AHRQ Patient Safety Network

The Collection > Anesthesiology

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Safety Target

•Device-related Complications (22)

•Diagnostic Errors (2)

•Identification Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (15)

•Fatigue and Sleep Deprivation (5)

•Medication Safety (43)

•Medical Complications (12)

•Nonsurgical Procedural Complications (12)

•Surgical Complications (109)

•Transfusion Complications (1)

•Psychological and Social Complications (8)

Origin/Sponsor

•Asia (3)

•Australia and New Zealand (22)

•Europe (50)

•North America (113)

Resource Types

•Book/Report (3)

•Clinical Guideline (2)

•Journal Article (167)

•Legislation/Regulation (4)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (14)

•Special or Theme Issue (7)

•Web Resource (4)

Error Types

•Epidemiology of Errors and Adverse Events (51)

•Active Errors (39)

•Latent Errors (18)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (46)

•Legal and Policy Approaches (16)

•Error Reporting and Analysis (52)

•Communication Improvement (47)

•Human Factors Engineering (60)

•Teamwork (19)

•Specialization of Care (7)

•Logistical Approaches (9)

•Culture of Safety (19)

•Technologic Approaches (27)

•Education and Training (50)

Clinical Areas
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Anesthesiology

Target Audience

•Health Care Providers (173)

•Health Care Executives and Administrators (147)

•Non-Health Care Professionals (64)

•Patients (8)

Setting of Care

•Hospitals (153)

•Ambulatory Care (7)

•Outpatient Surgery (7)

•Patient Transport (2)

1 - 20 of 202

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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.

STUDY

Preprinted order sets as a safety intervention in pediatric sedation.

Broussard M, Bass PF 3rd, Arnold CL, McLarty JW, Bocchini JA Jr. J Pediatr. 2009;154:865-868.

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

Barriers to adverse event and error reporting in anesthesia.

Heard GC, Sanderson PM, Thomas RD. Anesth Analg. 2012;114:604-614.

STUDY

Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical?

Maaloe R, la Cour M, Hansen A, et al. Acta Anaesthesiol Scand. 2006;50:1005-1013.

COMMENTARY

Vial Mistakes Involving Heparin.

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

STUDY

An engineered solution to the maladministration of spinal injections.

Lawton R, Gardner P, Green B, et al. Qual Saf Health Care. 2009;18:492-495.

STUDY

Using system analysis to build a safety culture: improving the reliability of epidural analgesia.

Garnerin P, Huchet-Belouard A, Diby M, Clergue F. Acta Anaesthesiol Scand. 2006;50:1114-1119.

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

Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study.

Cohen SP, Hayek SM, Datta S, et al. Anesthesiology. 2010;112:711-718.

COMMENTARY

Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine.

Thyen AB, McAllister RK, Councilman LM. J Patient Saf. 2010;6:244-246.

COMMENTARY

The Wild West: Patient Safety in Office-Based Anesthesia

Kaushal R, Upadhyayula S, Gaba DM, Leape LL. AHRQ WebM&M [serial online]. May 2006.

COMMENTARY

Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant de multiples erreurs dans un service de douleur aigue].

Syed S, Paul JE, Hueftlein M, Kampf M, McLean RF. Can J Anaesth. 2006;53:586-590.

COMMENTARY

What happens when things go wrong?

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

STUDY

Nurse reports of adverse events during sedation procedures at a pediatric hospital.

Lightdale JR, Mahoney LB, Fredette ME, Valim C, Wong S, DiNardo JA. J Perianesth Nurs. 2009;24:300-306.

STUDY

A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety.

Rodriguez-Paz JM, Mark LJ, Herzer KR, et al. Anesth Analg. 2009;108:202-210.

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

The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac surgery.

Schmid F, Goepfert MS, Kuhnt D, et al. Anesth Analg. 2011;112:78-83.

COMMENTARY

ISMP medication error report analysis.

Smetzer JL, Cohen MR. Hosp Pharm. 2008;43:869-872.

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