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 …

1000 anaesthetic incidents: experience to date

RH James - Anaesthesia, 2003 - Wiley Online Library
The anaesthetic incident reporting scheme in Leicester has been running for 11 years and
1000 incidents have now been reported. The scheme has successfully highlighted …

Critical incident reports.

N Qadir, MS Takrouri, MA Seraj… - Middle East Journal …, 1998 - europepmc.org
We describe a retrospective analysis of critical incident reports in two teaching hospitals. We
included significant observations, involving unsafe practices during cardio-pulmonary …

Composition and risk assessment of perioperative patient safety incidents reported by anesthesiologists from 2009 to 2019: a single‐center retrospective cohort study

X Zhang, S Ma, X Sun, Y Zhang, W Chen, Q Chang… - BMC …, 2021 - Springer
Background Patient safety incident (PSI) reporting has been an important means of
improving patient safety and enhancing organizational quality control. Reports of anesthesia …

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 …

Cormack–Lehane classification revisited

D Cattano - British journal of anaesthesia, 2010 - bjanaesthesia.org
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 …

[PDF][PDF] The Thai Anesthesia Incident Monitoring Study (Thai AIMS): an analysis of perioperative complication in geriatric patients

L Tuchinda, I Sukchareon, C Kusumaphanyo… - J Med Assoc …, 2010 - researchgate.net
Background: The present study was a part of the multi-centered study of model of
Anesthesia related adverse events in Thailand by incident report.(The Thai Anesthesia …

Learning from anesthesia mishaps: analysis of critical incidents in anesthesia helps reduce patient risk.

RS Newbower, JB Cooper, CD Long - QRB. Quality review bulletin, 1981 - europepmc.org
Human error and mechanical failure in anesthesia frequently cause incidents which, if not
detected and corrected in time, could lead to increased patient morbidity or mortality. A study …

[PDF][PDF] Audits and critical incident reporting in paediatric anaesthesia: lessons from 75,331 anaesthetics

S Wan, YN Siow, SM Lee, A Ng - Singapore Med J, 2013 - smj.org.sg
CONCLUSION Critical incident reporting has value, as it provides insights into the system
and helps to identify active and system errors, thus enabling the formulation of effective …

Estimating and reporting error rates, and detecting improvements

CS Webster - European Journal of Anaesthesiology| EJA, 2018 - journals.lww.com
I was interested to read in your journal the latest and very useful recommendations on
medication safety from the European Board of Anaesthesthiology. 1 However, I found one …