Medication errors in anaesthesia and critical care

SJ Wheeler, DW Wheeler - Anaesthesia, 2005 - Wiley Online Library
There is an increasing recognition that medication errors are causing a substantial global
public health problem, as many result in harm to patients and increased costs to health …

Safety culture and crisis resource management in airway management: general principles to enhance patient safety in critical airway situations

M Rall, P Dieckmann - Best Practice & Research Clinical Anaesthesiology, 2005 - Elsevier
Airway management is a cornerstone of patient safety in anaesthesiology and in emergency
and critical care medicine. Deficiencies in airway management could have catastrophic …

Safety in the operating theatre–Part 2: Human error and organisational failure

J Reason - BMJ Quality & Safety, 2005 - qualitysafety.bmj.com
Over the past decade, anaesthetists and human factors specialists have worked together to
find ways of minimising the human contribution to anaesthetic mishaps. As in the functionally …

Interruptive communication patterns in the intensive care unit ward round

G Alvarez, E Coiera - International journal of medical informatics, 2005 - Elsevier
OBJECTIVE:: An exploratory study to examine interruptive communication patterns of
healthcare staff within an intensive care unit (ICU) during ward rounds. METHODS:: The …

Patient reports of undesirable events during hospitalization

T Agoritsas, PA Bovier, TV Perneger - Journal of general internal medicine, 2005 - Springer
BACKGROUND: Thus far, incident reporting in health care has relied on health
professionals. However, patients too may be able to signal the occurrence of undesirable …

Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients

G Haller, PS Myles, R Wolfe, AM Weeks… - The Journal of the …, 2005 - pubs.asahq.org
Background An unplanned admission to the intensive care unit within 24 h of a procedure
(UIA) is a recommended clinical indicator in surgical patients. Often regarded as a surrogate …

Análisis de causas raíz. Una herramienta útil para la prevención de errores

P Ruiz-Lopez, CG Rodriguez-Salinas… - Revista de calidad …, 2005 - Elsevier
En el mundo de la industria (década de los setenta) se comenzó a utilizar herramientas
para el análisis de las causas que producían los errores con el objetivo de poder desarrollar …

Crisis management during anaesthesia: hypotension

RW Morris, LM Watterson, RN Westhorpe… - BMJ Quality & …, 2005 - qualitysafety.bmj.com
Background: Hypotension is commonly encountered in association with anaesthesia and
surgery. Uncorrected and sustained it puts the brain, heart, kidneys, and the fetus in …

Drug related critical incidents

FA Khan, MQ Hoda - Anaesthesia, 2005 - Wiley Online Library
Drug related incidents are a common form of reported medical errors. This paper reviews the
critical incidents related to drug errors reported from the main operating theatre suite in a …

Review of the Australian incident monitoring system

AD Spigelman, J Swan - ANZ journal of surgery, 2005 - Wiley Online Library
Background: A survey was conducted to assess the benefits and limitations of the Australian
Incident Monitoring System (AIMS) as a programme to improve patient safety. Methods: A 12 …