March 10, 2008Anaesthesia

Safety in anaesthesia: reporting incidents and learning from them

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Population

12,606 anesthesia-related incidents from the National Reporting and Learning System database in the UK…

Design

Editorial

Follow-up

2 years (period of incident analysis)

Authors

AMAlan MerryCross-Cutting Cardiology

Discussion

Member takes

Implication

This editorial highlights the critical need for specialty-specific, detailed incident reporting by anesthetists themselves to effectively learn from and prevent adverse events.

Structured PICO

Population

12,606 anesthesia-related incidents from the National Reporting and Learning System (NRLS) database in the UK between January 2004 and February 2006.

Intervention

National Reporting and Learning System (NRLS) for patient safety incidents

This editorial highlights the critical need for specialty-specific, detailed incident reporting by anesthetists themselves to effectively learn from and prevent adverse events.

Limitations

Lack of detail inherent in generic data fields prohibits translation of results into robust arguments for immediate change in clinical practice
Reports likely submitted by nursing staff as observers rather than the anesthetists directly involved in the incidents

Cite This Study

Alan Merry (2008) studied this question.

synapsesocial.com/papers/6a83ec925894adb48d4a14ca https://doi.org/10.1111/j.1365-2044.2008.05517.x

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Implication

This editorial highlights the critical need for specialty-specific, detailed incident reporting by anesthetists themselves to effectively learn from and prevent adverse events.

Safety in anaesthesia: reporting incidents and learning from them

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Safety in anaesthesia: reporting incidents and learning from them

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider