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psnet.ahrq.gov/issue/association-intraoperative-anaesthesia-handovers-patient-morbidity-and-mortality-systematic
June 22, 2022 - 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 … March 2, 2022
Systematic review of intraoperative anesthesia handoffs and handoff tools … operating room: a narrative review of environmental and self-initiated distractions and their effect on anesthesia
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psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management-considerations-prevention
May 27, 2011 - Classic
An analysis of major errors and equipment failures in anesthesia … 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 … Download Citation
Related Resources From the Same Author(s)
Preventable anesthesia … February 13, 2014
Standards for patient monitoring during general anesthesia at Harvard
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psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
August 29, 2021 - Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia … Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia. … Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia. … Anesthesia Medication Handling Needs a New Vision. … and Smart Anesthesia Manager.
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psnet.ahrq.gov/node/73549/psn-pdf
July 28, 2021 - Local Anesthesia-Induced Coma During Total Knee
Arthroplasty.
July 28, 2021
Aldwinckle R. … Local Anesthesia-Induced Coma During Total Knee Arthroplasty. PSNet [internet]. 2021. … https://psnet.ahrq.gov/web-mm/local-anesthesia-induced-coma-during-total-knee-arthroplasty
The Case … When the anesthesiologist inquired about the surgeon’s use of local anesthesia, it was discovered that … Open Anesthesia. Local anesthetics: systemic toxicity.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/10-frontline-provider.pptx
June 01, 2023 - harms
Patient and family education and engagement in perioperative care
Standardized perioperative anesthesia … Senior Executive: List for your institution
Surgeon Champion: List for your institution
Anesthesia … What is the process for the anesthesia provider to follow standardized intraoperative protocol? … ISCR at [Hospital Name] 13
Key Elements Post Anesthesia Care Unit/Postoperative Day 0
Below are examples … of ISCR components that are relevant to the post anesthesia care unit (PACU)/postoperative day 0 work
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psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
November 01, 2023 - The Case Case #1: A 34-year-old woman was scheduled for a hysteroscopy under general anesthesia. … After induction of general anesthesia, the patient could be ventilated but her trachea could not be intubated … The anesthesiologist induced general anesthesia, but laryngoscopy and intubation proved extremely difficult … Miller's Anesthesia. 8th ed. Philadelphia, PA: Saunders: 2013;1647-1683. IBSN: 9780702052835. 6. … Emergency manual implementation in a large academic anesthesia practice: strategy and improvement in
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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
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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
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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
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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
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effectivehealthcare.ahrq.gov/sites/default/files/cer30_hip-fracture-pain-executive-summary_20110517.pdf
May 01, 2011 - Anesthesia
Twentyone RCTs and one nRCT (n = 1,062) evaluated
anesthesia including neuraxial (i.e. … single administration) or neuraxial versus general
anesthesia, or another form of anesthesia (i.e., … Spinal versus general anesthesia. … Spinal versus general
anesthesia or spinal versus epidural anesthesia. … Spinal versus general
anesthesia or spinal versus epidural anesthesia.
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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
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psnet.ahrq.gov/issue/improving-patient-safety-medicine-model-anaesthesia-care-enough
June 08, 2010 - Examining strategies to reduce risk in anesthesia , this review discusses their limitations and suggests … June 29, 2011
Quality and safety indicators in anesthesia: a systematic review. … December 22, 2010
Quality and safety indicators in anesthesia: a systematic review. … April 29, 2009
Cardiac arrest during anesthesia.
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psnet.ahrq.gov/issue/helsinki-declaration-patient-safety-anaesthesiology
December 19, 2014 - This document presents a European view of what is attainable and needed to improve anesthesia patient … February 7, 2018
An anesthesia preinduction checklist to improve information exchange … , knowledge of critical information, perception of safety, and possibly perception of teamwork in anesthesia … May 29, 2019
Use of a public health law framework to improve medication safety by anesthesia
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hcup-us.ahrq.gov/reports/statbriefs/sb158_appendix.pdf
December 25, 2022 - or other sedation in labor and delivery, postpartum condition or CX
668.10 Cardiac CX of anesthesia … or other sedation in L&D, delivered, w or w/o antepartum condition
668.12 Cardiac CX of anesthesia … or other sedation in labor and delivery, antepartum condition or CX
668.14 Cardiac CX of anesthesia … or other sedation in L&D, antepartum condition or CX
668.24 Central nervous system CX of anesthesia … or other sedation in L&D, postpartumcondition or CX
668.80 Other CX of anesthesia or other sedation
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-proc-related-catheter-use-slides.html
December 01, 2017 - Routinely for patients receiving epidural anesthesia/analgesia.
Gould C, et al. … Slide 21
Incidence of POUR after Anesthesia and Analgesia: Systematic Review
Image: Screen shot … of table showing incidences of POUR after anesthesia and analgesia from a number of studies. … analgesia; SA spinal anesthesia; SI/II single injection/intermittent injection. … Lower Risk
Outpatient
Short duration
IVF <750 mL
Local anesthesia
Leads to avoiding IUC
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psnet.ahrq.gov/issue/patient-safety-anesthetic-practice
June 15, 2011 - He and Morell are well suited to be at the helm of the first anesthesia textbook on patient safety. … July 31, 2019
Quality and Safety in Anesthesia and Perioperative Care. … April 15, 2020
Quality and Safety in Anesthesia and Perioperative Care.
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psnet.ahrq.gov/node/74195/psn-pdf
December 15, 2021 - Opin Anaesthesiol. 2021;34(6):720-765
https://psnet.ahrq.gov/issue/technology-education-and-safety-0
Anesthesia … This special
section covers issues that affect anesthesia safety such as critical incident debriefing … /psnet.ahrq.gov/issue/technology-education-and-safety-0
https://psnet.ahrq.gov/issue/leading-causes-anesthesia-related-liability-claims-ambulatory-surgery-centers
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psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-propofol-procedures
April 11, 2011 - Study
The incidence and nature of adverse events during pediatric sedation/anesthesia … The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures … The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures … From the Same Author(s)
Incidence and nature of adverse events during pediatric sedation/anesthesia … September 24, 2010
Office-based anesthesia.
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psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing
May 23, 2018 - describes normalization of deviance and uses examples to illustrate how this problem could appear in anesthesia … Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia … May 23, 2018
Survey of the national drug shortage effect on anesthesia and patient safety … September 7, 2016
Infection prevention in the operating room anesthesia work area.