Anesthesia and patient safety: have we reached our limits?

SEA Staender, RP Mahajan - Current Opinion in Anesthesiology, 2011 - journals.lww.com
Anesthesia is one of the safest clinical specialties and remains at the top among leaders of
patient safety. This review provides evidence for the areas in which further progress can be …

Quality in healthcare: process

M Pradhan, M Edmonds, WB Runciman - Best Practice & Research Clinical …, 2001 - Elsevier
Recent studies have shown startling rates of adverse events and preventable mortality in
hospitalised patients around the world. Research using root cause analysis and incident …

Using an anesthesia information management system to prove a deficit in voluntary reporting of adverse events in a quality assurance program

M Benson, A Junger, C Fuchs, L Quinzio… - Journal of clinical …, 2000 - Springer
Objective. A deficit is suspected in the manual documentation ofadverse events in quality
assurance programs in anesthesiology. In order toverify and quantify this, we retrospectively …

[PDF][PDF] Advances in patient safety: new directions and alternative approaches

K Henriksen, JB Battles… - AHRQ …, 2008 - seguridaddelpaciente.sanidad.gob …
It has been nearly 10 years since the Institute of Medicine (IOM) published its 1999 landmark
report, To Err Is Human: Building a Safer Health System. Although we have made …

[HTML][HTML] Medical errors and clinical risk management: state of the art

L La Pietra, L Calligaris, L Molendini… - Acta …, 2005 - ncbi.nlm.nih.gov
Medical errors represent a serious public health problem and pose a threat to patient safety.
All patients are potentially vulnerable, therefore medical errors are costly from a human …

[HTML][HTML] Lessons learned from the evolution of mandatory adverse event reporting systems

E Flink, CL Chevalier, A Ruperto… - Advances in Patient …, 2005 - ncbi.nlm.nih.gov
Abstract New York State has had a mandatory incident reporting system in place since 1985.
The current system, the New York Patient Occurrence Reporting and Tracking System …

Design and implementation of a near‐miss reporting system at a large, academic pediatric anesthesia department

P Guffey, J Szolnoki, J Caldwell… - Pediatric …, 2011 - Wiley Online Library
Background: Current incident reporting systems encourage retrospective reporting of
morbidity and mortality and have low participation rates. A near miss is an event that did not …

The investigation and analysis of clinical incidents

C Vincent, D Hewett - The Patient Safety Handbook, 2004 - books.google.com
Why do things go wrong? Human error is routinely blamed for disasters in the air, on the
railways, in complex surgery, and in health care generally. However, quick judgments and …

Patient safety and errors in medicine: development, prevention and analyses of incidents

M Rall, T Manser, H Guggenberger… - Anasthesiologie …, 2001 - europepmc.org
" Patient safety" and" errors in medicine" are issues gaining more and more prominence in
the eyes of the public. According to newer studies, errors in medicine are among the ten …

[PDF][PDF] Surgical Safety can be improved through better understanding of incidents reported to a national database

K Catchpole, SS Panesar, J Russell… - Nat Patient Safety …, 2009 - researchgate.net
Methods We conducted a review of the RLS database from the initial perspective that human
error is systemically predisposed, and that the identification of solutions to surgical safety …