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Cases & Commentaries
- Web M&M
Audrey Lyndon, PhD, RN, and Stephanie Lim, MD; June 2019
During surgery for a forearm fracture, a woman experienced a drop in heart rate to below 50 beats per minute. As the consultant anesthesiologist had stepped out to care for another patient, the resident asked the technician to draw up atropine for the patient. When the technician returned with an unlabeled syringe without the medication vial, the resident was reluctant to administer the medication, but did so without a double check after the technician insisted it was atropine. Over the next few minutes, the patient's blood pressure spiked to 250/135 mm Hg.
Special or Theme Issue
Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.
This special issue includes articles discussing safety in anesthesiology practice as well as quality improvement innovations.
Journal Article > Review
Krage R, Erwteman M. Curr Opin Anaesthesiol. 2015;28:727-734.
Journal Article > Study
An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction setup: a randomised controlled trial in a simulation setting.
Wetmore D, Goldberg A, Gandhi N, Spivack J, McCormick P, DeMaria S Jr. BMJ Qual Saf. 2016;25:739-746.
When implemented successfully, checklists can improve patient safety. In this randomized controlled trial, researchers provided anesthesiology residents in the intervention arm with a checklist to assist with evaluating preanesthetic induction. Blinded observers determined that residents in the intervention arm performed better in preanesthetic setup compared to the control group.