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41. Preventable anesthesia mishaps: a study of human factors. | PSNet
    psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors
    June 23, 2015 - Study Classic Preventable anesthesia mishaps: a study of … Preventable anesthesia mishaps: a study of human factors. Anesthesiology. 1978;49(6):399-406. … Preventable anesthesia mishaps: a study of human factors. Anesthesiology. 1978;49(6):399-406. … February 10, 2011 Standards for patient monitoring during general anesthesia at Harvard … December 11, 2024 Trends in anesthesia-related liability and lessons learned.

42. Medication administration in anesthesia: time for a paradigm shift. | PSNet
    psnet.ahrq.gov/issue/medication-administration-anesthesia-time-paradigm-shift
    August 03, 2016 - Newspaper/Magazine Article Medication administration in anesthesia: time for a paradigm … Citation Text: Medication administration in anesthesia: time for a paradigm shift. … To reduce anesthesia administration errors, the authors propose changing the organizational culture to … Cite Citation Citation Text: Medication administration in anesthesia

43. Final Progress Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery (pdf file)
    www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
    January 01, 2025 - of anesthesia could or should be standardized. … CONTEXT: Operating Room vs Non-Operating Room Anesthesia Non-operating room anesthesia (NORA) describes … CONTEXT: Workspace Design Guidelines Current standard anesthesia workspace layouts result in anesthesia … • Identify and demarcate a distinct anesthesia zone with adequate space for the anesthesia provider … The anesthesia workspace should be located in a demarcated and distinct anesthesia zone with adequate

44. Anesthesia outside of the OR: cause for patient safety concerns? | PSNet
    psnet.ahrq.gov/issue/anesthesia-outside-or-cause-patient-safety-concerns
    May 25, 2022 - Newspaper/Magazine Article Anesthesia outside of the OR: cause for patient safety … Citation Text: Anesthesia outside of the OR: cause for patient safety concerns? DePeau-Wilson M. … The use of anesthesia in ambulatory settings presents both advantage and risk to patients and clinicians … that improved collaboration with anesthesiologists represents opportunities for nonoperating room anesthesia … Linkedin Copy URL Cite Citation Citation Text: Anesthesia

45. Highly Reliable Safety Interventions for Anesthesia Medication Administration. | PSNet
    psnet.ahrq.gov/issue/highly-reliable-safety-interventions-anesthesia-medication-administration
    May 27, 2020 - Upcoming Meeting/Conference August 11, 2021 Highly Reliable Safety Interventions for Anesthesia … Highly Reliable Safety Interventions for Anesthesia Medication Administration. … Highly Reliable Safety Interventions for Anesthesia Medication Administration. … This webinar will apply high reliability concepts to the safe administration of anesthesia medications … Highly Reliable Safety Interventions for Anesthesia Medication Administration.

46. An Incomplete Anesthesia History Leads to Adverse Outcomes | PSNet
    psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
    January 29, 2021 - An Incomplete Anesthesia History Leads to Adverse Outcomes. PSNet [internet]. … An Incomplete Anesthesia History Leads to Adverse Outcomes. PSNet [internet]. … Educate and empower patients about the nature of the anesthesia problem After an avoidable anesthesia … A Synopsis of contemporary anesthesia airway management . … Preoperative evaluation for ambulatory anesthesia: what, when and how?

47. Intraoperative patient information handover between anesthesia providers. | PSNet
    psnet.ahrq.gov/issue/intraoperative-patient-information-handover-between-anesthesia-providers
    November 24, 2021 - Study Intraoperative patient information handover between anesthesia providers. … Intraoperative patient information handover between anesthesia providers. … Despite its low response rate, the study raises concerns that handoffs remain a safety gap in anesthesia … Intraoperative patient information handover between anesthesia providers. … View More Related Resources Preoperative communication between anesthesia

48. RFID tags reduce restocking errors of anesthesia medications. | PSNet
    psnet.ahrq.gov/issue/rfid-tags-reduce-restocking-errors-anesthesia-medications
    August 07, 2019 - Newspaper/Magazine Article RFID tags reduce restocking errors of anesthesia medications … Citation Text: RFID tags reduce restocking errors of anesthesia medications. Banks MA. … This article examines the use of RFID tracking to build reliability into operating room anesthesia medication … Cite Citation Citation Text: RFID tags reduce restocking errors of anesthesia … 1, 2009 WebM&M Cases Unexplained Apnea Under Anesthesia

49. Administrative issues to ensure safe anesthesia care in the office-based setting. | PSNet
    psnet.ahrq.gov/issue/administrative-issues-ensure-safe-anesthesia-care-office-based-setting
    March 27, 2019 - Administrative issues to ensure safe anesthesia care in the office-based setting. … Administrative issues to ensure safe anesthesia care in the office-based setting. … June 4, 2014 Office-based anesthesia: safety and outcomes. … October 7, 2013 Patient safety and office-based anesthesia. … August 13, 2014 Patient safety and office-based anesthesia.

50. Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist. | PSNet
    psnet.ahrq.gov/issue/increasing-compliance-safe-medication-administration-pediatric-anesthesia-use-standardized
    December 11, 2024 - Commentary Increasing compliance of safe medication administration in pediatric anesthesia … Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized … Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized … : the Society for Pediatric Anesthesia Critical Events Checklists. … July 9, 2014 Quality and safety in pediatric anesthesia: how can guidelines, checklists

51. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia | PSNet
    psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
    January 29, 2021 - Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia. … Whenever adequate oxygen saturation cannot be maintained under anesthesia, the anesthesia either needs … Obese patients may be difficult to oxygenate under general anesthesia. … High risk patients should be managed by experienced anesthesia providers. … A synopsis of contemporary anesthesia airway management.

52. Best Practices for Safe Medication Administration During Anesthesia Care. | PSNet
    psnet.ahrq.gov/issue/best-practices-safe-medication-administration-during-anesthesia-care
    July 05, 2016 - Anesthesia Patient Safety Foundation. … Anesthesia Patient Safety Foundation. … Medication errors in anesthesia practice can be result in serious patient harm. … Anesthesia Patient Safety Foundation. … April 22, 2020 Anesthesia Patient Safety Podcast.

53. The development and implementation of cognitive aids for critical events in pediatric anesthesia: the Society for Pediatric Anesthesia Critical Events Checklists. | PSNet
    psnet.ahrq.gov/issue/development-and-implementation-cognitive-aids-critical-events-pediatric-anesthesia-society
    September 27, 2017 - The development and implementation of cognitive aids for critical events in pediatric anesthesia … : the Society for Pediatric Anesthesia Critical Events Checklists. … The Development and Implementation of Cognitive Aids for Critical Events in Pediatric Anesthesia: The … Society for Pediatric Anesthesia Critical Events Checklists. … Society for Pediatric Anesthesia Critical Events Checklists.

54. Preventing medication errors in pediatric anesthesia: a systematic scoping review. | PSNet
    psnet.ahrq.gov/issue/preventing-medication-errors-pediatric-anesthesia-systematic-scoping-review
    January 26, 2022 - Review Preventing medication errors in pediatric anesthesia: a systematic scoping … Preventing medication errors in pediatric anesthesia: a systematic scoping review. … This scoping review characterizing medication errors in pediatric anesthesia found that dosing errors … Recommendations to minimize or prevent medication errors in pediatric anesthesia commonly related to … Preventing medication errors in pediatric anesthesia: a systematic scoping review.

55. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery | PSNet
    psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
    September 27, 2023 - Define safe time frames for neuraxial anesthesia following anticoagulation use. … Whether to administer general anesthesia or neuraxial anesthesia prior to cesarean delivery depends on … general anesthesia instead. … Although regional anesthesia is generally preferred for all deliveries requiring anesthesia (even emergent … Anesthesia for Cesarean Delivery. UpToDate. January 2022.

56. Anesthesia medication handling needs a new vision. | PSNet
    psnet.ahrq.gov/issue/anesthesia-medication-handling-needs-new-vision
    July 10, 2017 - Commentary Anesthesia medication handling needs a new vision. … Anesthesia Medication Handling Needs a New Vision. … Anesthesia Medication Handling Needs a New Vision. … medication template on medication errors during anesthesia: a prospective study. … June 16, 2019 Safe labeling practices to minimize medication errors in anesthesia: 5

57. Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. | PSNet
    psnet.ahrq.gov/issue/outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative
    December 22, 2018 - Study Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative … Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. … The most common anesthesia-related events were medication events , respiratory complications, and cardiac … Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. … September 1, 2021 Complications associated with the anesthesia transport of pediatric

58. Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner | PSNet
    psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
    February 26, 2025 - Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review … (NAPA) is a nationwide anesthesia practice with more than 450 facilities in 21 states. … No other organizations use the Anesthesia Risk Alert program. … , the NAPA Anesthesia Patient Safety Institute (NAPSI). … Anesthesia risk alert program: a proactive safety initiative.

59. Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia. | PSNet
    psnet.ahrq.gov/issue/incidence-and-characteristics-errors-detected-short-team-briefing-pediatric-anesthesia
    September 30, 2020 - Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia … Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia. … Harm from pediatric anesthesia-related errors is infrequent , but largely preventable . … anesthesia induction. … Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia.

60. Trends in anesthesia-related liability and lessons learned. | PSNet
    psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned
    August 22, 2018 - Review Trends in anesthesia-related liability and lessons learned. … Trends in Anesthesia-Related Liability and Lessons Learned. … receiving anesthesia. … Trends in Anesthesia-Related Liability and Lessons Learned. … March 1, 2011 Injury and liability associated with monitored anesthesia care: a closed