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  1. Intraosseous Line Extravasation in a Pediatric Trauma Patient | PSNet

    psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
    September 29, 2021 - Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia … Catheters October 27, 2021 WebM&M Cases Local Anesthesia-Induced … July 28, 2021 WebM&M Cases Inadequate Anesthesia … Respiratory Depression May 27, 2020 WebM&M Cases Anesthesia

  2. ASHP guidelines on the safe use of automated dispensing devices. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-safe-use-automated-dispensing-devices
    July 05, 2017 - Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia

  3. Guidelines in Practice. | PSNet

    psnet.ahrq.gov/issue/guidelines-practice
    March 05, 2010 - September 21, 2022 The evolution of the Anesthesia Patient Safety Movement in America

  4. Thinking fast and slow in medicine. | PSNet

    psnet.ahrq.gov/issue/thinking-fast-and-slow-medicine
    June 21, 2017 - June 29, 2011 The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative

  5. Judgment under Uncertainty: Heuristics and Biases. | PSNet

    psnet.ahrq.gov/issue/judgment-under-uncertainty-heuristics-and-biases
    June 02, 2010 - October 23, 2013 Quality and Safety in Anesthesia and Perioperative Care.

  6. High-Volume Invasive, Therapeutic Ambulatory Surgeries Performed in Hospital-Owned Facilities, 2016 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb252-Invasive-Ambulatory-Surgeries-2016.pdf
    January 01, 2016 - therapeutic surgical procedures that typically require the use of an operating room and require regional anesthesia … , general anesthesia, or sedation (i.e., surgeries flagged as “narrow” in the HCUP Surgery Flag Software7 … , general anesthesia or sedation, flagged as “narrow” surgeries in the HCUP Surgery Flag Software12) … therapeutic surgical procedures that typically require the use of an operating room and require regional anesthesia … , general anesthesia, or sedation.

  7. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport | PSNet

    psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
    March 12, 2021 - pre-labeled syringes, may help prevent errors. 5 Ready-to-use syringes are also endorsed by ISMP and anesthesia … 1, 2012 WebM&M Cases Unexplained Apnea Under Anesthesia

  8. Designing an intervention to improve medication safety for nursing home residents based on experiential knowledge related to patient safety culture at the nursing home front line: cocreative process study. | PSNet

    psnet.ahrq.gov/issue/designing-intervention-improve-medication-safety-nursing-home-residents-based-experiential
    February 14, 2024 - February 14, 2024 Analysis of deaths related to anesthesia in the period 1996-2004 from

  9. THE HCUP NATIONWIDE AMBULATORY SURGERY SAMPLE (NASS) 2020

    hcup-us.ahrq.gov/db/nation/nass/NASS_Introduction_2020.jsp
    January 01, 2020 - , general anesthesia, or sedation to control pain. … , general anesthesia, or sedation to control pain. … , general anesthesia, or sedation to control pain. … , general anesthesia, or sedation to control pain. … , general anesthesia, or sedation.

  10. Older Adults and COVID-19: Implications for Aging Policy and Practice. | PSNet

    psnet.ahrq.gov/issue/older-adults-and-covid-19-implications-aging-policy-and-practice
    July 18, 2018 - June 24, 2020 Safety and Quality in Perioperative Anesthesia Care.

  11. Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. | PSNet

    psnet.ahrq.gov/issue/ambulatory-medication-errors-and-adverse-events-involved-medicine-related-malpractice-cases
    November 18, 2016 - January 12, 2022 Anesthesia-related closed claims in free-standing ambulatory surgery

  12. Interruptions in healthcare: theoretical views. | PSNet

    psnet.ahrq.gov/issue/interruptions-healthcare-theoretical-views
    September 24, 2016 - August 27, 2009 Barriers to adverse event and error reporting in anesthesia.

  13. Enhancing Surgical Team Communication: SOPS and TeamSTEPPS in Action. | PSNet

    psnet.ahrq.gov/issue/enhancing-surgical-team-communication-sops-and-teamstepps-action
    August 01, 2012 - More About The Topic Operating Room Anesthesiology Surgery Medical/Surgical Nursing Anesthesia

  14. Standardization as a mechanism to improve safety in health care. | PSNet

    psnet.ahrq.gov/issue/standardization-mechanism-improve-safety-health-care
    January 05, 2017 - August 4, 2021 The impact of hindsight bias on the diagnosis of perioperative events by anesthesia

  15. Missed injuries in trauma patients: a literature review. | PSNet

    psnet.ahrq.gov/issue/missed-injuries-trauma-patients-literature-review
    April 01, 2009 - December 2, 2020 Systematic review of intraoperative anesthesia handoffs and handoff

  16. Introducing new technology safely. | PSNet

    psnet.ahrq.gov/issue/introducing-new-technology-safely
    April 01, 2010 - Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia

  17. The eNOTSS platform for surgeons’ nontechnical skills performance improvement. | PSNet

    psnet.ahrq.gov/issue/enotss-platform-surgeons-nontechnical-skills-performance-improvement
    July 01, 2017 - October 31, 2018 Quality of Anesthesia Care. 

  18. Preventing errors when preparing and administering medications via enteral feeding tubes. | PSNet

    psnet.ahrq.gov/issue/preventing-errors-when-preparing-and-administering-medications-enteral-feeding-tubes
    November 30, 2016 - February 1, 2023 Accuracy of spinal anesthesia drug concentrations in mixtures prepared

  19. Integrating human factors research and surgery: a review. | PSNet

    psnet.ahrq.gov/issue/integrating-human-factors-research-and-surgery-review
    August 02, 2015 - May 1, 2024 Anesthesia workspaces for safe medication practices: design guidelines.

  20. Patient Safety and Quality Improvement Act of 2005: what you need to know. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-what-you-need-know
    December 17, 2014 - April 19, 2013 The association between frequency of self-reported medical errors and anesthesia
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