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  1. Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use | Agency for Healthcare Research and Quality

    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

  2. The normalization of deviance: do we (un)knowingly accept doing the wrong thing? | PSNet

    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.

  3. Psn-Pdf (pdf file)

    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

  4. Inadequate Preanesthetic Evaluation, Airway Trouble | PSNet

    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

  5. Psn-Pdf (pdf file)

    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

  6. Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. | PSNet

    psnet.ahrq.gov/issue/quality-safety-and-outcomes-anaesthesia-whats-be-done-international-perspective
    November 11, 2020 - Download Citation Related Resources From the Same Author(s) The Anesthesia … Related Resources Safe labeling practices to minimize medication errors in anesthesia … Special K with no license to kill: accidental ketamine overdose on induction of general anesthesia … August 3, 2017 Assessing the impact of the anesthesia medication template on medication … errors during anesthesia: a prospective study.

  7. A national survey of safe practice with epidural analgesia in obstetric units. | PSNet

    psnet.ahrq.gov/issue/national-survey-safe-practice-epidural-analgesia-obstetric-units
    July 28, 2021 - WebM&M Cases Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia … WebM&M Cases Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia … for Emergency Cesarean Delivery June 28, 2023 Accuracy of spinal anesthesia … February 17, 2021 A series of anesthesia-related maternal deaths in Michigan, 1985-2003 … September 12, 2016 Liability associated with obstetric anesthesia: a closed claims analysis

  8. Psn-Pdf (pdf file)

    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

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33930/psn-pdf
    June 23, 2015 - Adverse respiratory events in anesthesia: a closed claims analysis. … Adverse respiratory events in anesthesia: a closed claims analysis. … https://psnet.ahrq.gov/issue/adverse-respiratory-events-anesthesia-closed-claims-analysis A retrospective … https://psnet.ahrq.gov/issue/adverse-respiratory-events-anesthesia-closed-claims-analysis

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72659/psn-pdf
    January 20, 2021 - association-between-paediatric-intraoperative-anaesthesia-handover-and- adverse-postoperative Prior research has found that intraoperative anesthesia … retrospective cohort study, focused on pediatric surgical patients treated, found that intraoperative anesthesia … association-intraoperative-anaesthesia-handovers-patient-morbidity-and-mortality-systematic https://psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60797/psn-pdf
    August 12, 2020 - nonoperating-room-anaesthesia-safety-monitoring-cognitive-aids-and-severe- acute-respiratory The COVID-19 pandemic has resulted in the delivery of anesthesia … This review examines challenges in maintaining patient safety while providing anesthesia services in … nonoperating-room-anaesthesia-safety-monitoring-cognitive-aids-and-severe-acute-respiratory https://psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49388/psn-pdf
    February 01, 2003 - Unexplained Apnea Under Anesthesia February 1, 2003 Barach P. Unexplained Apnea Under Anesthesia. … https://psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia Case Objectives Clinical Objectives … They had obtained the cefazolin from the medication drawer of the anesthesia cart. … There is no accurate measure of the morbidity and mortality associated with anesthesia. … The “wrong drug” problem in anesthesia: an analysis of 2000 incident reports.

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43139/psn-pdf
    April 23, 2014 - Patient safety in obstetrics and obstetric anesthesia. April 23, 2014 Kung A, Pratt SD. … Patient safety in obstetrics and obstetric anesthesia. … https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-obstetric-anesthesia Labor and delivery ( … https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-obstetric-anesthesia https://psnet.ahrq.gov

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44061/psn-pdf
    November 16, 2015 - This commentary outlines safety efforts in this setting, particularly around the creation of the Anesthesia … Patient Safety Foundation and the Anesthesia Quality Institute, to frame how organizational partnerships … Jeffrey Cooper about patient safety in anesthesia. … year-anniversary-first-patient-safety-organization-past-present-future https://psnet.ahrq.gov/primer/human-factors-engineering https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47029/psn-pdf
    August 15, 2018 - Peer support in anesthesia: turning war stories into wellness. … Peer support in anesthesia: turning war stories into wellness. … https://psnet.ahrq.gov/issue/peer-support-anesthesia-turning-war-stories-wellness Clinicians involved … https://psnet.ahrq.gov/issue/peer-support-anesthesia-turning-war-stories-wellness https://psnet.ahrq.gov

  16. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.2_slideshow.ppt
    February 01, 2003 - PowerPoint Presentation Spotlight Case February 2003 Apnea in a Patient Under General Anesthesia webmm.ahrq.gov … Source and Credits This presentation is based on February 2003 Surgery–Anesthesia Spotlight Case … After uneventful induction of anesthesia, the surgeons requested antibiotic prophylaxis with cefazolin … They had obtained the cefazolin from the medication drawer of the anesthesia cart. … After reversal of muscle relaxation, apnea resolved, anesthesia was discontinued, and the patient was

  17. Crises in clinical care: an approach to management. | PSNet

    psnet.ahrq.gov/issue/crises-clinical-care-approach-management
    March 23, 2011 - This commentary discusses the many facets of crisis management in anesthesia care. … This commentary is accompanied by a manual of 24 specific sub-algorithms in anesthesia crisis management … Resources Patient Safety Innovations Risk Mitigation Using the Anesthesia … Respiratory Depression May 27, 2020 Infection prevention in the operating room anesthesia

  18. Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling. | PSNet

    psnet.ahrq.gov/issue/hospira-issues-voluntary-nationwide-recall-one-lot-05-bupivacaine-hydrochloride-injection-usp
    June 20, 2018 - Anesthesia medications can be high risk should dosing errors occur. … February 7, 2024 Anesthesia workspaces for safe medication practices: design guidelines … September 21, 2022 The evolution of the Anesthesia Patient Safety Movement in America … September 29, 2010 WebAIRS Anesthesia Incident Reporting System.

  19. Adaptive coordination in cardiac anaesthesia: a study of situational changes in coordination patterns using a new observation system. | PSNet

    psnet.ahrq.gov/issue/adaptive-coordination-cardiac-anaesthesia-study-situational-changes-coordination-patterns
    November 15, 2018 - This study used direct observation to evaluate how anesthesia teams engaged in teamwork during cardiac … July 17, 2024 Differences in safety climate among hospital anesthesia departments and … June 16, 2011 An objective methodology for task analysis and workload assessment in anesthesia … June 16, 2011 The wolf is crying in the operating room: patient monitor and anesthesia

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837431/psn-pdf
    June 15, 2022 - This article summarizes an Anesthesia Patient Safety Foundation statement directing organizations and … individuals that provide anesthesia care to protect patients and encourage learning from error. … anesthesiologist-group-says-hospitals-can-prevent-fatal-errors-vanderbilts https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation
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