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  1. 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

  2. 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

  3. 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?

  4. 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

  5. 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

  6. 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

  7. 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

  8. Clinical decision support as a prevention tool for medication errors in the operating room: a retrospective cross-sectional study. | PSNet

    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/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

  10. 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

  11. Antibiotic Audit Tool (doc file)

    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?

  12. 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

  13. Trends in the prevalence of intraoperative adverse events at two academic hospitals after implementation of a mandatory reporting system. | PSNet

    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. Crisis management during anaesthesia: the development of an anaesthetic crisis management manual. | PSNet

    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

  15. 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

  16. If You Say So: Taking a Syringe at Face Value in the Operating Room | PSNet

    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. 

  17. 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

  18. 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.

  19. Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
    January 01, 2004 - Investigations into causes of error in anesthesia have revealed a similar pattern. … Critical incident studies in anesthesia have found that around 80 percent of reported incidents involve … Explicit training in nontechnical skills for anesthesia has previously been limited; however, with … Video of simulated anesthesia cases showed that even with minimal training of the raters, there were … in each hospital and the directors of anesthesia training programs were informed about the study.

  20. Auditing Your Briefings and Debriefings Process: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
    December 01, 2017 - Anesthesia attending. Surgery resident. Anesthesia resident. Nurse. Anesthesia CRNA. … Anesthesia resident  - 78% NP, 0% FP, 22% POT. Anesthesia CRNA - 22% NP, 0% FP, 78% POT. … Anesthesia attending - 66% NP, 12% FP, 22% POT. Surgical resident - 10% NP, 40% FP, 50% POT. … Anesthesia resident - 78% NP, 0% DNC, 22% C. Anesthesia CRNA - 22% NP, 0% DNC, 78% C. … Anesthesia attending - 68% NP, 10% DNC, 22% C. Surgical resident  - 10% NP, 60% DNC, 30% C.
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