Evidence map›Paper›PMID 39491337›Full record

ArticleAnaesthesia2025

Patient safety incidents in anaesthesia: a qualitative study of trainee experience from a single UK healthcare region.

Amelia Robinson, Amanda Kelsey, Sara McDouall, Helen Higham

Abstract read
In one paragraph

Article in Anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Amelia RobinsonNuffield Department of Anaesthesia, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.ORCID 0009-0002-3666-4952
Amanda KelseySchool of Healthcare, University of Leeds, Leeds, UK.
Sara McDouallDepartment of Anaesthesia, Royal Berkshire Hospital, Reading, UK.
Helen HighamNuffield Department of Anaesthesia, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.ORCID 0000-0001-5796-0377

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnaesthetic training has always had patient safety as part of the curriculum. However, there is limited emphasis on what happens when things do not go to plan. Our aims were to understand the impact of involvement in patient safety incidents on anaesthetic trainees in our region, to describe the range of support currently offered and put forward suggestions for improvement.

methodsAn initial electronic survey was sent to all anaesthetic trainees in a single UK healthcare region to capture qualitative and quantitative information on patient safety incidents. After completing the questionnaire, participants were asked to consent to involvement in a semi-structured interview to provide a more detailed understanding of the impact of safety incidents. Data were analysed from the questionnaires and interview transcripts using descriptive statistics and thematic analysis.

resultsThirty-four completed questionnaires were analysed revealing 27 trainees had been involved in a patient safety incident. Ten semi-structured interviews were conducted and six themes were identified: team dynamics (including adequacy of staffing and supportive departmental culture); context of the event; reflex immediate support post-event; working environment pending completion of the investigation; personal impact (including physical and mental health); and suggestions for future support.

conclusionThis study has shown the significant impact of safety incidents on anaesthetic trainees in one training region in the UK and highlights the importance of implementing early, tailored debriefs led by trained facilitators, the value of a supportive work environment and the need to raise awareness of system-based approaches to learning from incident investigations. Further research should guide the format and delivery of support for trainees to provide more helpful and timely interventions after patient safety incidents and reduce the risk of future harm to both patients and trainees.

Indexed as

AnesthesiologyPatient SafetyQualitative ResearchAnesthesiaFemaleHumansMaleMedical ErrorsSurveys and QuestionnairesUnited Kingdomdebriefingpatient safety incidentsqualitative methodologytraining

Identifiers

PMID39491337
PMCPMC11617131

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.