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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.
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psnet.ahrq.gov/node/73657/psn-pdf
September 01, 2021 - Through analysis of perioperative
malpractice claims using the Anesthesia Closed Claims Project database … communication failures contributed to 43% of total claims, with the majority between the anesthesiologist/
anesthesia … malpractice-risks-communication-failures-2015-annual-benchmarking-report
https://psnet.ahrq.gov/issue/adverse-events-anesthesia-integrative-review
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psnet.ahrq.gov/node/72573/psn-pdf
December 16, 2020 - operating room: a narrative review of
environmental and self-initiated distractions and their
effect on anesthesia … operating room: a narrative review of environmental and
self-initiated distractions and their effect on anesthesia … events such as “small talk” to more intense distractions
such as unavailable equipment) that can affect anesthesia
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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
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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.
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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.
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psnet.ahrq.gov/node/49791/psn-pdf
April 01, 2017 - The clinical team
decided to obtain an anesthesia consultation to place a paravertebral block. … "(4)
Wrong-site surgical and anesthesia procedures have been subject to extensive scrutiny. … The environment where
paravertebral block and other major regional anesthesia procedures (such as epidural … The environment where major regional anesthesia procedures such as paravertebral blocks are
performed … Wrong-site regional anesthesia: review and
recommendations for prevention?
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psnet.ahrq.gov/issue/clinical-decision-support-prevention-tool-medication-errors-operating-room-retrospective
July 05, 2023 - additional cost of perioperative medication errors
July 5, 2023
Distractions in the anesthesia … Report of a meeting sponsored by the Anesthesia Patient Safety Foundation. … Related Resources
Reducing automated dispensing cabinet overrides in the peri-anesthesia … December 7, 2022
The evolution of the Anesthesia Patient Safety Movement in America: … View More
See More About The Topic
Operating Room
Anesthesiology
Anesthesia
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psnet.ahrq.gov/node/846443/psn-pdf
March 22, 2023 - emergency teams: a cross-sectional observation study on
the use of closed-loop communication among anesthesia … emergency teams: a cross-
sectional observation study on the use of closed-loop communication among anesthesia … real-life care (as opposed to
simulations), researchers observed 60 interprofessional teams, including 120 anesthesia
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psnet.ahrq.gov/node/837417/psn-pdf
June 15, 2022 - blueprint-success-implementation-center-medicare-and-medicaid-services-
mandated
A 2009 CMS Condition of Participation (CoP) requires that a director of anesthesia … services assume overall
responsibility for anesthesia administered in the hospital, including procedural … blueprint-success-implementation-center-medicare-and-medicaid-services-mandated
https://psnet.ahrq.gov/issue/successful-anesthesia-patient-safety-officer
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psnet.ahrq.gov/node/37666/psn-pdf
April 02, 2008 - This
review of anesthesia incidents reported to the UK's National Patient Safety Agency categorizes … error reporting system, this study provides a basis for examining systems
associated with errors in anesthesia … 12606-reported-incidents-uk-national-reporting-and-learning-system
https://psnet.ahrq.gov/issue/role-anesthesia-surgical-mortality … national-patient-safety-agency-npsa
https://psnet.ahrq.gov//#humanfactors
https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors
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psnet.ahrq.gov/issue/crisis-management-during-anaesthesia-development-anaesthetic-crisis-management-manual
June 23, 2015 - This study describes the development of specific algorithms in clinical anesthesia to address crisis … an introduction to a set of 24 resources that outline structured approaches to crisis management in anesthesia … April 22, 2020
Infection prevention in the operating room anesthesia work area. … Evaluation, Airway Trouble
November 1, 2018
2008 Recommendations for Pre-Anesthesia
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psnet.ahrq.gov/issue/trends-prevalence-intraoperative-adverse-events-two-academic-hospitals-after-implementation
August 09, 2017 - Implementation of a mandatory reporting system for adverse events in anesthesia was associated with a … Related Resources From the Same Author(s)
Intraoperative handoffs among anesthesia … June 14, 2019
Frequency of medication error in pediatric anesthesia: a systematic review … April 25, 2016
National pediatric anesthesia safety quality improvement program in the
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psnet.ahrq.gov/node/36806/psn-pdf
May 04, 2015 - Anesthesia Awareness Registry. … https://psnet.ahrq.gov/issue/anesthesia-awareness-registry
This program supports a project on understanding … https://psnet.ahrq.gov/issue/anesthesia-awareness-registry
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psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room
January 01, 2015 - the patient on inhalational anesthesia, the consultant stepped out to tend to another patient in the … The Commentary by Audrey Lyndon, PhD, RN, and Stephanie Lim, MD Anesthesia as a field has been a … Yet, anesthesia is also uniquely vulnerable to medication errors—in that perioperative medications are … Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a … October 6, 2016
Quality of Anesthesia Care.
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psnet.ahrq.gov/issue/one-group-doctors-changes-its-ways
February 04, 2015 - This article summarizes the history of patient safety improvement in anesthesia and its impact on malpractice … June 14, 2019
Trends in anesthesia-related liability and lessons learned. … February 10, 2010
Office-based anesthesia: new frontiers, better outcomes, and emphasis
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/antibiotic_audit.docx
December 01, 2017 - Question 11: Document the anesthesia stop time. … Anesthesia stop time
12. Was cefotetan used as antibiotic prophylaxis? … Question 11: Document the anesthesia stop time. … Anesthesia stop time
12. Was clindamycin or cefotetan used as antibiotic prophylaxis? … What was the length of time between first antibiotic infusion stop and anesthesia stop?
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psnet.ahrq.gov/issue/barriers-implementation-checklists-office-based-procedural-setting
February 18, 2019 - October 6, 2021
Office-based anesthesia: safety and outcomes. … August 13, 2014
Administrative issues to ensure safe anesthesia care in the office-based … October 7, 2013
Patient safety and office-based anesthesia. … July 13, 2016
Trends in anesthesia-related liability and lessons learned. … March 6, 2019
Safety in office-based anesthesia: an updated review of the literature
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psnet.ahrq.gov/node/40240/psn-pdf
November 14, 2011 - Quality of Anesthesia Care.
November 14, 2011
Neuman MD, Martinez EA, eds. …
https://psnet.ahrq.gov/issue/quality-anesthesia-care
This special issue includes articles discussing … https://psnet.ahrq.gov/issue/quality-anesthesia-care
https://psnet.ahrq.gov/issue/anesthesiology-department-leads-culture-change-hospital-system-level-improve-quality-and
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psnet.ahrq.gov/node/72693/psn-pdf
January 29, 2021 - At the conclusion of the surgical case, the patient had delayed emergence from
anesthesia. … They do, however, provide considerable
benefits to anesthesia professionals that include sterility, … Medication errors in anesthesia: unacceptable or
unavoidable?. … Anesthesia Safety Foundation Newsletter. June 2018. … Ketamine: Use
in anesthesia. CNS Neurosci Ther 2013;19(6):381-89.
20. Rendell-Baker L.