AHRQ Patient Safety Network

The Collection > Anesthesiology

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Safety Target

•Device-related Complications (25)

•Diagnostic Errors (2)

•Identification Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (17)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (45)

•Medical Complications (14)

•Nonsurgical Procedural Complications (13)

•Surgical Complications (134)

•Transfusion Complications (1)

•Psychological and Social Complications (10)

Origin/Sponsor

•Asia (4)

•Australia and New Zealand (21)

Resource Types

•Clinical Guideline (2)

•Journal Article (199)

•Legislation/Regulation (4)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (22)

•Special or Theme Issue (8)

•Tools/Toolkit (1)

•Web Resource (6)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (51)

•Active Errors (42)

•Latent Errors (19)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (51)

•Legal and Policy Approaches (19)

•Error Reporting and Analysis (61)

•Communication Improvement (55)

•Human Factors Engineering (67)

•Teamwork (30)

•Specialization of Care (7)

•Logistical Approaches (14)

•Culture of Safety (24)

•Technologic Approaches (29)

•Education and Training (63)

Clinical Areas
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Anesthesiology

Target Audience

•Health Care Providers (203)

•Health Care Executives and Administrators (157)

•Non-Health Care Professionals (76)

•Patients (15)

Setting of Care

•Hospitals (184)

•Ambulatory Care (8)

•Outpatient Surgery (7)

•Patient Transport (2)

1 - 20 of 250

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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.

REVIEW

Medication errors—new approaches to prevention.

Merry AF, Anderson BJ. Paediatr Anaesth. 2011;21:743-753.

COMMENTARY

What happens when things go wrong?

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

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

No harm found when nurse anesthetists work without supervision by physicians.

Dulisse B, Cromwell J. Health Aff (Millwood). 2010;29:1469-1475.

COMMENTARY

Vial Mistakes Involving Heparin.

Vanderveen T. AHRQ WebM&M [serial online]. May 2009.

COMMENTARY

Shortage of perioperative drugs: implications for anesthesia practice and patient safety.

De Oliveira GS Jr, Theilken LS, McCarthy RJ. Anesth Analg. 2011;113:1429-1435.

STUDY

Nurse reports of adverse events during sedation procedures at a pediatric hospital.

Lightdale JR, Mahoney LB, Fredette ME, Valim C, Wong S, DiNardo JA. J Perianesth Nurs. 2009;24:300-306.

COMMENTARY

The contribution of labelling to safe medication administration in anaesthetic practice.

Merry AF, Shipp DH, Lowinger JS. Best Pract Res Clin Anaesthesiol. 2011;25:145-159.

STUDY

Cranshaw J, Gupta KJ, Cook TM. Anaesthesia. 2009;64:1317-1323.

COMMENTARY

The normalization of deviance: a threat to patient safety.

Odom-Forren J. J Perianesth Nurs. 2011;26:216-219.

STUDY

Barriers to adverse event and error reporting in anesthesia.

Heard GC, Sanderson PM, Thomas RD. Anesth Analg. 2012;114:604-614.

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.

REVIEW

Failed spinal anaesthesia: mechanisms, management, and prevention.

Fettes PD, Jansson JR, Wildsmith JA. Br J Anaesth. 2009;102:739-748.

SPECIAL OR THEME ISSUE

Patient Safety and the Invitational Conference on Contemporary Surgical Quality, Safety and Transparency.

Amer Surg. 2006;72:985-1149

STUDY

Preventable anesthesia mishaps: a study of human factors.

Cooper JB, Newbower RS, Long CD, McPeek B. Anesthesiology. 1978;49:399-406.

STUDY

Distractions and the anaesthetist: a qualitative study of context and direction of distraction.

Jothiraj H, Howland-Harris J, Evley R, Moppett IK. Br J Anaesth. 2013 Apr 16; [Epub ahead of print].

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.

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