Commentary What happens when things go wrong? Citation Text: Brandom BW, Callahan P, Micalizzi DA. What happens when things go wrong? Paediatr Anaesth. 2011;21(7):730-6. doi:10.1111/j.1460-9592.2010.03513.x. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL February 16, 2011 Brandom BW, Callahan P, Micalizzi DA. Paediatr Anaesth. 2011;21(7):730-6. View more articles from the same authors. This commentary reveals a personal story of loss and discusses how practitioners and family members need support following adverse events. PubMed citation Free full text Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Brandom BW, Callahan P, Micalizzi DA. What happens when things go wrong? Paediatr Anaesth. 2011;21(7):730-6. doi:10.1111/j.1460-9592.2010.03513.x. 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Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study. December 19, 2018
A national implementation project to prevent catheter-associated urinary tract infection in nursing home residents. May 31, 2017
From the flight deck to the operating room: an initial pilot study of the feasibility and potential impact of true interdisciplinary team training using high-fidelity simulation. January 2, 2008
Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. November 16, 2022
Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study. June 14, 2023
Predicting computerized physician order entry system adoption in US hospitals: can the federal mandate be met? January 23, 2008
Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. December 15, 2021
Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. May 10, 2017
How will we know patients are safer? An organization-wide approach to measuring and improving safety. June 7, 2006
Designing an abstraction instrument: lessons from efforts to validate the AHRQ Patient Safety Indicators. January 12, 2011
Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. September 14, 2016
Description of the development and validation of the Canadian Paediatric Trigger Tool. January 30, 2005
Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process. September 1, 2010
Strategic work-arounds to accommodate new technology: the case of smart pumps in hospital care. June 27, 2007
Description and evaluation of an interprofessional patient safety course for health professions and related sciences students. January 10, 2007
Public reporting of health care–associated surveillance data: recommendations from the Healthcare Infection Control Practices Advisory Committee. January 22, 2014
Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. October 3, 2007
A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. August 24, 2005
Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. January 9, 2013
Comparing catheter-associated urinary tract infection prevention programs between Veterans Affairs nursing homes and non–Veterans Affairs nursing homes. April 5, 2017
Improving patient safety reporting with the common formats: common data representation for Patient Safety Organizations. November 16, 2016
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Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial. June 16, 2010
Computerized decision support to reduce potentially inappropriate prescribing to older emergency department patients: a randomized, controlled trial. September 30, 2009
Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit. November 1, 2023
Organizational factors associated with high performance in quality and safety in academic medical centers. February 27, 2008
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STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. October 14, 2016
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Pediatric adverse event rates associated with inexperience in teaching hospitals: a multilevel analysis. March 21, 2018
Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit. February 28, 2018
A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. January 29, 2014
Quality improvement initiative to reduce serious safety events and improve patient safety culture. August 1, 2012
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The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting. April 6, 2016
Health care-associated infections among critically ill children in the US, 2007-2012. September 24, 2014
Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital discharge. June 24, 2015
Evaluation of harm associated with high dose-range clinical decision support overrides in the intensive care unit. January 23, 2019
Opioid prescribing after childbirth and risk for serious opioid-related events: a cohort study. July 1, 2020
Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a survey study. June 29, 2022
Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey. November 17, 2021
Medication safety incidents associated with the remote delivery of primary care: a rapid review. January 18, 2023
The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned. March 17, 2021
Survey of nurses' experiences applying The Joint Commission's medication management titration standards. November 3, 2021
Blood bank specimen mislabeling: a College of American Pathologists Q-Probes study of 41,333 blood bank specimens in 30 institutions. June 7, 2017
Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. October 8, 2014
Prevalence of adverse events in pediatric intensive care units in the United States. October 13, 2010
Medication errors in acute cardiovascular and stroke patients. A scientific statement from the American Heart Association. April 7, 2010
The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review. April 15, 2009
Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. June 22, 2022
Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. February 1, 2023
The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety. May 5, 2021
Cumulative effect of flexible duty-hour policies on resident outcomes: long-term follow-up results from the FIRST trial. July 15, 2020
Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study. June 6, 2018
Mixed-methods evaluation of real-time safety reporting by hospitalized patients and their care partners: the MySafeCare application. June 13, 2018
A literature review of the training offered to qualified prescribers to use electronic prescribing systems: why is it so important? August 31, 2016
Diagnostic assessment of deep learning algorithms for detection of lymph node metastases in women with breast cancer. January 10, 2018
Reducing retained foreign objects in the operating room: a quality improvement initiative. December 20, 2023
Time out: the impact of physician burnout on patient care quality and safety in perioperative medicine. July 5, 2023
Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. June 14, 2023
Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care. October 5, 2022
Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia. August 24, 2022
Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia. August 10, 2022
WebM&M Cases Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest January 26, 2022
WebM&M Cases Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected August 25, 2021
Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. February 3, 2021
Implementation of a parent-centered approach to the preinduction checklist in pediatric surgery. February 3, 2021
Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes. January 20, 2021
Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Safe database. October 14, 2020
The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system. January 15, 2020
Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies. July 31, 2019