A method for measuring system safety and latent errors associated with pediatric procedural sedation.

George Blike; Klaus Christoffersen; Joseph P. Cravero; Steven K. Andeweg; Jens Jensen

Study

A method for measuring system safety and latent errors associated with pediatric procedural sedation.

March 1, 2011

Blike G, Christoffersen K, Cravero JP, et al. Anesth Analg. 2005;101(1):48-58, table of contents.

View more articles from the same authors.

The authors describe a method for using a simulated scenario to identify latent failures. Reviewing videotape of the simulation revealed vulnerabilities in the system even though regulations were met.

PubMed citation

Available at

Free full text

Related Resources From the Same Author(s)

Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium.

April 11, 2011

The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium.

March 1, 2011

Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association.

September 1, 2011

The 2017 ACGME common work hour standards: promoting physician learning and professional development in a safe, humane environment.

January 31, 2018

American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update.

February 1, 2017

Allocation of physician time in ambulatory practice: a time and motion study in four specialties.

July 27, 2018

WebM&M Cases

Intubation Mishap

September 1, 2003

Perspective

Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units

April 26, 2023

A novel process audit for standardized perioperative handoff protocols.

November 1, 2017

Readiness of US general surgery residents for independent practice.

August 20, 2018

Related Resources

Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review.

September 1, 2021

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

December 9, 2020

Virtual patients designed for training against medical error: exploring the impact of decision-making on learner motivation.

May 15, 2019

Using simulation to identify sources of medical diagnostic error in child physical abuse.

April 27, 2016

In situ simulation: detection of safety threats and teamwork training in a high risk emergency department.

December 30, 2014

Participation in EHR based simulation improves recognition of patient safety issues.

December 10, 2014

Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams.

February 13, 2014

Simulation-based medical error disclosure training for pediatric healthcare professionals.

December 15, 2011

Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial.

June 28, 2010

Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists.

August 21, 2008

See More About The Topic

Emergency Departments

Physicians

Nurses

Quality and Safety Professionals

Educators

A method for measuring system safety and latent errors associated with pediatric procedural sedation.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

A method for measuring system safety and latent errors associated with pediatric procedural sedation.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

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

Submit Your Training

Continue as a Guest

Continue Logged In

Submit Your Training

Continue as a Guest

Continue Logged In

New Users to the PSNet site

Submit Your Toolkit

Continue as a Guest

Continue Logged In

Submit Your Toolkit

Continue as a Guest

Continue Logged In

New Users to the PSNet site

Submit Your WebM&M Case

Continue as a Guest

Continue Logged In

Submit Your WebM&M Case

Continue as a Guest

Already have a PSNet

Account?

New Users