Management of anesthesia equipment failure: a simulation-based resident skill assessment.

William B Waldrop; David J Murray; John R Boulet; Joseph F Kras

Study

Management of anesthesia equipment failure: a simulation-based resident skill assessment.

August 19, 2009

Waldrop WB, Murray DJ, Boulet JR, et al. Anesthesia & Analgesia. 2009;109(2).

View more articles from the same authors.

Anesthesia residents' ability to handle intraoperative equipment failure was evaluated using simulated scenarios. This method proved to be a reliable evaluation tool.

Available at

PubMed citation

Free full text

Related Resources From the Same Author(s)

Decision making in trauma settings: simulation to improve diagnostic skills.

March 11, 2015

The effect of drug concentration expression on epinephrine dosing errors: a randomized trial.

January 16, 2008

Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more than 34,000 deficiencies.

June 2, 2021

The role for leaders of health care organizations in patient safety.

September 19, 2007

Outcomes of daytime procedures performed by attending surgeons after night work.

September 2, 2015

Health care consumers' inclination to engage in selected patient safety practices: a survey of adults in Pennsylvania.

December 12, 2007

Ambulatory computerized prescribing and preventable adverse drug events.

June 8, 2016

For whom the Bell Commission tolls: unintended effects of limiting residents' hours.

November 11, 2009

Awareness and use of a cognitive aid for anesthesiology.

September 19, 2007

Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies.

June 8, 2022

A model of disruptive surgeon behavior in the perioperative environment.

October 15, 2014

You can't blame the wreck on the train.

February 8, 2017

Defending a "never event."

August 2, 2017

Making the business case for patient safety.

March 6, 2005

What do we know about financial returns on investments in patient safety? A literature review.

December 21, 2005

Case study: identifying potential problems at the human/technical interface in complex clinical systems.

November 30, 2005

Mistake-proofing healthcare: why stopping processes may be a good start.

March 3, 2010

U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned.

June 17, 2015

Translating patient safety legislation into health care practice.

November 29, 2006

The Quality in Australian Health Care Study.

March 27, 2005

Role-modeling and medical error disclosure: a national survey of trainees.

February 12, 2014

Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions.

May 6, 2009

Error, blame, and the law in health care—an antipodean perspective.

March 6, 2005

Nonhospital health care–associated hepatitis B and C virus transmission: United States, 1998-2008.

February 18, 2009

The effectiveness of root cause analysis: what does the literature tell us?

June 25, 2008

Recovery from medical errors: the critical care nursing safety net.

January 31, 2006

Unintended doses in radiotherapy—over, under and outside?

April 18, 2018

Errors during the preparation of drug infusions: a randomized controlled trial.

August 22, 2012

Psychology of error in relation to medical practice.

March 6, 2005

Simulation-based assessment of the management of critical events by board-certified anesthesiologists.

September 13, 2017

Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as performance measures.

February 6, 2008

Label design affects medication safety in an operating room crisis: a controlled simulation study.

April 1, 2015

A framework for patient safety: a defense nuclear industry-based high-reliability model.

May 1, 2013

Is patient safety improving? National trends in patient safety indicators: 1998–2007.

January 30, 2005

Wrong site surgery near misses and actual occurrences.

August 26, 2009

Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001–2011.

May 23, 2012

Effects of an integrated clinical information system on medication safety in a multi-hospital setting.

October 17, 2007

Using FDA reports to inform a classification for health information technology safety problems.

March 21, 2012

A multihospital safety improvement effort and the dissemination of new knowledge.

March 6, 2005

Evaluation of an electronic dosing calculator to reduce pediatric medication errors.

February 20, 2019

Establishing a global learning community for incident-reporting systems.

November 10, 2010

Introductions during time-outs: do surgical team members know one another's names?

May 24, 2017

Getting doctors to report medical errors: project DISCLOSE.

July 5, 2006

The use of simulation in healthcare: from systems issues, to team building, to task training, to education and high stakes examinations.

June 13, 2012

Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level.

November 25, 2015

Assessing hospital safety on nights and weekends: the SWAN tool.

June 3, 2009

Like night and day — shedding light on off-hours care.

May 21, 2008

Health information technology is a vehicle, not a destination: a conversation with David J. Brailer.

March 14, 2007

Do hospitals provide lower quality care on weekends?

July 18, 2007

Using a market model to track advances in patient safety.

March 6, 2005

The cost of opioid–related adverse drug events.

October 8, 2014

Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study.

September 14, 2022

Getting surgery right.

September 12, 2007

Relationship between patient safety and hospital surgical volume.

December 7, 2011

A review of significant events analysed in general practice: implications for the quality and safety of patient care.

October 14, 2009

Public perceptions and preferences for patient notification after an unsafe injection.

March 13, 2013

An intervention to decrease catheter-related bloodstream infections in the ICU.

January 3, 2007

What do medical records tell us about potentially harmful co-prescribing?

July 18, 2007

Reducing the risk of adverse drug events in older adults.

April 17, 2013

Simulation-based education to ensure provider competency within the healthcare system.

December 13, 2017

Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi-experimental study.

May 17, 2006

Dual health care system use and high-risk prescribing in patients with dementia: a national cohort study.

December 14, 2016

Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports.

December 16, 2015

Patient safety and image transfer between referring hospitals and neuroscience centres: could we do better?

October 27, 2010

Critical diagnoses (critical values) in anatomic pathology.

August 9, 2006

Incident reporting in surgical trainees-revisited.

August 13, 2008

One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around injection safety.

November 15, 2017

Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns.

January 30, 2013

Establishing a rapid response team (RRT) in an academic hospital: one year's experience.

November 29, 2006

Patient Safety Innovations

Pharmacist-led mobile health intervention and transplant medication safety: a randomized controlled clinical trial.

April 7, 2022

Association of past and future paid medical malpractice claims.

March 1, 2023

Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors.

July 11, 2012

How event reporting by US hospitals has changed from 2005 to 2009.

October 12, 2011

A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours.

April 27, 2005

A qualitative content analysis of retained surgical items: learning from root cause analysis investigations.

May 27, 2020

Requirements for implementing a 'just culture' within healthcare organisations: an integrative review.

June 21, 2023

Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017.

September 23, 2020

Safety of using a computerized rounding and sign-out system to reduce resident duty hours.

July 14, 2010

Addressing the opioid epidemic in the United States: lessons from the Department of Veterans Affairs.

April 5, 2017

Emergency physicians' views of direct notification of laboratory and radiology results to patients using the internet: a multisite survey.

March 25, 2015

Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011.

February 11, 2015

Trial and error: learning from malpractice claims in childhood surgery.

August 24, 2022

A practical framework for patient care teams to prospectively identify and mitigate clinical hazards.

February 11, 2009

A high-reliability organization mindset.

February 22, 2023

Patient Safety in the Traditional and Evolving Nontraditional Office Setting

October 2, 2019

Consensus bundle on prevention of surgical site infections after major gynecologic surgery.

December 21, 2016

Database construction for improving patient safety by examining pathology errors.

September 28, 2005

Pathology and patient safety: the critical role of pathology informatics in error reduction and quality initiatives.

March 6, 2005

Insulin pump risks and benefits: a clinical appraisal of pump safety standards, adverse event reporting, and research needs: a joint statement of the European Association for the Study of Diabetes and the American Diabetes Association Diabetes Technology Working Group.

May 6, 2015

Benefactor or burden: exploring the professional identity of safety professionals.

October 24, 2018

Twitter as a tool to enhance student engagement during an interprofessional patient safety course.

May 21, 2014

Falling through the cracks: the invisible hospital cleaning workforce.

October 26, 2022

Abusive supervision: a systematic review and fundamental rethink.

December 8, 2021

Use of nondisclosure agreements in medical malpractice settlements by a large academic health care system.

May 27, 2015

Changes in early high-risk opioid prescribing practices after policy interventions in Washington State.

October 28, 2020

Crisis management on surgical wards: a simulation-based approach to enhancing technical, teamwork, and patient interaction skills.

March 18, 2015

Case study research: the view from complexity science.

May 4, 2005

Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study.

February 15, 2012

Outpatient opioid prescriptions for children and opioid-related adverse events.

August 8, 2018

Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units.

March 6, 2005

Related Resources

The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey.

June 28, 2023

Patient safety of perioperative medication through the lens of digital health and artificial intelligence.

June 28, 2023

Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training.

June 21, 2023

Evaluation of detected medication errors within the operating room at an academic medical center.

June 21, 2023

The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors.

June 14, 2023

In situ simulation-based team training and its significance for transfer of learning to clinical practice--a qualitative focus group interview study of anaesthesia personnel.

April 19, 2023

Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams: a national survey among cardiac anesthesiologists, cardiac surgeons, clinical perfusionists, and cardiac operating room nurses.

April 12, 2023

Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation.

October 26, 2022

Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings.

August 24, 2022

Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for residents and fellows.

June 1, 2022

WebM&M Cases

Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room

April 27, 2022

Real-world virtual patient simulation to improve diagnostic performance through deliberate practice: a prospective quasi-experimental study.

December 15, 2021

Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesthesiology residency training program.

September 22, 2021

"Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation.

December 9, 2020

Influence of socioeconomic bias on emergency medicine resident decision making and patient care.

August 19, 2020

Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose.

May 20, 2020

Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies.

July 31, 2019

Exposure to incivility hinders clinical performance in a simulated operative crisis.

June 26, 2019

Knowledge retention after simulated crisis: importance of independent practice and simulated mortality.

June 5, 2019

WebM&M Cases

If You Say So: Taking a Syringe at Face Value in the Operating Room

June 1, 2019

In-situ interprofessional perinatal drills: the impact of a structured debrief on maximizing training while sensing patient safety threats.

May 22, 2019

Understanding the clinical implications of resident involvement in uncommon operations.

May 1, 2019

Failure to debrief after critical events in anesthesia is associated with failures in communication during the event.

March 20, 2019

Pro/con debate: color-coded medication labels.

February 20, 2019

Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system.

February 13, 2019

Operating room fires.

February 6, 2019

Pediatric anesthesiology fellows' perception of quality of attending supervision and medical errors.

April 11, 2018

To err is human: use of simulation to enhance training and patient safety in anaesthesia.

February 7, 2018

Do words matter? Stigmatizing language and the transmission of bias in the medical record.

January 26, 2018

Fatigue risk management: the impact of anesthesiology residents' work schedules on job performance and a review of potential countermeasures.

December 13, 2017

See More About The Topic

Operating Room

Health Care Providers

Quality and Safety Professionals

Educators

Engineers

Management of anesthesia equipment failure: a simulation-based resident skill assessment.

Pharmacist-led mobile health intervention and transplant medication safety: a randomized controlled clinical trial.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Management of anesthesia equipment failure: a simulation-based resident skill assessment.

Pharmacist-led mobile health intervention and transplant medication safety: a randomized controlled clinical trial.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site