Iatrogenic harm is a major problem in healthcare, and incident reporting is one of various methods of identifying areas for improvement in patient safety. The World Health Organisation has introduced a three-phase checklist to reduce error and improve teamwork and communication during surgery. Use of this checklist has been shown to reduce harm. Incident reporting will be invaluable in monitoring its effectiveness and identifying areas for refinement.
AbeysekeraA., BergmanI., KlugerM.2005Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study databaseAnaesthesia60(3) 220–7
2.
CatchpoleK., BellM., JohnsonS.2008Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning SystemAnaesthesia63(4) 340–346
3.
CooperJ., GabaD.2002No myth: anesthesia is a model for addressing patient safetyAnesthesiology97(6) 1335–1337
4.
CooperJ., LongC., NewbowerR.1982Critical incidents associated with intraoperative exchanges of anesthesia personnelAnesthesiology56(6) 456–461
5.
CooperJ., NewbowerR., LongC.1978Preventable anesthesia mishaps: a study of human factorsAnesthesiology49(6) 399–406
6.
DebasH., GosselinR.2006Surgery. Disease control priorities in developing countries In: JamisonD., BremanJ., MeashamA., and BobadillaJ.. Washington, DC, International Bank for Reconstruction and Development/World Bank1245–1260
7.
DonabedianA.2003An Introduction to Quality Assurance in Health Care.New York, Oxford University Press
HaynesA.B., WeiserT.G., BerryW.R.2009A surgical safety checklist to reduce morbidity and mortality in a global populationNew England Journal of Medicine360(5) 491–9
10.
KohnL., CorriganJ., Eds 1999To Err Is Human: Building a Safer Health SystemWashington DC, National Academy Press
11.
McCall SmithA., MerryA.1996Medical accountability and the criminal law: New Zealand vs the worldHealth Care Analysis4(1) 45–54
12.
McGlynnE., AschS., AdamsJ.2003The quality of health care delivered to adults in the United StatesNew England Journal of Medicine348(26) 2635–2645
13.
MellarsC., CroninL.1995Is nursing a crime?Nursing New Zealand1(8) 26–27
14.
MerryA.2007When are errors a crime? - Lessons from New Zealand In: The Criminal Justice System and Health Care Eds ErinC., OstS.Oxford, Oxford University Press67–97
15.
MerryA.2008Safety in anaesthesia: reporting incidents and learning from themAnaesthesia63337–9
16.
MerryA., McCall SmithA.2001Errors, Medicine and the LawCambridge, Cambridge University Press
17.
MerryA., PeckD.1995Anaesthetists, errors in drug administration and the lawNew Zealand Medical Journal108185–187
18.
RuncimanB., MerryA., McCall SmithA.2001Improving patients' safety by gathering information. Anonymous reporting has an important roleBritish Medical Journal323(7308) 298
19.
RuncimanB., MerryA., WaltonM.2007Safety and Ethics in Healthcare: A Guide to Getting it RightAldershot, Ashgate
20.
RuncimanW.B., WebbR.K., LeeR., HollandR.1993a The Australian Incident Monitoring Study. System failure: an analysis of 2000 incident reportsAnaesthesia and Intensive Care21(5) 684–695
21.
RuncimanW.B., SellenA., WebbR.K.1993b The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice.Anaesthesia and Intensive Care21(5) 506–19
22.
SeddonM.2006Quality improvement in healthcare in New Zealand. Part 1: what would a high-quality healthcare system look like?The New Zealand Medical Journal119(1237) 1–5
23.
SeddonM., MerryA.2002How safe are our hospitals?New Zealand Medical Journal115(1167) U268
WebsterC., MerryA.2001The frequency and nature of drug administration error during anaesthesiaAnaesthesia and Intensive Care29(5) 494–500
26.
WennbergJ., GittelsohnA.1982Variations in medical care among small areasScientific American246(4) 120–134
27.
World Health Organization1946Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19–22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948. World Health Organisation 2008 Safe Surgery Saves Lives http://www.who.int/patientsafety/safesurgery/en/index.html (accessed Sept 20th 2008)
28.
World Alliance for Patient Safety2008WHO Guidelines for Safe SurgeryGeneva, World Health Organisation