Background A nonroutine event is any aspect of clinical care perceived by clinicians or
trained observers as a deviation from optimal care based on the context of the clinical …

Objectives A nonroutine event (NRE) is defined as any event that deviates from ideal clinical
care for a given patient in a specific clinical situation. We sought to compare anesthesia …

Purpose Investigation of adverse events associated with anesthetic procedures is a method
of quality control that identifies topics to improve clinical care and patient safety. Most …

Background This study sought to evaluate the effectiveness of an active survey method for
detecting anesthesia nonroutine events (NREs). An NRE is any aspect of clinical care …

Background The use of a computerized anesthesia information management system
provides an opportunity to scan case records electronically for deviations from specific limits …

Background Incident reporting is a widely recommended method to measure undesirable
events in anaesthesia. Under-utilization is a major weakness of voluntary incident reporting …

Never Events are medical errors that are believed to be preventable with appropriate
measures. We surveyed all English acute NHS trusts to determine the number of surgical …

Background Improved anaesthesia safety has made severe anaesthesia-related incidents,
complications, and deaths rare events, but concern about morbidity and mortality in …

In 2011, our hospital started a new system of 100% procedural audit of anaesthesia work, in
which we incorporated the reporting of critical incidents. This monitoring of critical incidents …

To enhance patient safety, data about actual clinical events must be collected and
scrutinized. This paper has two purposes. First, it provides an overview of some of the …