AHRQ Patient Safety Network

The Collection > Anesthesiology

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Safety Target

•Device-related Complications (11)

•Diagnostic Errors (2)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (19)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (21)

•Medical Complications (7)

•Nonsurgical Procedural Complications (3)

•Surgical Complications (62)

•Transfusion Complications (1)

•Psychological and Social Complications (2)

Origin/Sponsor

•Asia (3)

•Australia and New Zealand (15)

•Europe (21)

•North America (82)

Resource Types

•Clinical Guideline (1)

•Journal Article (105)

•Legislation/Regulation (2)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (13)

•Special or Theme Issue (5)

•Tools/Toolkit (1)

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•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (22)

•Active Errors (20)

•Latent Errors (11)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (28)

•Legal and Policy Approaches (9)

•Error Reporting and Analysis (33)

•Communication Improvement (32)

•Human Factors Engineering (31)

•Teamwork (19)

•Specialization of Care (3)

•Logistical Approaches (10)

•Culture of Safety (11)

•Technologic Approaches (10)

•Education and Training (46)

Clinical Areas
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Anesthesiology

Target Audience

•Health Care Providers (124)

•Health Care Executives and Administrators (77)

•Non-Health Care Professionals (34)

•Patients (8)

Setting of Care

•Hospitals (90)

•Ambulatory Care (2)

•Outpatient Surgery (6)

•Patient Transport (2)

1 - 20 of 132

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COMMENTARY

DNR in the OR and Afterwards

Lo B. AHRQ WebM&M [serial online]. September 2006.

COMMENTARY

Intubation Mishap.

Weinger MB, Blike GT. AHRQ WebM&M [serial online]. September 2003.

COMMENTARY

Crises in clinical care: an approach to management.

Runciman WB, Merry AF. Qual Saf Health Care. 2005;14:156-163.

COMMENTARY

Around the Block.

Minichiello T. AHRQ WebM&M [serial online]. March 2005.

COMMENTARY

Fumbled Handoff.

Vidyarthi A. AHRQ WebM&M [serial online]. March 2004.

NEWSPAPER/MAGAZINE ARTICLE

Safety in ASCs: putting patients first.

Dix K. Today's Surgicenter. December 1, 2006.

NEWSPAPER/MAGAZINE ARTICLE

Do no harm: promoting patient safety.

Ellis K. Surgicenteronline.com [serial online]. May 1, 2006.

COMMENTARY

Right? Left? Neither!

Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.

STUDY

Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program.

Cooper JB, Blum RH, Carroll JS, et al. Anesth Analg. 2008;106:574-584.

COURSE MATERIAL/CURRICULUM

Center for Medical Simulation.

Harvard Medical School, 65 Landsdowne St., Cambridge, MA 02139. Phone: 617-768-8900.

NEWSPAPER/MAGAZINE ARTICLE

Practicing on patients, real and otherwise.

Chen PW. New York Times. January 28, 2010.

COMMENTARY

Crisis management during anaesthesia: the development of an anaesthetic crisis management manual.

Runciman WB, Kluger MT, Morris RW, Paix AD, Watterson LM, Webb RK. Qual Saf Health Care. 2005;14:e1.

SPECIAL OR THEME ISSUE

New Vistas in Patient Safety and Simulation.

Kofke WA, Nadkarni VM, eds. Anesthesiol Clin. 2007;25:209-383.

COMMENTARY

Waiting Too Long.

Rosen MA. AHRQ WebM&M [serial online]. November 2003.

STUDY

Simulation as a tool to improve the safety of pre-hospital anaesthesia—a pilot study.

Batchelder AJ, Steel A, Mackenzie R, Hormis AP, Daniels TS, Holding N. Anaesthesia. 2009;64:978-983.

STUDY

The struggle to improve patient care in the face of professional boundaries.

Powell AE, Davies HT. Soc Sci Med. 2012;75:807-814.

COMMENTARY

SNOMED CT: electronic health record enhances anesthesia patient safety.

Elevitch FR. AANA J. 2005;73:361-366.

NEWSPAPER/MAGAZINE ARTICLE

Fatal gas line mix-up: How to avoid making this "gastly" mistake.

ISMP Medication Safety Alert! Acute Care Edition. December 16, 2004;9:1-2.

MULTI-USE WEBSITE

Anesthesia Patient Safety Foundation.

Building One, Suite Two, 8007 South Meridian Street, Indianapolis, IN 46217-2922.

STUDY

Anaesthetists' management of oxygen pipeline failure: room for improvement.

Weller J, Merry A, Warman G, Robinson B. Anaesthesia. 2007;62:122-126.

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