Case Studies of Near Misses in Clinical Anesthesia

Case Studies of Near Misses in Clinical Anesthesia

Author: John G. Brock-Utne, MD, PhD, FFA(SA)

Publisher: Springer Science & Business Media

Published: 2011-08-09

Total Pages: 223

ISBN-13: 1441911790

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All anesthesiologists eventually face the fear of a “near miss,” when a patient’s life has been put at risk. Learning from the experience is crucial to professionalism and the ongoing development of expertise. Drawing on forty-plus years of practice in major metropolitan hospitals in the United States, Norway, and South Africa, John Brock-Utne, MD presents 80 carefully selected cases that provide the basis for lessons and tips to prevent potential disaster. The cases emphasize problem-centered learning and span a broad range of topics—from an outbreak of operating room infection (could it be the anesthesia equipment?), complications of fiberoptic intubations, and problems with epidural drug pumps, to performing an urgent tracheostomy for the first time, working with an aggressive surgeon, and what to do when a patient falls off the operating table during surgery. 80 true-story clinical “near misses” never before published, ideal for problem-centered learning, recommendations, references, and discussions accompany most cases, rich basis for teaching discussions both in or out of the operating room, settings include sophisticated as well as rudimentary anesthetic environments, complements the author’s other case book, Clinical Anesthesia: Near Misses and Lessons Learned (Springer, 2008).


Anesthesia in Low-Resourced Settings

Anesthesia in Low-Resourced Settings

Author: John G. Brock-Utne

Publisher: Springer Nature

Published: 2021-10-30

Total Pages: 317

ISBN-13: 3030776549

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This book outlines the many anesthesia-related obstacles, concerns, and challenges that may be encountered by western trained anesthesiologist in low-resourced settings. Each chapter presents a challenging scenario with solutions. It is therefore an essential handbook that will prepare those performing anesthesia in this milieu. All case studies represent real accounts discussing equipment and drug constraints as well as the ethical questions that arise for western doctors working in this environment. Socially conscious and timely, Anesthesia in Low-Resourced Settings is an invaluable resource for medical practitioners who plan to work in these challenging settings.


More Case Studies of Near Misses in Clinical Anesthesia

More Case Studies of Near Misses in Clinical Anesthesia

Author: John G. Brock-Utne

Publisher: Springer

Published: 2018-05-10

Total Pages:

ISBN-13: 9783319706115

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Building off of the popular Case Studies of Near Misses in Clinical Anesthesia, Dr. Brock-Utne and dozens of international contributors provide the reader with all of the information needed to diagnose, prevent, and treat a potential disaster in clinical anesthesia. Each clinical case is presented complete with solutions and discussions about the problems, making recommendations and references for further reading. More Case Studies of Near Misses in Clinical Anesthesia includes cases on a general anesthesia in a patient who has had a recent eye operation, a case of a spinal fracture, extubating a patient in the ICU, and an introperative cold ischemic hand. The cases emphasize problem-centered learning and span a broad range of topics, ideal for problem-centered learning. “This book includes interesting cases from the author’s (and his colleagues’) 40+ year anesthesia career. ... The purpose is to present near-miss cases and the etiology of the problems. ... This is a great book for anyone interested, even peripherally, in anesthesia and critical care medicine. It would be a great read for medical students or student registered nurse anesthetists as well as residents and practitioners. It is such an easy read that it can be picked up and put down quickly.” (Martin Dauber, Doody’s Book Reviews, December, 2011).


Near Misses in Pediatric Anesthesia

Near Misses in Pediatric Anesthesia

Author: John G. Brock-Utne

Publisher: Butterworth-Heinemann

Published: 1999

Total Pages: 116

ISBN-13:

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The near misses reported in this book derive from the author's experience in clinical anesthesia in the United States, Scandinavia, and South Africa. Each of the 47 cases starts with a short introduction to the clinical problem. The reader is then provided with all the essential information necessary to decide how to proceed. Following are a solution and analysis of the dilemma with recommendations and references for further reading. The management of these cases may form the basis for a teaching discussion between a faculty member and a resident in anesthesiology. Most of all, the book is designed to alert the reader to various precarious situations that can arise and how to best prevent or deal with these potentially serious problems. * Presents information in handy case format * Provides excellent teaching tool * Follows each case presentation with discussion of options


Patient Safety

Patient Safety

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2003-12-20

Total Pages: 551

ISBN-13: 0309090776

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Americans should be able to count on receiving health care that is safe. To achieve this, a new health care delivery system is needed â€" a system that both prevents errors from occurring, and learns from them when they do occur. The development of such a system requires a commitment by all stakeholders to a culture of safety and to the development of improved information systems for the delivery of health care. This national health information infrastructure is needed to provide immediate access to complete patient information and decision-support tools for clinicians and their patients. In addition, this infrastructure must capture patient safety information as a by-product of care and use this information to design even safer delivery systems. Health data standards are both a critical and time-sensitive building block of the national health information infrastructure. Building on the Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Patient Safety puts forward a road map for the development and adoption of key health care data standards to support both information exchange and the reporting and analysis of patient safety data.


Quality and Safety in Anesthesia and Perioperative Care

Quality and Safety in Anesthesia and Perioperative Care

Author: Keith J. Ruskin

Publisher: Oxford University Press

Published: 2016

Total Pages: 321

ISBN-13: 0199366144

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Quality and Safety in Anesthesia and Perioperative Care offers practical suggestions for improving quality of care and patient safety in the perioperative setting. Chapters are organized into sections on clinical foundations and practical applications, and emphasize strategies that support reform at all levels, from operating room practices to institutional procedures. Written by leading experts in their fields, chapters are based on accepted safety, human performance, and quality management science and they illustrate the benefits of collaboration between medical professionals and human factors experts. The book highlights concepts such as situation awareness, staff resource management, threat and error management, checklists, explicit practices for monitoring, and safety culture. Quality and Safety in Anesthesia and Perioperative Care is a must-have resource for those preparing for the quality and safety questions on the American Board of Anesthesiology certification examinations, as well as clinicians and trainees in all practice settings.


Clinical Case Studies for the Family Nurse Practitioner

Clinical Case Studies for the Family Nurse Practitioner

Author: Leslie Neal-Boylan

Publisher: John Wiley & Sons

Published: 2011-11-28

Total Pages: 432

ISBN-13: 1118277856

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Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.


Patient Safety and Quality

Patient Safety and Quality

Author: Ronda Hughes

Publisher: Department of Health and Human Services

Published: 2008

Total Pages: 592

ISBN-13:

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"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/


Essential Clinical Anesthesia

Essential Clinical Anesthesia

Author: Charles Vacanti

Publisher: Cambridge University Press

Published: 2011-07-11

Total Pages: 1191

ISBN-13: 1139498401

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The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.