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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/leading-causes-anesthesia-related-liability-claims-ambulatory-surgery-centers
December 16, 2020 - Study
Leading causes of anesthesia-related liability claims in ambulatory surgery … Leading causes of anesthesia-related liability claims in ambulatory surgery centers. … This analysis of medical malpractice claims identified four leading causes of anesthesia-related claims … Leading causes of anesthesia-related liability claims in ambulatory surgery centers. … November 23, 2024
Anesthesia workspaces for safe medication practices: design guidelines
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psnet.ahrq.gov/issue/office-based-anesthesia-new-frontiers-better-outcomes-and-emphasis-safety
March 10, 2011 - Review
Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety … Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety. … This review article examines the evolution of safety in office-based anesthesia along with the need to … Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety. … September 12, 2016
Patient safety and office-based anesthesia.
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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/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
January 29, 2021 - After induction of general anesthesia, a laryngeal mask was inserted easily and general anesthesia was … to reduce distractions for the anesthesia care provider while the patient is under anesthesia. … Optimize availability of anesthesia technologists
Anesthesia technologists are very familiar with anesthesia … Laryngospasm in Anesthesia. … Ketamine: use in anesthesia.
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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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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/national-pediatric-anesthesia-safety-quality-improvement-program-united-states
March 03, 2011 - Study
National pediatric anesthesia safety quality improvement program in the United … National pediatric anesthesia safety quality improvement program in the United States. … early experience of the Wake Up Safe initiative, which is aimed at improving the safety of pediatric anesthesia … National pediatric anesthesia safety quality improvement program in the United States. … : the Society for Pediatric Anesthesia Critical Events Checklists.
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psnet.ahrq.gov/issue/management-anesthesia-equipment-failure-simulation-based-resident-skill-assessment
December 20, 2017 - Study
Management of anesthesia equipment failure: a simulation-based resident skill … Management of Anesthesia Equipment Failure: A Simulation-Based Resident Skill Assessment. … Anesthesia & Analgesia. 2009;109(2). doi:10.1213/ane.0b013e3181aa3079. … Anesthesia & Analgesia. 2009;109(2). doi:10.1213/ane.0b013e3181aa3079. … April 16, 2018
Simulation in obstetric anesthesia.
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psnet.ahrq.gov/issue/accuracy-spinal-anesthesia-drug-concentrations-mixtures-prepared-anesthetists
September 21, 2022 - Study
Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists … Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. … Anesthesia medications prepared in the operating room are vulnerable to errors at all stages of medication … In this study, anesthesiologists were asked to prepare the mixture of three drugs used for spinal anesthesia … Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists.
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psnet.ahrq.gov/issue/office-based-surgery-and-patient-outcomes
October 06, 2021 - Few studies examined anesthesia use in dental care . … June 4, 2014
Office-based anesthesia: safety and outcomes. … October 7, 2013
Patient safety and office-based anesthesia. … August 4, 2014
Safety in office-based anesthesia: an updated review of the literature … May 8, 2019
Patient safety and office-based 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
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psnet.ahrq.gov/issue/world-health-organization-world-federation-societies-anaesthesiologists-who-wfsa
November 16, 2015 - Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia … Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia … Safe anesthesia is a global concern. … : the Society for Pediatric Anesthesia Critical Events Checklists. … August 9, 2023
Infection prevention in the operating room anesthesia work area.
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psnet.ahrq.gov/issue/anesthesia-safety-model-or-myth-review-published-literature-and-analysis-current-original
July 13, 2010 - Review
Anesthesia safety: model or myth? … Anesthesia safety: model or myth? … The Committee on Quality of Health Care in America for IOM anointed the area of anesthesia as a model … Anesthesia safety: model or myth? … March 27, 2019
Trends in anesthesia-related liability and lessons learned.
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psnet.ahrq.gov/issue/analysis-deaths-related-anesthesia-period-1996-2004-closed-claims-registered-danish-patient
November 13, 2024 - Study
Analysis of deaths related to anesthesia in the period 1996-2004 from closed … Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the … The investigators reviewed claims data to identify cases in which patient mortality was related to anesthesia … Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the … November 28, 2016
An anesthesia preinduction checklist to improve information exchange
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psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence-documentation-errors
April 12, 2019 - Study
Intraoperative handoffs among anesthesia providers increase the incidence of … Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for … Investigators found that handoffs among anesthesia providers that involved a permanent transfer of patient … Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for … April 22, 2020
Survey of the national drug shortage effect on anesthesia and patient
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psnet.ahrq.gov/issue/adverse-respiratory-events-anesthesia-closed-claims-analysis
February 10, 2011 - Study
Classic
Adverse respiratory events in anesthesia: … Adverse respiratory events in anesthesia: a closed claims analysis. … Adverse respiratory events in anesthesia: a closed claims analysis. … June 23, 2009
Liability associated with obstetric anesthesia: a closed claims analysis … October 1, 2014
Preventable anesthesia mishaps: a study of human factors.
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psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-25-pioneering-success-safety-25th-anniversary-provokes
January 01, 2015 - Commentary
The Anesthesia Patient Safety Foundation at 25: a pioneering success in … The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes … This commentary highlights the Anesthesia Patient Safety Foundation's numerous patient safety improvement … The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes … June 23, 2015
The wolf is crying in the operating room: patient monitor and anesthesia
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psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health-administration-and-lessons
August 21, 2019 - Study
Anesthesia adverse events voluntarily reported in the Veterans Health Administration … Anesthesia Adverse Events Voluntarily Reported in the Veterans Health Administration and Lessons Learned … Anesthesia Adverse Events Voluntarily Reported in the Veterans Health Administration and Lessons Learned … March 1, 2011
How does patient safety culture in the operating room and post-anesthesia … January 9, 2008
WebM&M Cases
Unexplained Apnea Under Anesthesia
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psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia
Citation Text … Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.. PSNet [internet]. … Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.. PSNet [internet]. … Developing the anesthesia workforce: the impact of training nurse anesthetists. … The anesthesia workforce crisis revisited.