An overview of quality and safety in health care;Panorama de la qualité et de la sécurité des soins de santé

Canadian Journal of Anesthesia

Volumn 60, Issue 2, 2013, Pages 101-110

  Merry, Alan F ^a,b  

^a UNIVERSITY OF AUCKLAND   (New Zealand)

^b AUCKLAND CITY HOSPITAL   (New Zealand)

Author keywords

[No Author keywords available]

Indexed keywords

ANESTHESIA INDUCTION; CLINICAL EFFECTIVENESS; CLINICAL EVALUATION; HEALTH CARE COST; HEALTH CARE QUALITY; HUMAN; MEDICATION ERROR; MORBIDITY; OUTCOME ASSESSMENT; PATIENT SAFETY; PRIORITY JOURNAL; PUBLIC-PRIVATE PARTNERSHIP; QUALITY ADJUSTED LIFE YEAR; REVIEW; SURGICAL MORTALITY; TOTAL QUALITY MANAGEMENT; TREATMENT FAILURE;

ANESTHESIA; ANESTHESIOLOGY; DELIVERY OF HEALTH CARE; HUMANS; PATIENT CARE; QUALITY OF HEALTH CARE;

EID: 84878455438     PISSN: 0832610X     EISSN: 14968975     Source Type: Journal    
DOI: 10.1007/s12630-012-9850-1     Document Type: Review

References (61)

1. Runciman B, Merry A, Walton M. Safety and Ethics in Healthcare: A Guide to Getting it Right. Aldershot: Ashgate Publishing Ltd.; 2007.
2. Kohn LT, Corrigan JM, Donaldson MS. To Err is Human: Building a Safer Health System. Washington DC: National Academy Press; 1999.
3. Cooper JB, Gaba D. No myth: anesthesia is a model for addressing patient safety. Anesthesiology 2002; 97: 1335-7.
4. Cooper J. Patient Safety and Biomedical Engineering. In: Kitz R (Ed.). This is No Humbug: Reminiscences of the Department of Anesthesia at the Massachusetts General Hospital. Boston: Department of Anesthesia and Critical Care, Massachusetts General Hospital, USA; 2002: 377-420.
5. Runciman WB. The Australian Patient Safety Foundation. Anaesth Intensive Care 1988; 16: 114-6.
6. Gaba DM, Maxwell M, DeAnda A. Anesthetic mishaps: breaking the chain of accident evolution. Anesthesiology 1987; 66: 670-6.
7. Cooper JB, Long CD, Newbower RS, Philip JH. Critical incidents associated with intraoperative exchanges of anesthesia personnel. Anesthesiology 1982; 56: 456-61.
8. Runciman WB, Sellen A, Webb RK, et al. The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care 1993; 21: 506-19.
9. Denson JS, Abrahamson S. A computer-controlled patient simulator. JAMA 1969; 208: 504-8.
10. Gaba DM, DeAnda A. A comprehensive anesthesia simulation environment: re-creating the operating room for research and training. Anesthesiology 1988; 69: 387-94.
11. Schwid HA. A flight simulator for general anesthesia training. Comput Biomed Res 1987; 20: 64-75.
12. Good ML, Gravenstein JS. Anesthesia simulators and training devices. Int Anesthesiol Clin 1989; 27: 161-8.
13. Gibbs NM. Milestones in anaesthesia-related mortality and morbidity reporting in Australia. Anaesth Intensive Care 2010; 38: 807-8.
14. Walker IA, Wilson IH. Anaesthesia in developing countries - a risk for patients. Lancet 2008; 371: 968-9.
15. Lagasse RS. Anesthesia safety: model or myth? A review of the published literature and analysis of current original data. Anesthesiology 2002; 97: 1609-17.
16. Eichhorn JH. APSF hosts medication safety conference: consensus group defines challenges and opportunities for improved practice. APSF Newsletter (Spring) 2010; 25: 1-7.
17. Greenland KB, Acott C, Segal R, Goulding G, Riley RH, Merry AF. Emergency surgical airway in life-threatening acute airway emergencies - why are we so reluctant to do it? Anaesth Intensive Care 2011; 39: 578-84.
18. Story DA, Leslie K, Myles PS, et al. Complications and mortality in older surgical patients in Australia and New Zealand (the REASON study): a multicentre, prospective, observational study. Anaesthesia 2010; 65: 1022-30.
19. Vascular Events in Noncardiac Surgery Patients Cohort Evaluation Study Investigators; Devereaux PJ, Chan MT, Alonso-Coello P, et al. Association between postoperative troponin levels and 30-day mortality among patients undergoing noncardiac surgery. JAMA 2012; 307: 2295-304.
20. Mangano DT, Browner WS, Hollenberg M, London MJ, Tubau JF, Tateo IM. Association of perioperative myocardial ischemia with cardiac morbidity and mortality in men undergoing noncardiac surgery. The Study of Perioperative Ischemia Research Group. N Engl J Med 1990; 323: 1781-8.
21. Health Quality and Safety Commission New Zealand. Perioperative Mortality Review Committee (POMRC). Perioperative Mortality in New Zealand: Inaugural report of the Perioperative Mortality Review Committee. Wellington, New Zealand. Health Quality & Safety Commission. 2011. Available from URL: http://www.pomrc.health.govt.nz (accessed August 2012).
22. Weiser TG, Makary MA, Haynes AB, et al. Standardised metrics for global surgical surveillance. Lancet 2009; 374: 1113-7.
23. Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med 2009; 360: 491-9.
24. Haynes AB, Weiser TG, Berry WR, et al. Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. BMJ Qual Saf 2011; 20: 102-7.
25. Neily J, Mills PD, Young-Xu Y, et al. Association between implementation of a medical team training program and surgical mortality. JAMA 2010; 304: 1693-700.
26. de Vries EN, Prins HA, Crolla RM, et al. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med 2010; 363: 1928-37.
27. Birkmeyer JD. Strategies for improving surgical quality-checklists and beyond. N Engl J Med 2010; 363: 1963-5.
28. Davis K, Schoen C, Stremikis K. Mirror, Mirror on the Wall: How the Performance of the U.S. Health Care System Compares Internationally 2010 Update: The Commonwealth Fund, June 2010. Available from URL: http://www. commonwealthfund.org/Publications/Fund-Reports/2010/Jun/Mirror-Mirror-Update. aspx?page=all (accessed August 2012).
29. Berwick DM, Nolan TW, Whittington J. The triple aim: care, health, and cost. Health Aff (Millwood) 2008; 27: 759-69.
30. Institute for Healthcare Improvement. IHI Triple Aim. Boston, 2012. Available from URL: http://www.ihi.org/offerings/Initiatives/TripleAim/Pages/ default.aspx (accessed July 2012).
31. Health Quality & Safety Commission. The Triple Aim, 2011. Available from URL: http://www.hqsc.govt.nz/news-and-events/news/126/ (accessed July 2012).
32. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001.
33. Myles PS, Leslie K, McNeil J, Forbes A, Chan MT. Bispectral index monitoring to prevent awareness during anaesthesia: the B-Aware randomised controlled trial. Lancet 2004; 363: 1757-63.
34. Group PoiseStudy, Devereaux PJ, Yang H, et al. Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (POISE trial): a randomised controlled trial. Lancet 2008; 371: 1839-47.
35. Myles PS, Leslie K, Chan MT, et al. Avoidance of Nitrous Oxide for Patients Undergoing Major Surgery: A Randomized Controlled Trial. Anesthesiology 2007; 107: 221-31.
36. Finfer S, Bellomo R, Boyce N, et al. A comparison of albumin and saline for fluid resuscitation in the intensive care unit. N Engl J Med 2004; 350: 2247-56.
37. Outcomes Research Consortium - 2012. Available from URL: http://www.or.org/ (accessed July 2012).
38. Story DA, Myles PS. Large multicentre trials in anaesthesia: the ANZCA clinical trials group. Anaesth Intensive Care 2005; 33: 301-2.
39. Bellomo R. The ANZICS clinical trials group. Crit Care Resusc 2000; 2: 9-10.
40. Pickett K, Wilkinson R. The Spirit Level: Why Greater Equality Makes Societies Stronger. New York: Bloomsbury Press; 2009.
41. Cunningham SA, Mitchell K, Narayan KM, Yusuf S. Doctors' strikes and mortality: a review. Soc Sci Med 2008; 67: 1784-8.
42. Barry MJ, Edgman-Levitan S. Shared decision making-pinnacle of patient-centered care. N Engl J Med 2012; 366: 780-1.
43. Wright JG, Santaguida PL, Young N, Hawker GA, Schemitsch E, Owen JL. Patient preferences before and after total knee arthroplasty. J Clin Epidemiol 2010; 63: 774-82.
44. Cassell EJ. Consent or obedience? Power and authority in medicine. N Engl J Med 2005; 352: 328-30.
45. Bodenheimer T. Coordinating care - a perilous journey through the health care system. N Engl J Med 2008; 358: 1064-71.
46. Birkmeyer JD, Sharp SM, Finlayson SR, Fisher ES, Wennberg JE. Variation profiles of common surgical procedures. Surgery 1998; 124: 917-23.
47. McGlynn EA, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United States. N Engl J Med 2003; 348: 2635-45.
48. Toronto Arthroplasty Research Group Writing Committee; Wright JG, Hawker GA, Hudak PL, et al. Variability in physician opinions about the indications for knee arthroplasty. J Arthroplasty 2011; 26: 569-75.e1.
49. Hawker GA, Wright JG, Coyte PC, et al. Determining the need for hip and knee arthroplasty: the role of clinical severity and patients' preferences. Med Care 2001; 39: 206-16.
50. Borkhoff CM, Hawker GA, Kreder HJ, Glazier RH, Mahomed NN, Wright JG. Patients' gender affected physicians' clinical decisions when presented with standardized patients but not for matching paper patients. J Clin Epidemiol 2009; 62: 527-41.
51. Kwok AC, Semel ME, Lipsitz SR, et al. The intensity and variation of surgical care at the end of life: a retrospective cohort study. Lancet 2011; 378: 1408-13.
52. Weiser TG, Regenbogen SE, Thompson KD, et al. An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet 2008; 372: 139-44.
53. Merry AF, Cooper JB, Soyannwo O, Wilson IH, Eichhorn JH. International Standards for a Safe Practice of Anesthesia 2010. Can J Anesth 2010; 57: 1027-34.
54. Walker IA, Merry AF, Wilson IH, et al. Global oximetry: an international anaesthesia quality improvement project. Anaesthesia 2009; 64: 1051-60.
55. Leape LL, Berwick DM, Bates DW. What practices will most improve safety? Evidence-based medicine meets patient safety. JAMA 2002; 288: 501-7.
56. Tenner E. Why Things Bite Back - Technology and the Revenge of Unintended Consequences. New York: Vintage Books; 1997.
57. Donabedian A. An Introduction to Quality Assurance in Health Care. New York: Oxford University Press; 2003.
58. Berwick DM, Calkins DR, McCannon CJ, Hackbarth AD. The 100,000 lives campaign: setting a goal and a deadline for improving health care quality. JAMA 2006; 295: 324-7.
59. Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. JAMA 2001; 286: 415-20.
60. Wachter RM, Pronovost PJ. The 100,000 Lives Campaign: a scientific and policy review. Jt Comm J Qual Patient Saf 2006; 32: 621-7.
61. Shekelle PG, Pronovost PJ, Wachter RM, et al. Advancing the science of patient safety. Ann Intern Med 2011; 154: 693-6.