166 results for Merry, Alan, Journal article

  • 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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  • Role of anesthesiologists in WHO safe surgery programs

    Merry, Alan (2010)

    Journal article
    The University of Auckland Library

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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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  • 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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  • 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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  • Safety in medical simulation--overlooked or underappreciated?

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

    Journal article
    The University of Auckland Library

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  • Improving patients' safety by gathering information.

    Runciman, WB; Merry, Alan; Mccall, SA (2001-08-11)

    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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  • 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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  • A call for standards on perioperative CO2 regulation Reply

    Merry, Alan; Cooper, JB; Soyannwo, O; Wilson, IH; Eichhorn, JH (2011-05-01)

    Journal article
    The University of Auckland Library

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  • Is refractory angina pectoris a form of chronic pain? A comparison of two patient groups receiving spinal cord stimulation therapy

    Pak, Nicholas; Devcich, Daniel; Johnson, Malcolm; Merry, Alan (2014-03-28)

    Journal article
    The University of Auckland Library

    AIM: To compare psychological and pain-related characteristics of patients with chronic pain and patients with refractory angina pectoris who had been treated with spinal cord stimulation (SCS) therapy. METHOD: Twenty-four patients receiving SCS therapy were interviewed. Four psychological variables were assessed using standardised questionnaires for pain catastrophising, health locus of control, anxiety sensitivity, and self-efficacy. Patients also completed the revised version of the Short-Form McGill Pain Questionnaire, the Short-Form Health Survey, and self-reported measures of global perceived effect, pain, functionality, and satisfaction with SCS therapy. RESULTS: Most patients reported improvements in pain, functionality, and improvement overall. Some health locus of control dimensions were significantly higher for the angina group than the chronic pain group, and chronic angina patients reported significantly lower levels of intermittent pain. Virtually all patients reported being satisfied with SCS therapy. CONCLUSION: Most self-rated psychological and pain-related characteristics were no different between the two groups, which gives some support to the view that refractory angina is a form of chronic pain. The results also add to evidence supporting the use of SCS therapy for refractory angina pectoris; however, differences observed on a few variables may indicate points of focus for the assessment and treatment of such patients.

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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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  • Improved compliance with the World Health Organization Surgical Safety Checklist is associated with reduced surgical specimen labelling errors

    Martis, WR; Sturge, Jacqueline; Lee, T; Merry, Alan; Mitchell, Simon (2016-09-09)

    Journal article
    The University of Auckland Library

    AIMS: A new approach to administering the surgical safety checklist (SSC) at our institution using wall-mounted charts for each SSC domain coupled with migrated leadership among operating room (OR) sub-teams, led to improved compliance with the Sign Out domain. Since surgical specimens are reviewed at Sign Out, we aimed to quantify any related change in surgical specimen labelling errors. METHODS: Prospectively maintained error logs for surgical specimens sent to pathology were examined for the six months before and after introduction of the new SSC administration paradigm. We recorded errors made in the labelling or completion of the specimen pot and on the specimen laboratory request form. Total error rates were calculated from the number of errors divided by total number of specimens. Rates from the two periods were compared using a chi square test. RESULTS: There were 19 errors in 4,760 specimens (rate 3.99/1,000) and eight errors in 5,065 specimens (rate 1.58/1,000) before and after the change in SSC administration paradigm (P=0.0225). CONCLUSIONS: Improved compliance with administering the Sign Out domain of the SSC can reduce surgical specimen errors. This finding provides further evidence that OR teams should optimise compliance with the SSC.

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  • Response to: Improving the Quality and Safety as Well as Reducing the Cost for Patients Undergoing Cardiac Surgery: Missing Some Issues?

    Merry, Alan; Weller, Jennifer; Mitchell, Simon (2015-08)

    Journal article
    The University of Auckland Library

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  • Fake and expired medications in simulation-based education: an underappreciated risk to patient safety

    Torrie, Jocelyn; Cumin, David; Sheridan, Jane; Merry, Alan (2016-12)

    Journal article
    The University of Auckland Library

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  • Variables of patient-controlled analgesia

    Merry, Alan; Owen, H; Kluger, MT; Plummer, JL (1991)

    Journal article
    The University of Auckland Library

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  • Incorrect representation of aseptic techniques

    Merry, Alan; Gargiulo, Derryn; Sheridan, Jane; Webster, Craig; Swift, Simon; Torrie, Jocelyn; Weller, Jennifer; Henderson, K; Sturge, Jacqueline (2017-05)

    Journal article
    The University of Auckland Library

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  • Brachial Arterial Temperature as an Indicator of Core Temperature: Proof of Concept and Potential Applications

    Pawley, Matthew; Martinsen, P; Mitchell, Simon; Cheeseman, James; Merry, Alan; Willcox, T; Grieve, R; Nand, P; Davies, Elaine; Warman, Guy (2013)

    Journal article
    The University of Auckland Library

    There is potential for heat loss and hypothermia during anesthesia and also for hyperthermia if heat conservation and active warming measures are not accurately titrated. Accurate temperature monitoring is particularly important in procedures in which the patient is actively cooled and then rewarmed such as during cardiopulmonary bypass surgery (CPB). We simultaneously measured core, nasopharyngeal, and brachial artery temperatures to investigate the last named as a potential peripheral temperature monitoring site. Ten patients undergoing hypothermic CPB were instrumented for simultaneous monitoring of temperatures in the pulmonary artery (PA), aortic arterial inflow (AI), nasopharynx (NP), and brachial artery (BA). Core temperature was defined as PA temperature before and after CPB and the AI temperature during CPB. Mean deviations of BA and NP temperatures from core temperature were calculated for three steady-state periods (before, during, and after CPB). Mean deviation of BA and NP temperatures from AI temperature was also calculated during active rewarming. A total of 1862 measurements were obtained and logged from eight patients. Mean BA and NP deviations from core temperature across the steady-state periods (before, during, and after CBP) were, respectively: .23 ?? .25, ???.26 ?? .3, and ???.09 ?? .05 C (BA), and .11 ?? .19, ???.1 ?? .47, and ???.04 ?? .3 C (NP). During steadystate periods, there was no evidence of a difference between the mean BA and NP deviation. During active rewarming, the mean difference between the BA and AI temperatures was .14 ?? .36 C. During this period, NP temperature lagged behind AI and BA temperatures by up to 41 minutes and was up to 5.3 C lower than BA (mean difference between BA and NP temperatures was 1.22 ?? .58 C). The BA temperature is an adequate surrogate for core temperature. It also accurately tracks the changing AI temperature during rewarming and is therefore potentially useful in detecting a hyperthermic perfusate, which might cause cerebral hyperthermia.

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  • Safety in Anaesthesia

    Merry, Alan (2009)

    Journal article
    The University of Auckland Library

    latrogenic 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.

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