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,

John W. Ludders, DVM, DipACVAA, is Professor Emeritus at Cornell University in Ithaca, New York, USA.
 
Matthew McMillan, BVM&S, DipECVAA, MRCVS, is Principal Clinical Anaesthetist and Critical Care Co-ordinator at Queen's Veterinary School Hospital at the University of Cambridge in Cambridge, United Kingdom.

"This book serves as definitive reading for all faculty, residents, interns and technicians in veterinary anesthesiology...Each chapter provides excellent clinical vignettes of mistakes and inaccuracies....For anyone looking to improve their practice of veterinary medicine or formulating a system for morbidity-mortality rounds, this book is essential reading. Excellent." (Doody Enterprises 24/03/2017)