Adverse Event
New Adverse Event
= Required Information
Patient Information
Unique Record #
(Epic: Case #; Meditech: Account #; ASC: Medical Record #)
*
Procedure Date
[
8/21/2017
]
*
Patient First Name
*
Patient Last Name
*
Facility
--None--
Boulders ASC
Chippenham Hospital
CH Surgery Center
John Randolph
Johnston-Willis Hospital
Monticello ASC
Richmond Community
Richmond Plastic Surgery
Southside Community Hospital
St. Francis Medical Center
VEI
Physician
--None--
Albert, M. Abey, MD
Applefeld, Randy M., MD
Arancibia, Carlos U., MD
Bennett, Joel, MD
Bolash, Alan M, MD
Britton, Alison E., MD
Choudhari, Vimal B, MD
Cook, A. Brett, MD
Davis, Jason M, MD
Dewitt, Max, MD
Dillon, Mary C, MD
Eby, William, MD
Gazoni, Farnaz Milani, MD
Goins, Kathryn M., MD
Goins, Matthew D, MD
Grossman, Eric C, MD
Hacker, Brian D, MD
Hackworth, Jordan M., MD
Henceroth, Adam R, DO
Hendel, Oscar F, MD
Kamilakis, Peter N., MD
Kasinath, Nagesha S, MD
Kirby, Mathis A, MD
Kumar, Vikas, MD
Kurichh, Sanjay , MD
Linas, Philip A, MD
Lindsay, Brenna L, MD
Loveluck, Richard, MD
Luu, Kieu X, MD
Lynam, Michelle C, MD
McClerklin, Dwayne MD
McDevitt, Michelle L, MD
McDonnell, James , DO
McLaughlin, J. Daniel, MD
Miller, Thomas J, MD
Panten, Jr., Robert R, MD
Rose, Barry L, DO
Rose, Kristi, MD
Saraiya, Raksha, MD
Smith, Kyle, MD
Stein, Amber L, MD
Stein, Ethan A, MD
Stoltzfus, Mark C, MD
Stone, Jr, James W, MD
Thekkekandam, Janine Louise, MD
Thomas, C. Marcy W, MD
Wagner, Jessica Lacie, MD
Wiese, Scott F., MD
Wilhite, Anne O'Brien, MD
Williams, Charles L., MD
Williams, Derrick, MD
Wood, William C, MD
CRNA
--None--
Alvin, Denise F, CRNA
Andregg, Junette V, CRNA
Antokal, David, CRNA
Antonio, Anthony, CRNA
Baker, Kevin CRNA
Banian, Arthur, CRNA
Barnett, Jonathan, CRNA
Bartolo, Gina, CRNA
Bayles, Kristen A., CRNA
Belmonte, Ivan, CRNA
Berkowitz, Conceicao M., CRNA
Bertani, Virginia G., CRNA
Bokinsky, Carol, CRNA
Bothwell, Virginia, CRNA
Bowen, Laura, CRNA
Brooks, Jennifer M, CRNA
Buchanan, Megan E, CRNA
Burgess, Ulanda E., CRNA
Cant, Addie, CRNA
Carpenter, Jason, CRNA
Carter, Nicole, CRNA
Chase, Amanda Elaine, CRNA
Che Ambe, Immaculate, CRNA
Chen, Lydia M, CRNA
Collins-Davis, Constance K, CRNA
Cordrey, Dan, CRNA
Cowley, Nancy CRNA
Crawley, Timothy D., CRNA
Crouch, Colleen , CRNA
Curtis, Darcella L, CRNA
Damico, Suzanne N, CRNA
Davis, Marissa, CRNA
Day-Corritone, Deborah L, CRNA
Dickerson, Matthew, CRNA
Dietz, Christine, CRNA
Dix, Lori Ann, CRNA
Drake, Amy L, CRNA
Ekeke, Emmanuel, CRNA
Elam, Charles R, CRNA
Fairlamb, Karen L, CRNA
Falyar, Christian R, CRNA
Faulkner, Kimberly A., CRNA
Fernandez, Cathryn L.A. , CRNA
Finch, Mary V, CRNA
Flanigan, Katherine, CRNA
Fogelman, Nichole K, CRNA
Gallegos-Mahmood, Maritza, CRNA
Geoghegan, Margaret R, CRNA
George, Tracie, CRNA
Gibbons, Janine, CRNA
Grant, Elizabeth, CRNA
Grant, Nicholas, CRNA
Gray, Kassie, CRNA
Ha, Michelle K, CRNA
Haley, Peter R, CRNA
Hasbuhlina, Layla, CRNA
Haslego, Samantha, CRNA
Henrie, Jeremy, CRNA
Hernandez, Marissa J., CRNA
Heywood, Mary M, CRNA
Holland, Anna, CRNA
Hoyle, Keaton, CRNA
Huschle, Kim, CRNA
Jones, Samuel, CRNA
Juranis, April M., CRNA
Karanian, Deedee A, CRNA
Keeney, Andrew D., CRNA
Kelly, Megan, CRNA
Kienle,Colleen, CRNA
King, Elizabeth L, CRNA
King, Kenneth G, CRNA
Kolb, Brittany L., CRNA
Kovach, Chris, CRNA
Kroepel, Christine L, CRNA
LeGrand, Sue , CRNA
Lewis, Sandra E, CRNA
Lu, Jack, CRNA
Lunt, Troy, CRNA
Lyle, Jody B, CRNA
MacMang, Josephine CRNA
Malinowski, Lisa M, CRNA
Massie, Christy, CRNA
Mawussi, Komi, CRNA
McNeish, Sharlene CRNA
Mielke, Dean R, CRNA
Morgan, Mary Margaret, CRNA
Mullenix, Amy CRNA
Noland, John A., CRNA
O'Brien, James, CRNA
O'Hanley, Mary T, CRNA
Osborne, Mason, CRNA
P. Patel, CRNA
Parsons, Andy C, CRNA
Patel, Prernaben, CRNA
Pe, Elizabeth B, CRNA
Pete, Felice, CRNA
Potter, Joshua, CRNA
Quader, Angela Kaye, CRNA
Randell, Benjamin E., CRNA
Ratliff, Irene M, CRNA
Reynolds, Jefferson T., CRNA
Rizor, Lori A., CRNA
Robinson, Katie, CRNA
Sanders, Nicole L., CRNA
Schultz, Jonenelle, CRNA
Servinsky, Megan, CRNA
Shaltes, Seth, CRNA
Simon, Amy L, CRNA
Smith, Curtis B, CRNA
Sparks, Cheryl A, CRNA
Supple, Frank D, CRNA
Thomas, Tamara, CRNA
Trice, Mariann A, CRNA
Tyree, Dionne M, CRNA
Van Alstine, Kimberley, CRNA
Vega, Amy M., CRNA
Vokac, Wendy G, CRNA
Walquist, Jenna, CRNA
Webster, Adaire L., CRNA
White, Jerri C, CRNA
Wical, Brad, CRNA
Willman, Erin, CRNA
Wittenbraker, William E, CRNA
Wright, Suzanne M, CRNA
Physician
--None--
Albert, M. Abey, MD
Applefeld, Randy M., MD
Arancibia, Carlos U., MD
Bennett, Joel, MD
Bolash, Alan M, MD
Britton, Alison E., MD
Choudhari, Vimal B, MD
Cook, A. Brett, MD
Davis, Jason M, MD
Dewitt, Max, MD
Dillon, Mary C, MD
Eby, William, MD
Gazoni, Farnaz Milani, MD
Goins, Kathryn M., MD
Goins, Matthew D, MD
Grossman, Eric C, MD
Hacker, Brian D, MD
Hackworth, Jordan M., MD
Henceroth, Adam R, DO
Hendel, Oscar F, MD
Kamilakis, Peter N., MD
Kasinath, Nagesha S, MD
Kirby, Mathis A, MD
Kumar, Vikas, MD
Kurichh, Sanjay , MD
Linas, Philip A, MD
Lindsay, Brenna L, MD
Loveluck, Richard, MD
Luu, Kieu X, MD
Lynam, Michelle C, MD
McDevitt, Michelle L, MD
McDonnell, James , DO
McLaughlin, J. Daniel, MD
Miller, Thomas J, MD
Panten, Jr., Robert R, MD
Rose, Barry L, DO
Rose, Kristi, MD
Saraiya, Raksha, MD
Smith, Kyle, MD
Stein, Amber L, MD
Stein, Ethan A, MD
Stoltzfus, Mark C, MD
Stone, Jr, James W, MD
Thekkekandam, Janine Louise, MD
Thomas, C. Marcy W, MD
Wagner, Jessica Lacie, MD
Wiese, Scott F., MD
Wilhite, Anne O'Brien, MD
Williams, Charles L., MD
Williams, Derrick, MD
Wood, William C, MD
CRNA
--None--
Alvin, Denise F, CRNA
Andregg, Junette V, CRNA
Antokal, David, CRNA
Antonio, Anthony, CRNA
Banian, Arthur, CRNA
Barnett, Jonathan, CRNA
Bartolo, Gina, CRNA
Bayles, Kristen A., CRNA
Belmonte, Ivan, CRNA
Berkowitz, Conceicao M., CRNA
Bertani, Virginia G., CRNA
Bokinsky, Carol, CRNA
Bothwell, Virginia, CRNA
Bowen, Laura, CRNA
Brooks, Jennifer M, CRNA
Buchanan, Megan E, CRNA
Burgess, Ulanda E., CRNA
Cant, Addie, CRNA
Carpenter, Jason, CRNA
Chase, Amanda Elaine, CRNA
Che Ambe, Immaculate, CRNA
Chen, Lydia M, CRNA
Collins-Davis, Constance K, CRNA
Cordrey, Dan, CRNA
Crawley, Timothy D., CRNA
Crouch, Colleen , CRNA
Curtis, Darcella L, CRNA
Damico, Suzanne N, CRNA
Davis, Marissa, CRNA
Day-Corritone, Deborah L, CRNA
Dickerson, Matthew, CRNA
Dietz, Christine, CRNA
Dix, Lori Ann, CRNA
Drake, Amy L, CRNA
Ekeke, Emmanuel, CRNA
Elam, Charles R, CRNA
Fairlamb, Karen L, CRNA
Falyar, Christian R, CRNA
Faulkner, Kimberly A., CRNA
Fernandez, Cathryn L.A. , CRNA
Finch, Mary V, CRNA
Flanigan, Katherine, CRNA
Fogelman, Nichole K, CRNA
Gallegos-Mahmood, Maritza, CRNA
Geoghegan, Margaret R, CRNA
George, Tracie, CRNA
Gibbons, Janine, CRNA
Grant, Elizabeth, CRNA
Grant, Nicholas, CRNA
Ha, Michelle K, CRNA
Haley, Peter R, CRNA
Hasbuhlina, Layla, CRNA
Haslego, Samantha, CRNA
Henrie, Jeremy, CRNA
Hernandez, Marissa J., CRNA
Heywood, Mary M, CRNA
Holland, Anna, CRNA
Huschle, Kim, CRNA
Juranis, April M., CRNA
Karanian, Deedee A, CRNA
Keeney, Andrew D., CRNA
Kienle,Colleen, CRNA
King, Elizabeth L, CRNA
King, Kenneth G, CRNA
Kolb, Brittany L., CRNA
Kovach, Chris, CRNA
Kroepel, Christine L, CRNA
LeGrand, Sue , CRNA
Lewis, Sandra E, CRNA
Lu, Jack, CRNA
Lunt, Troy, CRNA
Lyle, Jody B, CRNA
MacMang, Josephine CRNA
Malinowski, Lisa M, CRNA
Massie, Christy, CRNA
Mawussi, Komi, CRNA
Mielke, Dean R, CRNA
Morgan, Mary Margaret, CRNA
Noland, John A., CRNA
O'Brien, James, CRNA
O'Hanley, Mary T, CRNA
Osborne, Mason, CRNA
P. Patel, CRNA
Parsons, Andy C, CRNA
Patel, Prernaben, CRNA
Pe, Elizabeth B, CRNA
Pete, Felice, CRNA
Potter, Joshua, CRNA
Quader, Angela Kaye, CRNA
Randell, Benjamin E., CRNA
Ratliff, Irene M, CRNA
Reynolds, Jefferson T., CRNA
Rizor, Lori A., CRNA
Robinson, Katie, CRNA
Sanders, Nicole L., CRNA
Schultz, Jonenell, CRNA
Servinsky, Megan, CRNA
Shaltes, Seth, CRNA
Simon, Amy L, CRNA
Smith, Curtis B, CRNA
Sparks, Cheryl A, CRNA
Supple, Frank D, CRNA
Thomas, Tamara, CRNA
Trice, Mariann A, CRNA
Tyree, Dionne M, CRNA
Van Alstine, Kimberley, CRNA
Vega, Amy M., CRNA
Vokac, Wendy G, CRNA
Walquist, Jenna, CRNA
Webster, Adaire L., CRNA
White, Jerri C, CRNA
Wical, Brad, CRNA
Wittenbraker, William E, CRNA
Wright, Suzanne M, CRNA
Physician
--None--
Albert, M. Abey, MD
Applefeld, Randy M., MD
Arancibia, Carlos U., MD
Bennett, Joel, MD
Bolash, Alan M, MD
Britton, Alison E., MD
Choudhari, Vimal B, MD
Cook, A. Brett, MD
Davis, Jason M, MD
Dewitt, Max, MD
Dillon, Mary C, MD
Eby, William, MD
Gazoni, Farnaz Milani, MD
Goins, Kathryn M., MD
Goins, Matthew D, MD
Grossman, Eric C, MD
Hacker, Brian D, MD
Hackworth, Jordan M., MD
Henceroth, Adam R, DO
Hendel, Oscar F, MD
Kamilakis, Peter N., MD
Kasinath, Nagesha S, MD
Kirby, Mathis A, MD
Kumar, Vikas, MD
Kurichh, Sanjay , MD
Linas, Philip A, MD
Lindsay, Brenna L, MD
Loveluck, Richard, MD
Luu, Kieu X, MD
Lynam, Michelle C, MD
McDevitt, Michelle L, MD
McDonnell, James , DO
McLaughlin, J. Daniel, MD
Miller, Thomas J, MD
Panten, Jr., Robert R, MD
Rose, Barry L, DO
Rose, Kristi, MD
Saraiya, Raksha, MD
Smith, Kyle, MD
Stein, Amber L, MD
Stein, Ethan A, MD
Stoltzfus, Mark C, MD
Stone, Jr, James W, MD
Thekkekandam, Janine Louise, MD
Thomas, C. Marcy W, MD
Wagner, Jessica Lacie, MD
Wiese, Scott F., MD
Wilhite, Anne O'Brien, MD
Williams, Charles L., MD
Williams, Derrick, MD
Wood, William C, MD
CRNA
--None--
Alvin, Denise F, CRNA
Andregg, Junette V, CRNA
Antokal, David, CRNA
Antonio, Anthony, CRNA
Banian, Arthur, CRNA
Barnett, Jonathan, CRNA
Bartolo, Gina, CRNA
Bayles, Kristen A., CRNA
Belmonte, Ivan, CRNA
Berkowitz, Conceicao M., CRNA
Bertani, Virginia G., CRNA
Bokinsky, Carol, CRNA
Bothwell, Virginia, CRNA
Bowen, Laura, CRNA
Brooks, Jennifer M, CRNA
Buchanan, Megan E, CRNA
Burgess, Ulanda E., CRNA
Cant, Addie, CRNA
Carpenter, Jason, CRNA
Chase, Amanda Elaine, CRNA
Che Ambe, Immaculate, CRNA
Chen, Lydia M, CRNA
Collins-Davis, Constance K, CRNA
Cordrey, Dan, CRNA
Crawley, Timothy D., CRNA
Crouch, Colleen , CRNA
Curtis, Darcella L, CRNA
Damico, Suzanne N, CRNA
Davis, Marissa, CRNA
Day-Corritone, Deborah L, CRNA
Dickerson, Matthew, CRNA
Dietz, Christine, CRNA
Dix, Lori Ann, CRNA
Drake, Amy L, CRNA
Ekeke, Emmanuel, CRNA
Elam, Charles R, CRNA
Fairlamb, Karen L, CRNA
Falyar, Christian R, CRNA
Faulkner, Kimberly A., CRNA
Fernandez, Cathryn L.A. , CRNA
Finch, Mary V, CRNA
Flanigan, Katherine, CRNA
Fogelman, Nichole K, CRNA
Gallegos-Mahmood, Maritza, CRNA
Geoghegan, Margaret R, CRNA
George, Tracie, CRNA
Gibbons, Janine, CRNA
Grant, Elizabeth, CRNA
Grant, Nicholas, CRNA
Ha, Michelle K, CRNA
Haley, Peter R, CRNA
Hasbuhlina, Layla, CRNA
Haslego, Samantha, CRNA
Henrie, Jeremy, CRNA
Hernandez, Marissa J., CRNA
Heywood, Mary M, CRNA
Holland, Anna, CRNA
Huschle, Kim, CRNA
Juranis, April M., CRNA
Karanian, Deedee A, CRNA
Keeney, Andrew D., CRNA
Kienle,Colleen, CRNA
King, Elizabeth L, CRNA
King, Kenneth G, CRNA
Kolb, Brittany L., CRNA
Kovach, Chris, CRNA
Kroepel, Christine L, CRNA
LeGrand, Sue , CRNA
Lewis, Sandra E, CRNA
Lu, Jack, CRNA
Lunt, Troy, CRNA
Lyle, Jody B, CRNA
MacMang, Josephine CRNA
Malinowski, Lisa M, CRNA
Massie, Christy, CRNA
Mawussi, Komi, CRNA
Mielke, Dean R, CRNA
Morgan, Mary Margaret, CRNA
Noland, John A., CRNA
O'Brien, James, CRNA
O'Hanley, Mary T, CRNA
Osborne, Mason, CRNA
P. Patel, CRNA
Parsons, Andy C, CRNA
Patel, Prernaben, CRNA
Pe, Elizabeth B, CRNA
Pete, Felice, CRNA
Potter, Joshua, CRNA
Quader, Angela Kaye, CRNA
Randell, Benjamin E., CRNA
Ratliff, Irene M, CRNA
Reynolds, Jefferson T., CRNA
Rizor, Lori A., CRNA
Robinson, Katie, CRNA
Sanders, Nicole L., CRNA
Schultz, Jonenell, CRNA
Servinsky, Megan, CRNA
Shaltes, Seth, CRNA
Simon, Amy L, CRNA
Smith, Curtis B, CRNA
Sparks, Cheryl A, CRNA
Supple, Frank D, CRNA
Thomas, Tamara, CRNA
Trice, Mariann A, CRNA
Tyree, Dionne M, CRNA
Van Alstine, Kimberley, CRNA
Vega, Amy M., CRNA
Vokac, Wendy G, CRNA
Walquist, Jenna, CRNA
Webster, Adaire L., CRNA
White, Jerri C, CRNA
Wical, Brad, CRNA
Wittenbraker, William E, CRNA
Wright, Suzanne M, CRNA
Anesthesia Type
--None--
None
General
Regional
Epidural
Spinal
MAC
ASA Class
--None--
I
II
III
IV
V
VI
Emergency
--None--
Yes
No
*
Submitted By
Adverse Events
No Adverse Event
Anaphylaxis
Aspiration
Cardiac Arrest
Death
Dental Trauma
High Spinal
Hypotension (Req. Epinephrine)
Incorrect Patient
Incorrect Surgical Site
Infection After Regional Anesthesia
Intraoperative Awareness
Local Anesthetic Systemic Toxicity
Malignant Hyperthermia
Medication Error
Ocular Trauma
PACU Stay > 4 hrs
Perioperative MI
Pneumothorax
Postdural Puncture Headache
Post Operative Nausea / Vomiting
Prolonged (> 48 hr) Neurologic Deficit
Respiratory Depression (Req. Narcan)
Stroke
Tranfusion Reaction
Unanticipated Hospital Admission
Unanticipated ICU Admission
Unplanned Reintubation
Unrecognized Difficult Airway
Vascular Access Complication
Visual Loss
Vocal Cord Injury
No Adverse Event
Anaphylaxis
Aspiration
Cardiac Arrest
Death
Dental Trauma
High Spinal
Hypotension (Req. Epinephrine)
Incorrect Patient
Incorrect Surgical Site
Infection After Regional Anesthesia
Intraoperative Awareness
Local Anesthetic Systemic Toxicity
Malignant Hyperthermia
Medication Error
Ocular Trauma
PACU Stay > 4 hrs
Perioperative MI
Pneumothorax
Postdural Puncture Headache
Post Operative Nausea / Vomiting
Prolonged (> 48 hr) Neurologic Deficit
Respiratory Depression (Req. Narcan)
Stroke
Tranfusion Reaction
Unanticipated Hospital Admission
Unanticipated ICU Admission
Unplanned Reintubation
Unrecognized Difficult Airway
Vascular Access Complication
Visual Loss
Vocal Cord Injury
Adverse Events
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