Home   >   CSC-OpenAccess Library   >    Manuscript Information
Full Text Available

(87.6KB)
This is an Open Access publication published under CSC-OpenAccess Policy.
Publications from CSC-OpenAccess Library are being accessed from over 158 countries worldwide.
Anesthesiology Risk Analysis Model
Azadeh Khalatbari, Kouroush Jenab
Pages - 12 - 20     |    Revised - 20-02-2009     |    Published - 15-03-2009
Volume - 3   Issue - 1    |    Publication Date - February 2009  Table of Contents
MORE INFORMATION
KEYWORDS
Markov Model., Human Errors, Medical Systems, Anesthesia
ABSTRACT
This paper focuses on the human error identified as an important risk factor in the occurrence of the anesthesia-related deaths. Performing clinical root cause analysis, the common anesthesia errors and their causes classified into four major problems (i.e., breathing, drug, technical, and procedural problems) are investigated. Accordingly, a qualitative model is proposed that analyzes the influence of the potential causes of the human errors in these problems, which can lead to anesthetic deaths. Using risk measures, this model isolates these human errors, which are critical to anesthesiology for preventive and corrective actions. Also, a Markovian model is developed to quantitatively assess the influence of the human errors in the major problems and subsequently in anesthetic deaths based on 453 reports over nine month.
CITED BY (1)  
1 Wang, A., Luo, Y., Tu, G., & Liu, P. (2011). Quantitative evaluation of human-reliability based on fuzzy-clonal selection. Reliability, IEEE Transactions on, 60(3), 517-527.
1 Google Scholar 
2 Academic Journals Database 
3 ScientificCommons 
4 Academic Index 
5 CiteSeerX 
6 refSeek 
7 iSEEK 
8 Socol@r  
9 ResearchGATE 
10 Libsearch 
11 Bielefeld Academic Search Engine (BASE) 
12 Scribd 
13 WorldCat 
14 SlideShare 
15 PDFCAST 
16 PdfSR 
1 HK. Beecher. “The First Anesthesia Death with Some Remarks Suggested by it on the Fields of the Laboratory and the Clinic in the Appraisal of New Anesthetic Agents”. Anesthesiology, 2:443-449, 1941.
2 HK. Beecher. “The First Anesthesia Death with Some Remarks Suggested by it on the Fields of the Laboratory and the Clinic in the Appraisal of New Anesthetic Agents”. Anesthesiology, 2:443-449, 1941.
3 JB. Cooper, RS. Newbower, RJ. Kitz. “An Analysis of Major Errors and Equipment Failures in Anesthesia Management: Considerations for Prevention and Detection”. Anesthesiology, 60:34-42, 1984.
4 JB. Cooper, .Toward Prevention of Anesthetic Mishaps. International Anesthesiology Clinics, 22:167-183, 1984
5 Gaba DM .Human Error in Anesthetic Mishaps. International Anesthesiology Clinics, 27(3):137-147, 1989.
6 Short TG, O’Regan A, Lew J, Oh TE .Critical Incident Reporting in an Anesthetic Department Quality Assurance Program. Anesthesia, 47:3-7., 1992
7 Cooper JB, RS. Newbower, CD. Long. “Preventable Anesthesia Mishaps”. Anesthesiology, 49:399-406, 1978.
8 RD. Dripps, A. Lamont, JE. Eckenhoff. “The Role of Anesthesia in Surgical Mortality”. JAMA, 178:261-266, 1961.
9 C. Edwards, HJV. Morton, EA. Pask. “Deaths Associated with Anesthesia: Report on 1000 Cases”. Anesthesia, 11:194-220, 1956.
10 BS. Clifton, WIT Hotten. “Deaths Associated with Anesthesia”. British Journal of Anesthesia, 35:250-259, 1963.
11 GP. Morris, RW. Morris. “Anesthesia and Fatigue: An Analysis of the First 10 years of the Australian Incident Monitoring Study 1987-1997”. Anesthesia and Intensive Care, 28(3):300-303, 2000.
12 MC. Newland, SJ. Ellis, CA. Lydiatt, KR. Peters, JH. Tinker, DJ. Romberger, FA. Ullrich, and JR. Anderson. “Anesthetic-related cardiac arrest and its mortality: A report covering 72,959 anesthetics over 10 years from a U.S. teaching hospital”. Anesthesiology, 97:108-115, 2003.
13 A. Lienhart, Y. Auroy, F. Pequignot, D. Benhamou, J. Warszawski, M. Bovet, E. Jougla. “Survey of anesthesia-related mortality in France”. Anesthesiology, 105(6):1087-1097, 2006.
14 A Wantanabe. “Human error and clinical engineering human error and human engineering”. 10(2):113-117, 1999.
Mr. Azadeh Khalatbari
- Canada
akhal062@uottawa.ca
Mr. Kouroush Jenab
- Canada