AHRQ Patient Safety Network

The Collection > Anesthesiology

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Safety Target

•Device-related Complications (24)

•Diagnostic Errors (2)

•Identification Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (18)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (46)

•Medical Complications (14)

•Nonsurgical Procedural Complications (13)

•Surgical Complications (132)

•Transfusion Complications (1)

•Psychological and Social Complications (11)

Origin/Sponsor

•Asia (4)

•Australia and New Zealand (20)

•Europe (67)

•North America (128)

Resource Types

•Book/Report (4)

•Clinical Guideline (2)

•Journal Article (191)

•Legislation/Regulation (4)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (21)

•Special or Theme Issue (7)

•Web Resource (4)

Error Types

•Epidemiology of Errors and Adverse Events (48)

•Active Errors (41)

•Latent Errors (19)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (49)

•Legal and Policy Approaches (17)

•Error Reporting and Analysis (57)

•Communication Improvement (55)

•Human Factors Engineering (69)

•Teamwork (30)

•Specialization of Care (7)

•Logistical Approaches (12)

•Culture of Safety (23)

•Technologic Approaches (28)

•Education and Training (60)

Clinical Areas
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Anesthesiology

Target Audience

•Health Care Providers (191)

•Health Care Executives and Administrators (155)

•Non-Health Care Professionals (74)

•Patients (13)

Setting of Care

•Hospitals (180)

•Ambulatory Care (7)

•Outpatient Surgery (7)

•Patient Transport (2)

1 - 20 of 234

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STUDY

Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.

Merry AF, Webster CS, Hannam J, et al. BMJ. 2011;343:d5543.

STUDY

Critical phase distractions in anaesthesia and the sterile cockpit concept.

Broom MA, Capek AL, Carachi P, Akeroyd MA, Hilditch G. Anaesthesia. 2011;66:175-179.

STUDY

Distractions and the anaesthetist: a qualitative study of context and direction of distraction.

Jothiraj H, Howland-Harris J, Evley R, Moppett IK. Br J Anaesth. 2013 Apr 16; [Epub ahead of print].

STUDY

Promoting patient safety through prospective risk identification: example from peri-operative care.

Smith A, Boult M, Woods I, Johnson S. Qual Saf Health Care. 2010;19:69-73.

STUDY

Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.

Vermaire D, Caruso MC, Lesko A, et al. BMJ Qual Saf. 2011;20:895-902.

COMMENTARY

The contribution of labelling to safe medication administration in anaesthetic practice.

Merry AF, Shipp DH, Lowinger JS. Best Pract Res Clin Anaesthesiol. 2011;25:145-159.

STUDY

No simple fix for fixation errors: cognitive processes and their clinical applications.

Fioratou E, Flin R, Glavin R. Anaesthesia. 2010;65:61-69.

COMMENTARY

What happens when things go wrong?

Brandom BW, Callahan P, Micalizzi DA. Paediatr Anaesth. 2011;21:730-736.

REVIEW

Medication errors—new approaches to prevention.

Merry AF, Anderson BJ. Paediatr Anaesth. 2011;21:743-753.

STUDY

Auroy Y, Benhamou D, Péquignot F, Bovet M, Jougla E, Lienhart A. Anaesthesia. 2009;64:366-370.

STUDY

Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008.

Cassidy CJ, Smith A, Arnot-Smith J. Anaesthesia. 2011;66:879-888.

STUDY

Distraction and interruption in anaesthetic practice.

Campbell G, Arfanis K, Smith AF. Br J Anaesth. 2012;109:707-715.

STUDY

Preventable anesthesia mishaps: a study of human factors.

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

SPECIAL OR THEME ISSUE

Safety in Anaesthesia.

Staender S, ed. Best Pract Res Clin Anaesthesiol. 2011;25:109-304.

STUDY

Missed steps in the preanesthetic set-up.

Demaria S Jr, Blasius K, Neustein SM. Anesth Analg. 2011;113:84-88.

REVIEW

Improving patient safety in medicine: is the model of anaesthesia care enough?

Haller G. Swiss Med Wkly. 2013;143:w13770.

COMMENTARY

Vial Mistakes Involving Heparin.

Vanderveen T. AHRQ WebM&M [serial online]. May 2009.

STUDY

Information needs in operating room teams: what is right, what is wrong, and what is needed?

Wong HW, Forrest D, Healey A, et al. Surg Endosc. 2011;25:1913-1920.

STUDY

Mihai R, Scott S, Cook TM. Anaesthesia. 2009;64:829-835.

REVIEW

Failed spinal anaesthesia: mechanisms, management, and prevention.

Fettes PD, Jansson JR, Wildsmith JA. Br J Anaesth. 2009;102:739-748.

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