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Journal Article > Commentary
Johnson J. AORN J. 2008;88:79-87.
This article describes how fatigue in anesthesia providers may affect safety and offers scheduling, educational, and clinical practice recommendations to address the problem.
Cases & Commentaries
- Web M&M
Pascale Carayon, PhD; May 2007
On the day of a patient's scheduled electroconvulsive therapy, the clinic anesthesiologist called in sick. Unprepared for such an absence, the staff asked the very busy OR anesthesiologist to fill in on the case. Because the wrong drug was administered, the patient did not wake up as quickly as expected.
Journal Article > Study
Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study.
Paoletti X, Marty J. Br J Anaesth. 2007;98:462-469.
This study used a mathematical simulation model to estimate the risk of adverse events due to unavailability of an anesthesiologist to attend to urgent problems. The risk of system failure was significantly higher when one anesthesiologist was required to cover more than two operating rooms and was also increased when multiple lengthy operations took place simultaneously. An Agency for Healthcare Research and Quality (AHRQ) WebM&M commentary discusses a devastating error that occurred when no anesthesiologist was available for an urgent cesarean section.