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psnet.ahrq.gov/issue/anesthesia-workspaces-safe-medication-practices-design-guidelines
November 29, 2017 - Study
Anesthesia workspaces for safe medication practices: design guidelines. … Anesthesia workspaces for safe medication practices: design guidelines. … This review and study describes several important ways to improve the anesthesia workspace in the operating … Recommendations include demarcating an anesthesia zone with adequate space for equipment and storage … Anesthesia workspaces for safe medication practices: design guidelines.
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psnet.ahrq.gov/issue/anesthesia-risk-alert-program-proactive-safety-initiative
September 02, 2015 - Study
Anesthesia Risk Alert program: a proactive safety initiative. … Anesthesia Risk Alert program: a proactive safety initiative. … Perioperative and anesthesia care present unique patient safety challenges. … This article describes the development and implementation of the Anesthesia Risk Alert (ARA) program, … Anesthesia Risk Alert program: a proactive safety initiative.
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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.
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psnet.ahrq.gov/issue/injury-and-liability-associated-monitored-anesthesia-care-closed-claims-analysis
June 23, 2009 - Study
Injury and liability associated with monitored anesthesia care: a closed claims … Injury and liability associated with monitored anesthesia care: a closed claims analysis. … care (MAC) and a liability profile similar to that of general anesthesia. … Injury and liability associated with monitored anesthesia care: a closed claims analysis. … March 6, 2019
Preventing, and managing the impact of, anesthesia awareness.
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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.
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psnet.ahrq.gov/issue/distraction-operating-room-narrative-review-environmental-and-self-initiated-distractions-and
August 28, 2024 - 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 … Same Author(s)
The impact of hindsight bias on the diagnosis of perioperative events by anesthesia … July 24, 2024
Anesthesia workspaces for safe medication practices: design guidelines. … March 9, 2022
Systematic review of intraoperative anesthesia handoffs and handoff tools
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psnet.ahrq.gov/issue/liability-associated-obstetric-anesthesia-closed-claims-analysis
July 13, 2010 - Study
Liability associated with obstetric anesthesia: a closed claims analysis. … Liability associated with obstetric anesthesia: a closed claims analysis. … This study uses a previously described database to compare liability profiles in obstetric anesthesia … Liability associated with obstetric anesthesia: a closed claims analysis. … August 3, 2017
Adverse respiratory events in anesthesia: a closed claims analysis.
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psnet.ahrq.gov/issue/barriers-adverse-event-and-error-reporting-anesthesia
April 19, 2017 - Study
Barriers to adverse event and error reporting in anesthesia. … Barriers to Adverse Event and Error Reporting in Anesthesia. … Anesthesia & Analgesia. 2011;114(3). doi:10.1213/ane.0b013e31822649e8. … Barriers to Adverse Event and Error Reporting in Anesthesia. … Anesthesia & Analgesia. 2011;114(3). doi:10.1213/ane.0b013e31822649e8.
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psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
April 01, 2003 - Anesthesia Patient Safety Foundation Newsletter; Spring 2000. … Standards for office anesthesia vary widely or do not exist. … Anesthesia Patient Safety Foundation Newsletter; Spring 2000. … Guidelines for Office-Based Anesthesia. … Guidelines for Ambulatory Anesthesia and Surgery.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-d.html
April 01, 2017 - Guide
Ambulatory Surgery Checklist - Preop
Before Patient Enters Room
Nurse, Anesthesia … venous thromboembolism
- Compression boots and/or anticoagulants in place
|___| Anesthesia … safety check completed
|___| Type of anesthesia
|___| Anticipated airway and aspiration risk … Surgeon, Nurse, and Anesthesia Professional perform the Timeout
|___| Patient's name
|___| Surgical … Briefing
Surgeon Shares:
|___| Any changes to operative plan and possible difficulties
Anesthesia
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psnet.ahrq.gov/issue/objective-methodology-task-analysis-and-workload-assessment-anesthesia-providers
February 19, 2010 - Classic
An objective methodology for task analysis and workload assessment in anesthesia … An Objective Methodology for Task Analysis and Workload Assessment in Anesthesia Providers. … An Objective Methodology for Task Analysis and Workload Assessment in Anesthesia Providers. … September 23, 2020
Medication errors in pediatric anesthesia: a report from the Wake … March 3, 2011
Management of anesthesia equipment failure: a simulation-based resident
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psnet.ahrq.gov/issue/complications-associated-anesthesia-transport-pediatric-patients-analysis-wake-safe-database
February 12, 2020 - Study
Complications associated with the anesthesia transport of pediatric patients … Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake … A small proportion (5%) of pediatric anesthesia adverse events were associated with transport, but the … Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake … September 9, 2020
Medication errors in pediatric anesthesia: a report from the Wake Up
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psnet.ahrq.gov/issue/impact-hindsight-bias-diagnosis-perioperative-events-anesthesia-providers-multicenter
December 16, 2020 - Study
The impact of hindsight bias on the diagnosis of perioperative events by anesthesia … The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter … This study presented anesthesia providers with two case scenarios—one which stated the diagnosis at the … The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter … October 11, 2023
Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement
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psnet.ahrq.gov/issue/theoretical-model-flow-disruptions-anesthesia-team-during-cardiovascular-surgery
July 21, 2021 - Study
A theoretical model of flow disruptions for the anesthesia team during cardiovascular … A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. … This study classified flow disruptions affecting the anesthesia team during cardiothoracic surgeries. … A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. … July 21, 2021
Leading causes of anesthesia-related liability claims in ambulatory surgery
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psnet.ahrq.gov/issue/infection-prevention-operating-room-anesthesia-work-area
March 02, 2014 - Commentary
Infection prevention in the operating room anesthesia work area. … Infection prevention in the operating room anesthesia work area. … The authors build on existing anesthesia safety practices to outline specific actions for infection … Infection prevention in the operating room anesthesia work area. … April 22, 2020
2008 Recommendations for Pre-Anesthesia Checkout Procedures.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-e.html
May 01, 2017 - Safety Checklist - Preprocedure Area/Procedure Room
Before Patient Enters Room
Nurse, Anesthesia … Known allergies
|___| Patient height, weight, body mass index
|___| History and physical
Anesthesia … Professional and Nurse Discuss:
|___| Anesthesia safety check is completed
|___| Type of anesthesia … changes to the plan and possible difficulties
|___| Necessary equipment/devices are available
Anesthesia
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psnet.ahrq.gov/issue/errors-and-omissions-anesthesia-pilot-study-using-pilots-checklist
September 23, 2020 - Study
Errors and omissions in anesthesia: a pilot study using a pilot's checklist … Errors and omissions in anesthesia: a pilot study using a pilot's checklist. … authors tested the efficacy of using a verbal checklist to prepare anesthesiologists to give general anesthesia … Errors and omissions in anesthesia: a pilot study using a pilot's checklist. … December 19, 2014
Liability associated with obstetric anesthesia: a closed claims analysis
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psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-stoelting-conference-2019-perioperative-deterioration
October 19, 2022 - Meeting/Conference Proceedings
The Anesthesia Patient Safety Foundation Stoelting … The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early … The anesthesia community has been a leader in patient safety innovation for over four decades. … Report of a meeting sponsored by the Anesthesia Patient Safety Foundation. … October 3, 2017
Quality of Anesthesia Care.
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psnet.ahrq.gov/web-mm/around-block
March 04, 2020 - Given the risk of spinal hematoma, why use epidural anesthesia? … , spinal anesthesia, epidural anesthesia, or continuous epidural analgesia), carries certain advantages … Anticoagulants and spinal-epidural anesthesia. … on Neuraxial Anesthesia and Anticoagulation). … Low molecular weight heparin and neuraxial anesthesia.
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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