Anaesthesia Virtual Issues
Anaesthesia
Journal of the Association of Anaesthetists of Great Britain and Ireland
- Safety and Human Factors: Reporting and Learning April 2009
- Safety and Human Factors: Safety in Practice April 2009
- Safety and Human Factors: Wrong Route Errors April 2009
- Safety and Human Factors: Simulation for Safety April 2009
- Safety and Human Factors: Monitoring for Adverse Events April 2009
TopSafety and Human Factors: Reporting and Learning April 2009
Edited by David Bogod
Anaesthetists have traditionally been the champions of safety in medical practice. This issue is a compilation of a sample of safety-related papers from Anaesthesia 2006-2008, and covers a wide range of issues from incident reporting to simulation training.
Safety in anaesthesia: reporting incidents and learning from them
Alan Merry
Safety in anaesthesia: a study of 12 606 reported incidents from the UK National Reporting and Learning System
Ken Catchpople,
M Bell,
S Johnson
Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patient Safety Agency
A Thomas,
I Gavin
Medication related patient safety incidents in critical care: A review of reports to the UK National Patient Safety Agency
Antony Thomas,
U Panchagnula
Local clinical quality monitoring for detection of excess operative deaths
JE Arrowsmith,
SJ Powell,
SAM Nashef
Customer focused incident monitoring in anaesthesia
Fauzia A Khan,
S Khimani
The attitudes and beliefs of healthcare professionals on the causes and reporting medication errors in a UK intensive care unit
Inderjit Sanghera,
B D Franklin,
S Dhillon
Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia
S Sharma,
A Smith,
J Rooksby,
B Gerry
TopSafety and Human Factors: Safety in Practice April 2009
Lipid emulsion to treat overdose of local anaesthetic: the gift of the glob
Tim Meek,
John Picard
Epidural Analgesia: First do no Harm
James Low,
Natalie Johnston,
Craig Morris
Major complications of epidural analgesia after surgery
I W Christie,
S McCabe
A national survey of safe practice with epidural analgesia in obstetric units.
R Jones,
H Swales,
G Lyons
Introducing new anaesthetic equipment into clinical practice
A R Wilkes,
I Hodzovic,
I P Latto
The use of single-use devices in anaesthesia
Emma Rowley,
R Dingwall
Fatal errors in nitrous oxide delivery
Holger Herff,
P Paal,
A von Goedecke,
K Lindner,
C Keller,
V Wenzel
Could 'safe practice' be compromising safe practice? Should anaesthetists have to demonstrate that face mask ventilation is possible before giving a neuromuscular blocker?
Ian Calder,
S. Yentis
Theatre checklists and patient safety
Iain Wilson,
Isabeau Walker
TopSafety and Human Factors: Wrong Route Errors April 2009
Recurrent wrong-route drug error - a professional shame
Domonic Bell
Fatal neuroglycopaenia after accidental use of a glucose 5% solution in a peripheral arterial cannula flush system
S Sinha,
R Jayaram,
C G Hargreaves
Inadvertent epidural administration of insulin
J E Kal,
E E W Vlassak,
E R Bulder,
E J F Franssen
Enteral drugs given through a central venous catheter
T C Nicholson Roberts,
M Swart
TopSafety and Human Factors: Simulation for Safety April 2009
Standards for Simulation
D Cumin,
Alan Merry,
J. M. Weller
A simulation design for research evaluating safety innovations in anaesthesia*
A Merry,
J Weller,
B Robinson,
G Warman,
E Davies,
J Shaw,
J Cheeseman,
L Wilson
Drug selection errors in relation to medication labels: a simulation study
Philippe Garnerin,
T Perneger,
P Chopard,
M Ares,
R Baalbaki,
P Bonnabry,
F Clergue
The effect of additional teaching on medical students drug administration skills in a simulated emergency scenario
B A Degnan,
L J Murray,
C P Dunling,
K D Whittlestone,
T D A Standley,
A K gupta,
D W Wheeler
Anaesthetists management of oxygen pipeline failure: room for improvement
Jennifer Weller,
A Merry,
G Warman,
B Robinson
TopSafety and Human Factors: Monitoring for Adverse Events April 2009
Of missiles and medicine. Early warning systems
David Goldhill
Incidence and significance errors in a patient track and trigger system during an epidemic of Legionnaires disease: retrospective casenote analysis
A F Smith,
R J Oakey
What is vital to measure?
Ken Hillman
A randomised controlled trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk medical and surgical patients
P J Watkinson,
V S Barber,
J D Price,
A Hann,
L Tarassenko,
Duncan Young
