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PSNet: Patient Safety Network
Journal Article
Study

Sharing lessons learned to prevent adverse events in anesthesiology nationwide.

Soncrant C, Neily J, Sum-Ping SJT, et al. Journal of patient safety. 2019.

The authors describe the results of a survey of anesthesiology chiefs designed to understand their perceptions of the Veterans Health Administration efforts surrounding the lessons learned process for adverse events occurring in anesthesia. Of participants who had been aware of lessons learned, 90% shared them with staff and 75% described changing or reinforcing safety behaviors.