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Errors in Veterinary Anesthesia

ISBN: 978-1-119-25971-8
168 pages
November 2016, Wiley-Blackwell
Errors in Veterinary Anesthesia (1119259711) cover image

Description

Errors in Veterinary Anesthesia is the first book to offer a candid examination of what can go wrong when anesthetizing veterinary patients and to discuss how we can learn from mistakes.  
  • Discusses the origins of errors and how to learn from mistakes
  • Covers common mistakes in veterinary anesthesia
  • Provides strategies for avoiding errors in anesthetizing small and large animal patients
  • Offers tips and tricks to implement in clinical practice
  • Presents actual case studies discussing errors in veterinary anesthesia 
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Table of Contents

Preface, ix

Acknowledgments, xi

Introduction, xiii

1 Errors: Terminology and Background, 1

Error: terminology, 1

Conclusion, 5

References, 5

2 Errors: Organizations, Individuals, and Unsafe Acts, 7

Error causation: technical factors, 7

Error causation: organizational and supervision factors, 7

Error causation: environmental factors, 12

Error causation: personnel factors, 12

Error causation: human factors, 12

Error causation: other factors, 22

Conclusion, 22

References, 22

3 Reporting and Analyzing Patient Safety Incidents, 25

The limitation in only counting errors, 25

How can we learn the most from our errors?, 26

Analyzing patient safety incidents, 36

Conclusion, 43

References, 43

4 Equipment and Technical Errors in Veterinary Anesthesia, 45

Cases, 47

Near miss vignettes, 51

Conclusion, 57

References, 58

5 Medication Errors in Veterinary Anesthesia, 59

Cases, 60

Near miss vignettes, 66

Conclusions, 69

References, 69

6 Errors of Clinical Reasoning and Decision -making in Veterinary Anesthesia, 71

Cases, 72

Near miss vignettes, 85

Conclusion, 87

References, 87

7 Errors of Communication and Teamwork in Veterinary Anesthesia, 89

Cases, 89

Near miss vignette, 95

Conclusion, 96

References, 97

8 Error Prevention in Veterinary Anesthesia, 99

General strategies for error prevention, 100

Specific strategies for error prevention, 104

Conclusion, 119

References, 119

Appendix A. Suggested Readings, 121

Appendix B. Terminology, 123

Appendix C. ACVAA Monitoring Guidelines, 127

Appendix D. ACVAA Guidelines for Anesthesia in Horses, 131

Appendix E. A Brief History of Checklists, 133

Appendix F. FDA Anesthesia Apparatus Checkout, 135

Appendix G. Association of Veterinary Anaesthetists Anaesthetic Safety Checklist, 137

Appendix H. Critical Clinical Condition Checklists, 139

Index, 149

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Author Information

John W. Ludders, DVM, DipACVAA, is Professor Emeritus at Cornell University in Ithaca, New York, USA.

Matthew McMillan, BVM&S, DipECVAA, MRCVS, is Principal Clinical Anaesthetist and Critical Care Co-ordinator at Queen’s Veterinary School Hospital at the University of Cambridge in Cambridge, United Kingdom.

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Reviews

"This book serves as definitive reading for all faculty, residents, interns and technicians in veterinary anesthesiology...Each chapter provides excellent clinical vignettes of mistakes and inaccuracies....For anyone looking to improve their practice of veterinary medicine or formulating a system for morbidity-mortality rounds, this book is essential reading. Excellent." (Doody Enterprises 24/03/2017)

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