171 results for The University of Auckland Library, Merry, Alan

  • Role of anesthesiologists in WHO safe surgery programs

    Merry, Alan (2010)

    Journal article
    The University of Auckland Library

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  • Incident reporting, aviation and anaesthesia

    Merry, Alan; Henderson, B (2017-05)

    Journal article
    The University of Auckland Library

    An introduction is presented in which the editor discusses various reports within the issue on topics including incident reporting, anaesthesia and aviation industry

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  • Applying ethical and legal principles to new technology: the University of Auckland Faculty of Medical and Health Sciences??? policy ???Taking and Sharing Images of Patients???

    Jonas, Monique; Malpas, Phillipa; Kersey, K; Merry, Alan; Bagg, Warwick (2017-01-27)

    Journal article
    The University of Auckland Library

    To develop a policy governing the taking and sharing of photographic and radiological images by medical students.The Rules of the Health Information Privacy Code 1994 and the Code of Health and Disability Services Consumers' Rights were applied to the taking, storing and sharing of photographic and radiological images by medical students. Stakeholders, including clinicians, medical students, lawyers at district health boards in the Auckland region, the Office of the Privacy Commissioner and the Health and Disability Commissioner were consulted and their recommendations incorporated.The policy 'Taking and Sharing Images of Patients' sets expectations of students in relation to: photographs taken for the purpose of providing care; photographs taken for educational or professional practice purposes and photographic or radiological images used for educational or professional practice purposes. In addition, it prohibits students from uploading images of patients onto image-sharing apps such as Figure 1. The policy has since been extended to apply to all students at the Faculty of Medical and Health Sciences at the University of Auckland.Technology-driven evolutions in practice necessitate regular review to ensure compliance with existing legal regulations and ethical frameworks. This policy offers a starting point for healthcare providers to review their own policies and practice, with a view to ensuring that patients' trust in the treatment that their health information receives is upheld.

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  • Awareness during general anaesthesia in the first 4,000 incidents reported to webAIRS

    Leslie, K; Culwick, MD; Reynolds, H; Sturge, Jacqueline; Merry, Alan (2017-07)

    Journal article
    The University of Auckland Library

    The aim of this study was to analyse the incidents related to awareness during general anaesthesia in the first 4,000 cases reported to webAIRS-an anaesthetic incident reporting system established in Australia and New Zealand in 2009. Included incidents were those in which the reporter selected "neurological" as the main category and "awareness/dreaming/nightmares" as a subcategory, those where the narrative report included the word "awareness" and those identified by the authors as possibly relevant to awareness. Sixty-one awareness-related incidents were analysed: 16 were classified as "awareness", 31 were classified as "no awareness but increased risk of awareness" and 14 were classified as "no awareness and no increased risk of awareness". Among 47 incidents in the former two categories, 42 (89%) were associated with low anaesthetic delivery and 24 (51%) were associated with signs of intraoperative wakefulness. Memory of intraoperative events caused significant ongoing distress for five of the 16 awareness patients. Patients continue to be put at risk of awareness by a range of well-described errors (such as syringe swaps) but also by some new errors related to recently introduced anaesthetic equipment, such as electronic anaesthesia workstations.

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  • Medical students, patients, and the process of consent

    Malpas, Phillipa; Merry, Alan; Bagg, Warwick (2014)

    Conference item
    The University of Auckland Library

    The issue of informing patients and gaining their consent (or refusal to consent) for various medical interventions was formally recognised in the development of the Code of Health and Disability Consumers??? Rights in 1996. Rights 6 and 7 specifically set out the rights consumers have to be fully informed, to make an informed choice, and the right to give informed consent. Alongside the HDC rights based focus were changes in the doctor-patient relationship ??? changes that promoted a more patient centred focus - which also supported a paradigm that advocated patients being more involved in the decision-making process concerning their own medical treatment and care. The involvement of medical students in the treatment and care of patients and the obligations students have with respect to the informed consent process has received little academic attention. Yet there is evidence that medical students have troubling ethical experiences with patients regarding the issue of consent. In this discussion I will consider some of the ethical challenges that arose when senior medical students at the University of Auckland identified and discussed their experiences with patients (within the context of consent) as part of their ethics teaching. I will also discuss the consensus document being developed by Auckland and Otago Schools??? of Medicine that arose as a consequence of the consent issues discussed by students.

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  • Medication errors: time for a national audit?

    Merry, Alan; Anderson, Brian (2011-11)

    Journal article
    The University of Auckland Library

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  • Hard lessons for pain researchers

    Merry, Alan; Frampton, CM; Anderson, Brian (2010)

    Journal article
    The University of Auckland Library

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  • Curtailing the cost of anesthetic drugs: prudent economics or an infringement of clinical autonomy?

    Merry, Alan; Hamblin, R (2015-10)

    Journal article
    The University of Auckland Library

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  • How does the law recognise and deal with medical errors?

    Merry, Alan (2009)

    Book item
    The University of Auckland Library

    This chapter contains sections titled: The law, science, moral philosophy and medicine Empirical scientific data on iatrogenic harm and medical error Scientific theory: error, violation and intentional wrong doing Some implications of legal action against medical error Some basic concepts relevant to the legal response to medical error Should medical error be tolerated? The ideal legal response to medical errors that result in harm to patients

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  • Improving the safety of pediatric sedation? Human error, technology, and clinical microsystems

    Webster, Craig; Anderson, Brian; Stabile, MJ; Merry, Alan (2015)

    Book item
    The University of Auckland Library

    Recent years have seen significant improvements in the safety of a number of areas of health care. However, evidence would suggest that the practice of pediatric sedation outside of the operating room is an area where unaddressed complexities and risks in care remain. In addition, the number of children receiving sedation outside of the operating room is on the increase, emphasizing the need to realize opportunities to improve safety. We outline the risks inherent in sedating children in the context of both the human factors and system factors perspectives. We incorporate examples from other high-technology industries such as aviation and nuclear power generation to allow a better understanding of why things go wrong during sedation. The value of prior risk assessment, communication, checklists, and formalized recovery pathways are discussed, and new directions for the development of safety initiatives are identified. Finally a number of practical steps based on existing successful safety approaches are given, with an emphasis on the demonstration of efficacy and the sharing of successful safety solutions.

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  • The challenges of technological intensification

    Webster, Craig; Stabile, M; Merry, Alan (2009)

    Journal article
    The University of Auckland Library

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  • Safety in medical simulation--overlooked or underappreciated?

    Merry, Alan; Wheeler, DW (2011-09)

    Journal article
    The University of Auckland Library

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  • Bar codes and the reduction of drug administration error in anesthesia

    Merry, Alan; Webster, Craig (2004)

    Journal article
    The University of Auckland Library

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  • Managing treatment injury???and response

    Merry, Alan; Seddon, Mary (2006)

    Journal article
    The University of Auckland Library

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  • Medication administration in anesthesia - time for a paradigm shift

    Stabile, M; Webster, Craig; Merry, Alan (2007)

    Journal article
    The University of Auckland Library

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  • Invited commentary

    Merry, Alan (2007-09)

    Journal article
    The University of Auckland Library

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  • Safety in Anaesthesia: promoting sustainable change for the future

    Merry, Alan (2008)

    Journal article
    The University of Auckland Library

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  • Global Oximetry: an international anaesthesia quality improvement project

    Walker, IA; Merry, Alan; Wilson, I; McHugh, GA; O'Sullivan, E; Thoms, GM; Nuevo, F (2010)

    Journal article
    The University of Auckland Library

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  • Extending the WHO 'Safe Surgery Saves Lives' project through global oximetry - A reply

    Merry, Alan; Eichhorn, JH; Wilson, IH (2010-08-01)

    Journal article
    The University of Auckland Library

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  • The WHO Surgical Safety Checklist Reply

    Merry, Alan; Barraclough, BH (2010-10-18)

    Journal article
    The University of Auckland Library

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