Errors in Veterinary Anesthesia

Errors in Veterinary Anesthesia is the first book to offer a candid examination of what can go wrong when anesthetizing veterinary patients and to discuss how we can learn from mistakes.   Discusses the origins of errors and how to learn from mistakes Covers common mistakes in veterinary anesthesia Provides strategies for avoiding errors in anesthetizing small and large animal patients Offers tips and tricks to implement in clinical practice Presents actual case studies discussing errors in veterinary anesthesia

Preface, ix Acknowledgments, xi Introduction, xiii 1 Errors: Terminology and Background, 1 Error: terminology, 1 Conclusion, 5 References, 5 2 Errors: Organizations, Individuals, and Unsafe Acts, 7 Error causation: technical factors, 7 Error causation: organizational and supervision factors, 7 Error causation: environmental factors, 12 Error causation: personnel factors, 12 Error causation: human factors, 12 Error causation: other factors, 22 Conclusion, 22 References, 22 3 Reporting and Analyzing Patient Safety Incidents, 25 The limitation in only counting errors, 25 How can we learn the most from our errors?, 26 Analyzing patient safety incidents, 36 Conclusion, 43 References, 43 4 Equipment and Technical Errors in Veterinary Anesthesia, 45 Cases, 47 Near miss vignettes, 51 Conclusion, 57 References, 58 5 Medication Errors in Veterinary Anesthesia, 59 Cases, 60 Near miss vignettes, 66 Conclusions, 69 References, 69 6 Errors of Clinical Reasoning and Decision-making in Veterinary Anesthesia, 71 Cases, 72 Near miss vignettes, 85 Conclusion, 87 References, 87 7 Errors of Communication and Teamwork in Veterinary Anesthesia, 89 Cases, 89 Near miss vignette, 95 Conclusion, 96 References, 97 8 Error Prevention in Veterinary Anesthesia, 99 General strategies for error prevention, 100 Specific strategies for error prevention, 104 Conclusion, 119 References, 119 Appendix A. Suggested Readings, 121 Appendix B. Terminology, 123 Appendix C. ACVAA Monitoring Guidelines, 127 Appendix D. ACVAA Guidelines for Anesthesia in Horses, 131 Appendix E. A Brief History of Checklists, 133 Appendix F. FDA Anesthesia Apparatus Checkout, 135 Appendix G. Association of Veterinary Anaesthetists Anaesthetic Safety Checklist, 137 Appendix H. Critical Clinical Condition Checklists, 139 Index, 149