Drug errors from the Thai Anesthesia Incidents Monitoring Study: analysis of 1,996 incident reports

Charuluxananan, Somrat; Sriraj, Wimonrat; Lapisatepun, Worawut; Kusumaphanyo, Chaiyapruk; Ittichaikulthol, Wichai; Suratsunya, Thanarat

doi:10.5372/1905-7415.0604.088

References

1. Holland R, Hains J, Roberts JG, Runciman WB. Symposium-The Australian Incident Monitoring Study. Anaesth Intensive Care. 1993; 21:501-5.10.1177/0310057X9302100502
Search in Google Scholar Back to article
2. Runciman WB, Sellen A, Webb RK, Williamson JA, Currie M, Morgan C, et al. The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care. 1993; 21: 506-19.10.1177/0310057X9302100506
Search in Google Scholar Back to article
3. Yong H, Kluger MT. Incident reporting in anesthesia: a survey of practice in New Zealand. Anaesth Intensive Care. 2003; 31:555-9.10.1177/0310057X0303100510
Search in Google Scholar Back to article
4. Liu EH, Koh KF. A prospective audit of critical incidents in anesthesia in a university teaching hospital. Ann Acad Med Singapore. 2003; 32:814-20.
Search in Google Scholar Back to article
5. Maaloe R, la Cour M, Hansen A, Hansen EG, Hansen M, Spangsberg NL, et al. Scrutinizing incident reporting in anesthesia: why is an incident perceived as critical? Acta Anaesthesiol Scand. 2006; 50:1005-13.10.1111/j.1399-6576.2006.01092.x
Open DOI Search in Google Scholar Back to article
6. Charuluxananan S, Suraseranivongse S, Punjasawadwong Y, Somboonviboon W, Nipitsukarn T, Sothikarnmanee T, et al. The Thai Anesthesia Incidents Study (THAI Study) of anesthetic outcomes: I. Description of methods and populations. J Med Assoc Thai. 2005; 88(Suppl 7):S1-13.
Search in Google Scholar Back to article
7. Charuluxananan S, Punjasawadwong Y, Suraseranivongse S, Srisawasdi S, Kyokong O, Chinachoti T, et al. The Thai Anesthesia Incidents Study (THAI Study) of anesthetic outcomes: II. Anesthetic profiles and adverse events. J Med Assoc Thai. 2005; 88(Suppl 7):S14-29.
Search in Google Scholar Back to article
8. Currie M, Mackay P, Morgan C, Runciman WB, Russell WJ. The Australian Incident monitoring study. The “Wrong drug” problem in anesthesia: An analysis of 2000 incident reports. Anaesth Intensive Care. 1993; 21:596-601.10.1177/0310057X9302100517
Search in Google Scholar Back to article
9. Yentis SM, Randall K. Drug errors in obstetric anesthesia: a national survey. Int J Obstet Anesth. 2003; 12:246-9.10.1016/S0959-289X(03)00009-8
Open DOI Search in Google Scholar Back to article
10. Punjasawadwong Y, Suraseranivongse S, Charuluxananan S, Jantorn P, Thienthong S, Chanchayanon T, Tanudsintum S. Multicentered study of model of anesthesia related adverse events in Thailand by incident report (The Thai Anesthesia Incident Monitoring Study): Methodology. J Med Assoc Thai. 2007; 90:2519-37.
Search in Google Scholar Back to article
11. Webb RK, Currie M, Morgan CA, Williamson JA, Mackay P, Russell WJ, et al. The Australian Incident Monitoring Study: an analysis of 2000 incident reports. Anaesth Intensive Care. 1993; 21:520-8.10.1177/0310057X93021005078273871
Search in Google Scholar Back to article
12. Hugh JR. 1000 anaesthetic incidents: experience to date. Anaesthesia. 2003; 58:856-63.10.1046/j.1365-2044.2003.03334.x12911357
Search in Google Scholar Back to article
13. Short TG, O’Regan A, Lew J, Oh TE .Critical Incident Reporting in an Anesthetic Department Quality Assurance Program. Anesthesia. 1992; 47:3-7.
Search in Google Scholar Back to article
14. Webster CS, Merry AF, Larsson L, McGrath KA, Weller J. The frequency and nature of drug administration error during anesthesia. Anaesth Intens Care. 2001; 29:494-500.10.1177/0310057X010290050811669430
Search in Google Scholar Back to article
15. Fraind DB, Slagle JM, Tubbesing VA, Hughes SA, Weinger MB. Reengineering intravenous drug and fluid administration processes in the operating room; step one: task analysis of existing processes. Anesthesiology. 2002; 97:139-47.10.1097/00000542-200207000-0002012131115
Open DOI Search in Google Scholar Back to article
16. Merry AF, Peck DJ. Anaesthetists, errors in drug administration and the law. N Z Med J. 1995; 108:185-7.
Search in Google Scholar Back to article
17. Charuluxananan S, Saengchote W, Klanarong S, Punjasawadwong Y, Chau-in W, Lawthaweesawat C, Werawatganon T. Quality and patient safety in anesthesia service: Thai survey. Asian Biomedicine. 2010; 4:395-401.10.2478/abm-2010-0048
Search in Google Scholar Back to article
18. Fasting S, Gisvold SE. Adverse drug errors in anesthesia, and the impact of coloured syringe labels. Can J Anesth. 2000; 47:1060-7.10.1007/BF0302795611097534
Open DOI Search in Google Scholar Back to article
19. Hintong T, Chau-in W, Thienthong S, Nakcharoenwaree S. An analysis of the drug error problem in the Thai Anesthesia Incidents Study (THAI Study). J Med Assoc Thai. 2005; 88(Suppl 7):S118-27.
Search in Google Scholar Back to article
20. Khan FA, Hoda MQ. Drug related critical incidents. Anaesthesia. 2005; 60:48-52.10.1111/j.1365-2044.2004.04014.x15601272
Open DOI Search in Google Scholar Back to article
21. Christie IW, Hill MR. Standardzed colour coding for syring drug labels: a national survey. Anaesthesia. 2002; 57:793-8.10.1046/j.1365-2044.2002.02698_3.x12133093
Open DOI Search in Google Scholar Back to article
22. Bowdie TA. Drug administration errors from the ASA Closed Claims Project. ASA Newsletter. 2003; 6:11-3.
Search in Google Scholar Back to article

Drug errors from the Thai Anesthesia Incidents Monitoring Study: analysis of 1,996 incident reports

References

Paradigm

My account