-
1
-
-
77952359694
-
Patient safety at ten: Unmistakable progress, troubling gaps
-
Wachter RM. Patient safety at ten: unmistakable progress, troubling gaps. Health Aff (Millwood) 2010;29:165-73
-
(2010)
Health Aff (Millwood)
, vol.29
, pp. 165-173
-
-
Wachter, R.M.1
-
4
-
-
76249085206
-
The Society of Cardiovascular Anesthesiologists' FOCUS initiative: Locating Errors through Networked Surveillance (LENS) project vision
-
Martinez EA, Marsteller JA, Thompson DA, Gurses AP, Goeschel CA, Lubomski LH, Kim GR, Bauer L, Pronovost PJ. The Society of Cardiovascular Anesthesiologists' FOCUS initiative: Locating Errors through Networked Surveillance (LENS) project vision. Anesth Analg 2010;110:307-11
-
(2010)
Anesth Analg
, vol.110
, pp. 307-311
-
-
Martinez, E.A.1
Marsteller, J.A.2
Thompson, D.A.3
Gurses, A.P.4
Goeschel, C.A.5
Lubomski, L.H.6
Kim, G.R.7
Bauer, L.8
Pronovost, P.J.9
-
5
-
-
0003525850
-
-
Institute of Medicine (U.S.), Committee on Quality of Health Care in America Washington, DC: National Academy Press
-
Institute of Medicine (U.S.), Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press, 2001
-
(2001)
Crossing the Quality Chasm: A New Health System for the 21st Century
-
-
-
6
-
-
59849129414
-
Framework for patient safety research and improvement
-
Pronovost PJ, Goeschel CA, Marsteller JA, Sexton JB, Pham JC, Berenholtz SM. Framework for patient safety research and improvement. Circulation 2009;119:330-7
-
(2009)
Circulation
, vol.119
, pp. 330-337
-
-
Pronovost, P.J.1
Goeschel, C.A.2
Marsteller, J.A.3
Sexton, J.B.4
Pham, J.C.5
Berenholtz, S.M.6
-
7
-
-
33845726092
-
Work system design for patient safety: The SEIPS model
-
DOI 10.1136/qshc.2005.015842
-
Carayon P, Schoofs Hundt A, Karsh BT, Gurses AP, Alvarado CJ, Smith M, Flatley BP. Work system design for patient safety: the SEIPS model. Qual Saf Health Care 2006;15(Suppl 1):i50-8 (Pubitemid 46009830)
-
(2006)
Quality and Safety in Health Care
, vol.15
, Issue.SUPPL. 1
-
-
Carayon, P.1
Schoofs Hundt, A.2
Karsh, B.-T.3
Gurses, A.P.4
Alvarado, C.J.5
Smith, M.6
Brennan, P.F.7
-
8
-
-
34548363923
-
Distributed cognition in the heart room: How situation awareness arises from coordinated communications during cardiac surgery
-
DOI 10.1016/j.jbi.2007.02.001, PII S1532046407000081
-
Hazlehurst B, McMullen CK, Gorman PN. Distributed cognition in the heart room: how situation awareness arises from coordinated communications during cardiac surgery. J Biomed Informatics 2007;40:539-51 (Pubitemid 47337074)
-
(2007)
Journal of Biomedical Informatics
, vol.40
, Issue.5
, pp. 539-551
-
-
Hazlehurst, B.1
McMullen, C.K.2
Gorman, P.N.3
-
9
-
-
33845806439
-
A human factors engineering paradigm for patient safety: Designing to support the performance of the healthcare professional
-
DOI 10.1136/qshc.2005.015974
-
Karsh BT, Holden RJ, Alper SJ, Or CK. A human factors engineering paradigm for patient safety: designing to support the performance of the healthcare professional. Qual Saf Health Care 2006;15(Suppl 1):i59-65 (Pubitemid 46009831)
-
(2006)
Quality and Safety in Health Care
, vol.15
, Issue.SUPPL. 1
-
-
Karsh, B.-T.1
Holden, R.J.2
Alper, S.J.3
Or, C.K.L.4
-
10
-
-
58249086163
-
Where is the suction tip?
-
730
-
Where is the suction tip? Aorn J;2008;88:876, 730
-
(2008)
Aorn J
, vol.88
, pp. 876
-
-
-
11
-
-
33645289970
-
A different intracardiac mass: Retained sponge
-
Imren Y, Tasoglu I, Ozkose Z. A different intracardiac mass: retained sponge. Echocardiography 2006;23:322-3
-
(2006)
Echocardiography
, vol.23
, pp. 322-323
-
-
Imren, Y.1
Tasoglu, I.2
Ozkose, Z.3
-
12
-
-
1942454769
-
An unexpected unsuccessful weaning from cardiopulmonary bypass
-
DOI 10.1053/j.jvca.2004.01.005
-
Via G, Maurelli M. An unexpected unsuccessful weaning from cardiopulmonary bypass. J Cardiothorac Vasc Anesth 2004;18: 242-4 (Pubitemid 38506878)
-
(2004)
Journal of Cardiothoracic and Vascular Anesthesia
, vol.18
, Issue.2
, pp. 242-244
-
-
Via, G.1
Maurelli, M.2
-
13
-
-
37549030914
-
Managing the prevention of retained surgical instruments: What is the value of counting?
-
Egorova NN, Moskowitz A, Gelijns A, Weinberg A, Curty J, Rabin-Fastman B, Kaplan H, Cooper M, Fowler D, Emond JC, Greco G. Managing the prevention of retained surgical instruments: what is the value of counting? Ann Surg 2008;247:13-8
-
(2008)
Ann Surg
, vol.247
, pp. 13-18
-
-
Egorova, N.N.1
Moskowitz, A.2
Gelijns, A.3
Weinberg, A.4
Curty, J.5
Rabin-Fastman, B.6
Kaplan, H.7
Cooper, M.8
Fowler, D.9
Emond, J.C.10
Greco, G.11
-
14
-
-
0037391268
-
Human factors engineering design demonstrations can enlighten your RCA team
-
Gosbee J, Anderson T. Human factors engineering design demonstrations can enlighten your RCA team. Qual Saf Health Care 2003;12:119-21 (Pubitemid 36458148)
-
(2003)
Quality and Safety in Health Care
, vol.12
, Issue.2
, pp. 119-121
-
-
Gosbee, J.1
Anderson, T.2
-
15
-
-
18744367221
-
Malposition of internal jugular catheter into internal mammarian vein in coronary artery bypass grafting [6]
-
DOI 10.1017/S0265021505260672
-
Kanbak M, Karagoz AH, Oc M, Ucar I, Celebioglu B, Dogan R. Malposition of internal jugular catheter into internal mammarian vein in coronary artery bypass grafting. Eur J Anaesthesiol 2005;22:399-400 (Pubitemid 40676802)
-
(2005)
European Journal of Anaesthesiology
, vol.22
, Issue.5
, pp. 399-400
-
-
Kanbak, M.1
Karagoz, A.H.2
Oc, M.3
Ucar, I.4
Celebioglu, B.5
Dogan, R.6
-
16
-
-
33845608748
-
Acute cerebellar stroke after inadvertent cannulation and pulmonary artery catheter placement in the right vertebral artery [67]
-
DOI 10.1213/01.ane.0000246281.32826.e1, PII 0000053920061200000115
-
Arthur ME, Castresana MR, Paschal JW, Patel VS. Acute cerebellar stroke after inadvertent cannulation and pulmonary artery catheter placement in the right vertebral artery [67]. Anesth Analg 2006;103:1625-6 (Pubitemid 44949299)
-
(2006)
Anesthesia and Analgesia
, vol.103
, Issue.6
, pp. 1625-1626
-
-
Arthur, M.E.1
Castresana, M.R.2
Paschal, J.W.3
Patel, V.S.4
-
17
-
-
0042848778
-
Pulmonary artery catheter sutured to pulmonary artery trunk during cardiac surgery [9]
-
Hosoya M, Inomata S, Sukegawa I, Saito S, Toyooka H. Pulmonary artery catheter sutured to pulmonary artery trunk during cardiac surgery. Anesth Analg 2003;97:606-7 (Pubitemid 36899781)
-
(2003)
Anesthesia and Analgesia
, vol.97
, Issue.2
, pp. 606-607
-
-
Hosoya, M.1
Inomata, S.2
Sukegawa, I.3
Saito, S.4
Toyooka, H.5
-
18
-
-
0030806922
-
Ventricular perforation associated with central venous introducer- dilator systems
-
Porter JM, Page R, Wood AE, Phelan D. Ventricular perforation associated with central venous introducer- dilator systems. Can J Anaesth 1997;44:317-20 (Pubitemid 27298905)
-
(1997)
Canadian Journal of Anaesthesia
, vol.44
, Issue.3
, pp. 317-320
-
-
Porter, J.M.1
Page, R.2
Wood, A.E.3
Phelan, D.4
-
19
-
-
0029987742
-
Right ventricular perforation by a pulmonary artery catheter during coronary artery bypass surgery
-
DOI 10.1097/00000539-199605000-00040
-
Lyew MA, Bacon DR, Nesarajah MS. Right ventricular perforation by a pulmonary artery catheter during coronary artery bypass surgery. Anesth Analg 1996;82:1089-90 (Pubitemid 26131051)
-
(1996)
Anesthesia and Analgesia
, vol.82
, Issue.5
, pp. 1089-1090
-
-
Lyew, M.A.1
Bacon, D.R.2
Nesarajah, M.S.3
-
20
-
-
33646264553
-
Swan-Ganz catheter-induced severe complications in cardiac surgery: Right ventricular perforation, knotting, and rupture of a pulmonary artery
-
Bossert T, Gummert JF, Bittner HB, Barten M, Walther T, Falk V, Mohr FW. Swan-Ganz catheter-induced severe complications in cardiac surgery: right ventricular perforation, knotting, and rupture of a pulmonary artery. J Card Surg 2006;21:292-5
-
(2006)
J Card Surg
, vol.21
, pp. 292-295
-
-
Bossert, T.1
Gummert, J.F.2
Bittner, H.B.3
Barten, M.4
Walther, T.5
Falk, V.6
Mohr, F.W.7
-
21
-
-
4143146349
-
Does ultrasound-guided central line insertion reduce complications and time to placement in elective patients undergoing cardiac surgery
-
DOI 10.1016/j.icvts.2004.05.006, PII S1569929304001148
-
Espinet A, Dunning J. Does ultrasound-guided central line insertion reduce complications and time to placement in elective patients undergoing cardiac surgery? Interact Cardiovasc Thorac Surg 2004;3:523-7 (Pubitemid 39094748)
-
(2004)
Interactive Cardiovascular and Thoracic Surgery
, vol.3
, Issue.3
, pp. 523-527
-
-
Espinet, A.1
Dunning, J.2
-
22
-
-
38449098073
-
Effect of the implementation of NICE guidelines for ultrasound guidance on the complication rates associated with central venous catheter placement in patients presenting for routine surgery in a tertiary referral centre
-
DOI 10.1093/bja/aem262
-
Wigmore TJ, Smythe JF, Hacking MB, Raobaikady R, MacCallum NS. Effect of the implementation of NICE guidelines for ultrasound guidance on the complication rates associated with central venous catheter placement in patients presenting for routine surgery in a tertiary referral centre. Br J Anaesth 2007;99:662-5 (Pubitemid 351773221)
-
(2007)
British Journal of Anaesthesia
, vol.99
, Issue.5
, pp. 662-665
-
-
Wigmore, T.J.1
Smythe, J.F.2
Hacking, M.B.3
Raobaikady, R.4
MacCallum, N.S.5
-
23
-
-
9944261077
-
The Jesica Santillan tragedy: Lessons learned
-
Resnick D. The Jesica Santillan tragedy: lessons learned. Hastings Cent Rep 2003;33:15-20
-
(2003)
Hastings Cent Rep
, vol.33
, pp. 15-20
-
-
Resnick, D.1
-
24
-
-
0042198665
-
ABO mismatching errors in heart transplants [8]
-
DOI 10.1016/S0140-6736(03)13988-8
-
Terasaki PI. ABO mismatching errors in heart transplants. Lancet 2003;362:332 (Pubitemid 36936855)
-
(2003)
Lancet
, vol.362
, Issue.9380
, pp. 332
-
-
Terasaki, P.I.1
-
25
-
-
0026874623
-
Case 3-1992. General anesthesia complicated by unexpected hypertension and tachycardia
-
Reich DL, Bucek JL, Wolf NM, Klumpe DB, Cullen DJ. Case 3-1992. General anesthesia complicated by unexpected hypertension and tachycardia. J Cardiothorac Vasc Anesth 1992;6: 360-5
-
(1992)
J Cardiothorac Vasc Anesth
, vol.6
, pp. 360-365
-
-
Reich, D.L.1
Bucek, J.L.2
Wolf, N.M.3
Klumpe, D.B.4
Cullen, D.J.5
-
26
-
-
58149510133
-
Major complications related to the use of transesophageal echocardiography in cardiac surgery
-
Piercy M, McNicol L, Dinh DT, Story DA, Smith JA. Major complications related to the use of transesophageal echocardiography in cardiac surgery. J Cardiothorac Vasc Anesth 2009;23:62-5
-
(2009)
J Cardiothorac Vasc Anesth
, vol.23
, pp. 62-65
-
-
Piercy, M.1
McNicol, L.2
Dinh, D.T.3
Story, D.A.4
Smith, J.A.5
-
27
-
-
0036298758
-
Acute oxygen desaturation and right heart dysfunction secondary to transesophageal echocardiography-induced malpositioning of the endotracheal tube [9]
-
Ziegeler S, Pulido MA, Hirsch D. Acute oxygen desaturation and right heart dysfunction secondary to transesophageal echocardiography-induced malpositioning of the endotracheal tube. Anesth Analg 2002;95:255-6 (Pubitemid 34705598)
-
(2002)
Anesthesia and Analgesia
, vol.95
, Issue.1
, pp. 255-256
-
-
Ziegeler, S.1
Pulido, M.A.2
Hirsch, D.3
-
28
-
-
0035033332
-
The safety of intraoperative transesophageal echocardiography: A case series of 7200 cardiac surgical patients
-
Kallmeyer IJ, Collard CD, Fox JA, Body SC, Shernan SK. The safety of intraoperative transesophageal echocardiography: a case series of 7200 cardiac surgical patients. Anesth Analg 2001;92:1126-30 (Pubitemid 32385929)
-
(2001)
Anesthesia and Analgesia
, vol.92
, Issue.5
, pp. 1126-1130
-
-
Kallmeyer, I.J.1
Collard, C.D.2
Fox, J.A.3
Body, S.C.4
Shernan, S.K.5
-
29
-
-
33846860879
-
Complications of intraoperative transesophageal echocardiography in adult cardiac surgical patients-experience of two institutions in Taiwan
-
Huang CH, Lu CW, Lin TY, Cheng YJ, Wang MJ. Complications of intraoperative transesophageal echocardiography in adult cardiac surgical patients-experience of two institutions in Taiwan. J Formos Med Assoc 2007;106:92-5
-
(2007)
J Formos Med Assoc
, vol.106
, pp. 92-95
-
-
Huang, C.H.1
Lu, C.W.2
Lin, T.Y.3
Cheng, Y.J.4
Wang, M.J.5
-
30
-
-
3042615686
-
Late presentation of esophageal injury after transesophageal echocardiography
-
MacGregor DA, Zvara DA, Treadway RM Jr, Ibdah JA, Maloney JD, Kon ND, Riley RD. Late presentation of esophageal injury after transesophageal echocardiography. Anesth Analg 2004;99:41-4 (Pubitemid 38808161)
-
(2004)
Anesthesia and Analgesia
, vol.99
, Issue.1
, pp. 41-44
-
-
MacGregor, D.A.1
Zvara, D.A.2
Treadway Jr., R.M.3
Ibdah, J.A.4
Maloney, J.D.5
Kon, N.D.6
Riley, R.D.7
-
31
-
-
17444428610
-
Transesophageal echocardiography-related gastrointestinal complications in cardiac surgical patients
-
DOI 10.1053/j.jvca.2005.01.020
-
Lennon MJ, Gibbs NM, Weightman WM, Leber J, Ee HC, Yusoff IF. Transesophageal echocardiography-related gastrointestinal complications in cardiac surgical patients. J Cardiothorac Vasc Anesth 2005;19:141-5 (Pubitemid 40544439)
-
(2005)
Journal of Cardiothoracic and Vascular Anesthesia
, vol.19
, Issue.2
, pp. 141-145
-
-
Lennon, M.J.1
Gibbs, N.M.2
Weightman, W.M.3
Leber, J.4
Ee, H.C.5
Yusoff, I.F.6
-
32
-
-
38449121502
-
Survey: Retrospective survey of monitoring/safety devices and incidents of cardiopulmonary bypass for cardiac surgery in France
-
Charriere JM, Pelissie J, Verd C, Leger P, Pouard P, De Riberolles C, Menestret P, Hittinger MC, Longrois D. Survey: retrospective survey of monitoring/safety devices and incidents of cardiopulmonary bypass for cardiac surgery in France. J Extra-Corporeal Technol 2007;39:142-57 (Pubitemid 351506708)
-
(2007)
Journal of Extra-Corporeal Technology
, vol.39
, Issue.3
, pp. 142-157
-
-
Charriere, J.-M.1
Pelissie, J.2
Verd, C.3
Leger, P.4
Pouard, P.5
De Riberolles, C.6
Menestret, P.7
Hittinger, M.-C.8
Longrois, D.9
-
33
-
-
0034982843
-
An update on perfusion safety: Does the type of perfusion practice affect the rate of incidents related to cardiopulmonary bypass?
-
Stammers AH, Mejak BL. An update on perfusion safety: does the type of perfusion practice affect the rate of incidents related to cardiopulmonary bypass? Perfusion 2001;16:189-98 (Pubitemid 32519803)
-
(2001)
Perfusion
, vol.16
, Issue.3
, pp. 189-198
-
-
Stammers, A.H.1
Mejak, B.L.2
-
34
-
-
0033969728
-
A retrospective study on perfusion incidents and safety devices
-
Mejak BL, Stammers A, Rauch E, Vang S, Viessman T. A retrospective study on perfusion incidents and safety devices. Perfusion 2000;15:51-61 (Pubitemid 30064116)
-
(2000)
Perfusion
, vol.15
, Issue.1
, pp. 51-61
-
-
Mejak, B.L.1
Stammers, A.2
Rauch, E.3
Vang, S.4
Viessman, T.5
-
35
-
-
0036146254
-
Carbon dioxide embolism during minimally invasive vein harvesting
-
DOI 10.1016/S0003-4975(01)02855-7, PII S0003497501028557
-
Banks TA, Manetta F, Glick M, Graver LM. Carbon dioxide embolism during minimally invasive vein harvesting. Ann Thorac Surg 2002;73:296-7 (Pubitemid 34084587)
-
(2002)
Annals of Thoracic Surgery
, vol.73
, Issue.1
, pp. 296-297
-
-
Banks, T.A.1
Manetta, F.2
Glick, M.3
Graver, L.M.4
-
37
-
-
0032887154
-
Carbon dioxide embolism during endoscopic saphenectomy for coronary artery bypass surgery
-
DOI 10.1016/S0022-5223(99)70196-0
-
Chavanon O, Tremblay I, Delay D, Bouveret A, Blain R, Perrault LP. Carbon dioxide embolism during endoscopic saphenectomy for coronary artery bypass surgery. J Thorac Cardiovasc Surg 1999;118:557-8 (Pubitemid 29426660)
-
(1999)
Journal of Thoracic and Cardiovascular Surgery
, vol.118
, Issue.3
, pp. 557-558
-
-
Chavanon, O.1
Tremblay, I.2
Delay, D.3
Bouveret, A.4
Blain, R.5
Perrault, L.P.6
-
38
-
-
0346434093
-
Carbon dioxide embolism during endoscopic saphenous vein harvesting in coronary artery bypass surgery
-
Lin TY, Chiu KM, Wang MJ, Chu SH. Carbon dioxide embolism during endoscopic saphenous vein harvesting in coronary artery bypass surgery. J Thorac Cardiovasc Surg 2003;126:2011-5
-
(2003)
J Thorac Cardiovasc Surg
, vol.126
, pp. 2011-2015
-
-
Lin, T.Y.1
Chiu, K.M.2
Wang, M.J.3
Chu, S.H.4
-
39
-
-
50049099356
-
Coronary air embolism in off-pump surgery caused by blower-mister device
-
Korkmaz AA, Guden M, Korkmaz F, Yuce M. Coronary air embolism in off-pump surgery caused by blower-mister device. J Card Surg 2008;23:583-5
-
(2008)
J Card Surg
, vol.23
, pp. 583-585
-
-
Korkmaz, A.A.1
Guden, M.2
Korkmaz, F.3
Yuce, M.4
-
40
-
-
33644977994
-
Prospective assessment of intraoperative precursor events during cardiac surgery
-
Wong DR, Vander Salm TJ, Ali IS, Agnihotri AK, Bohmer RM, Torchiana DF. Prospective assessment of intraoperative precursor events during cardiac surgery. Eur J Cardiothorac Surg 2006;29:447-55
-
(2006)
Eur J Cardiothorac Surg
, vol.29
, pp. 447-455
-
-
Wong, D.R.1
Vander Salm, T.J.2
Ali, I.S.3
Agnihotri, A.K.4
Bohmer, R.M.5
Torchiana, D.F.6
-
41
-
-
34249802932
-
Impact of cardiac intraoperative precursor events on adverse outcomes
-
DOI 10.1016/j.surg.2007.01.017, PII S0039606007001031
-
Wong DR, Torchiana DF, Vander Salm TJ, Agnihotri AK, Bohmer RM, Ali IS. Impact of cardiac intraoperative precursor events on adverse outcomes. Surgery 2007;141:715-22 (Pubitemid 46856574)
-
(2007)
Surgery
, vol.141
, Issue.6
, pp. 715-722
-
-
Wong, D.R.1
Torchiana, D.F.2
Vander Salm, T.J.3
Agnihotri, A.K.4
Bohmer, R.M.J.5
Ali, I.S.6
-
42
-
-
58349107915
-
Learning in a new cardiac surgical center: An analysis of precursor events
-
Wong DR, Ali IS, Torchiana DF, Agnihotri AK, Bohmer RM, Vander Salm TJ. Learning in a new cardiac surgical center: an analysis of precursor events. Surgery 2009;145:131-7
-
(2009)
Surgery
, vol.145
, pp. 131-137
-
-
Wong, D.R.1
Ali, I.S.2
Torchiana, D.F.3
Agnihotri, A.K.4
Bohmer, R.M.5
Vander Salm, T.J.6
-
43
-
-
36348959689
-
Dynamic modelling in a study of surgical error management
-
DOI 10.1002/sim.2886
-
Solis-Trapala IL, Carthey J, Farewell Vt, de Leval MR. Dynamic modelling in a study of surgical error management. Stat Med 2007;26:5189-202 (Pubitemid 350148475)
-
(2007)
Statistics in Medicine
, vol.26
, Issue.28
, pp. 5189-5202
-
-
Solis-Trapala, I.L.1
Carthey, J.2
Farewell, V.T.3
De Leval, M.R.4
-
44
-
-
0034130037
-
Human factors and cardiac surgery: A multicenter study
-
de Leval MR, Carthey J, Wright DJ, Farewell Vt, Reason JT. Human factors and cardiac surgery: a multicenter study. J Thorac Cardiovasc Surg 2000;119:661-72 (Pubitemid 30395463)
-
(2000)
Journal of Thoracic and Cardiovascular Surgery
, vol.119
, Issue.4
, pp. 661-672
-
-
De Leval, M.R.1
Carthey, J.2
Wright, D.J.3
Farewell, V.T.4
Reason, J.T.5
-
45
-
-
33947315166
-
Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room
-
ElBardissi AW, Wiegmann DA, Dearani JA, Daly RC, Sundt TM3rd. Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room. Ann Thorac Surg 2007;83:1412-8
-
(2007)
Ann Thorac Surg
, vol.83
, pp. 1412-1418
-
-
Elbardissi, A.W.1
Wiegmann, D.A.2
Dearani, J.A.3
Daly, R.C.4
Sundt III, T.M.5
-
46
-
-
35548959092
-
Disruptions in surgical flow and their relationship to surgical errors: An exploratory investigation
-
DOI 10.1016/j.surg.2007.07.034, PII S0039606007005168
-
Wiegmann DA, ElBardissi AW, Dearani JA, Daly RC, Sundt TM 3rd. Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Surgery 2007;142:658-65 (Pubitemid 350018854)
-
(2007)
Surgery
, vol.142
, Issue.5
, pp. 658-665
-
-
Wiegmann, D.A.1
ElBardissi, A.W.2
Dearani, J.A.3
Daly, R.C.4
Sundt III, T.M.5
-
47
-
-
54949122952
-
Identifying methods to improve heart surgery: An operative approach and strategy for implementation on an organizational level
-
ElBardissi AW, Wiegmann DA, Henrickson S, Wadhera R, Sundt ITM. Identifying methods to improve heart surgery: an operative approach and strategy for implementation on an organizational level. Eur J Cardiothorac Surg 2008;34:1027-33
-
(2008)
Eur J Cardiothorac Surg
, vol.34
, pp. 1027-1033
-
-
Elbardissi, A.W.1
Wiegmann, D.A.2
Henrickson, S.3
Wadhera, R.4
Sundt, I.T.M.5
-
48
-
-
33744793802
-
Identification of systems failures in successful paediatric cardiac surgery
-
DOI 10.1080/00140130600568865, PII H78731311141561, Patient Safety
-
Catchpole KR, Giddings AE, de Leval MR, Peek GJ, Godden PJ, Utley M, Gallivan S, Hirst G, Dale T. Identification of systems failures in successful paediatric cardiac surgery. Ergonomics 2006;49:567-88 (Pubitemid 43832379)
-
(2006)
Ergonomics
, vol.49
, Issue.5-6
, pp. 567-588
-
-
Catchpole, K.R.1
Giddings, A.E.B.2
De Leval, M.R.3
Peek, G.J.4
Godden, P.J.5
Utley, M.6
Gallivan, S.7
Hirst, G.8
Dale, T.9
-
49
-
-
34447344249
-
Improving patient safety by identifying latent failures in successful operations
-
DOI 10.1016/j.surg.2007.01.033, PII S0039606007001249
-
Catchpole KR, Giddings AE, Wilkinson M, Hirst G, Dale T, de Leval MR. Improving patient safety by identifying latent failures in successful operations. Surgery 2007;142:102-10 (Pubitemid 47049644)
-
(2007)
Surgery
, vol.142
, Issue.1
, pp. 102-110
-
-
Catchpole, K.R.1
Giddings, A.E.B.2
Wilkinson, M.3
Hirst, G.4
Dale, T.5
De Leval, M.R.6
-
50
-
-
58049208282
-
A prospective observational study of human factors, adverse events, and patient outcomes in surgery for pediatric cardiac disease
-
Barach P, Johnson JK, Ahmad A, Galvan C, Bognar A, Duncan R, Starr JP, Bacha EA. A prospective observational study of human factors, adverse events, and patient outcomes in surgery for pediatric cardiac disease. J Thorac Cardiovasc Surg 2008;136:1422-8
-
(2008)
J Thorac Cardiovasc Surg
, vol.136
, pp. 1422-1428
-
-
Barach, P.1
Johnson, J.K.2
Ahmad, A.3
Galvan, C.4
Bognar, A.5
Duncan, R.6
Starr, J.P.7
Bacha, E.A.8
-
51
-
-
1242308930
-
Relationship between processes of care and coronary bypass operative mortality and morbidity
-
VA Cooperative Study group on Processes Structures and Outcomes of Care in Cardiac Surgery
-
O'Brien MM, Shroyer AL, Moritz TE, London MJ, Grunwald GK, Villanueva CB, Thottapurathu LG, MaWhinney S, Marshall G, McCarthy M Jr, Henderson WG, Sethi GK, Grover FL, Hammermeister KE, VA Cooperative Study group on Processes, Structures, and Outcomes of Care in Cardiac Surgery. Relationship between processes of care and coronary bypass operative mortality and morbidity. Med Care 2004;42:59-70
-
(2004)
Med Care
, vol.42
, pp. 59-70
-
-
O'Brien, M.M.1
Shroyer, A.L.2
Moritz, T.E.3
London, M.J.4
Grunwald, G.K.5
Villanueva, C.B.6
Thottapurathu, L.G.7
Mawhinney, S.8
Marshall, G.9
McCarthy Jr., M.10
Henderson, W.G.11
Sethi, G.K.12
Grover, F.L.13
Hammermeister, K.E.14
-
52
-
-
0036244459
-
Complications in surgical patients
-
Healey MA, Shackford SR, Osler TM, Rogers FB, Burns E. Complications in surgical patients. Arch Surg 2002; 137:611-7
-
(2002)
Arch Surg
, vol.137
, pp. 611-617
-
-
Healey, M.A.1
Shackford, S.R.2
Osler, T.M.3
Rogers, F.B.4
Burns, E.5
-
53
-
-
0026514257
-
First-time coronary artery bypass grafting: The anaesthetist as a risk factor
-
Merry AF, Ramage MC, Whitlock RM, Laycock GJ, Smith W, Stenhouse D, Wild CJ. First-time coronary artery bypass grafting: the anaesthetist as a risk factor. Br J Anaesth 1992;68:6-12
-
(1992)
Br J Anaesth
, vol.68
, pp. 6-12
-
-
Merry, A.F.1
Ramage, M.C.2
Whitlock, R.M.3
Laycock, G.J.4
Smith, W.5
Stenhouse, D.6
Wild, C.J.7
-
54
-
-
0347871272
-
A very public failure: Lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary
-
Walshe K, Offen N. A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. Qual Health Care 2001;10:250-6
-
(2001)
Qual Health Care
, vol.10
, pp. 250-256
-
-
Walshe, K.1
Offen, N.2
-
55
-
-
0035814850
-
Winnipeg inquest recommendation could leave young MDs in lurch, expert warns
-
Sibbald B. Winnipeg inquest recommendation could leave young MDs in lurch, expert warns. Cmaj 2001;164:393
-
(2001)
Cmaj
, vol.164
, pp. 393
-
-
Sibbald, B.1
-
56
-
-
39649117350
-
Does the trainee's level of experience impact on patient safety and clinical outcomes in coronary artery bypass surgery?
-
DOI 10.1111/j.1540-8191.2007.00484.x
-
Guo LR, Chu MW, Tong MZ, Fox S, Myers ML, Kiaii B, Quantz M, McKenzie FN, Novick RJ. Does the trainee's level of experience impact on patient safety and clinical outcomes in coronary artery bypass surgery? J Card Surg 2008;23:1-5 (Pubitemid 351286909)
-
(2008)
Journal of Cardiac Surgery
, vol.23
, Issue.1
, pp. 1-5
-
-
Guo, L.R.1
Chu, M.W.A.2
Tong, M.Z.Y.3
Fox, S.4
Myers, M.L.5
Kiaii, B.6
Quantz, M.7
McKenzie, F.N.8
Novick, R.J.9
-
57
-
-
0037117152
-
After Bristol: Putting patients at the centre
-
Coulter A. After Bristol: putting patients at the centre. Br Medical J 2002;324:648-51 (Pubitemid 34234970)
-
(2002)
British Medical Journal
, vol.324
, Issue.7338
, pp. 648-651
-
-
Coulter, A.1
-
58
-
-
0032562262
-
Why did 12 infants die? Winnipeg's endless inquest seeks answers
-
Sibbald B. Why did 12 infants die? Winnipeg's endless inquest seeks answers. CMAJ 1998;158:783-9 (Pubitemid 28161445)
-
(1998)
Canadian Medical Association Journal
, vol.158
, Issue.6
, pp. 783-789
-
-
Sibbald, B.1
-
60
-
-
0036637360
-
Bristol: Still posing questions
-
Fyle J, McGlynn AG. Bristol: still posing questions. RCM Midwives J 2002;5:212-3
-
(2002)
RCM Midwives J
, vol.5
, pp. 212-213
-
-
Fyle, J.1
McGlynn, A.G.2
-
61
-
-
33645062971
-
Investigating interpersonal competencies of cardiac surgery teams
-
Fleming M, Smith S, Slaunwhite J, Sullivan J. Investigating interpersonal competencies of cardiac surgery teams. Can J Surg 2006;49:22-30
-
(2006)
Can J Surg
, vol.49
, pp. 22-30
-
-
Fleming, M.1
Smith, S.2
Slaunwhite, J.3
Sullivan, J.4
-
62
-
-
40849088215
-
Errors and the burden of errors: Attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams
-
DOI 10.1016/j.athoracsur.2007.11.024, PII S0003497507023582
-
Bognar A, Barach P, Johnson JK, Duncan RC, Birnbach D, Woods D, Holl JL, Bacha EA. Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams. Ann Thorac Surg 2008;85:1374-81 (Pubitemid 351391945)
-
(2008)
Annals of Thoracic Surgery
, vol.85
, Issue.4
, pp. 1374-1381
-
-
Bognar, A.1
Barach, P.2
Johnson, J.K.3
Duncan, R.C.4
Birnbach, D.5
Woods, D.6
Holl, J.L.7
Bacha, E.A.8
-
63
-
-
40949107331
-
An observational analysis of surgical team compliance with perioperative safety practices after crew resource management training
-
DOI 10.1016/j.amjsurg.2007.04.012, PII S0002961008000238
-
France DJ, Leming-Lee S, Jackson T, Feistritzer NR, Higgins MS. An observational analysis of surgical team compliance with perioperative safety practices after crew resource management training. Am J Surg 2008;195:546-53 (Pubitemid 351417479)
-
(2008)
American Journal of Surgery
, vol.195
, Issue.4
, pp. 546-553
-
-
France, D.J.1
Leming-Lee, S.2
Jackson, T.3
Feistritzer, N.R.4
Higgins, M.S.5
-
64
-
-
34247370984
-
Patient handover from surgery to intensive care: Using formula 1 pit-stop and aviation models to improve safety and quality
-
DOI 10.1111/j.1460-9592.2006.02239.x
-
Catchpole KR, de Leval MR, McEwan A, Pigott N, Elliott MJ, McQuillan A, MacDonald C, Goldman AJ. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr Anaesth 2007;17:470-8 (Pubitemid 46633402)
-
(2007)
Paediatric Anaesthesia
, vol.17
, Issue.5
, pp. 470-478
-
-
Catchpole, K.R.1
De Leval, M.R.2
Mcewan, A.3
Pigott, N.4
Elliott, M.J.5
Mcquillan, A.6
Macdonald, C.7
Goldman, A.J.8
-
65
-
-
0035005310
-
Generation and evaluation of intraoperative inferences for automated health care briefings on patient status after bypass surgery
-
Jordan DA, McKeown KR, Concepcion KJ, Feiner SK, Hatzivassiloglou V. Generation and evaluation of intraoperative inferences for automated health care briefings on patient status after bypass surgery. J Am Med Inform Assoc 2001;8:267-80 (Pubitemid 32428754)
-
(2001)
Journal of the American Medical Informatics Association
, vol.8
, Issue.3
, pp. 267-280
-
-
Jordan, D.A.1
McKeown, K.R.2
Concepcion, K.J.3
Feiner, S.K.4
Hatzivassiloglou, V.5
-
66
-
-
0026022279
-
The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II
-
Leape LL, Brennan TA, Laird N, Lawthers AG, Localio AR, Barnes BA, Hebert L, Newhouse JP, Weiler PC, Hiatt H. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med 1991; 324:377-84
-
(1991)
N Engl J Med
, vol.324
, pp. 377-384
-
-
Leape, L.L.1
Brennan, T.A.2
Laird, N.3
Lawthers, A.G.4
Localio, A.R.5
Barnes, B.A.6
Hebert, L.7
Newhouse, J.P.8
Weiler, P.C.9
Hiatt, H.10
-
67
-
-
0025924692
-
Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study i
-
Brennan TA, Leape LL, Laird NM, Hebert L, Localio AR, Lawthers AG, Newhouse JP, Weiler PC, Hiatt HH. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. N Engl J Med 1991;324:370-6
-
(1991)
N Engl J Med
, vol.324
, pp. 370-376
-
-
Brennan, T.A.1
Leape, L.L.2
Laird, N.M.3
Hebert, L.4
Localio, A.R.5
Lawthers, A.G.6
Newhouse, J.P.7
Weiler, P.C.8
Hiatt, H.H.9
-
68
-
-
2342647455
-
Harvard medical practice study I. Incidence of adverse events and negligence in hospitalized patients: Results of the Harvard Medical Practice Study I
-
Brennan TA, Leape LL, Laird NM, Hebert L, Localio AR, Lawthers AG, Newhouse JP, Weiler PC, Hiatt HH, 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;13:145-51
-
(1991)
Qual Saf Health Care
, vol.13
, pp. 145-151
-
-
Brennan, T.A.1
Leape, L.L.2
Laird, N.M.3
Hebert, L.4
Localio, A.R.5
Lawthers, A.G.6
Newhouse, J.P.7
Weiler, P.C.8
Hiatt, H.H.9
-
69
-
-
0026129145
-
Adverse events, negligence in hospitalized patients: Results from the Harvard Medical Practice Study
-
Brennan TA, Leape LL. Adverse events, negligence in hospitalized patients: results from the Harvard Medical Practice Study. Perspect Healthcare Risk Manage 1991;11:2-8
-
(1991)
Perspect Healthcare Risk Manage
, vol.11
, pp. 2-8
-
-
Brennan, T.A.1
Leape, L.L.2
-
70
-
-
14644436331
-
Drug error in anaesthetic practice: A review of 896 reports from the Australian Incident Monitoring Study database
-
DOI 10.1111/j.1365-2044.2005.04123.x
-
Abeysekera A, Bergman IJ, Kluger MT, Short TG. Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database. Anaesthesia 2005;60:220-7 (Pubitemid 40310201)
-
(2005)
Anaesthesia
, vol.60
, Issue.3
, pp. 220-227
-
-
Abeysekera, A.1
Bergman, I.J.2
Kluger, M.T.3
Short, T.G.4
-
71
-
-
9444256284
-
Les erreurs de médication reliées à l'anesthé sie: Il est temps d'agir
-
Orser BA, Byrick R. Anesthesia-related medication error: time to take action. Can J Anaesth 2004;51:756-60 (Pubitemid 39561929)
-
(2004)
Canadian Journal of Anesthesia
, vol.51
, Issue.8
, pp. 756-760
-
-
Orser, B.A.1
Byrick, R.2
-
72
-
-
36448962040
-
Medication error: A leading cause of anesthesia-related morbidity and mortality [7]
-
DOI 10.1097/01.anes.0000290620.54964.96, PII 0000054220071200000029
-
Meyer R, Orser BA, Byrick R. Medication error: a leading cause of anesthesia-related morbidity and mortality. Anesthesiology 2007;107:1033 (Pubitemid 350175692)
-
(2007)
Anesthesiology
, vol.107
, Issue.6
, pp. 1033
-
-
Meyer, R.1
Orser, B.A.2
Byrick, R.3
-
73
-
-
77950898493
-
Clinical assessment of a new anaesthetic drug administration system: A prospective, controlled, longitudinal incident monitoring study
-
Webster CS, Larsson L, Frampton CM, Weller J, McKenzie A, Cumin D, Merry AF. Clinical assessment of a new anaesthetic drug administration system: a prospective, controlled, longitudinal incident monitoring study. Anaesthesia 2010;65:490-9
-
(2010)
Anaesthesia
, vol.65
, pp. 490-499
-
-
Webster, C.S.1
Larsson, L.2
Frampton, C.M.3
Weller, J.4
McKenzie, A.5
Cumin, D.6
Merry, A.F.7
-
74
-
-
0347915788
-
A prospective, randomised clinical evaluation of a new safety-orientated injectable drug administration system in comparison with conventional methods
-
DOI 10.1111/j.1365-2044.2004.03457.x
-
Webster CS, Merry AF, Gander PH, Mann NK. A prospective, randomised clinical evaluation of a new safety-orientated injectable drug administration system in comparison with conventional methods. Anaesthesia 2004;59:80-7 (Pubitemid 38075612)
-
(2004)
Anaesthesia
, vol.59
, Issue.1
, pp. 80-87
-
-
Webster, C.S.1
Merry, A.F.2
Gander, P.H.3
Mann, N.K.4
-
75
-
-
0034915427
-
A new, safety-oriented, integrated drug administration and automated anesthesia record system
-
Merry AF, Webster CS, Mathew DJ. A new, safety-oriented, integrated drug administration and automated anesthesia record system. Anesth Analg 2001;93:385-90 (Pubitemid 32701536)
-
(2001)
Anesthesia and Analgesia
, vol.93
, Issue.2
, pp. 385-390
-
-
Merry, A.F.1
Webster, C.S.2
Mathew, D.J.3
-
78
-
-
33845880922
-
An intervention to decrease catheter-related bloodstream infections in the ICU
-
DOI 10.1056/NEJMoa061115
-
Pronovost P, Needham D, Berenholtz S, Sinopoli D, Chu H, Cosgrove S, Sexton B, Hyzy R, Welsh R, Roth G, Bander J, Kepros J, Goeschel C. An intervention to decrease catheterrelated bloodstream infections in the ICU. N Engl J Med 2006;355:2725-32 (Pubitemid 46021509)
-
(2006)
New England Journal of Medicine
, vol.355
, Issue.26
, pp. 2725-2732
-
-
Pronovost, P.1
Needham, D.2
Berenholtz, S.3
Sinopoli, D.4
Chu, H.5
Cosgrove, S.6
Sexton, B.7
Hyzy, R.8
Welsh, R.9
Roth, G.10
Bander, J.11
Kepros, J.12
Goeschel, C.13
-
79
-
-
67349284391
-
Development and pilot evaluation of a preoperative briefing protocol for cardiovascular surgery
-
Henrickson SE, Wadhera RK, Elbardissi AW, Wiegmann DA, Sundt TM 3rd. Development and pilot evaluation of a preoperative briefing protocol for cardiovascular surgery. J Am Coll Surg 2009;208:1115-23
-
(2009)
J Am Coll Surg
, vol.208
, pp. 1115-1123
-
-
Henrickson, S.E.1
Wadhera, R.K.2
Elbardissi, A.W.3
Wiegmann, D.A.4
Sundt III, T.M.5
-
80
-
-
74549151910
-
Is the "sterile cockpit" concept applicable to cardiovascular surgery critical intervals or critical events? the impact of protocol-driven communication during cardiopulmonary bypass
-
Wadhera RK, Parker SH, Burkhart HM, Greason KL, Neal JR, Levenick KM, Wiegmann DA, Sundt TM 3rd. Is the "sterile cockpit" concept applicable to cardiovascular surgery critical intervals or critical events? The impact of protocol-driven communication during cardiopulmonary bypass. J Thorac Cardiovasc Surg 2010;139:312-9
-
(2010)
J Thorac Cardiovasc Surg
, vol.139
, pp. 312-319
-
-
Wadhera, R.K.1
Parker, S.H.2
Burkhart, H.M.3
Greason, K.L.4
Neal, J.R.5
Levenick, K.M.6
Wiegmann, D.A.7
Sundt, T.M.8
-
81
-
-
77958149840
-
Association between implementation of a medical team training program and surgical mortality
-
Neily J, Mills PD, Young-Xu Y, Carney BT, West P, Berger DH, Mazzia LM, Paull DE, Bagian JP. Association between implementation of a medical team training program and surgical mortality. JAMA 2010;304:1693-700
-
(2010)
JAMA
, vol.304
, pp. 1693-1700
-
-
Neily, J.1
Mills, P.D.2
Young-Xu, Y.3
Carney, B.T.4
West, P.5
Berger, D.H.6
Mazzia, L.M.7
Paull, D.E.8
Bagian, J.P.9
-
82
-
-
59449089116
-
Safe Surgery Saves Lives Study group. A surgical safety checklist to reduce morbidity and mortality in a global population
-
Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AH, Dellinger EP, Herbosa T, Joseph S, Kibatala PL, Lapitan MC, Merry AF, Moorthy K, Reznick RK, Taylor B, Gawande AA, Safe Surgery Saves Lives Study group. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med 2009;360:491-9
-
(2009)
N Engl J Med
, vol.360
, pp. 491-499
-
-
Haynes, A.B.1
Weiser, T.G.2
Berry, W.R.3
Lipsitz, S.R.4
Breizat, A.H.5
Dellinger, E.P.6
Herbosa, T.7
Joseph, S.8
Kibatala, P.L.9
Lapitan, M.C.10
Merry, A.F.11
Moorthy, K.12
Reznick, R.K.13
Taylor, B.14
Gawande, A.A.15
|