA) … In the operating room after induction of anesthesia, he was able to open the patient’s mouth just enough … Production pressure, medical errors, and the pre-anesthesia checkout. … Preoperative evaluation for ambulatory anesthesia: what, when, and how?

332. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49866/psn-pdf
     June 01, 2019 - The consultant happened to also be working as an intensivist, so after inducing anesthesia and maintaining … the patient on inhalational anesthesia, the consultant stepped out to tend to another patient in the … The resident was reluctant to administer the drug without verifying the product, but the anesthesia … Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a … Medication errors in anesthesia: a review. Int Anesthesiol Clin. 2013;51:1-12. [go to PubMed] 5.

333. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49539/psn-pdf
     June 01, 2007 - Based on preoperative discussions, the patient expected to receive spinal anesthesia. … The patient reportedly signed an anesthesia permit required by this hospital that stated that any change … in the anesthesia plan must occur in writing. … For unclear reasons, the patient ultimately received general anesthesia and suffered the adverse outcome … The anesthesia records failed to note or explain any change in the anesthesia plan.

334. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33638/psn-pdf
     August 01, 2006 - When I landed in the Anesthesia Bioengineering Unit at the Massachusetts General Hospital in 1972, I … My lecture was entitled, "The Anesthesia Machine: An Accident Waiting to Happen." … Jeep was Chairman of the Anesthesia Department at what was then the Deaconess Hospital and, in 1983, … Preventable anesthesia mishaps: a study of human factors. Anesthesiology. 1978;49:399-406. … Critical incidents associated with intraoperative exchanges of anesthesia personnel.

335. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38524/psn-pdf
     July 13, 2009 - How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest … How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest … https://psnet.ahrq.gov/issue/how-does-patient-safety-culture-operating-room-and-post-anesthesia-care- … This study found that operating room (OR) and post-anesthesia care unit (PACU) staff had a significantly … https://psnet.ahrq.gov/issue/how-does-patient-safety-culture-operating-room-and-post-anesthesia-care-unit-compare-rest

336. Psn-Pdf (pdf file)
     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

337. Psn-Pdf (pdf file)
     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

338. Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional. | PSNet
     psnet.ahrq.gov/issue/intrahospital-patient-transport-checklists-adverse-events-and-other-considerations-anesthesia
     April 24, 2019 - Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia … Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia … Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia … View More See More About The Topic Hospitals Operating Room Anesthesiology Anesthesia

339. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/764391/psn-pdf
     March 02, 2022 - association-between-handover-anesthesiology-care-and-1-year-mortality- among-adults-undergoing Previous research identified a relationship between anesthesia … Analyses revealed that anesthesia handovers were associated with poorer outcomes (i.e., higher 30-day … -1-year-mortality-among-adults-undergoing https://psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among … psnet.ahrq.gov/primer/handoffs-and-signouts https://psnet.ahrq.gov/issue/systematic-review-intraoperative-anesthesia-handoffs-and-handoff-tools

340. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41423/psn-pdf
     January 03, 2017 - Improving documentation of a beta-blocker quality measure through an anesthesia information management … Improving documentation of a beta-blocker quality measure through an anesthesia information management … https://psnet.ahrq.gov/issue/improving-documentation-beta-blocker-quality-measure-through-anesthesia- … https://psnet.ahrq.gov/issue/improving-documentation-beta-blocker-quality-measure-through-anesthesia-information … https://psnet.ahrq.gov/issue/improving-documentation-beta-blocker-quality-measure-through-anesthesia-information