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  1. 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.
  2. Psn-Pdf (pdf file)

    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
  3. Psn-Pdf (pdf file)

    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
  4. 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
  5. 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.  
  6. 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.
  7. Psn-Pdf (pdf file)

    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?
  8. 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
  9. Psn-Pdf (pdf file)

    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
  10. Psn-Pdf (pdf file)

    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
  11. Psn-Pdf (pdf file)

    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
  12. 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
  13. 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
  14. Psn-Pdf (pdf file)

    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
  15. 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. 
  16. 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
  17. 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?
  18. 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
  19. Psn-Pdf (pdf file)

    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
  20. Psn-Pdf (pdf file)

    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.