APSF: Perioperative Deterioration: Early Recognition, Rapid Intervention, and the End of Failure to Rescue (1 Class A CE)

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Class A Credits: 1.00

Format: Video

Course Launch Date: 9/3/20

Course Expires: 9/4/23

Patients experience multiple handoffs during the various phases of anesthesia care from preadmission through post discharge that may increase risk of patient deterioration. Patient risk could be identified sooner through a pervasive culture of clear and transparent communication that includes patient engagement, optimal monitoring for specific patient acuity and complexity, and continued assessment of outcome metrics to identify successes for celebration and opportunities to improve or create new processes. Let's see where we are!


Post-Test Attempt Notice
A minimum passing score of 80% is required to pass this course. You have TWO opportunities to achieve a passing score. If you fail to achieve a passing score of 80%, you will not receive CE credit for this course.

Content Disclaimer:

The views, information, or opinions expressed within the videos and audio are solely those of the individuals involved and do not necessarily represent those of the American Association of Nurse Anesthetists.

Course content has been prepared by the presenter/developer, and each viewer agrees that the presenter/developer is solely responsible for the content and the accuracy thereof. The viewer agrees that the American Association of Nurse Anesthetists has no responsibility or liability for the accuracy or completeness of the content.

  • Articulate opportunities in your own practice to collaborate with the perianesthesia team to utilize data and the literature to identify and eliminate delays in recognition, intervention and rescue.
  • Distinguish times in your practice when opinion is minimized, communication is rushed or a position of power is deferred to that can be assessed to change processes and culture for early and accurate recognition of patient risk issue.

Desiree Chappell, MSNA, CRNA

Managing Editor, Partner, US Lead | TopMedTalk

Desiree Chappell, Certified Registered Nurse Anesthetist (CRNA) is based in Louisville, KY.  Working at the hospital and system level as a project team lead for anesthesia groups, she has coordinated and assisted with the implementation of successful Enhanced Recovery Programs.  Desiree serves on the Board of Directors for the American Society of Enhanced Recovery, the Scientific Advisory Panel for Evidenced Based Perioperative Medicine (EBPOM) – USA, the American Association of Nurse Anesthetists- Enhanced Recovery After Surgery – Shared Interest Group Assistant Chair and Partner, Managing Editor and USA lead for TopMedTalk, a leading medical podcast.



Lynn Reede, DNP, MBA, CRNA, FNAP

Associate Clinical Professor, Northeastern University

Lynn's passion for practice excellence and optimal patient outcomes runs deep. She is an associate clinical professor at Northeastern University, Bouve College of Health Sciences School of Nursing Nurse Anesthesia Program. Prior to joining the team at Northeastern, Lynn served as Chief Clinical Officer with the AANA for six years collaborating with the members, staff and external organizations to create evidence-based resources for nurse anesthesia practice, practice management, wellness, peer assistance, professional development, continuing education, education, and other activities as assigned. Prior to joining the AANA, Lynn practiced at Aultman Hospital in Canton, Ohio serving as the Department of Anesthesia Operations Manager for 10 years. 

Dr. Reede is a Fellow of the National Academies of Practice to learn and network with 14 professions to promote interprofessional learning and practice that improves patient outcomes. She currently serves with the Boards of Directors of the Anesthesia Patient Safety Foundation, American Society for Enhanced Recovery and the Massachusetts Association of Nurse Anesthetists. She is a member of the National Quality Forum standing Surgery Committee and Emergency Manual Implementation Collaborative Steering Committee.



Patricia Mullen Reilly, CRNA

Staff CRNA, West Chester Anesthesia Associates/Medtronic

Patty Mullen Reilly is a CRNA at Chester County Hospital, Penn Medicine in West Chester, Pa. She is also the Manager of Strategic Partnerships for the Medtronic RGI Business located in Boulder, CO. Patty has been involved in Patient Safety for the past 25 years as a part of the Corporate Advisory Board and the Committee on Technology of the APSF and most recently as a part of the Board of Directors for the APSF. Her safety work has included work with the Lucien Leape Institute as well as membership on the Patient Safety Coalition of the NPSF/IHI. Her corporate work has included ongoing education about the important work of the APSF and the NPSF/IHI and the impact on patient care. Most recently Patty has obtained her CPPS credential, becoming a Certified Professional in Patient Safety. Patty lives in West Chester, Pa with her husband and daughter.



Steven Greenberg, MD, FCCP, FCCM

Vice Chairperson of Education in the Department of Anesthesiology, Critical Care and Perioperative Pain Medicine at NorthShore University HealthSystem Clinical Professor, Department of Anesthesia, University of Chicago Editor-in-Chief, APSF Newsletter , NorthShore University HealthSystem

Steven Greenberg has been practicing Anesthesiology and Critical Care Medicine at North Shore University HealthSystem in Evanston, Illinois, since 2006. He currently serves as Clinical Professor in the Department of Anesthesia and Critical Care at the University of Chicago Pritzker School of Medicine. In addition, Dr. Greenberg is Vice Chairperson of Education in the Department of Anesthesiology, Critical Care and Perioperative Pain Medicine at NorthShore University HealthSystem and Director of Critical Care Services/ECMO Medical Director at Evanston Hospital, Evanston, IL.

Dr. has also served on both the editorial and executive boards of the Anesthesia Patient Safety Foundation (APSF) and is the of Editor in Chief for the APSF Newsletter, the largest distributed piece of safety information for Anesthesiologists in the United States. With his focus on safety, he has provided lectures for multiple national and international organizations on handoff communication, goal directed therapy, neuromuscular blockade, and developing practical point of care protocols for massive transfusion/hemorrhage.


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