Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system
نویسندگان
چکیده
منابع مشابه
Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system
BACKGROUND A loss of adequate Situation Awareness (SA) may play a major role in the genesis of critical incidents in anesthesia and critical care. This observational study aimed to determine the frequency of SA errors in cases of a critical incident reporting system (CIRS). METHODS Two experts independently reviewed 200 cases from the German Anesthesia CIRS. For inclusion, reports had to be r...
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15 صفحه اولCritical incident reporting and learning.
Editor—We were interested to read the article of Professor Mahajan and concur with his view that safety can be improved by learning from incidents and near misses. 1 Furthermore , we agree that investigation of incidents should not underestimate the potential of analysing incidents that are near misses or which have not led to patient harm. 1 We also accept that under-reporting of incidents by ...
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ژورنال
عنوان ژورنال: BMC Anesthesiology
سال: 2015
ISSN: 1471-2253
DOI: 10.1186/s12871-016-0172-7