© 2005 BMJ Publishing Group Ltd.
Quality Line
| The first 150 words of the full text of this article appear below. |
Notwithstanding best efforts to avoid calamity in health care, crises occur in the course of patients care. A crisisthe "turning point in the course of a disease at which a decisive change occurs..."may be mitigated by the development of algorithms that address systematically such events. On p 156, Professors WB Runciman and AF Merry introduce a crisis in clinical care series which is an online manual for the management of crises under anaesthesia. The 25 papers that accompany this article (pp e1e25) were developed by 30 investigators by means of 10 consensus meetings and the intensive analysis of some 4000 incidents.
See p 156 and e1e25
Adverse medication events continue to bedevil health care in spite of the best efforts to make care safer and more reliable. This issue of QSHC features several original articles and a quality improvement report that address strategies to mitigate adverse medication
Relevant Articles
- Crises in clinical care: an approach to management
- W B Runciman and A F Merry
Qual. Saf. Health Care 2005 14: 156-163.[Abstract] [Full Text] [PDF]
- Factors predictive of intravenous fluid administration errors in Australian surgical care wards
- P Y Han, I D Coombes, and B Green
Qual. Saf. Health Care 2005 14: 179-184.[Abstract] [Full Text] [PDF]
- A qualitative study of why general practitioners may participate in significant event analysis and educational peer assessment
- P Bowie, J McKay, E Dalgetty, and M Lough
Qual. Saf. Health Care 2005 14: 185-189.[Abstract] [Full Text] [PDF]
- Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Germany and France
- D H Cousins, B Sabatier, D Begue, C Schmitt, and T Hoppe-Tichy
Qual. Saf. Health Care 2005 14: 190-195.[Abstract] [Full Text] [PDF]
- Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution
- A J Lankshear, T A Sheldon, K V Lowson, I S Watt, and J Wright
Qual. Saf. Health Care 2005 14: 196-201.[Abstract] [Full Text] [PDF]
- Improvement in neonatal intensive care in Northern Ireland through sharing of audit data
- J Jenkins, F Alderdice, E McCall on behalf of the Neonatal Intensive Care Outcomes Research and Evaluation (NICORE) Group
Qual. Saf. Health Care 2005 14: 202-206.[Abstract] [Full Text] [PDF]
- Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds
- M Fertleman, N Barnett, and T Patel
Qual. Saf. Health Care 2005 14: 207-211.[Abstract] [Full Text] [PDF]
- Computerized surveillance of adverse drug events in hospital patients
- D C Classen, S L Pestotnik, R S Evans, J P Burke, and J B Battles
Qual. Saf. Health Care 2005 14: 221-226.[Abstract] [Full Text] [PDF]
- Crisis management during anaesthesia: the development of an anaesthetic crisis management manual
- W B Runciman, M T Kluger, R W Morris, A D Paix, L M Watterson, and R K Webb
Qual. Saf. Health Care 2005 14: e1.[Abstract] [Full Text] [PDF]
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