A Prospective Audit of Critical Incidents in Anaesthesia in a University Teaching Hospital

Annals of the Academy of Medicine Singapore

Volumn 32, Issue 6, 2003, Pages 814-820

  Liu, E H C ^a   Koh, Kwong Fah ^a  

^a NATIONAL UNIVERSITY HOSPITAL   (Singapore)

Author keywords

Contributing factors; Critical incidents; Morbidity and mortality

Indexed keywords

ANESTHESIA; HEALTH CARE QUALITY; HUMAN; MEDICAL AUDIT; PATIENT CARE; PRACTICE GUIDELINE; QUALITY CONTROL; REVIEW; UNIVERSITY HOSPITAL;

EID: 1042268091     PISSN: 03044602     EISSN: 29724066     Source Type: Journal    
DOI: None     Document Type: Review

References (14)

1. Currie M, Pybus D A, Torda T A. A prospective survey of anaesthetic critical events: A report of a pilot study of 88 cases. Anaesth Intensive Care 1988; 16:103-71.
2. Cooper J B, Newbower R S, Long C D, McPeek B. Preventable anaesthesia mishaps: a study of human factors. Anesthesiology 1978; 49:399-406.
3. Currie M. A prospective survey of anaesthetic critical events in a teaching hospital. Anaesth Intensive Care 1989; 17:403-11.
4. Runciman W B, Webb R K, Lee R, Holland R. System failure: an analysis of 2000 incident reports. Anaesth Intensive Care 1993; 21:684-95.
5. Craig J, Wilson M E. A survey of anaesthetic misadventures. Anaesthesia 1981; 36:933-6.
6. Cooper J B, Newbower R S, Kitz R J. An analysis of major errors and equipment failures in anaesthesia management - considerations for prevention and detection. Anesthesiology 1984; 60:34-42.
7. Kumar V, Barcellos W A, Mehta M P, Carter J G. An analysis of critical incidents in a teaching department for quality assurance. Anaesthesia 1988; 43:879-83.
8. Singapore Anaesthetic Society. Safety Guidelines in Anaesthesia 1988. Singapore: Singapore Anaesthetic Society, 1988.
9. Short T G. Improvements in anaesthetic care resulting from a critical incident reporting programme. Anaesthesia 1996; 51:615-21.
10. Adams A M, Smith A F. Risk perception and communication: Recent developments and implications for anaesthesia. Anaesthesia 2001; 56:745-55.
11. Chopra V, Bovill J G, Spierdijk J, Koornneef F. Reported significant observations during anaesthesia: a prospective analysis over an 18-month period. Br J Anaesth 1992; 68:13-7.
12. Beecher H C, Todd D P. A study of the deaths associated with anaesthesia and surgery based on a study of 599,548 anaesthetics in 10 institutions 1948-1952, inclusive. Ann Surg 1954; 140:2-35.
13. Lunn J N, Mushin W W. Mortality associated with anaesthesia. London: Nuffield Provincial Hospital Trust, 1982.
14. Buck N, Devlin H B, Lunn J N. The report of a confidential enquiry into perioperative deaths. London: The Nuffield Provincial Hospitals Trust and the Kings Fund, 1993.