Slide 21. Process improvement: Significant change in national guidelines
The "Seven Pillars" Approach: Crossing the Patient Safety—Medical Liability Chasm

- July 1, 2011, American Society of Anesthesiologists (ASA).
- Specifically, in section 3.2.4 of the Standards for Basic Anesthetic Monitoring, the ASA states, "...During moderate or deep sedation the adequacy of ventilation shall be evaluated by continual observation of qualitative clinical signs and monitoring for the presence of exhaled carbon dioxide unless precluded or invalidated by the nature of the patient, procedure, or equipment.
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