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psnet.ahrq.gov/issue/anesthetic-mishaps-breaking-chain-accident-evolution
April 08, 2011 - A review of anesthesia safety and errors, this article provides an overview of the definitions, issues … April 7, 2019
How does patient safety culture in the operating room and post-anesthesia … December 3, 2014
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Related Resources
The Anesthesia Patient … August 22, 2018
Preventing, and managing the impact of, anesthesia awareness. … April 6, 2011
The role of anesthesia in surgical mortality.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
December 01, 2017 - surgeon Surgical Resident Anesthesia Attending Anesthesia CRNA Anesthesia Resident Circulator Scrub … 2 4 1 0 0 1 8 Pauses other tasks Attending surgeon Surgical Resident Anesthesia Attending Anesthesia … Circulator
Anesthesia Resident
Anesthesia CRNA
Anesthesia Attending
Surgical Resident
Attending Surgeon … surgeon Surgical Resident Anesthesia Attending Anesthesia CRNA Anesthesia Resident Circulator Scrub … 4 6 1 0 0 9 Contributes Attending surgeon Surgical Resident Anesthesia Attending Anesthesia CRNA 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/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/multimodal-system-designed-reduce-errors-recording-and-administration-drugs-anaesthesia
September 26, 2012 - randomized controlled trial, a novel system for drug administration was evaluated in comparison with usual anesthesia … The anesthesia field has long been a leader in patient safety, and in fact, some of the earliest studies … in the patient safety field evaluated the role of human factors in anesthesia medication administration … October 30, 2013
Improving the quality and safety of patient care in cardiac anesthesia … June 15, 2011
The wolf is crying in the operating room: patient monitor and anesthesia
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psnet.ahrq.gov/node/863308/psn-pdf
February 28, 2024 - Monitored anesthesia care (MAC) was selected as the preferred choice for this patient. … 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.
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psnet.ahrq.gov/node/73124/psn-pdf
April 07, 2021 - Safety and Quality in Perioperative Anesthesia Care.
April 7, 2021
Preckel B, ed. … https://psnet.ahrq.gov/issue/safety-and-quality-perioperative-anesthesia-care
The field of anesthesiology … https://psnet.ahrq.gov/issue/safety-and-quality-perioperative-anesthesia-care
https://psnet.ahrq.gov/
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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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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/node/44283/psn-pdf
July 15, 2015 - An analysis of near misses identified by anesthesia
providers in the intensive care unit. … An analysis of near misses identified by anesthesia
providers in the intensive care unit. … https://psnet.ahrq.gov/issue/analysis-near-misses-identified-anesthesia-providers-intensive-care-unit … https://psnet.ahrq.gov/issue/analysis-near-misses-identified-anesthesia-providers-intensive-care-unit
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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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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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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/43335/psn-pdf
July 09, 2014 - Wake Up Safe and root cause analysis: quality
improvement in pediatric anesthesia. … Wake Up Safe and root cause analysis: quality improvement in
pediatric anesthesia. … https://psnet.ahrq.gov/issue/wake-safe-and-root-cause-analysis-quality-improvement-pediatric-anesthesia … https://psnet.ahrq.gov/issue/wake-safe-and-root-cause-analysis-quality-improvement-pediatric-anesthesia
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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/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/74100/psn-pdf
November 24, 2021 - pediatric-medication-errors-and-reduction-strategies-perioperative-period
Pediatric medication errors during anesthesia … pediatric-medication-errors-and-reduction-strategies-perioperative-period
https://psnet.ahrq.gov/issue/outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative … https://psnet.ahrq.gov/issue/wake-safe
https://psnet.ahrq.gov/issue/medication-errors-pediatric-anesthesia-report-wake-safe-quality-improvement-initiative
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psnet.ahrq.gov/node/43753/psn-pdf
December 10, 2014 - Improving the quality and safety of patient care in cardiac
anesthesia. … Improving the quality and safety of patient care in cardiac anesthesia. … https://psnet.ahrq.gov/issue/improving-quality-and-safety-patient-care-cardiac-anesthesia
This review … https://psnet.ahrq.gov/issue/improving-quality-and-safety-patient-care-cardiac-anesthesia
https://psnet.ahrq.gov
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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/node/865347/psn-pdf
March 27, 2024 - /psnet.ahrq.gov/issue/safety-and-human-performance-operating-room-and-other-extreme-
environments
Anesthesia … Safety II, safety culture implementation,
and artificial intelligence applications as they affect safe anesthesia … safety-and-human-performance-operating-room-and-other-extreme-environments
https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors