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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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
A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. January 29, 2014
Pediatric adverse event rates associated with inexperience in teaching hospitals: a multilevel analysis. March 21, 2018
Clinical progress note: situation awareness for clinical deterioration in hospitalized children. May 11, 2022
Conversations on diagnostic uncertainty and its management among pediatric acute care physicians. April 27, 2022
A national implementation project to prevent catheter-associated urinary tract infection in nursing home residents. May 31, 2017
Improving patient safety reporting with the common formats: common data representation for Patient Safety Organizations. November 16, 2016
Predicting computerized physician order entry system adoption in US hospitals: can the federal mandate be met? January 23, 2008
Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. March 31, 2021
Implementation of prescription drug monitoring programs associated with reductions in opioid-related death rates. July 13, 2016
Description of the development and validation of the Canadian Paediatric Trigger Tool. January 30, 2005
Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. October 8, 2014
Organizational factors associated with high performance in quality and safety in academic medical centers. February 27, 2008
Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. September 14, 2016
Strategic work-arounds to accommodate new technology: the case of smart pumps in hospital care. June 27, 2007
"Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation. December 9, 2020
A framework for health care organizations to develop and evaluate a safety scorecard. November 7, 2007
A machine learning-based clinical decision support system to identify prescriptions with a high risk of medication error. October 21, 2020
A simple checklist for preventing major complications associated with cesarean delivery. January 5, 2011
Using patient safety indicators to estimate the impact of potential adverse events on outcomes. January 30, 2008
Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education. November 9, 2005
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
Journal Article Study Reducing hospital harm: establishing a command centre to foster situational awareness. March 29, 2023
Do malpractice claim clinical case vignettes enhance diagnostic accuracy and acceptance in clinical reasoning education during GP training? September 20, 2023
Tracking rates of patient safety indicators over time: lessons from the Veterans Administration. September 6, 2006
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Implementing a distraction-free practice with the Red Zone Medication Safety initiative. June 8, 2016
Blood bank specimen mislabeling: a College of American Pathologists Q-Probes study of 41,333 blood bank specimens in 30 institutions. June 7, 2017
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Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals. February 19, 2014
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Evaluating the Patient Safety Indicators: how well do they perform on Veterans Health Administration data? September 7, 2005
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Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century. March 1, 2006
How will we know patients are safer? An organization-wide approach to measuring and improving safety. June 7, 2006
The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department. February 13, 2013
The Patient Safety Institute demonstration project: a model for implementing a local health information infrastructure. November 23, 2005
Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital discharge. June 24, 2015
Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review. August 18, 2021
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The relationship between resident physician burnout and its’ effects on patient care, professionalism, and academic achievement: a review of the literature. October 5, 2022
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Comparing catheter-associated urinary tract infection prevention programs between Veterans Affairs nursing homes and non–Veterans Affairs nursing homes. April 5, 2017
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
Opioid prescribing after childbirth and risk for serious opioid-related events: a cohort study. July 1, 2020
Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical center. August 21, 2013
National Action Plan for Adverse Drug Event Prevention: recommendations for safer outpatient opioid use. February 1, 2017
Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timely Orders): a pilot study. August 26, 2009
Nurse staffing and medication errors: cross-sectional or longitudinal relationships? October 29, 2008
Public reporting of health care–associated surveillance data: recommendations from the Healthcare Infection Control Practices Advisory Committee. January 22, 2014
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