Health Systems Action

Anesthesiology

Plausibility is not proof: what two studies reveal about trust in clinical research

Intraoperative EEG-guided depth of anaesthesia monitoring may reduce postoperative complications such as delirium, but the evidence is mixed. This uncertainty is a useful lens for seeing how clinical evidence is produced, evaluated and trusted. A brief report We examined the association between intraoperative EEG-based depth of anaesthesia (DoA) guidance and postoperative delirium in a retrospective …

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It’s not your fault! The cognitive basis of medical error

A reflection on human attention and patient safety At the October 2025 American Society of Anesthesiology (ASA) meeting Dr Joyce Wahr delivered the prestigious John W. Severinghaus Lecture with a message for all of healthcare: most errors are not the result of carelessness, incompetence or insufficient effort. They are predictable outcomes of how the human …

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Death after Surgery is the Third Biggest Cause of Mortality – and a Public Health Problem

In 1954, Henry Beecher, the pioneering American anaesthesiologist, described death from anaesthesia as a “public health problem“. Seventy years later, thanks to concerted effort and innovation, anaesthesia is about 100 times safer, occurring in about 1 in 100,000 cases. This makes surgery safer and contributes to its popularity and effectiveness: globally, over 313 million surgical …

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