Commentary A tragic death: a time to blame or a time to learn? Citation Text: Runciman WB, Merry AF. A tragic death: a time to blame or a time to learn? Qual Saf Health Care. 2003;12(5):321-2. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 6, 2005 Runciman WB, Merry AF. Qual Saf Health Care. 2003;12(5):321-2. View more articles from the same authors. PubMed citation Available at Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Runciman WB, Merry AF. A tragic death: a time to blame or a time to learn? Qual Saf Health Care. 2003;12(5):321-2. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. March 4, 2009 Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. February 9, 2011 Error, blame, and the law in health care—an antipodean perspective. March 6, 2005 Measures of patient safety in developing and emerging countries: a review of the literature. March 17, 2010 Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey. November 17, 2021 A simulation design for research evaluating safety innovations in anaesthesia. 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Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. March 4, 2009
Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. February 9, 2011
Measures of patient safety in developing and emerging countries: a review of the literature. March 17, 2010
Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey. November 17, 2021
Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system. February 13, 2019
The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial. February 25, 2009
Crisis management during anaesthesia: the development of an anaesthetic crisis management manual. June 22, 2005
A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist. February 2, 2022
A prospective, observational study of the effects of implementation strategy on compliance with a surgical safety checklist. October 30, 2013
Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. August 4, 2021
Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts. December 6, 2023
A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. May 27, 2020
Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. May 18, 2022
World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. May 23, 2018
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A new infusion syringe label system designed to reduce task complexity during drug preparation. June 27, 2007
Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. March 6, 2013
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Risk factors for clinically relevant deviations in patients' medication lists reported by patients in personal health records: a prospective cohort study in a hospital setting. March 2, 2022
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Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. November 25, 2015
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Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. June 27, 2007
An intervention model that promotes accountability: peer messengers and patient/family complaints. October 9, 2013
Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. May 10, 2017
Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive care units: a multicentre retrospective observational study. October 18, 2023
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The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues. November 12, 2014
5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data. September 24, 2014
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Anaesthetic drug administration as a potential contributor to healthcare-associated infections: a prospective simulation-based evaluation of aseptic techniques in the administration of anaesthetic drugs. August 15, 2012
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Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study. January 30, 2005
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Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure. November 22, 2017
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Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016 March 3, 2017
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Facilitation of surgical innovation: is it possible to speed the introduction of new technology while simultaneously improving patient safety? April 24, 2019
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Innovative patient safety curriculum using iPad game (PASSED) improved patient safety concepts in undergraduate medical students. September 21, 2016
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