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The Joint Commission. Sentinel Event Alert. October 6, 2004;(32):1-3.
This alert provides recommendations for minimizing the risk of anesthesia awareness.
The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'SBAR' tools as a means of communication between anaesthetic staff.
MacDougall-Davis SR, Kettley L, Cook TM. Anaesthesia. 2016;71:764-772.
Use of personal electronic devices by nurse anesthetists and the effects on patient safety.
Snoots LR, Wands BA. AANA J. 2016;84:114-119.
Improving anesthesiologists' ability to speak up in the operating room: a randomized controlled experiment of a simulation-based intervention and a qualitative analysis of hurdles and enablers.
Raemer DB, Kolbe M, Minehart RD, Rudolph JW, Pian-Smith MC. Acad Med. 2016;91:530-539.
The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring System between 2002 and 2008.
Rutherford JS, Flin R, Irwin A. Anaesth Intensive Care. 2015;43:512-517.
An anesthesia preinduction checklist to improve information exchange, knowledge of critical information, perception of safety, and possibly perception of teamwork in anesthesia teams.
Tscholl DW, Weiss M, Kolbe M, et al. Anesth Analg. 2015;121:948-956.
Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room.
Birnbach DJ, Rosen LF, Fitzpatrick M, Carling P, Arheart KL, Munoz-Price LS. Anesth Analg. 2015;120:848-852.
Strategies for preventing distractions and interruptions in the OR.
Clark GJ. AORN J. 2013;97:702-707.
Distractions and the anaesthetist: a qualitative study of context and direction of distraction.
Jothiraj H, Howland-Harris J, Evley R, Moppett IK. Br J Anaesth. 2013;111:477-482.
Multitasking during patient handover in the recovery room.
van Rensen EL, Groen ES, Numan SC, et al. Anesth Analg. 2012;115:1183-1187.
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.
Critical phase distractions in anaesthesia and the sterile cockpit concept.
Broom MA, Capek AL, Carachi P, Akeroyd MA, Hilditch G. Anaesthesia. 2011;66:175-179.
No harm found when nurse anesthetists work without supervision by physicians.
Dulisse B, Cromwell J. Health Aff (Millwood). 2010;29:1469-1475.
The natural lifespan of a safety policy: violations and system migration in anaesthesia.
de Saint Maurice G, Auroy Y, Vincent C, Amalberti R. Qual Saf Health Care. 2010;19:327-331.
Interruptions and blood transfusion checks: lessons from the simulated operating room.
Liu D, Grundgeiger T, Sanderson PM, Jenkins SA, Leane TA. Anesth Analg. 2009;108:219-222.
Practice advisory for the prevention and management of operating room fires.
Caplan RA, Barker SJ, Connis RT, et al; for American Society of Anesthesiologists Task Force on Operating Room Fires. Anesthesiology. 2008;108:786-801.
Patient Safety and the Invitational Conference on Contemporary Surgical Quality, Safety and Transparency.
Amer Surg. 2006;72:985-1149
Teamwork in the operating theatre: cohesion or confusion?
Undre S, Sevdalis N, Healey AN, Darzi A, Vincent CA. J Eval Clin Pract. 2006;12:182-189.
Communication in critical care environments: mobile telephones improve patient care.
Soto RG, Chu LF, Goldman JM, Rampil IJ, Ruskin KJ. Anesth Analg. 2006;102:535-541.
A clinician's guide to surgical fires: how they occur, how to prevent them, how to put them out.
ECRI. Health Devices. 2003;32:5-24.
Lessons in Patient Safety.
Zipperer LA, Cushman S, eds. Chicago, IL: National Patient Safety Foundation; 2001. ISBN: 1579471889.
Adapting to new technologies in the operating room.
Cook RI, Woods DD. Hum Factors. 1996;38:593-613.
40 years behind the mask: safety revisited.
Pierce EC. Anesthesiology. 1996;29:965-975.
Adverse respiratory events in anesthesia: a closed claims analysis.
Caplan RA, Posner KL, Ward RJ, Cheney FW. Anesthesiology. 1990;72:828-833.
Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice.
Hallbeck MS, Paquet V, eds. Appl Ergon. 2019;78:248-308.
Transition planning for the senior surgeon: guidance and recommendations from the Society of Surgical Chairs.
Rosengart TK, Doherty G, Higgins R, Kibbe MR, Mosenthal AC. JAMA Surg. 2019;154(7):647–653.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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