AHRQ Patient Safety Network

The Collection > Anesthesiology

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Safety Target

•Device-related Complications (26)

•Diagnostic Errors (2)

•Identification Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (20)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (49)

•Medical Complications (14)

•Nonsurgical Procedural Complications (14)

•Surgical Complications (136)

•Transfusion Complications (1)

•Psychological and Social Complications (11)

Origin/Sponsor

•Asia (4)

•Australia and New Zealand (23)

Resource Types

•Clinical Guideline (2)

•Journal Article (207)

•Legislation/Regulation (4)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (23)

•Special or Theme Issue (8)

•Tools/Toolkit (1)

•Web Resource (7)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (51)

•Active Errors (44)

•Latent Errors (20)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (53)

•Legal and Policy Approaches (21)

•Error Reporting and Analysis (61)

•Communication Improvement (58)

•Human Factors Engineering (71)

•Teamwork (31)

•Specialization of Care (7)

•Logistical Approaches (14)

•Culture of Safety (25)

•Technologic Approaches (30)

•Education and Training (66)

Clinical Areas
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Anesthesiology

Target Audience

•Health Care Providers (208)

•Health Care Executives and Administrators (163)

•Non-Health Care Professionals (76)

•Patients (16)

Setting of Care

•Hospitals (189)

•Ambulatory Care (8)

•Outpatient Surgery (7)

•Patient Transport (2)

1 - 20 of 260

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STUDY

Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues.

DesRoches CM, Rao SR, Fromson JA, et al. JAMA. 2010;304:187-193.

STUDY

Rate of undesirable events at beginning of academic year: retrospective cohort study.

Haller G, Myles PS, Taffé P, Perneger TV, Wu CL. BMJ. 2009;339:b3974.

STUDY

Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.

Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.

STUDY

Video capture of clinical care to enhance patient safety.

Weinger MB, Gonzales DC, Slagle J, Syeed M. Qual Saf Health Care. 2004;13:136-144.

COMMENTARY classic

Errors, incidents and accidents in anaesthetic practice.

Runciman WB, Sellen A, Webb RK, Williamson JA, Currie M, Morgan C. Anaesth Intensive Care. 1993;21:506-519.

REVIEW

Anesthesia safety: model or myth? A review of the published literature and analysis of current original data.

Lagasse RS. Anesthesiology. 2002;97:1609-1617.

COMMENTARY classic

40 years behind the mask: safety revisited.

Pierce EC. Anesthesiology. 1996;29:965-975.

STUDY

Adverse respiratory events in anesthesia: a closed claims analysis.

Caplan RA, Posner KL, Ward RJ, Cheney FW. Anesthesiology. 1990;72:828-833.

STUDY

Preventable anesthesia mishaps: a study of human factors.

Cooper JB, Newbower RS, Long CD, McPeek B. Anesthesiology. 1978;49:399-406.

STUDY

Study of the deaths associated with anesthesia and surgery: based on a study of 599, 548 anesthesias in ten institutions 1948-1952, inclusive.

Beecher HK, Todd DP. Ann Surg. 1954;140:1-34.

BOOK/REPORT classic

Patient Safety in Anesthetic Practice.

Morell RC, Eichhorn JH, eds. New York, NY: Churchill Livingstone; 1997.

COMMENTARY classic

Anesthetic mishaps: breaking the chain of accident evolution.

Gaba DM, Maxwell M, DeAnda A. Anesthesiology. 1987;66:670-676.

COMMENTARY classic

Standards for patient monitoring during general anesthesia at Harvard Medical School.

Eichhorn JH, Cooper JB, Cullen DJ, Philip JH, Maier WR, Seeman RG. JAMA. 1986;256:1017-1020.

STUDY

Accident analysis of large-scale technological disasters applied to an anaesthetic complication.

Eagle CJ, Davies JM, Reason J. Can J Anaesth. 1992;39:118-122.

STUDY

Adapting to new technologies in the operating room.

Cook RI, Woods DD. Hum Factors. 1996;38:593-613.

STUDY

The role of anesthesia in surgical mortality.

Dripps RD, Lamont A, Eckenhoff JE. JAMA. 1961;178:261-266.

STUDY

Simulation study of rested versus sleep-deprived anesthesiologists.

Howard SK, Gaba DM, Smith BE, et al. Anesthesiology. 2003;98:1345-1355.

STUDY

An objective methodology for task analysis and workload assessment in anesthesia providers.

Weinger MB, Herndon OW, Zornow MH, Paulus MP, Gaba DM, Dallen LT. Anesthesiology. 1994;80:77-92.

REVIEW

Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment.

Weinger MB, Englund CE. Anesthesiology. 1990;73:995-1021.

STUDY

Error, stress, and teamwork in medicine and aviation: cross sectional surveys.

Sexton JB, Thomas EJ, Helmreich RL. BMJ. 2000;320:745-749.

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