W. B. Runciman

ORCID: 0000-0001-8489-0693
Publications
Citations
Views
---
Saved
---
About
Contact & Profiles
Research Areas
  • Patient Safety and Medication Errors
  • Medical Malpractice and Liability Issues
  • Cardiac, Anesthesia and Surgical Outcomes
  • Anesthesia and Sedative Agents
  • Healthcare Quality and Management
  • Hemodynamic Monitoring and Therapy
  • Veterinary Pharmacology and Anesthesia
  • Healthcare Technology and Patient Monitoring
  • Airway Management and Intubation Techniques
  • Anesthesia and Pain Management
  • Antibiotics Pharmacokinetics and Efficacy
  • Radiology practices and education
  • Emergency and Acute Care Studies
  • Electronic Health Records Systems
  • Primary Care and Health Outcomes
  • Non-Invasive Vital Sign Monitoring
  • Pain Management and Opioid Use
  • Quality and Safety in Healthcare
  • Clinical practice guidelines implementation
  • Cardiac Arrest and Resuscitation
  • Healthcare Policy and Management
  • Occupational Health and Safety Research
  • Health Systems, Economic Evaluations, Quality of Life
  • Radiation Dose and Imaging
  • Risk and Safety Analysis

University of South Australia
2013-2023

South Australian Health and Medical Research Institute
2015-2022

Macquarie University
1969-2021

Australian Cancer Research Foundation
2008-2019

The University of Adelaide
2006-2016

Social Policy Research Associates (United States)
2016

The University of Melbourne
2016

UNSW Sydney
2006-2014

National Patient Safety Foundation
2000-2013

Sewanee: The University of the South
2012

A review of the medical records over 14 000 admissions to 28 hospitals in New South Wales and Australia revealed that 16.6% these were associated with an "adverse event", which resulted disability or a longer hospital stay for patient was caused by health care management; 51% adverse events considered preventable. In 77.1% had resolved within 12 months, but 13.7% permanent 4.9% died.

10.5694/j.1326-5377.1995.tb124691.x article EN The Medical Journal of Australia 1995-11-01

BackgroundUnderstanding the patient safety literature has been compromised by inconsistent use of language.

10.1093/intqhc/mzn057 article EN International Journal for Quality in Health Care 2009-01-15

To determine the percentage of health care encounters at which a sample adult Australians received appropriate (ie, in line with evidence-based or consensus-based guidelines). Computer-assisted telephone interviews and retrospective review medical records (for 2009-2010) least 1000 Australian adults to measure compliance 522 expert consensus indicators representing for 22 common conditions. Participants were selected from households areas South Australia New Wales chosen be representative...

10.5694/mja12.10510 article EN The Medical Journal of Australia 2012-07-01

The Australian Patient Safety Foundation was formed in 1987; it decided to set up and co-ordinate the Incident Monitoring Study as a function of this Foundation; 90 hospitals practices joined study. Participating anaesthetists were invited report, on an anonymous voluntary basis, any unintended incident which reduced, or could have safety margin for patient. Any be reported, not only those deemed “preventable” thought involve human error. Mark I AIMS form developed incorporated features...

10.1177/0310057x9302100507 article EN Anaesthesia and Intensive Care 1993-10-01

Human error is a pervasive and normal part of everyday life interest to the anaesthetist because errors may lead accidents. Definitions of, relationships between, errors, incidents accidents are provided as basis this introduction psychology human in context work anaesthetist. Examples drawn from Australian Incident Monitoring Study (AIMS). An argument put forward for use contemporaneous incident reporting (eliciting relevant contextual information well details cognitive psychologists),...

10.1177/0310057x9302100506 article EN Anaesthesia and Intensive Care 1993-10-01

Global advances in patient safety have been hampered by the lack of a uniform classification concepts. This is significant barrier to developing strategies reduce risk, performing evidence-based research and evaluating existing healthcare policies relevant safety. Since 2005, World Health Organization's Alliance for Patient Safety has undertaken Project Develop an International Classification (ICPS) devise which transforms information collected from disparate systems into common format...

10.1093/intqhc/mzn054 article EN International Journal for Quality in Health Care 2009-01-15

Information of relevance to human failure was extracted from the first 2,000 incidents reported Australian Incident Monitoring Study (AIMS). All reports were searched for factors amongst "factors contributing," minimising", and "suggested corrective strategies" categories, these classified according type error with which they associated. In 83% elements scored by reporters. "Knowledge-based errors" contributed directly about one-quarter incidents; outcome one third thought have been...

10.1177/0310057x9302100534 article EN Anaesthesia and Intensive Care 1993-10-01

In a before-and-after study, Johanna Westbrook and colleagues evaluate the change in prescribing error rates after introduction of two commercial electronic systems Australian hospitals.

10.1371/journal.pmed.1001164 article EN cc-by PLoS Medicine 2012-01-31

The role of monitors in patients undergoing general anaesthesia was studied by analysing the first 2000 incidents reported to Australian Incident Monitoring Study; 1256 (63%) were considered applicable this study. In 52% these a monitor detected incident first; oximetry (27%) and capnography (24%) over half incidents, electrocardiograph 19%, blood pressure 12%, low (circuit) alarm 8%, oxygen analyser 4%. Of other used, 5 1-2% remaining 8 less than 0.5% each. oximeter would have 40% had its...

10.1177/0310057x9302100508 article EN Anaesthesia and Intensive Care 1993-10-01

<h3>Background</h3> Despite the widespread use of accreditation in many countries, and prevailing beliefs that is associated with variables contributing to clinical care organisational outcomes, little systematic research has been conducted examine its validity as a predictor healthcare performance. <h3>Objective</h3> To determine whether performance self-reported independent ratings four aspects <h3>Design</h3> Independent blinded assessment these random, stratified sample health service...

10.1136/qshc.2009.033928 article EN BMJ Quality & Safety 2010-02-01

To expand an emerging classification for problems with health information technology (HIT) using reports submitted to the US Food and Drug Administration Manufacturer User Facility Device Experience (MAUDE) database.HIT events MAUDE were retrieved a standardized search strategy. Using 32 categories of HIT problems, subset relevant iteratively analyzed identify new categories. Two coders then independently classified remaining into one or more Free-text descriptions consequences...

10.1136/amiajnl-2011-000369 article EN Journal of the American Medical Informatics Association 2011-09-09

<h3>Objectives:</h3> To sustain an argument that harnessing the natural properties of sociotechnical systems is necessary to promote safer, better healthcare. <h3>Methods:</h3> Triangulated analyses discrete literature sources, particularly drawing on those from mathematics, sociology, marketing science and psychology. <h3>Results:</h3> Progress involves use networks exploiting features such as their scale-free small world nature, well characteristics group dynamics like appeal (stickiness)...

10.1136/qshc.2007.023317 article EN cc-by-nc BMJ Quality & Safety 2009-02-01

To analyze patient safety incidents associated with computer use to develop the basis for a classification of problems reported by health professionals.

10.1136/jamia.2009.002444 article EN Journal of the American Medical Informatics Association 2010-10-20

<h3>Importance</h3> The quality of routine care for children is rarely assessed, and then usually in single settings or clinical conditions. <h3>Objective</h3> To estimate the health Australia inpatient ambulatory settings. <h3>Design, Setting, Participants</h3> Multistage stratified sample with medical record review to assess adherence indicators extracted from practice guidelines 17 common, high-burden conditions (noncommunicable [n = 5], mental 4], acute infection 7], injury 1]), such as...

10.1001/jama.2018.0162 article EN JAMA 2018-03-20

Objective Quality assurance techniques applied within the healthcare industry have been widely used and are intended to improve patient outcomes. Two methods that utilized incident reporting medical chart review (MCR). The objectives for this study were evaluate facilitated monitoring (FIM) MCR in intensive care setting. Design Cross-sectional comparison of prospective FIM retrospective MCR. Setting Tertiary, 12-bed, closed unit (ICU) Australia providing adult pediatric surgical, medical,...

10.1097/01.ccm.0000060016.21525.3c article EN Critical Care Medicine 2003-04-01

Amongst the first 2000 incidents reported to Australian Incident Monitoring Study, there were 144 in which “wrong drug” was nearly or actually administered a patient. Thirty-three percent of involved ampoules and just over 40% syringes; half latter syringes same size, also, half, they correctly labelled. In 81% given. This more common with (93%) than (58%). Thus most error giving wrong drug from labelled syringe. The muscle relaxant both ampoule syringe incidents. 74% all reports, potential...

10.1177/0310057x9302100517 article EN Anaesthesia and Intensive Care 1993-10-01
Coming Soon ...