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  1. Psn-Pdf (pdf file)

    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/

  2. Right? Left? Neither! | PSNet

    psnet.ahrq.gov/web-mm/right-left-neither
    November 16, 2022 - A prompt examination of both of the patient's ankles under anesthesia did not demonstrate any clinical … The spinal anesthesia was reversed, and the patient was returned to her room and fortunately did not … The final set of errors occurred prior to the patient receiving spinal anesthesia. … This patient was subjected to spinal anesthesia for no reason. … Complications of spinal and epidural anesthesia. Anesthesiol Clin North America. 2000;18:461-485.

  3. 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.

  4. 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.

  5. 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

  6. Living with the aftermath: the second victim experience among certified registered nurse anesthetists. | PSNet

    psnet.ahrq.gov/issue/living-aftermath-second-victim-experience-among-certified-registered-nurse-anesthetists
    April 12, 2019 - Related Resources From the Same Author(s) Association between handover of anesthesia … April 3, 2024 Peer support and second victim programs for anesthesia professionals involved … February 21, 2024 Anesthesia workspaces for safe medication practices: design guidelines … Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia … June 16, 2021 View More See More About The Topic Operating Room Anesthesia

  7. 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

  8. Psn-Pdf (pdf file)

    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

  9. 58-Frontline-Presentation-Template (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/58-frontline-presentation-template.docx
    June 01, 2023 - stay Care of [service line] surgery patients is highly variable for: Preoperative education Plan for anesthesia … harms Patient and family education and engagement in perioperative care Standardized perioperative anesthesia … commitment: 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? … Slide 13 Key Elements Post Anesthesia Care Unit/Postoperative Day 0 Below are examples of ISCR components

  10. 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

  11. Psn-Pdf (pdf file)

    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

  12. Antibiotic Audit Tool | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/antibiotic-audit.html
    December 01, 2017 - Question 11: Document the anesthesia stop time. … Question 14: Determine if the length of time between first antibiotic infusion stop time and anesthesia … Question 11: Document the anesthesia stop time. … Question 14: Determine the length of time between first antibiotic infusion stop time and anesthesia … Yes ___        No ___ Anesthesia stop time.  

  13. 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

  14. 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

  15. 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

  16. 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.

  17. 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

  18. Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision Support - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/k08hs24764-nanji-final-report-2022.pdf
    January 01, 2022 - Anesthesia & Analgesia. 2018 May 1; 126(5):1537-47. … Anesthesia & Analgesia. 2018 Oct;127(4):e67-e68. … Anesthesia & Analgesia. 2018;127(4):e69-e70. … Anesthesia & Analgesia. 2019 Jan;128(1):e11-e12. … Anesthesia information management: clinical decision support.

  19. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.221_slideshow.ppt
    July 01, 2010 - Regional anesthesia and obesity. … The plan was to use general anesthesia supplemented by use of an epidural catheter for post-operative … & the Airway Regional anesthesia confers several advantages in the obese patient, including minimal … Regional anesthesia and obesity. … A preliminary study of the optimal anesthesia positioning for the morbidly obese patient.

  20. 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
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