Accidents and mishaps in anesthesia: how they occur; how to prevent them.
The problem of safety and accidents prevention is a primary issue in modern anesthesia. Throughout the last twenty years, much effort has been made to assess the causes of mishaps, introducing new technology and safer drugs. The author presents a well known model to describe factors affecting accidents causality, proposing old and new strategies to ensure safety during the everyday practice.
Cooper
J B
JB
Harvard Medical School, Massachusetts General Hospital, Department of Anesthesia and Critical Care, 55 Fruit Street, CLN 250, Boston, MA 02114, USA.
D000758:Anesthesia / Q000009:adverse effects* / Q000266:history / Q000401:mortality; D000776:Anesthesiology / Q000193:education / Q000458:organization & administration; D004502:Education, Medical, Continuing; D005221:Fatigue / Q000517:prevention & control; D049673:History, 20th Century; D006801:Humans; D019300:Medical Errors; D017751:Safety Management / Q000266:history / Q000379:methods*