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 …

ContextSince the Institute of Medicine (IOM) reports on medical errors and quality, national
attention has focused on improving patient safety through changes in “systems” of care …

Article-at-a-Glance Background The study of patient safety can benefit from greater
methodological diversity to improve scientific knowledge and to increase the effectiveness …

Background: Critical incident monitoring is an important tool for quality improvement and the
maintenance of high safety standards. It was developed for aviation safety and is now widely …

Adverse events in hospitals, such as in surgery, anesthesia, radiology, intensive care,
internal medicine, and pharmacy, are of worldwide concern and it is important, therefore, to …

Background: Medical errors are one of the most important quality problems in health care
today. The best insight into the incidences and characteristics of medical errors is through …

Article-at-a-Glance Background A study was conducted to examine and compare
information gleaned from five different reporting systems within one institution: incident …

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 …

Article-at-a-Glance Background Some hospitals have instituted voluntary electronic error
reporting systems (e-ERSs) to gather data on medical errors, adverse events, near misses …

A modified critical-incident analysis technique was used in a retrospective examination of
the characteristics of human error and equipment failure in anesthetic practice. The objective …