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Volumn 20, Issue 4, 2007, Pages 373-378

Anesthesia practice in the emergency department: Overview, with a focus on airway management

Author keywords

Airway management; Collaboration; Human error; System error

Indexed keywords

AIRWAY; ALGORITHM; ANESTHESIA; APTITUDE; CLINICAL PRACTICE; EMERGENCY CARE; EMERGENCY WARD; HOSPITAL MANAGEMENT; HUMAN; INJURY; LUNG VENTILATION; MEDICAL CARE; OPERATING ROOM; OXYGENATION; PATIENT MONITORING; PATIENT SAFETY; PRIORITY JOURNAL; RESUSCITATION; REVIEW; RISK ASSESSMENT; SAFETY;

EID: 34447301252     PISSN: 09527907     EISSN: None     Source Type: Journal    
DOI: 10.1097/ACO.0b013e32825eabe7     Document Type: Review
Times cited : (8)

References (70)
  • 1
    • 1542348219 scopus 로고    scopus 로고
    • The organizational huddle process - optimum results through collaboration
    • Cooper RL, Meara ME. The organizational huddle process - optimum results through collaboration. Healthcare Manager 2002; 21:12-16.
    • (2002) Healthcare Manager , vol.21 , pp. 12-16
    • Cooper, R.L.1    Meara, M.E.2
  • 2
    • 25444465222 scopus 로고    scopus 로고
    • Organizational and cultural changes for providing safe patient care
    • Odwazny R, Hasler S, Abrams R, McNutt R. Organizational and cultural changes for providing safe patient care. Qual Manag Health Care 2005; 14:132-143.
    • (2005) Qual Manag Health Care , vol.14 , pp. 132-143
    • Odwazny, R.1    Hasler, S.2    Abrams, R.3    McNutt, R.4
  • 3
    • 33744459778 scopus 로고    scopus 로고
    • Rogers G, Alper E, Brunelle D, et al. Reconciling medications at admission: safe practice recommendations and implementation strategies. Jt Com J Qual Patient Saf 2006; 32:37-50. JCAHO report that lays out their motivation for change.
    • Rogers G, Alper E, Brunelle D, et al. Reconciling medications at admission: safe practice recommendations and implementation strategies. Jt Com J Qual Patient Saf 2006; 32:37-50. JCAHO report that lays out their motivation for change.
  • 4
    • 2342647455 scopus 로고    scopus 로고
    • Brennan TA, Leape LL, Laird NM, et al. Harvard Medical Practice Study I. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. 1991. Qual Saf Health Care 2004; 13:145-151.
    • Brennan TA, Leape LL, Laird NM, et al. Harvard Medical Practice Study I. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. 1991. Qual Saf Health Care 2004; 13:145-151.
  • 5
    • 1542408812 scopus 로고    scopus 로고
    • Gross Lecture. Making healthcare safe: Are we up to it?
    • Leape LL, Robert E. Gross Lecture. Making healthcare safe: are we up to it? J Ped Surg 2004; 39:258-266.
    • (2004) J Ped Surg , vol.39 , pp. 258-266
    • Leape, L.L.1    Robert, E.2
  • 6
    • 0037222584 scopus 로고    scopus 로고
    • Adherence to practice guidelines: The role of specialty society guidelines
    • Leape LL, Weissman JS, Schneider EC, et al. Adherence to practice guidelines: the role of specialty society guidelines. Am Heart J 2003; 145:19-26.
    • (2003) Am Heart J , vol.145 , pp. 19-26
    • Leape, L.L.1    Weissman, J.S.2    Schneider, E.C.3
  • 7
    • 0034493069 scopus 로고    scopus 로고
    • Adverse Drug Event Prevention Study Group. Prevention of adverse drug events: A decade of progress in patient safety
    • Cullen DJ, Bates DW, Leape LL, Adverse Drug Event Prevention Study Group. Prevention of adverse drug events: a decade of progress in patient safety. J Clin Anesth 2000; 12:600-614.
    • (2000) J Clin Anesth , vol.12 , pp. 600-614
    • Cullen, D.J.1    Bates, D.W.2    Leape, L.L.3
  • 8
    • 0034201387 scopus 로고    scopus 로고
    • Reducing adverse drug events: Lessons from a breakthrough series collaborative
    • Leape LL, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Com J Qual Improvement 2000; 26:321-331.
    • (2000) Jt Com J Qual Improvement , vol.26 , pp. 321-331
    • Leape, L.L.1    Kabcenell, A.I.2    Gandhi, T.K.3
  • 9
    • 0032953817 scopus 로고    scopus 로고
    • Rapid-sequence intubation at an emergency medicine residency: Success rate and adverse events during a two-year period
    • Tayal VS, Riggs RW, Marx JA, et al. Rapid-sequence intubation at an emergency medicine residency: Success rate and adverse events during a two-year period. Acad Emerg Med 1999; 6:31-37.
    • (1999) Acad Emerg Med , vol.6 , pp. 31-37
    • Tayal, V.S.1    Riggs, R.W.2    Marx, J.A.3
  • 10
    • 0031896381 scopus 로고    scopus 로고
    • Airway management in the emergency department: A one year study of 610 intubations
    • Sakles JC, Laurin EG, Rantapaa AA, et al. Airway management in the emergency department: A one year study of 610 intubations. Ann Emerg Med 1998; 31:325-332.
    • (1998) Ann Emerg Med , vol.31 , pp. 325-332
    • Sakles, J.C.1    Laurin, E.G.2    Rantapaa, A.A.3
  • 11
    • 25444446839 scopus 로고    scopus 로고
    • Airway management by US and Canadian emergency medicine residents: A multicenter analysis of more than 6,000 endotracheal intubation attempts
    • Sagarin MJ, Barton ED, Chng YM, Walls RM. Airway management by US and Canadian emergency medicine residents: a multicenter analysis of more than 6,000 endotracheal intubation attempts. Ann Emerg Med 2005; 46:328-336.
    • (2005) Ann Emerg Med , vol.46 , pp. 328-336
    • Sagarin, M.J.1    Barton, E.D.2    Chng, Y.M.3    Walls, R.M.4
  • 12
    • 33750228626 scopus 로고    scopus 로고
    • Zed PJ, Mabasa VH, Slavik RS, Abu-Laban RB. Etomidate for rapid sequence intubation in the emergency department: is adrenal suppression a concern? Can J Emerg Med Care 2006; 8:347-350.
    • Zed PJ, Mabasa VH, Slavik RS, Abu-Laban RB. Etomidate for rapid sequence intubation in the emergency department: is adrenal suppression a concern? Can J Emerg Med Care 2006; 8:347-350.
  • 13
    • 33645318423 scopus 로고    scopus 로고
    • Intubating conditions and hemodynamic effects of etomidate for rapid sequence intubation in the emergency department: An observational cohort study
    • Zed PJ, Abu-Laban RB, Harrison DW. Intubating conditions and hemodynamic effects of etomidate for rapid sequence intubation in the emergency department: an observational cohort study. Acad Emerg Med 2006; 13:378-383.
    • (2006) Acad Emerg Med , vol.13 , pp. 378-383
    • Zed, P.J.1    Abu-Laban, R.B.2    Harrison, D.W.3
  • 14
    • 33845873352 scopus 로고    scopus 로고
    • The effectiveness of a novel, algorithm-based difficult airway curriculum for air medical crews using human patient simulators
    • Prehosp Emerg Care
    • Davis DP, Buono C, Ford J, et al. The effectiveness of a novel, algorithm-based difficult airway curriculum for air medical crews using human patient simulators. Prehosp Emerg Care 2007; 11:72-79. Review of a structure curriculum for simulation training.
    • (2007) Review of a structure curriculum for simulation training , vol.11 , pp. 72-79
    • Davis, D.P.1    Buono, C.2    Ford, J.3
  • 15
    • 34447336568 scopus 로고    scopus 로고
    • Manual in-line stabilization for acute airway management of suspected cervical spine injury: Historical review and current questions
    • 2 Mar, Epub ahead of print
    • Manoach S, Paladino L. Manual in-line stabilization for acute airway management of suspected cervical spine injury: historical review and current questions. Ann Emerg Med 2007; 2 Mar. [Epub ahead of print].
    • (2007) Ann Emerg Med
    • Manoach, S.1    Paladino, L.2
  • 16
    • 33748927160 scopus 로고    scopus 로고
    • Limited opportunities for paramedic student endotracheal intubation training in the operating room
    • Discussed the limitations of the busy operating room setting in teaching nonanesthesia personnel
    • Johnston BD, Seitz SR, Wang HE. Limited opportunities for paramedic student endotracheal intubation training in the operating room. Acad Emerg Med 2006; 13:1051-1055. Discussed the limitations of the busy operating room setting in teaching nonanesthesia personnel.
    • (2006) Acad Emerg Med , vol.13 , pp. 1051-1055
    • Johnston, B.D.1    Seitz, S.R.2    Wang, H.E.3
  • 17
    • 0036903316 scopus 로고    scopus 로고
    • National Emergency Airway Registry (NEAR) investigators. Rapid sequence intubation for pediatric emergency airway management
    • Sagarin MJ, Chiang V, Sakles JC, et al., National Emergency Airway Registry (NEAR) investigators. Rapid sequence intubation for pediatric emergency airway management. Ped Emerg Care 2002; 18:417-423.
    • (2002) Ped Emerg Care , vol.18 , pp. 417-423
    • Sagarin, M.J.1    Chiang, V.2    Sakles, J.C.3
  • 18
    • 0036625097 scopus 로고    scopus 로고
    • The failed intubation attempt in the emergency department: Analysis of prevalence, rescue techniques, and personnel
    • Bair AE, Filbin MR, Kulkarni RG, Walls RM. The failed intubation attempt in the emergency department: analysis of prevalence, rescue techniques, and personnel. J Emerg Med 2002; 23:131-140.
    • (2002) J Emerg Med , vol.23 , pp. 131-140
    • Bair, A.E.1    Filbin, M.R.2    Kulkarni, R.G.3    Walls, R.M.4
  • 19
    • 0031960820 scopus 로고    scopus 로고
    • The trauma airway: Whose responsibility?
    • Silbergleit R, Walls RM. The trauma airway: whose responsibility? Anesth Analg 1998; 86:1146-1147.
    • (1998) Anesth Analg , vol.86 , pp. 1146-1147
    • Silbergleit, R.1    Walls, R.M.2
  • 20
    • 0031888281 scopus 로고    scopus 로고
    • Management of the difficult airway in the trauma patient
    • Walls RM. Management of the difficult airway in the trauma patient. Emerg Med Clin N Am 1998; 16:45-61.
    • (1998) Emerg Med Clin N Am , vol.16 , pp. 45-61
    • Walls, R.M.1
  • 21
    • 29744436480 scopus 로고    scopus 로고
    • Airway management in emergency situations. Best practice and research
    • Dorges V. Airway management in emergency situations. Best practice and research. Clin Anaesthesiol 2005; 19:699-715.
    • (2005) Clin Anaesthesiol , vol.19 , pp. 699-715
    • Dorges, V.1
  • 22
    • 29644435034 scopus 로고    scopus 로고
    • Strategies and algorithms for management of the difficult airway. Best practice and research
    • Heidegger T, Gerig HJ, Henderson JJ. Strategies and algorithms for management of the difficult airway. Best practice and research. Clin Anaesthesiol 2005; 19:661-674.
    • (2005) Clin Anaesthesiol , vol.19 , pp. 661-674
    • Heidegger, T.1    Gerig, H.J.2    Henderson, J.J.3
  • 23
    • 26044433178 scopus 로고    scopus 로고
    • An algorithmic approach to prehospital airway management
    • Wang HE, Kupas DF, Greenwood MJ, et al. An algorithmic approach to prehospital airway management. Prehosp Emerg Care 2005; 9:145-155.
    • (2005) Prehosp Emerg Care , vol.9 , pp. 145-155
    • Wang, H.E.1    Kupas, D.F.2    Greenwood, M.J.3
  • 24
    • 19044388403 scopus 로고    scopus 로고
    • Airway management of the critically ill patient: Rapid-sequence intubation
    • Reynolds SF, Heffner J. Airway management of the critically ill patient: rapid-sequence intubation. Chest 2005; 127:1397-1412.
    • (2005) Chest , vol.127 , pp. 1397-1412
    • Reynolds, S.F.1    Heffner, J.2
  • 25
    • 21744442282 scopus 로고    scopus 로고
    • Management of the difficult airway: A closed claims analysis
    • Peterson GN, Domino KB, Caplan RA, et al. Management of the difficult airway: a closed claims analysis. Anesthesiology 2005; 103:33-39.
    • (2005) Anesthesiology , vol.103 , pp. 33-39
    • Peterson, G.N.1    Domino, K.B.2    Caplan, R.A.3
  • 27
    • 34250177106 scopus 로고    scopus 로고
    • Efficacy of an emergency airway management algorithm toward improving resident intubation success rate
    • abstract
    • Sugarman J, Mort TC. Efficacy of an emergency airway management algorithm toward improving resident intubation success rate. Crit Care Med 2004; 32:A76. [abstract].
    • (2004) Crit Care Med , vol.32
    • Sugarman, J.1    Mort, T.C.2
  • 28
    • 2142703644 scopus 로고    scopus 로고
    • Unanticipated difficult airway in anesthetized patients: Prospective validation of a management algorithm
    • Combes X, Le Roux B, Suen P, et al. Unanticipated difficult airway in anesthetized patients: prospective validation of a management algorithm. Anesth 2004; 100:1146-1150.
    • (2004) Anesth , vol.100 , pp. 1146-1150
    • Combes, X.1    Le Roux, B.2    Suen, P.3
  • 29
    • 0032865834 scopus 로고    scopus 로고
    • Human error in emergency medicine
    • Wears R, Leape LL. Human error in emergency medicine. Ann Emerg Med 1999; 34:370-372.
    • (1999) Ann Emerg Med , vol.34 , pp. 370-372
    • Wears, R.1    Leape, L.L.2
  • 30
    • 0036913372 scopus 로고    scopus 로고
    • Patient safety and health policy: A history and review
    • Small SD, Barach P. Patient safety and health policy: a history and review. Hematol Oncol Clin N Am 2002; 16:1463-1482.
    • (2002) Hematol Oncol Clin N Am , vol.16 , pp. 1463-1482
    • Small, S.D.1    Barach, P.2
  • 31
    • 0034681804 scopus 로고    scopus 로고
    • Anaesthesiology as a model for patient safety in healthcare
    • Gaba DM. Anaesthesiology as a model for patient safety in healthcare. Br Med J 2000; 320:785-788.
    • (2000) Br Med J , vol.320 , pp. 785-788
    • Gaba, D.M.1
  • 32
    • 0842308692 scopus 로고    scopus 로고
    • Clinical risk management in obstetrics: Eclampsia drills
    • Thompson S, Neal S, Clark V. Clinical risk management in obstetrics: eclampsia drills. Br Med J 2004; 328:269-271.
    • (2004) Br Med J , vol.328 , pp. 269-271
    • Thompson, S.1    Neal, S.2    Clark, V.3
  • 33
    • 33846279743 scopus 로고    scopus 로고
    • High-fidelity medical simulation as an assessment tool for pediatric residents' airway management skills
    • Excellent description of the potential impact simulation training may hold for future education, validation and credentialing
    • Overly FL, Sudikoff SN, Shapiro MJ. High-fidelity medical simulation as an assessment tool for pediatric residents' airway management skills. Ped Emerg Care 2007; 23:11-15. Excellent description of the potential impact simulation training may hold for future education, validation and credentialing.
    • (2007) Ped Emerg Care , vol.23 , pp. 11-15
    • Overly, F.L.1    Sudikoff, S.N.2    Shapiro, M.J.3
  • 34
    • 33750305629 scopus 로고    scopus 로고
    • Educating anesthesiology residents to perform percutaneous cricothyrotomy, retrograde intubation, and fiberoptic bronchoscopy using preserved cadavers
    • A structured program to organize and teach advanced airway rescue techniques
    • Hatton KW, Price S, Craig L, Grider JS. Educating anesthesiology residents to perform percutaneous cricothyrotomy, retrograde intubation, and fiberoptic bronchoscopy using preserved cadavers. Anesth Analg 2006; 103:1205-1208. A structured program to organize and teach advanced airway rescue techniques.
    • (2006) Anesth Analg , vol.103 , pp. 1205-1208
    • Hatton, K.W.1    Price, S.2    Craig, L.3    Grider, J.S.4
  • 35
    • 33745018618 scopus 로고    scopus 로고
    • Learning and performance of tracheal intubation by novice personnel: A comparison of the Airtraq and Macintosh laryngoscope
    • Maharaj CH, Costello JF, Higgins BD, et al. Learning and performance of tracheal intubation by novice personnel: a comparison of the Airtraq and Macintosh laryngoscope. Anaesthesia 2006; 61:671-677.
    • (2006) Anaesthesia , vol.61 , pp. 671-677
    • Maharaj, C.H.1    Costello, J.F.2    Higgins, B.D.3
  • 36
    • 29644441893 scopus 로고    scopus 로고
    • Safety culture and crisis resource management in airway management: General principles to enhance patient safety in critical airway situations. Best practice and research
    • Rall M, Dieckmann P. Safety culture and crisis resource management in airway management: general principles to enhance patient safety in critical airway situations. Best practice and research. Clin Anaesthesiology 2005; 19:539-557.
    • (2005) Clin Anaesthesiology , vol.19 , pp. 539-557
    • Rall, M.1    Dieckmann, P.2
  • 37
    • 23944495406 scopus 로고    scopus 로고
    • Human patient simulation is effective for teaching paramedic students endotracheal intubation
    • Hall RE, Plant JR, Bands CJ, et al. Human patient simulation is effective for teaching paramedic students endotracheal intubation. Acad Emerg Med 2005; 12:850-855.
    • (2005) Acad Emerg Med , vol.12 , pp. 850-855
    • Hall, R.E.1    Plant, J.R.2    Bands, C.J.3
  • 38
    • 19944374102 scopus 로고    scopus 로고
    • Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department
    • Kozer E, Seto W, Verjee Z, Parshuram C, et al. Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department. Br Med J 2004; 329:1321.
    • (2004) Br Med J , vol.329 , pp. 1321
    • Kozer, E.1    Seto, W.2    Verjee, Z.3    Parshuram, C.4
  • 39
    • 33751064404 scopus 로고    scopus 로고
    • An organizational approach to understanding patient safety and medical errors
    • A balanced review and explanation of the how to approach patient safety and medical errors
    • Kaissi A. An organizational approach to understanding patient safety and medical errors. Healthcare Manager 2006; 25:292-305. A balanced review and explanation of the how to approach patient safety and medical errors.
    • (2006) Healthcare Manager , vol.25 , pp. 292-305
    • Kaissi, A.1
  • 40
    • 0037224537 scopus 로고    scopus 로고
    • Patient safety: A curriculum for teaching patient safety in emergency medicine
    • Cosby KS, Croskerry P. Patient safety: a curriculum for teaching patient safety in emergency medicine. Acad Emerg Med 2003; 10:69-78.
    • (2003) Acad Emerg Med , vol.10 , pp. 69-78
    • Cosby, K.S.1    Croskerry, P.2
  • 41
    • 0041853567 scopus 로고    scopus 로고
    • The importance of cognitive errors in diagnosis and strategies to minimize them
    • Croskerry P. The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Med 2003; 78:775-780.
    • (2003) Acad Med , vol.78 , pp. 775-780
    • Croskerry, P.1
  • 42
    • 9644279584 scopus 로고    scopus 로고
    • Profiles in patient safety: Authority gradients in medical error
    • Cosby KS, Croskerry P. Profiles in patient safety: authority gradients in medical error. Acad Emerg Med 2004; 11:1341-1345.
    • (2004) Acad Emerg Med , vol.11 , pp. 1341-1345
    • Cosby, K.S.1    Croskerry, P.2
  • 43
    • 0345689617 scopus 로고    scopus 로고
    • A framework for classifying factors that contribute to error in the emergency department
    • Cosby KS. A framework for classifying factors that contribute to error in the emergency department. Ann Emerg Med 2003; 42:815-823.
    • (2003) Ann Emerg Med , vol.42 , pp. 815-823
    • Cosby, K.S.1
  • 44
    • 33846029815 scopus 로고    scopus 로고
    • Emergency departments in crisis: Implications for accessibility, quality, and safety
    • A short paper dealing with quality and safety in the emergency department
    • Clancy CM. Emergency departments in crisis: implications for accessibility, quality, and safety. Am J Med Qual 2007; 22:59-62. A short paper dealing with quality and safety in the emergency department.
    • (2007) Am J Med Qual , vol.22 , pp. 59-62
    • Clancy, C.M.1
  • 45
    • 33751070595 scopus 로고    scopus 로고
    • Improving safety management in healthcare organizations
    • Addresses key concerns regarding today's problems in hospital safety
    • Arnold E, Pulich M. Improving safety management in healthcare organizations. Healthcare Manager 2006; 25:321-326. Addresses key concerns regarding today's problems in hospital safety.
    • (2006) Healthcare Manager , vol.25 , pp. 321-326
    • Arnold, E.1    Pulich, M.2
  • 46
    • 33750800562 scopus 로고    scopus 로고
    • Learning from litigation. The role of claims analysis in patient safety
    • Explanation of the key elements to learn from litigation
    • Vincent C, Davy C, Esmail A, et al. Learning from litigation. The role of claims analysis in patient safety. J Eval Clin Pract 2006; 12:665-674. Explanation of the key elements to learn from litigation.
    • (2006) J Eval Clin Pract , vol.12 , pp. 665-674
    • Vincent, C.1    Davy, C.2    Esmail, A.3
  • 47
    • 33751310780 scopus 로고    scopus 로고
    • Trends in anesthesia-related death and brain damage: A closed claims analysis
    • Another excellent review in the long list of closed claim publications
    • Cheney FW, Posner KL, Lee LA, et al. Trends in anesthesia-related death and brain damage: A closed claims analysis. Anesthesiology 2006; 105:1081-1086. Another excellent review in the long list of closed claim publications.
    • (2006) Anesthesiology , vol.105 , pp. 1081-1086
    • Cheney, F.W.1    Posner, K.L.2    Lee, L.A.3
  • 48
    • 33745887793 scopus 로고    scopus 로고
    • Closed claims review of anesthesia for procedures outside the operating room
    • Excellent overview of potential risk sinkholes outside the operating room
    • Robbertze R, Posner KL, Domino KB. Closed claims review of anesthesia for procedures outside the operating room. Curr Opin Anaesthesiol 2006; 19:436-442. Excellent overview of potential risk sinkholes outside the operating room.
    • (2006) Curr Opin Anaesthesiol , vol.19 , pp. 436-442
    • Robbertze, R.1    Posner, K.L.2    Domino, K.B.3
  • 49
    • 33644963774 scopus 로고    scopus 로고
    • Injury and liability associated with monitored anesthesia care: A closed claims analysis
    • Another excellent review in the long list of closed claim publications
    • Bhananker SM, Posner KL, Cheney FW, et al. Injury and liability associated with monitored anesthesia care: a closed claims analysis. Anesthesiology 2006; 104:228-234. Another excellent review in the long list of closed claim publications.
    • (2006) Anesthesiology , vol.104 , pp. 228-234
    • Bhananker, S.M.1    Posner, K.L.2    Cheney, F.W.3
  • 50
    • 0037406762 scopus 로고    scopus 로고
    • Practice guidelines for the management of the difficult airway: An updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway
    • American Society of Anesthesiologists Task Force on Management of the Difficult Airway
    • American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for the management of the difficult airway: An updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2003; 98:1269-1277.
    • (2003) Anesthesiology , vol.98 , pp. 1269-1277
  • 51
    • 0031810482 scopus 로고    scopus 로고
    • Unplanned tracheal extubation outside the operating room: A quality improvement audit of hemodynamic and tracheal airway complications associated with emergency tracheal reintubation
    • Mort TC. Unplanned tracheal extubation outside the operating room: a quality improvement audit of hemodynamic and tracheal airway complications associated with emergency tracheal reintubation. Anesth Analg 1998; 86:1171-1176.
    • (1998) Anesth Analg , vol.86 , pp. 1171-1176
    • Mort, T.C.1
  • 52
    • 0028868095 scopus 로고    scopus 로고
    • Schwartz DE, Matthay MA, Cohen N. Death and other complications of emergency airway management in critically ill adults: a prospective investigation of 297 tracheal intubations. Anesthesiology 1995; 82:367-376.
    • Schwartz DE, Matthay MA, Cohen N. Death and other complications of emergency airway management in critically ill adults: a prospective investigation of 297 tracheal intubations. Anesthesiology 1995; 82:367-376.
  • 53
    • 3242753402 scopus 로고    scopus 로고
    • Emergency tracheal intubation: Complications associated with repeated laryngoscopic attempts
    • Mort TC. Emergency tracheal intubation: complications associated with repeated laryngoscopic attempts. Anesth Analg 2004; 99:607-613.
    • (2004) Anesth Analg , vol.99 , pp. 607-613
    • Mort, T.C.1
  • 54
    • 10044242511 scopus 로고    scopus 로고
    • The incidence and risk factors for cardiac arrest during emergency tracheal intubation: A justification for incorporating the ASA Guidelines in the remote location
    • Mort TC. The incidence and risk factors for cardiac arrest during emergency tracheal intubation: A justification for incorporating the ASA Guidelines in the remote location. J Clin Anesth 2004; 16:508-516.
    • (2004) J Clin Anesth , vol.16 , pp. 508-516
    • Mort, T.C.1
  • 55
    • 85052172769 scopus 로고    scopus 로고
    • The Importance of a laryngoscopy strategy and optimal conditions in emergency intubation
    • Mort TC. The Importance of a laryngoscopy strategy and optimal conditions in emergency intubation. Anesth Analg 2005; 100:899-900.
    • (2005) Anesth Analg , vol.100 , pp. 899-900
    • Mort, T.C.1
  • 56
    • 33747203776 scopus 로고    scopus 로고
    • Further lessons from the TGN1412 tragedy
    • An excellent nonmedical review of human and system errors
    • Goodyear MDE. Further lessons from the TGN1412 tragedy. Br Med J 2006; 333:270-271. An excellent nonmedical review of human and system errors.
    • (2006) Br Med J , vol.333 , pp. 270-271
    • Goodyear, M.D.E.1
  • 57
    • 18744377700 scopus 로고    scopus 로고
    • Building a framework for trust: Critical event analysis of deaths in surgical care
    • Thompson AM, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. Br Med J 2005; 330:1139-1142.
    • (2005) Br Med J , vol.330 , pp. 1139-1142
    • Thompson, A.M.1    Stonebridge, P.A.2
  • 58
    • 25144484380 scopus 로고    scopus 로고
    • Ethical issues in patient safety
    • Leape LL. Ethical issues in patient safety. Thorac Surg Clin 2005; 15:493-501.
    • (2005) Thorac Surg Clin , vol.15 , pp. 493-501
    • Leape, L.L.1
  • 59
    • 34447329193 scopus 로고    scopus 로고
    • When good doctors go bad: A systems problem
    • Dr Leape is one of the country's premier advocates for patient safety
    • Leape LL. When good doctors go bad: a systems problem. Ann Surg 2006; 244:649-652. Dr Leape is one of the country's premier advocates for patient safety.
    • (2006) Ann Surg , vol.244 , pp. 649-652
    • Leape, L.L.1
  • 60
    • 18644383685 scopus 로고    scopus 로고
    • Five years after To Err Is Human: What have we learned?
    • Leape LL, Berwick DM. Five years after To Err Is Human: what have we learned? J Am Med Assoc 2005; 293:2384-2390.
    • (2005) J Am Med Assoc , vol.293 , pp. 2384-2390
    • Leape, L.L.1    Berwick, D.M.2
  • 61
    • 17744377635 scopus 로고    scopus 로고
    • The impact of organizational practices on safety in manufacturing: A review and reappraisal
    • Wilson-Donnelly KA, Priest HA, Salas E, Burke CS. The impact of organizational practices on safety in manufacturing: A review and reappraisal. Hum Factors Ergon Manuf 2005; 15:133-176.
    • (2005) Hum Factors Ergon Manuf , vol.15 , pp. 133-176
    • Wilson-Donnelly, K.A.1    Priest, H.A.2    Salas, E.3    Burke, C.S.4
  • 63
    • 0034681819 scopus 로고    scopus 로고
    • Human error: Models and management
    • Reason J. Human error: models and management. Br Med J 2000; 320:768-770.
    • (2000) Br Med J , vol.320 , pp. 768-770
    • Reason, J.1
  • 64
    • 34447334974 scopus 로고    scopus 로고
    • Reason J. Human Error. New York: Cambridge University Press; 1990. pp. 15-45.
    • Reason J. Human Error. New York: Cambridge University Press; 1990. pp. 15-45.
  • 65
    • 33745206679 scopus 로고    scopus 로고
    • Persistence of unsafe practice in everyday work: An exploration of organizational and psychological factors constraining safety in the operating room
    • A very good review of operating room safety with suggestions on how and why we should confront them
    • Espin S, Lingard L, Baker GR, Regehr G. Persistence of unsafe practice in everyday work: an exploration of organizational and psychological factors constraining safety in the operating room. Qual Saf Heath Care 2006; 15:165-170. A very good review of operating room safety with suggestions on how and why we should confront them.
    • (2006) Qual Saf Heath Care , vol.15 , pp. 165-170
    • Espin, S.1    Lingard, L.2    Baker, G.R.3    Regehr, G.4
  • 66
    • 0038504129 scopus 로고    scopus 로고
    • Taking responsibility for closing the holes
    • Reinertsen JL. Taking responsibility for closing the holes. Healthc Pap 2001; 2:44-47.
    • (2001) Healthc Pap , vol.2 , pp. 44-47
    • Reinertsen, J.L.1
  • 67
    • 0034756823 scopus 로고    scopus 로고
    • A Human error approach to aviation accident analysis: The human factors analysis and classification system
    • Wiegmann DA, Shappell SA. A Human error approach to aviation accident analysis: the human factors analysis and classification system. Aviat Space Environ Med 2001; 72:1006-1016.
    • (2001) Aviat Space Environ Med , vol.72 , pp. 1006-1016
    • Wiegmann, D.A.1    Shappell, S.A.2
  • 68
    • 0346505280 scopus 로고    scopus 로고
    • Present initiatives and future directions: How best to serve our patients and members - North American Spine Society Presidential Address, San Diego, CA
    • Wong D. Present initiatives and future directions: how best to serve our patients and members - North American Spine Society Presidential Address, San Diego, CA. Spine J 2006; 4:8-14.
    • (2006) Spine J , vol.4 , pp. 8-14
    • Wong, D.1
  • 69
    • 33947315166 scopus 로고    scopus 로고
    • Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room
    • A very good paper explaining human and system difficulties in the specialty operating room
    • ElBardissi AW, Wiegmann DA, Dearani JA, et al. Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room. Ann Thorac Sureg 2007; 83:1412-1418. A very good paper explaining human and system difficulties in the specialty operating room.
    • (2007) Ann Thorac Sureg , vol.83 , pp. 1412-1418
    • ElBardissi, A.W.1    Wiegmann, D.A.2    Dearani, J.A.3
  • 70
    • 34447322946 scopus 로고    scopus 로고
    • Schuman S, editor. Creating a Culture of Collaboration. San Francisco: Jossey-Bass; 2006. pp. 435-449. An excellent review of collaboration: how to set it up and implement a program of change.
    • Schuman S, editor. Creating a Culture of Collaboration. San Francisco: Jossey-Bass; 2006. pp. 435-449. An excellent review of collaboration: how to set it up and implement a program of change.


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.