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341. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33932/psn-pdf
     May 27, 2011 - Preventable anesthesia mishaps: a study of human factors. … Preventable anesthesia mishaps: a study of human factors. Anesthesiology. 1978;49(6):399-406. … https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors This study reports on … incidents at an urban teaching institution and was a first in using human factors research methods in an anesthesia … https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors https://psnet.ahrq.gov

342. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47488/psn-pdf
     December 21, 2018 - 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 … https://psnet.ahrq.gov/issue/frequency-medication-error-pediatric-anesthesia-systematic-review-and-meta … https://psnet.ahrq.gov/issue/frequency-medication-error-pediatric-anesthesia-systematic-review-and-meta-analytic-estimate … https://psnet.ahrq.gov/issue/frequency-medication-error-pediatric-anesthesia-systematic-review-and-meta-analytic-estimate

343. To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room | PSNet
     psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
     July 28, 2021 - In the preoperative holding area, the anesthesia team took the patient’s history and performed a brief … The anesthesia team consisted of an attending anesthesiologist and a resident from another specialty. … According to the Anesthesia Closed Claims Project, about 4% of claims against anesthesia providers are … for Intravenous Anesthesia, and the Safe Anesthesia Liaison Group (SALG) and Australian and New Zealand … General anesthesia for surgeons. In: StatPearls .

344. Pocket Syringe Swap | PSNet
     psnet.ahrq.gov/web-mm/pocket-syringe-swap
     July 01, 2006 - 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 safety in anesthesia. … Preventable anesthesia mishaps: a study of human factors. Anesthesiology. 1978;49:399-406.

345. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37544/psn-pdf
     June 16, 2011 - Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based … Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based … https://psnet.ahrq.gov/issue/differences-safety-climate-among-hospital-anesthesia-departments-and-effect … In this study, the investigators analyzed safety culture before and after anesthesia staff underwent … https://psnet.ahrq.gov/issue/differences-safety-climate-among-hospital-anesthesia-departments-and-effect-realistic

346. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33929/psn-pdf
     June 23, 2015 - ASA), the author provides an historical perspective on the birth of patient safety in the field of anesthesia … deaths, the presentation provides a unique perspective on the gradual emergence of safety efforts in anesthesia … Committee on Patient Safety and Risk Management, host the first International Symposium on Preventable Anesthesia … Mortality and Morbidity, and form the Anesthesia Patient Safety Foundation. … https://psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation

347. 116-Evaluating-Cleaning-Data-Collection-Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/116-evaluating-cleaning-data-collection-tool.docx
     April 01, 2025 - __________ Environmental Cleaning Supervisor Name: _________________________ High-Touch Surfaces *Anesthesia … computer mouse *Operating room bed *Nurse computer mouse *Operating room door *Anesthesia medical cart … (drawer) Nurse computer keyboard Operating room door bar or handle Anesthesia chair Patient chair Nurse … phone Anesthesia machine gas knobs Intravenous pole Anesthesia machine computer screen Anesthesia computer

348. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44941/psn-pdf
     October 05, 2016 - An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction … An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction … https://psnet.ahrq.gov/issue/embedded-checklist-anesthesia-information-management-system-improves- pre-anaesthetic … https://psnet.ahrq.gov/issue/embedded-checklist-anesthesia-information-management-system-improves-pre-anaesthetic … https://psnet.ahrq.gov/issue/embedded-checklist-anesthesia-information-management-system-improves-pre-anaesthetic

349. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33931/psn-pdf
     June 23, 2015 - An analysis of major errors and equipment failures in anesthesia management: considerations for prevention … An analysis of major errors and equipment failures in anesthesia management: considerations for prevention … https://psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management- considerations-prevention … https://psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management-considerations-prevention … https://psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management-considerations-prevention

350. Airway Obstruction during Anterior Cervical Spine Surgery | PSNet
     psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
     January 29, 2021 - 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.

351. Sharing lessons learned to prevent adverse events in anesthesiology nationwide. | PSNet
     psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide
     April 12, 2019 - Administration efforts surrounding the lessons learned process for adverse events occurring in anesthesia … RIS Download Citation Related Resources From the Same Author(s) Anesthesia … Evolution of Root Cause Analysis February 26, 2025 Developing surgical and anesthesia … March 25, 2020 Anesthesia adverse events voluntarily reported in the Veterans Health … July 16, 2015 Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia

352. When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy | PSNet
     psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
     March 18, 2020 - Preventing Aspiration Aspiration is a feared complication of anesthesia. … The choice of monitored anesthesia care vs general anesthesia with endotracheal intubation must be carefully … safe as general anesthesia? … Pro-con debate: monitored anesthesia care versus general endotracheal anesthesia for endoscopic retrograde … Rapid sequence induction: its place in modern anesthesia.

353. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35784/psn-pdf
     March 22, 2006 - Human factors in pediatric anesthesia incidents. March 22, 2006 Marcus R. … https://psnet.ahrq.gov/issue/human-factors-pediatric-anesthesia-incidents The author studied pediatric … anesthesia incidents from a human factors perspective and found the most common were errors in judgment … https://psnet.ahrq.gov/issue/human-factors-pediatric-anesthesia-incidents https://psnet.ahrq.gov//#humanfactors

354. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37305/psn-pdf
     January 02, 2011 - Medication administration in anesthesia: time for a paradigm shift. … https://psnet.ahrq.gov/issue/medication-administration-anesthesia-time-paradigm-shift To reduce anesthesia … https://psnet.ahrq.gov/issue/medication-administration-anesthesia-time-paradigm-shift

355. Learning through simulated independent practice leads to better future performance in a simulated crisis than learning through simulated supervised practice. | PSNet
     psnet.ahrq.gov/issue/learning-through-simulated-independent-practice-leads-better-future-performance-simulated
     June 14, 2019 - This study found that allowing first-year anesthesia residents to independently fail at a scenario, causing … August 4, 2021 An embedded checklist in the Anesthesia Information Management System … November 16, 2015 Simulation in obstetric anesthesia. … January 4, 2012 Management of anesthesia equipment failure: a simulation-based resident

356. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37949/psn-pdf
     May 24, 2015 - 2008 Recommendations for Pre-Anesthesia Checkout Procedures.  … https://psnet.ahrq.gov/issue/2008-recommendations-pre-anesthesia-checkout-procedures These guidelines … explain how to examine equipment prior to administering anesthesia; the protocol includes checklists … https://psnet.ahrq.gov/issue/2008-recommendations-pre-anesthesia-checkout-procedures https://psnet.ahrq.gov

357. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48190/psn-pdf
     June 17, 2024 - June 17, 2024 Anesthesia Patient Safety Foundation. … https://psnet.ahrq.gov/issue/apsf-stoelting-conference Anesthesia is a high-risk activity that has achieved … https://psnet.ahrq.gov/issue/apsf-stoelting-conference https://psnet.ahrq.gov/issue/preventable-anesthesia-related-adverse-events-large-tertiary-care-center-nine-year

358. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33634/psn-pdf
     May 04, 2006 - Anesthesia Patient Safety Foundation Newsletter; Spring 2000. … Standards for office anesthesia vary widely or do not exist. … Anesthesia Patient Safety Foundation Newsletter; Spring 2000. … Guidelines for Office-Based Anesthesia. … Guidelines for Ambulatory Anesthesia and Surgery.

359. SmartTots. | PSNet
     psnet.ahrq.gov/issue/smarttots
     May 04, 2015 - Food and Drug Administration; FDA; International Anesthesia Research Society; IARS. … Copy URL April 13, 2011 Food and Drug Administration; FDA; International Anesthesia … Food and Drug Administration; FDA; International Anesthesia Research Society; IARS. … Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia … February 3, 2021 Complications associated with the anesthesia transport of pediatric

360. Wrong-side Bedside Paravertebral Block: Preventing the Preventable | PSNet
     psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
     August 10, 2019 - The clinical team decided to obtain an anesthesia consultation to place a paravertebral block. … "( 4 ) Wrong-site surgical and anesthesia procedures have been subject to extensive scrutiny. … The environment where paravertebral block and other major regional anesthesia procedures (such as epidural … The environment where major regional anesthesia procedures such as paravertebral blocks are performed … Wrong-site regional anesthesia: review and recommendations for prevention?