{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T06:56:19Z","timestamp":1777532179803,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[1993,10,1]],"date-time":"1993-10-01T00:00:00Z","timestamp":749433600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anaesth Intensive Care"],"published-print":{"date-parts":[[1993,10]]},"abstract":"<jats:p>Anaesthetists are called upon to manage complex life-threatening crises at a moment's notice. As there is evidence that this may require cognitive tasking beyond the information-processing capacity of the human brain, it was decided to try and develop a generic crisis management algorithm analogous to the \u201cPhase I\u201d immediate response routine used by airline pilots. Such an algorithm, based on the mnemonic \u201cCOVER ABCD, A SWIFT CHECK\u201d, was developed and refined over 3 meetings, each attended by 60\u2013100 anaesthetists and aviation psychologists. It was validated against 1301 relevant incidents among the first 2000 incidents reported to the Australian Incident Monitoring Study. It proved sufficiently robust and safe to recommend its general use as an initial response to any incident or crisis which occurs when a patient is breathing gas from an anaesthetic machine. It requires a limited knowledge base and is easily learnt and rehearsed during the anaesthetist's working day. It will provide a functional diagnosis in over 99% of cases and will correct 62% of the problems in 40\u201360 seconds. In the remaining 37% it will allow the anaesthetist to proceed with a \u201csub-algorithm\u201d, confident in the knowledge that some important step has not been missed. In just over 30% of incidents this will be for a problem familiar to all anaesthetists (e.g. laryngospasm, bradycardia); in just over 6% it will be for a less common, more complex, but finite, set of problems (3% cardiac arrest, 1% air embolism, 1% anaphylaxis, 1% for the remaining desaturations); in less than 1% diagnosis and correction will require a more complex checklist (e.g. for malignant hyperthermia, pneumothorax). The next stage, the development of specific sub-algorithms and a structured team approach for ongoing problems, is in progress.<\/jats:p>","DOI":"10.1177\/0310057x9302100515","type":"journal-article","created":{"date-parts":[[2019,1,22]],"date-time":"2019-01-22T17:30:44Z","timestamp":1548178244000},"page":"579-592","source":"Crossref","is-referenced-by-count":53,"title":["Crisis Management\u2014Validation of an Algorithm by Analysis of 2000 Incident Reports"],"prefix":"10.1177","volume":"21","author":[{"given":"W. B.","family":"Runciman","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, University of Adelaide and Royal Adelaide Hospital, Adelaide, S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. K.","family":"Webb","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, University of Adelaide and Royal Adelaide Hospital, Adelaide, S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I. D.","family":"Klepper","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, University of Adelaide and Royal Adelaide Hospital, Adelaide, S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, University of Adelaide and Royal Adelaide Hospital, Adelaide, S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. A.","family":"Williamson","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, University of Adelaide and Royal Adelaide Hospital, Adelaide, S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Barker","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, University of Adelaide and Royal Adelaide Hospital, Adelaide, S.A."},{"name":"and Bureau of Air Safety Investigation, Canberra, Australian Capital Territory"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1993,10,1]]},"reference":[{"key":"bibr1-0310057X9302100515","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/59.7.856"},{"key":"bibr2-0310057X9302100515","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X9302100506"},{"key":"bibr3-0310057X9302100515","first-page":"229","volume-title":"Human factors in Aviation.","author":"Caro P.W.","year":"1988"},{"key":"bibr4-0310057X9302100515","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9781139062367"},{"key":"bibr5-0310057X9302100515","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X8801600129"},{"key":"bibr6-0310057X9302100515","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X9302100507"},{"key":"bibr7-0310057X9302100515","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-198904000-00004"},{"key":"bibr8-0310057X9302100515","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-199007000-00014"},{"key":"bibr9-0310057X9302100515","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-199103000-00006"},{"key":"bibr10-0310057X9302100515","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199109000-00043"},{"key":"bibr11-0310057X9302100515","first-page":"2174","volume":"268","author":"American Heart Journal.","year":"1992","journal-title":"JAMA"},{"key":"bibr12-0310057X9302100515","doi-asserted-by":"publisher","DOI":"10.1097\/00000441-194707000-00001"},{"key":"bibr13-0310057X9302100515","unstructured":"Australian and New Zealand College of Anaesthetists. 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