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Handoff anesthesia

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https://www.readbyqxmd.com/read/27471931/anesthesia-intraoperative-handoffs-is-decision-ownership-compatible-with-transitions-of-care-providers
#1
Danton Char
No abstract text is available yet for this article.
September 2016: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/26873761/principles-of-neuro-anesthesia-in-neurosurgery-for-intensive-care-unit-nurses
#2
REVIEW
Marian Feil, Nicole A Irick
As neurosurgical interventions and procedures are advancing, so is the specialty of neuro-anesthesia. The neurosurgeon and the neuro-anesthetist are focused on providing each patient with the best possible outcome. Throughout the surgery, the main priorities of the neuro-anesthetist are patient safety, patient well-being, surgical field exposure, and patient positioning. Potential postoperative complications include nausea and vomiting. Postoperative visual loss is a complication of neurosurgery, most specifically spine surgery, whose origins are unknown...
March 2016: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/26678472/quantifying-the-diversity-and-similarity-of-surgical-procedures-among-hospitals-and-anesthesia-providers
#3
REVIEW
Franklin Dexter, Johannes Ledolter, Bradley J Hindman
In this Statistical Grand Rounds, we review methods for the analysis of the diversity of procedures among hospitals, the activities among anesthesia providers, etc. We apply multiple methods and consider their relative reliability and usefulness for perioperative applications, including calculations of SEs. We also review methods for comparing the similarity of procedures among hospitals, activities among anesthesia providers, etc. We again apply multiple methods and consider their relative reliability and usefulness for perioperative applications...
January 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/26678460/no-matter-the-perspective-anesthesia-handoffs-are-problematic
#4
EDITORIAL
Meghan B Lane-Fall
No abstract text is available yet for this article.
January 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/26649911/attending-handoff-is-correlated-with-the-decision-to-delay-extubation-after-surgery
#5
Zirka H Anastasian, Minjae Kim, Eric J Heyer, Shuang Wang, Mitchell F Berman
BACKGROUND: Factors including ASA physical status, blood loss, and case length have been described as correlating with the decision to delay tracheal extubation after specific surgical procedures. In this retrospective study, we investigated whether handoffs by anesthesia attendings were associated with delayed extubation after general anesthesia for a broad range of surgical procedures. METHODS: We reviewed the records of 37,824 patients who underwent general anesthesia with an endotracheal tube for surgery (excluding tracheostomy surgery, cardiac surgeries, and liver and lung transplant surgeries) from 2008 to 2013 at Columbia University Medical Center...
March 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/26390744/handoffs-in-the-postoperative-anesthesia-care-unit-use-of-a-checklist-for-transfer-of-care
#6
Holly-May Robins, Feng Dai
Information loss can occur during all phases of care. The transfer of care (handoff) from the operating room to the postoperative anesthesia care unit (PACU) is an especially susceptible time. Information loss can lead to an increase in medication errors, sentinel events, and poor patient outcomes. High-reliability organizations, such as the aviation industry, use checklists to decrease errors and improve safety. As the healthcare industry becomes more complex, it is in the interest of patient safety to develop, validate, and use similar objective procedures as those used in high-reliability organizations...
August 2015: AANA Journal
https://www.readbyqxmd.com/read/25985025/practice-improvements-based-on-participation-in-simulation-for-the-maintenance-of-certification-in-anesthesiology-program
#7
Randolph H Steadman, Amanda R Burden, Yue Ming Huang, David M Gaba, Jeffrey B Cooper
BACKGROUND: This study describes anesthesiologists' practice improvements undertaken during the first 3 yr of simulation activities for the Maintenance of Certification in Anesthesiology Program. METHODS: A stratified sampling of 3 yr (2010-2012) of participants' practice improvement plans was coded, categorized, and analyzed. RESULTS: Using the sampling scheme, 634 of 1,275 participants in Maintenance of Certification in Anesthesiology Program simulation courses were evaluated from the following practice settings: 41% (262) academic, 54% (339) community, and 5% (33) military/other...
May 2015: Anesthesiology
https://www.readbyqxmd.com/read/25541368/the-perioperative-handoff-protocol-evaluating-impacts-on-handoff-defects-and-provider-satisfaction-in-adult-perianesthesia-care-units
#8
Michelle A Petrovic, Hanan Aboumatar, Adam T Scholl, Randeep S Gill, Dina A Krenzischek, Melissa S Camp, Carolyn M Senger, Yi Deng, Tracy Y Chang, Yanjun Xie, Zahi R Jurdi, Elizabeth A Martinez
STUDY OBJECTIVE: To evaluate a new perioperative handoff protocol in the adult perianesthesia care units (PACUs). DESIGN: Prospective, unblinded cross-sectional study. SETTING: Perianesthesia care unit in a tertiary care facility serving 55,000 patients annually. PATIENTS: One hundred three surgery patients. INTERVENTIONS: During a 4-week preintervention phase, 53 perioperative handoffs were observed, and data were collected daily by a trained observer...
March 2015: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/25268396/reliability-and-validity-of-assessing-subspecialty-level-of-faculty-anesthesiologists-supervision-of-anesthesiology-residents
#9
Gildasio S De Oliveira, Franklin Dexter, Jane M Bialek, Robert J McCarthy
BACKGROUND: Supervision of anesthesiology residents is a major responsibility of faculty (academic) anesthesiologists. Supervision can be evaluated daily for individual anesthesiologists using a 9-question instrument. Faculty anesthesiologists with lesser individual scores contribute to lesser departmental (global) scores. Low (<3, "frequent") department-wide evaluations of supervision are associated with more mistakes with negative consequences to patients. With the long-term aim for residency programs to be evaluated partly based on the quality of their resident supervision, we assessed the 9-item instrument's reliability and validity when used to compare anesthesia programs' rotations nationwide...
January 2015: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/25193412/optimizing-anticonvulsant-administration-for-children-before-anesthesia-a-quality-improvement-project
#10
Charlotte T Jones, Vidya T Raman, Seth DeVries, Justin W Cole, Kelly J Kelleher, Joseph D Tobias
OBJECTIVE: Children with epilepsy are at increased risk of missing scheduled anticonvulsants during the home-to-hospital transition, including when being admitted for procedures requiring anesthesia. This may contribute to breakthrough seizures because of lowered anticonvulsant levels. We conducted an interdisciplinary quality improvement project with a specific aim to increase the percentage of children receiving their anticonvulsants as scheduled before procedures requiring anesthesia...
November 2014: Pediatric Neurology
https://www.readbyqxmd.com/read/25093590/seamless-anesthesia-care-the-handover-process
#11
EDITORIAL
Richard P Dutton
No abstract text is available yet for this article.
October 2014: Anesthesiology
https://www.readbyqxmd.com/read/24717643/quality-and-safety-in-pediatric-anesthesia-how-can-guidelines-checklists-and-initiatives-improve-the-outcome
#12
REVIEW
Nancy S Hagerman, Anna M Varughese, C Dean Kurth
PURPOSE OF REVIEW: Cognitive aids are tangible or intangible instruments that guide users in decision-making and in the completion of a complex series of tasks. Common examples include mnemonics, checklists, and algorithms. Cognitive aids constitute very effective approaches to achieve well tolerated, high quality healthcare because they promote highly reliable processes that reduce the likelihood of failure. This review describes recent advances in quality improvement for pediatric anesthesiology with emphasis on application of cognitive aids to impact patient safety and outcomes...
June 2014: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/24656527/an-audit-of-the-efficacy-of-a-structured-handover-tool-in-obstetric-anaesthesia
#13
A Dharmadasa, I Bailes, K Gough, N Ebrahimi, P N Robinson, D N Lucas
INTRODUCTION: The SAFE handover tool was developed to reduce critical omissions during handovers in obstetric anaesthesia. It comprises a simple proforma onto which the outgoing team documents patients who fall into one of four anaesthetically relevant categories: Sick patients; At-risk patients (of emergency caesarean section, major haemorrhage or anaesthetic problems); Follow-ups; and Epidurals. We hypothesised that its use would reduce the number of critical omissions at handover. METHODS: The efficacy of the SAFE handover tool was assessed through several audit cycles in a single maternity unit...
May 2014: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/24461253/evaluation-of-a-standardized-sedation-assessment-for-opioid-administration-in-the-post-anesthesia-care-unit
#14
Paula Kobelt, Karen Burke, Paula Renker
The impact of opioid-related sedation progressing to respiratory depression in the Post Anesthesia Care Unit (PACU) can be extensive; however, there is a paucity of research on the subject of standardized assessment tools to prevent adverse events. The purposes of this study were: (1) to measure the efficacy of a standardized method of assessing sedation and administering opioids for pain management via the Pasero Opioid-Induced Sedation Scale (POSS) with interventions in the PACU; (2) to increase PACU nurses' confidence in assessing sedation associated with opioid administration for pain management and in the quality of care provided in their clinical area; and (3) to facilitate PACU and postoperative clinical unit nurses' communications during patient handoffs regarding safe opioid administration...
September 2014: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
https://www.readbyqxmd.com/read/24355063/quality-of-post-operative-patient-handover-in-the-post-anaesthesia-care-unit-a-prospective-analysis
#15
A Milby, A Böhmer, M U Gerbershagen, R Joppich, F Wappler
BACKGROUND: Anaesthesiology plays a key role in promoting safe perioperative care. This includes the perioperative phase in the post-anaesthesia care unit (PACU) where problems with incomplete information transfer may have a negative impact on patient safety and can lead to patient harm. The objective of this study was to analyse information transfer during post-operative handovers in the PACU. METHODS: With a self-developed checklist including 59 items the information transfer during post-operative handovers was documented and subsequently compared with patient information in anaesthesia records during a 2-month period...
February 2014: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/24212196/addressing-the-mandate-for-hand-off-education-a-focused-review-and-recommendations-for-anesthesia-resident-curriculum-development-and-evaluation
#16
Meghan B Lane-Fall, Amber K Brooks, Sara A Wilkins, Joshua J Davis, Lee Ann Riesenberg
The Accreditation Council for Graduate Medical Education requires that residency programs teach residents about handoffs and ensure their competence in this communication skill. Development of hand-off curricula for anesthesia residency programs is hindered by the paucity of evidence regarding how to conduct, teach, and evaluate handoffs in the various settings where anesthesia practitioners work. This narrative review draws from literature in anesthesia and other disciplines to provide recommendations for anesthesia resident hand-off curriculum development and evaluation...
January 2014: Anesthesiology
https://www.readbyqxmd.com/read/23925461/-significantly-shorter-anesthesia-time-for-surgery-of-the-lumbar-spine-process-analytical-comparison-of-spinal-anesthesia-and-intubation-narcosis
#17
COMPARATIVE STUDY
H Singeisen, D Hodel, C Schindler, K Frey, U Eichenberger, O N Hausmann
INTRODUCTION: Most surgery of the lumbar spine is performed with the patient under general anesthesia (GA); however, qualitative benefits of spinal anesthesia (SA) have been reported. The goal of this study was to compare time efficiency between these two anesthesia methods in lumbar spine surgery. To test the hypothesis that the use of SA leads to significant time saving compared to GA for lumbar spine surgery, key points in the preoperative, intraoperative and postoperative anesthesiology care times were analyzed...
August 2013: Der Anaesthesist
https://www.readbyqxmd.com/read/23923675/examining-transfer-of-care-processes-in-nurse-anesthesia-practice-introducing-the-patient-protocol
#18
Suzanne M Wright
Human factors, such as inadequate situation awareness, have been associated with preventable accidents in anesthesia practice. Integral to developing situation awareness in the operating room environment is the safe and efficient exchange of essential information when the care of a patient is transferred from one anesthesia provider to another for circumstances such as breaks, meals, and the end of a scheduled work shift. An effective transfer involves the communication of critical information in an effort to preserve the quality and continuity of care...
June 2013: AANA Journal
https://www.readbyqxmd.com/read/23683085/handoff-checklists-improve-the-reliability-of-patient-handoffs-in-the-operating-room-and-postanesthesia-care-unit
#19
Anne C Boat, James P Spaeth
BACKGROUND: Ineffective communications among healthcare providers are common and increases the risk of medical errors. During the perioperative period, multiple handoffs occur within a short period of time, and failure to convey important patient information can compromise safety. We used quality improvement methodology to improve the reliability of our handoffs in the operating room and postanesthesia care unit (PACU). METHODS: Two quality improvement teams were developed to focus on the intraoperative and postanesthesia handoff processes...
July 2013: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/23559079/factors-that-contribute-to-physician-variability-in-decisions-to-limit-life-support-in-the-icu-a-qualitative-study
#20
Michael E Wilson, Lori M Rhudy, Beth A Ballinger, Ann N Tescher, Brian W Pickering, Ognjen Gajic
PURPOSE: Our aim was to explore reasons for physician variability in decisions to limit life support in the intensive care unit (ICU) utilizing qualitative methodology. METHODS: Single center study consisting of semi-structured interviews with experienced physicians and nurses. Seventeen intensivists from medical (n = 7), surgical (n = 5), and anesthesia (n = 5) critical care backgrounds, and ten nurses from medical (n = 5) and surgical (n = 5) ICU backgrounds were interviewed...
June 2013: Intensive Care Medicine
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