Lessons for pediatric anesthesia from audit and incident reporting
Résumé
This review will attempt to put the various systems that allow clinicians to assess errors, omissions or avoidable incidents into context and where possible, look for areas that deserve more or less attention and resource specifically for those of us who practice paediatric anaesthesia. Different approaches will be contrasted with respect to their outputs in terms of positive impact on the practice of anaesthesia. These approaches include audits by governmental organisations, national representative bodies, specialist societies, commissioned boards of inquiry, medico legal sources and police force investigations. Implementation strategies are considered alongside the reports as the reports cannot be considered end points themselves. Specific areas where paediatric anaesthetics has failed to address recurring risk through any currently available tools will be highlighted.
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PEER_stage2_10.1111%2Fj.1460-9592.2011.03590.x.pdf (159.99 Ko)
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