[1]
|
J. B. Cooper, R. S. Newbower, C. D. Long and B. Mc-Peek, “Preventable Anesthesia Mishaps: A Study of Human Factors,” Anesthesiology, Vol. 49, No. 6, 1978, pp. 399-406. http://dx.doi.org/10.1097/00000542-197812000-00004
|
[2]
|
A. A. Gawande, M. J. Zinner, D. M. Studdert and T. A. Brennan, “Analysis of Errors Reported by Surgeons at Three Teaching Hospitals,” Surgery, Vol. 133, No. 6, 2003, pp. 614-621. http://dx.doi.org/10.1067/msy.2003.169
|
[3]
|
L. Homsted, “Institute of Medicine Report: To Err Is Human: Building a Safer Health Care System,” The Florida Nurse, Vol. 48, No. 1, 2000, p. 6.
|
[4]
|
P. Sirivararom, T. Virankabutra, N. Hungsawanich, P. Premsamran and W. Sriraj, “The Thai Anesthesia Incidents Monitoring Study (Thai AIMS) of Adverse Events after Spinal Anesthesia: An Analysis of 1996 Incident Reports,” Journal of the Medical Association of Thailand, Vol. 92, No. 8, 2009, pp. 1033-1039.
|
[5]
|
E. A. Martinez, J. A. Marsteller, D. A. Thompson, et al., “The Society of Cardiovascular Anesthesiologists’ FOCUS Initiative: Locating Errors through Networked Surveillance (LENS) Project Vision,” Anesthesia & Analgesia, Vol. 110, No. 2, 2010, pp. 307-311. http://dx.doi.org/10.1213/ANE.0b013e3181c92b9c
|
[6]
|
E. A. Martinez, A. Shore, E. Colantuoni, et al., “Cardiac Surgery Errors: Results from the UK National Reporting and Learning System,” International Journal for Quality in Health Care, Vol. 23, No. 2, 2011, pp. 151-158.
|
[7]
|
D. W. Bates, D. J. Cullen, N. Laird, et al., “Incidence of Adverse Drug Events and Potential Adverse Drug Events, Implications for Prevention. ADE Prevention Study Group,” The Journal of the American Medical Association, Vol. 274, No. 1, 1995, pp. 29-34.
|
[8]
|
P. Barach, J. K. Johnson, A. Ahmad, et al., “A Prospective Observational Study of Human Factors, Adverse Events, and Patient Outcomes in Surgery for Pediatric Cardiac Disease,” The Journal of Thoracic and Cardiovascular Surgery, Vol. 136, No. 6, 2008, pp. 1422-1428.
|
[9]
|
S. K. R. Catchpole, A. E. Giddings, M. R. de Leval, et al., “Identification of Systems Failures in Successful Paediatric Cardiac Surgery,” Ergonomics, Vol. 49, No. 5-6, 2006, pp. 567-588. http://dx.doi.org/10.1080/00140130600568865
|
[10]
|
R. P. Mahajan, “Critical Incident Reporting and Learning,” The British Journal of Anaesthesia, Vol. 105, No. 1, 2010, pp. 69-75. http://dx.doi.org/10.1093/bja/aeq133
|
[11]
|
M. Ricci, A. P. Goldman, M. R. de Leval, G. A. Cohen, F. Devaney and J. Carthey, “Pitfalls of Adverse Event Reporting in Paediatric Cardiac Intensive Care,” Archives of Disease in Childhood, Vol. 89, No. 9, 2004, pp. 856-859. http://dx.doi.org/10.1136/adc.2003.040154
|
[12]
|
J. M. Steven, “Congenital Heart Disease and Anesthesia-Related Cardiac Arrest: Connecting the Dots,” Anesthesia & Analgesia, Vol. 110, No. 5, 2010, pp. 1255-1256. http://dx.doi.org/10.1213/ANE.0b013e3181d7c059
|
[13]
|
A. D. Paix, M. F. Bullock, W. B. Runciman and J. A. Williamson, “Crisis Management during Anaesthesia: Problems Associated with Drug Administration during Anaesthesia,” Quality & Safety in Health Care, Vol. 14, No. 3, 2005, p. E15. http://dx.doi.org/10.1136/qshc.2002.004119
|
[14]
|
R. Maaloe, M. la Cour, A. Hansen, et al., “Scrutinizing Incident Reporting in Anaesthesia: Why Is an Incident Perceived as Critical?” Acta Anaesthesiologica Scandinavica, Vol. 50, No. 8, 2006, pp. 1005-1013. http://dx.doi.org/10.1111/j.1399-6576.2006.01092.x
|
[15]
|
M. Chakravarthy, “Errors in Cardiac Anesthesia—A Deterrent to Patient Safety,” Annals of Cardiac Anaesthesia, Vol. 13, No. 2, 2010, pp. 87-88. http://dx.doi.org/10.4103/0971-9784.62925
|