AHRQ Patient Safety Network

The Collection > Anesthesiology

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Safety Target

•Device-related Complications (23)

•Diagnostic Errors (2)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (15)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (42)

•Medical Complications (12)

•Nonsurgical Procedural Complications (13)

•Surgical Complications (118)

•Transfusion Complications (1)

•Psychological and Social Complications (10)

Origin/Sponsor

•Asia (3)

•Australia and New Zealand (20)

Resource Types

•Clinical Guideline (2)

•Journal Article (175)

•Legislation/Regulation (4)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (21)

•Special or Theme Issue (8)

•Tools/Toolkit (1)

•Web Resource (6)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (50)

•Active Errors (39)

•Latent Errors (18)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (48)

•Legal and Policy Approaches (17)

•Error Reporting and Analysis (55)

•Communication Improvement (46)

•Human Factors Engineering (58)

•Teamwork (24)

•Specialization of Care (7)

•Logistical Approaches (11)

•Culture of Safety (22)

•Technologic Approaches (26)

•Education and Training (59)

Clinical Areas
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Anesthesiology

Target Audience

•Health Care Providers (187)

•Health Care Executives and Administrators (146)

•Non-Health Care Professionals (70)

•Patients (14)

Setting of Care

•Hospitals (167)

•Ambulatory Care (7)

•Outpatient Surgery (7)

•Patient Transport (1)

1 - 20 of 224

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STUDY

Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.

Vermaire D, Caruso MC, Lesko A, et al. BMJ Qual Saf. 2011;20:895-902.

COMMENTARY

ISMP medication error report analysis.

Smetzer JL, Cohen MR. Hosp Pharm. 2008;43:869-872.

STUDY

Preprinted order sets as a safety intervention in pediatric sedation.

Broussard M, Bass PF 3rd, Arnold CL, McLarty JW, Bocchini JA Jr. J Pediatr. 2009;154:865-868.

STUDY

Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.

Merry AF, Webster CS, Hannam J, et al. BMJ. 2011;343:d5543.

STUDY

The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium.

Cravero JP, Beach ML, Blike GT, Gallagher SM, Hertzog J; Pediatric Sedation Research Consortium. Anesth Analg. 2009;108:795-804.

STUDY

Impact of a comprehensive safety initiative on patient-controlled analgesia errors.

Paul JE, Bertram B, Antoni K, et al. Anesthesiology. 2010;113:1427-1432.

COMMENTARY

What happens when things go wrong?

Brandom BW, Callahan P, Micalizzi DA. Paediatr Anaesth. 2011;21:730-736.

STUDY

Auroy Y, Benhamou D, Péquignot F, Bovet M, Jougla E, Lienhart A. Anaesthesia. 2009;64:366-370.

STUDY

Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would Semmelweis think?

Biddle C, Shah J. Am J Infect Control. 2012;40:756-759.

STUDY

Interruptions and blood transfusion checks: lessons from the simulated operating room.

Liu D, Grundgeiger T, Sanderson PM, Jenkins SA, Leane TA. Anesth Analg. 2009;108:219-222.

COMMENTARY

An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety.

Fleischut PM, Evans AS, Faggiani SL, Lazar EJ, Kerr GE. Anesthesiol Clin. 2011;29:153-167.

STUDY

Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium.

Cravero JP, Blike GT, Beach M, et al. Pediatrics. 2006;118:1087-1096.

COMMENTARY

Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department.

McDonnell C, Laxer RM, Roy WL. Jt Comm J Qual Patient Saf. 2010;36:117-125.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:1062-1065.

COMMENTARY

Practice advisory on anesthetic care for magnetic resonance imaging: a report by the American Society of Anesthesiologists Task Force on Anesthetic Care for Magnetic Resonance Imaging.

Anesthesiology. 2009;110:459-479.

STUDY

Missed steps in the preanesthetic set-up.

Demaria S Jr, Blasius K, Neustein SM. Anesth Analg. 2011;113:84-88.

STUDY

Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes.

Nilsson L, Lindberget O, Gupta A, Vegfors M. Acta Anaesthesiol Scand. 2010;54:176-182.

REVIEW

A review of current and emerging approaches to address failure-to-rescue.

Taenzer AH, Pyke JB, McGrath SP. Anesthesiology. 2011;115:421-431.

STUDY

The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial.

Weller JM, Merry AF, Robinson BJ, Warman GR, Janssen A. Anaesthesia. 2009;64:126-130.

STUDY

Cognitive errors detected in anaesthesiology: a literature review and pilot study.

Stiegler MP, Neelankavil JP, Canales C, Dhillon A. Br J Anaesth. 2012;108:229-235.

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