AHRQ Patient Safety Network

The Collection > Anesthesiology

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Safety Target

•Device-related Complications (21)

•Diagnostic Errors (2)

•Identification Errors (5)

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

•Fatigue and Sleep Deprivation (7)

•Medication Safety (43)

•Medical Complications (12)

•Nonsurgical Procedural Complications (12)

•Surgical Complications (131)

•Transfusion Complications (1)

•Psychological and Social Complications (10)

Origin/Sponsor

•Asia (4)

•Australia and New Zealand (22)

Resource Types

•Clinical Guideline (2)

•Journal Article (194)

•Legislation/Regulation (3)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (22)

•Special or Theme Issue (7)

•Tools/Toolkit (1)

•Web Resource (7)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (50)

•Active Errors (39)

•Latent Errors (19)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (50)

•Legal and Policy Approaches (19)

•Error Reporting and Analysis (60)

•Communication Improvement (54)

•Human Factors Engineering (62)

•Teamwork (30)

•Specialization of Care (7)

•Logistical Approaches (13)

•Culture of Safety (24)

•Technologic Approaches (27)

•Education and Training (63)

Clinical Areas
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Anesthesiology

Target Audience

•Health Care Providers (198)

•Health Care Executives and Administrators (158)

•Non-Health Care Professionals (73)

•Patients (16)

Setting of Care

•Hospitals (180)

•Ambulatory Care (8)

•Outpatient Surgery (6)

•Patient Transport (2)

1 - 20 of 244

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NEWSPAPER/MAGAZINE ARTICLE

Safety in ASCs: putting patients first.

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

STUDY

Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure.

Espin S, Levinson W, Regehr G, Baker GR, Lingard L. Surgery. 2006;139:6-14.

COMMENTARY

Right? Left? Neither!

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

SPECIAL OR THEME ISSUE

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

Amer Surg. 2006;72:985-1149

COMMENTARY

The perianesthesia nurse's role in the prevention of opioid-related sentinel events.

Pasero C. J Perianesth Nurs. 2013;28:31-37.

STUDY

Time of day effects on the incidence of anesthetic adverse events.

Wright MC, Phillips-Bute B, Mark JB, et al. Qual Saf Health Care. 2006;15:258-263.

STUDY

Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases.

Gordon NA, Koch ME. Arch Facial Plast Surg. 2006;8:47-53.

NEWSPAPER/MAGAZINE ARTICLE

Trends influencing the cost of care and patient safety.

Clark R. Health Manage Tech. July 2006:18, 20-21.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.

STUDY

A facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event reporting.

Oken A, Rasmussen MD, Slagle JM, et al. Anesthesiology. 2007;107:909-922.

COMMENTARY

The Wild West: Patient Safety in Office-Based Anesthesia

Kaushal R, Upadhyayula S, Gaba DM, Leape LL. AHRQ WebM&M [serial online]. May 2006.

STUDY

Adverse event reporting: lessons learned from 4 years of Florida office data.

Coldiron B, Fisher AH, Adelman E, et al. Dermatol Surg. 2005;31(pt 1):1079-1092; discussion 1093.

NEWSPAPER/MAGAZINE ARTICLE

State: nurse error caused death.

Wahlberg D. Wisconsin State Journal. July 22, 2006:A1.

NEWSPAPER/MAGAZINE ARTICLE

Medication administration in anesthesia: time for a paradigm shift.

Stabile M, Webster CS, Merry AF. APSF Newsletter. Fall 2007;22:44-47.

ORGANIZATIONAL POLICY/GUIDELINES

2008 Recommendations for Pre-Anesthesia Checkout Procedures.

ASA Committee on Equipment and Facilities. Park Ridge, IL: American Society of Anesthesiologists; 2008.

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.

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

Sedation and patient safety.

Simmons D. Crit Care Nurs Clin North Am. 2005;17:279-285.

STUDY

The association between frequency of self-reported medical errors and anesthesia trainee supervision: a survey of United States anesthesiology residents-in-training.

De Oliveira GS Jr, Rahmani R, Fitzgerald PC, Chang R, McCarthy RJ. Anesth Analg. 2013;116:892-897.

COMMENTARY

Safety huddles in the PACU: when a patient self-medicates.

Setaro J, Connolly M. J Perianesth Nurs. 2011;26:96-102.

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