Review article: Practical current issues in perioperative patient safety

Canadian Journal of Anesthesia

Volumn 60, Issue 2, 2013, Pages 111-118

  Eichhorn, John H ^a  

^a UNIVERSITY OF KENTUCKY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANESTHESIA INDUCTION; BRAIN PERFUSION; CAPNOGRAPHY; CLINICAL EFFECTIVENESS; CLINICAL PRACTICE; HUMAN; HYPOVENTILATION; MEDICATION ERROR; MEDICATION THERAPY MANAGEMENT; OUTCOME ASSESSMENT; PATIENT MONITORING; PATIENT SAFETY; PERIOPERATIVE PERIOD; PRIORITY JOURNAL; PULSE OXIMETRY; REVIEW; RISK ASSESSMENT; TOTAL QUALITY MANAGEMENT; VERBAL COMMUNICATION;

ANESTHESIA; ANESTHESIOLOGY; DEVELOPED COUNTRIES; DEVELOPING COUNTRIES; HUMANS; MONITORING, INTRAOPERATIVE; PERIOPERATIVE CARE; QUALITY ASSURANCE, HEALTH CARE;

EID: 84878461332     PISSN: 0832610X     EISSN: 14968975     Source Type: Journal    
DOI: 10.1007/s12630-012-9852-z     Document Type: Review

References (37)

1. Smith GC, Pell JP. Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials. BMJ 2003; 327: 1459-61.
2. Eichhorn JH. Monitoring standards: role of monitoring in reducing risk of anesthesia. In: Fleisher LA, Prough DS, editors. Problems in Anesthesia: Vol 13: Quality, Safety, Risk, and Outcomes. Philadelphia: Lippincott Williams & Wilkins; 2001. p. 430-43.
3. Hallinan JT. Once Seen as Risky, One Group of Doctors Changes Its Ways: Anesthesiologists Now Offer Model of How to Improve Safety, Lower Premiums. Wall Street Journal. June 21, 2005, page A1. Available from URL: http://www.saynotocaps.org/newsarticles/once-seen-as-risky.htm (accessed June 20, 2012).
4. Eichhorn JH. Prevention of intraoperative anesthesia accidents and related severe injury through safety monitoring. Anesthesiology 1989; 70: 572-7.
5. Reason J. Human error: models and management. BMJ 2000; 320: 768-70.
6. International Taskforce on Anaesthesia Safety. Eur J Anaesthesiol 1993; 10(Supplement 7): 1-44.
7. 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.
8. Merry AF, Cooper JB, Soyannwo O, Wilson IH, Eichhorn JH. An iterative process of global quality improvement: the International Standards for a Safe Practice of Anesthesia 2010. Can J Anesth 2010; 57: 1021-6.
9. World Alliance for Patient Safety. World Health Organization. WHO Surgical Safety Checklist and Implementation Manual. Available from URL: http://www.who.int/patientsafety/safesurgery/ss-checklist/en/ (accessed June 20, 2012).
10. World Health Organization. World Alliance for Patient Safety. WHO Guidelines for Safe Surgery. Geneva: World Health Organization, 2008: 27-44. Available from URL: http://www.who.int/patientsafety/information-centre/reports/ Alliance-Forward-Programme-2008.pdf (accessed August 2012).
11. Anesthesia Patient Safety Foundation (APSF). Data Dictionary Task Force. Available from URL: http://www.apsf.org/initiatives-data.php (accessed June 21, 2012).
12. Lee LA, Roth S, Posner KL, et al. The American Society of Anesthesiologists Postoperative Visual Loss Registry: analysis of 93 spine surgery cases with postoperative visual loss. Anesthesiology 2006; 105: 652-9.
13. Anesthesia Quality Institute. Home of the National Anesthesia Clinical Outcomes Registry (NACOR). Available from URL: http://www.aqihq.org/ (accessed June 21, 2012).
14. Dutton RP. Introducing the Anesthesia Incident Reporting System (AIRS). American Society of Anesthesiologists 2011; 75: 30-3. Available from URL: http://www.aqihq.org/files/AIRS%20article%20Oct%20ASA%20newsletter.pdf (accessed June 21, 2012).
15. Australian and New Zealand College of Anaesthetists. Quality and Safety. Australian and New Zealand Tripartite Anaesthetic Data Committee. Available from URL: http://www.anzca.edu.au/fellows/quality-safety/australian-and-new-zealand- tripartite-anaesthetic-data-committee (accessed June 21, 2012).
16. Runciman WB, Webb RK, Lee R, Holland R. The Australian Incident Monitoring Study. System failure: an analysis of 2000 incident reports. Anaesth Intensive Care 1993; 21: 684-95.
17. World Health Organization. World Alliance for Patient Safety. WHO Draft Guidelines for Adverse Event Reporting and Learning Systems: From information to Action. Geneva: WHO, 2005. Available from URL: http://www.who.int/ patientsafety/events/05/Reporting-Guidelines.pdf (accessed August 2012).
18. Metzner J, Posner KL, Lam MS, Domino KB. Closed claims analysis. Best Pract Res Clin Anaesthesiol 2011; 25: 263-76.
19. Webster CS, Stabile M, Merry AF. The challenges of technological intensification. Anesthesia Patient Safety Foundation Newsletter 2009; 24: 33-44.
20. 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.
21. American Society of Anesthesiologists. Standards, Guidelines, Statements and Other Documents. Available from URL: http://www.asahq.org/For-Members/ Standards-Guidelines-and-Statements.aspx (Basic Anesthetic Monitoring, Standards for (effective July 1, 2011) (accessed June 22, 2012).
22. Merchant R, Chartrand D, Dain S, et al. Guidelines to the Practice of Anesthesia - Revised Edition 2012. Can J Anesth 2012; 59: 63-102.
23. Lifebox Foundation. Saving Lives Through Safer Surgery. Available from URL: http://www.lifebox.org (accessed June 22, 2012).
24. Merry AF, Eichhorn JH, Wilson IH. Extending the WHO 'Safe Surgery Saves Lives' project through global oximetry. Anaesthesia 2009; 64: 1045-8.
25. Australian and New Zealand College of Anaesthetists; Faculty of Pain Medicine Australian and New Zealand College of Anaesthetists; Gastroenterological Society of Australia; Royal Australasian College of Surgeons; Australasian College for Emergency Medicine; College of Intensive Care Medicine of Australia and New Zealand; Royal Australasian College of Dental Surgeons; Royal Australian and New Zealand College of Radiologists. Guidelines on Sedation and/or Analgesia for Diagnostic and Interventional Medical, Dental or Surgical Procedures - 2010. Available from URL: http://www.anzca.edu.au/ resources/professional-documents/documents/professional-standards/pdf-files/ PS9-2010.pdf (accessed July 31, 2012).
26. Weinger MB. Dangers of postoperative opioids: APSF workshop and white paper address prevention of postoperative respiratory complications. APSF Newsletter 2006-2007; 21: 61-7.
27. Dahan A, Aarts L, Smith TW. Incidence, reversal, and prevention of opioid-induced respiratory depression. Anesthesiology 2010; 112: 226-38.
28. Weinger MB, Lee LA. No patient shall be harmed by opioid-induced respiratory depression. APSF Newsletter 2011; 26: 21, 26-8.
29. Taenzer A, Blike G. Postoperative monitoring - the Dartmouth experience. APSF Newsletter 2012; 27: 1, 3-4, 21.
30. Eichhorn JH. APSF hosts medication safety conference: Consensus group defines challenges and opportunities for improved practice. APSF Newsletter 2010; 25: 1, 3-8.
31. Lanier WL. Cerebral perfusion: err on the side of caution. APSF Newsletter 2009; 24: 3-11.
32. Lee L, Caplan R. APSF Workshop: Cerebral perfusion experts share views on management of head-up cases. APSF Newsletter 2009-2010; 24: 45, 47-8.
33. Shiga T, Wajima Z, Inoue T, Sakamoto A. Predicting difficult intubation in apparently normal patients: a meta-analysis of bedside screening test performance. Anesthesiology 2005; 103: 429-37.
34. Murphy GS, Szokol JW, Marymont JH, Greenberg SB, Avram MJ, Vender JS. Residual neuromuscular blockade and critical respiratory events in the postanesthesia care unit. Anesth Analg 2008; 107: 130-7.
35. Marcus A. Residual paralysis: the problem that won't go away. Anesthesiology News 2012; 38: 1. Available from URL: http://www. anesthesiologynews.com/ViewArticle.aspx?d=Clinical%2BAnesthesiology&d-id= 1&i=July+2012&i-id=864&a-id=21217 (accessed July 31, 2012).
36. Anesthesia Patient Safety Foundation (APSF). Fire Safety Video. Prevention and Management of Operating Room Fires, 2010. Available from URL: http://www.apsf.org/resources-video.php (accessed June 25, 2012).
37. Ross BK. ASA closed claims in obstetrics: lessons learned. Anesthesiol Clin North America 2003; 21: 183-97.