Adverse Outcomes Associated With Intraoperative Anesthesia Handovers: A Systematic Review and Meta-analysis.

Purpose: Whether intraoperative handover of anesthesia care increases the risk of adverse outcomes in patients undergoing surgery remains unclear. This systematic review aimed to synthesize the evidence on the association of intraoperative anesthesia handover with delivery of patient care and patient outcomes.

Design: This is a systematic review and meta-analysis.

Building an International Partnership to Develop Advanced Practice Nurses in Anesthesia Settings: Using a Theory-Driven Approach.

The International Federation of Nurse Anesthetists is calling for international collaboration to develop advanced nursing practice in anesthesia settings globally. However, international collaboration is challenging. Limited information is available about what process and factors specifically lead to a successful international collaboration partnership.

IFNA approved Chinese Anaesthesia Nurse Education Program: A Delphi method.

Background: Numerous nurses work in operating rooms and recovery rooms or participate in the performance of anaesthesia in China. However, the scope of practice and the education for Chinese Anaesthesia Nurses is not standardized, varying from one geographic location to another. Furthermore, most nurses are not trained sufficiently to provide anaesthesia care.

Recertifying the professional nurse anesthetist: a call for national dialogue.

In 2011 the National Board of Certification and Recertification for Nurse Anesthetists initiated a Continued Professional Certification program that strongly suggests the search for alternatives. This article presents a thoughtful critique of the proposed professional competency program as well as alternatives that could be considered in a revision of the current program. Options discussed include a Continuous Professional Development program, a Simulation-Based Model, and a Practice-Based Model.

Predictors of situation awareness in student registered nurse anesthetists.

Situation awareness (SA) is defined as one's perception of the elements of the environment, the comprehension of their meaning, and the projection of their status in the near future. The concept of SA is well known in the aviation industry, which is characterized by complexity and dynamism. The discipline of anesthesia shares these same environmental characteristics, yet the study of SA in this setting is in its infancy.

Perceived deprivation in active duty military nurse anesthetists.

There is a shortage of military Certified Registered Nurse Anesthetists (CRNAs). Relative deprivation is a perception of unfairness due to discrepancies between what one has and what one could or should have that is dependent on feelings (subjective data) and facts (objective data). Feelings of relative deprivation could contribute to the military CRNA shortage.

Audiovisual facilitation of clinical knowledge: a paradigm for dispersed student education based on Paivio's Dual Coding Theory.

This article explores the application of Paivio's Dual Coding Theory (DCT) as a scientifically sound rationale for the effects of multimedia learning in programs of nurse anesthesia. We explore and highlight this theory as a practical infrastructure for programs that work with dispersed students (ie, distance education models). Exploring the work of Paivio and others, we are engaged in an ongoing outcome study using audiovisual teaching interventions (SBVTIs) that we have applied to a range of healthcare providers in a quasiexperimental model.

Distribution of US anesthesia providers and services.

This study describes the correlation between anesthesia providers by type (Certified Registered Nurse Anesthetist [CRNA] or anesthesiologist) and their respective rural or urban distributions across America. Analyses are based on county level data contained in several distinct databases with a given assumption that most providers practice and reside in the same rural or urban designation category. Data reveal that 91.

Preadmission characteristics of advanced practice nursing students.

Purpose: To determine the nature of prerequisite experiences of applicants to nurse practitioner (NP) and certified registered nurse anesthetist (CRNA) programs that faculty believe are necessary for success in graduate nursing programs.

Data Sources: An exploratory descriptive study based on findings from four focus groups of faculty from four different universities and a written survey mailed to program or admissions directors of a random sample of 50% of the 295 credentialed NP or CRNA programs in the United States.

Conclusions: Themes from the focus groups revealed 20 personal characteristics, 14 professional characteristics, and 9 clinical skills, all of which were used to create a survey instrument.

Accessing the living laboratory: trigger films as an aid to developing, enabling, and assessing anesthesia clinical instructors.

Problems arise when clinical instructors are placed in situations for which they are ill prepared. Teaching occurs in settings where patient safety and quality must be ensured. Trigger films are 2- to 4-minute vignettes simulating real-life situations that finish abruptly, stimulating participants to analyze situations in a safe environment.

Assessing the authenticity of the human simulation experience in anesthesiology.

There is an absence of systematic study regarding the authenticity of the simulation experience in anesthesia except for bias prone "participant perception" assessments. Forty-two senior level graduate nurse anesthesia students were videotaped as they were exposed to short (20-30 minutes) but intense simulated crisis situations. Three observers with intimate knowledge of the operating room (OR) evaluated the films using a pilot-tested authenticity tool.

Daedalus revisited: a call for redesign of the bougie esophageal dilator.

We report a case of a patient undergoing gastric bypass in which an improperly introduced bougie dilator resulted in esophageal perforation and we examine the matter using a human-factors approach. The Institute of Medicine's widely distributed 1999 report estimated that up to 98,000 Americans die each year as a result of preventable errors with the operating room being a particularly error-prone environment. The report suggests that the majority of errors are not the result of poor provider performance but instead are the result of inherent systems-based problems.