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Errando CL, Sigl JC, Robles M, et al. Br J Anaesth. 2008;101:178-185.
Errando CL ; Sigl JC ; Robles M; et al. Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. Br J Anaesth. 2008; 101: 178-185
Although only 1% of patients in this study experienced anesthesia awareness, most cases were preventable. Medication dosing errors and human factors were the predominant causes of failure to detect anesthesia awareness.
Add-on Case and the Missing Checklist
Ken Catchpole, PhD
Isolated Clot, Real Error
Anna Parks, MD, and Margaret C. Fang, MD, MPH
The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues.
Cook TM, Andrade J, Bogod DG, et al; Royal College of Anaesthetists and the Association of Anaesthetists of Great Britain and Ireland. Anaesthesia. 2014;69:1102-1116.
The role of the anesthesiologist in perioperative patient safety.
Wacker J, Staender S. Curr Opin Anaesthesiol. 2014;27:649-656.
Safe surgery: how accurate are we at predicting intra-operative blood loss?
Solon JG, Egan C, McNamara DA. J Eval Clin Pract. 2013;19:100-105.
Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.
Vermaire D, Caruso MC, Lesko A, et al. BMJ Qual Saf. 2011;20:895-902.
Mortality related to anaesthesia in France: analysis of deaths related to airway complications.
Auroy Y, Benhamou D, Péquignot F, Bovet M, Jougla E, Lienhart A. Anaesthesia. 2009;64:366-370.
The role of checklists and human factors for improved patient safety in plastic surgery.
Oppikofer C, Schwappach D. Plast Reconstr Surg. 2017;140:812e-817e.
Physician satisfaction with transition from CPOE to paper-based prescription.
Griffon N, Schuers M, Joulakian M, Bubenheim M, Leroy JP, Darmoni SJ. Int J Med Inform. 2017;103:42-48.
Todd DW, Bennett JD, eds. Oral Maxillofac Surg Clin North Am. 2017;29:121-244.
Monitoring teamwork: a narrative review.
Rutherford JS. Anaesthesia. 2017;72(suppl 1):84-94.
Reasons for the persistence of adverse events in the era of safer surgery―a qualitative approach.
Kaderli R, Seelandt JC, Umer M, Tschan F, Businger AP. Swiss Med Wkly. 2013;143:w13882.
Intra-operative monitoring—many alarms with minor impact.
de Man FR, Greuters S, Boer C, Veerman DP, Loer SA. Anaesthesia. 2013;68:804-810.
Impact of the World Health Organization's Surgical Safety Checklist on safety culture in the operating theatre: a controlled intervention study.
Haugen AS, Søfteland E, Eide GE, et al. Br J Anaesth. 2013;110:807-815.
Improving patient safety in medicine: is the model of anaesthesia care enough?
Haller G. Swiss Med Wkly. 2013;143:w13770.
Effects of an educational patient safety campaign on patients' safety behaviours and adverse events.
Schwappach DLB, Frank O, Buschmann U, Babst R. J Eval Clin Pract. 2013;19:285-291.
IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.
Geneva, Switzerland: World Health Organization; 2011.
Barriers to adverse event and error reporting in anesthesia.
Heard GC, Sanderson PM, Thomas RD. Anesth Analg. 2012;114:604-614.
Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008.
Cassidy CJ, Smith A, Arnot-Smith J. Anaesthesia. 2011;66:879-888.
What happens when things go wrong?
Brandom BW, Callahan P, Micalizzi DA. Paediatr Anaesth. 2011;21:730-736.
Through and beyond anaesthesia awareness.
Aaen AM, Møller K. BMJ. 2010;341:c3669.
The Helsinki Declaration on Patient Safety in Anaesthesiology.
Mellin-Olsen J, Staender S, Whitaker DK, Smith AF. Eur J Anaesthesiol. 2010;27:592-597.
Iatrogenic events contributing to ICU admission: a prospective study.
Mercier E, Giraudeau B, Giniès G, Perrotin D, Dequin PF. Intensive Care Med. 2010;36:1033-1037.
Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes.
Nilsson L, Lindberget O, Gupta A, Vegfors M. Acta Anaesthesiol Scand. 2010;54:176-182.
The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial.
Weller JM, Merry AF, Robinson BJ, Warman GR, Janssen A. Anaesthesia. 2009;64:126-130.
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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