Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia

S Sharma, AF Smith, J Rooksby, B Gerry - Anaesthesia, 2006 - Wiley Online Library
In this qualitative study using observation and interviews, 10 anaesthetists from five
Departments of Anaesthesia in the North‐West region of England were enlisted to …

[引用][C] Safety in anaesthesia: reporting incidents and learning from them

AF Merry - Anaesthesia, 2008 - Wiley Online Library
Anaesthetists are proud of their reputation for safety and can point to initiatives in
engineering, training and practice guidelines to support it [1]. Many of these advances have …

Compliance with an incident report scheme in anaesthesia

JP Jayasuriya, S Anandaciva - Anaesthesia, 1995 - Wiley Online Library
Voluntary, anonymous reporting of incidents which occur during anaesthesia is a
mechanism for obtaining information about such problems. Our objective was to estimate the …

National critical incident reporting: improving patient safety

AF Smith, RP Mahajan - British journal of anaesthesia, 2009 - academic.oup.com
One of the key features of the patient safety 'movement'is the belief that safety can be
improved by learning from incidents and near misses, rather than pretending they have not …

Critical incident reporting and learning

SN Bolsin, M Colson, A Patrick… - British journal of …, 2010 - academic.oup.com
Editor—We were interested to read the article of Professor Mahajan and concur with his
view that safety can be improved by learning from incidents and near misses. 1 Furthermore …

Voluntary incident reporting by anaesthetic trainees in an Australian hospital

L Freestone, SN Bolsin, M Colson… - … Journal for Quality in …, 2006 - academic.oup.com
Objective. To assess the reporting of critical incidents by anaesthetic trainees using personal
digital assistants. The project also identified the reporting of 'near miss' incidents by …

The anaesthesia critical incident reporting system: an experience based database

S Staender, J Davies, B Helmreich, B Sexton… - International journal of …, 1997 - Elsevier
To date there have been fewer than a dozen studies on the nature of, and contributory
factors in, critical incidents (CI) in anaesthesia. The first of these, by Cooper and colleagues …

[引用][C] Making errors: admitting them and learning from them

I Woods - Anaesthesia, 2005 - Wiley Online Library
Accepting that the key method of reducing error occurrence is by analysis of the causal
features of reported episodes, there must be a cultural shift in the way we collect information …

Incident reporting schemes and the need for a good story

J Rooksby, RM Gerry, AF Smith - International journal of medical informatics, 2007 - Elsevier
Incident reporting is a central strategy for improving safety in the NHS (UK National Health
Service). In this paper we discuss incident reporting in anaesthesia. We discuss four …

Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting

AF Smith, D Goodwin, M Mort… - BJA: British Journal of …, 2006 - academic.oup.com
Background. This study aimed to explore how critical and acceptable practice are defined in
anaesthesia and how this influences the discussion and reporting of adverse incidents …