A F Merry

Summary

Affiliation: University of Auckland
Country: New Zealand

Publications

  1. ncbi request reprint Evaluation in an anaesthetic simulator of a prototype of a new drug administration system designed to reduce error
    A F Merry
    Department of Anaesthesia, Green Lane Hospital, Private Bag 92189, Auckland 1130, New Zealand
    Anaesthesia 57:256-63. 2002
  2. ncbi request reprint Patient safety in an interprofessional learning environment
    Margaret Horsburgh
    Faculty of Medical and Health Sciences, University of Auckland, New Zealand
    Med Educ 39:512-3. 2005
  3. doi request reprint Ethics, industry, and outcomes
    Alan F Merry
    Department of Anaesthesiology, University of Auckland, Auckland, New Zealand
    Semin Cardiothorac Vasc Anesth 12:7-11. 2008
  4. ncbi request reprint Clevidipine compared with nitroglycerin for blood pressure control in coronary artery bypass grafting: a randomized double-blind study
    Alan F Merry
    Faculty of Medical and Health Sciences, School of Medicine, The University of Auckland, Private Bag 92019, Auckland, 1003, New Zealand
    Can J Anaesth 61:398-406. 2014
  5. ncbi request reprint Is refractory angina pectoris a form of chronic pain? A comparison of two patient groups receiving spinal cord stimulation therapy
    Nick Pak
    Department of Anaesthesiology, The University of Auckland, Private Bag 92019, Auckland, New Zealand
    N Z Med J 127:52-61. 2014
  6. doi request reprint Randomized comparison between the combination of acetaminophen and ibuprofen and each constituent alone for analgesia following tonsillectomy in children
    Alan F Merry
    Department of Anaesthesiology, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand
    Can J Anaesth 60:1180-9. 2013
  7. ncbi request reprint Anaesthetic drug administration as a potential contributor to healthcare-associated infections: a prospective simulation-based evaluation of aseptic techniques in the administration of anaesthetic drugs
    Derryn A Gargiulo
    Department of Anaesthesiology, University of Auckland, Auckland, New Zealand
    BMJ Qual Saf 21:826-34. 2012
  8. ncbi request reprint Campaigning for safety
    Alan F Merry
    University of Auckland and Green Lane, Department of Anesthesia, Auckland City Hospital, Auckland, New Zealand
    J Extra Corpor Technol 44:P16-9. 2012
  9. ncbi request reprint Are two internal thoracic artery grafts as safe as one? Experience from Green Lane Hospital
    Arul Baradi
    Department of General Medicine, Auckland City Hospital, Auckland New Zealand
    N Z Med J 125:36-41. 2012
  10. ncbi request reprint Bivalirudin versus heparin and protamine in off-pump coronary artery bypass surgery
    Alan F Merry
    Department of Cardiothoracic Surgery, Green Lane Hospital, Auckland, New Zealand
    Ann Thorac Surg 77:925-31; discussion 931. 2004

Collaborators

Detail Information

Publications55

  1. ncbi request reprint Evaluation in an anaesthetic simulator of a prototype of a new drug administration system designed to reduce error
    A F Merry
    Department of Anaesthesia, Green Lane Hospital, Private Bag 92189, Auckland 1130, New Zealand
    Anaesthesia 57:256-63. 2002
    ..346 s; p < 0.001) and during anaesthesia (20 vs. 104 s; p < 0.001). Comments facilitated development of the system and the evaluation endorsed proceeding to a clinical trial...
  2. ncbi request reprint Patient safety in an interprofessional learning environment
    Margaret Horsburgh
    Faculty of Medical and Health Sciences, University of Auckland, New Zealand
    Med Educ 39:512-3. 2005
  3. doi request reprint Ethics, industry, and outcomes
    Alan F Merry
    Department of Anaesthesiology, University of Auckland, Auckland, New Zealand
    Semin Cardiothorac Vasc Anesth 12:7-11. 2008
    ..Pushing the limits of ethics in research threatens to undermine not only the reputation of those conducting the research but also the standing of science itself...
  4. ncbi request reprint Clevidipine compared with nitroglycerin for blood pressure control in coronary artery bypass grafting: a randomized double-blind study
    Alan F Merry
    Faculty of Medical and Health Sciences, School of Medicine, The University of Auckland, Private Bag 92019, Auckland, 1003, New Zealand
    Can J Anaesth 61:398-406. 2014
    ....
  5. ncbi request reprint Is refractory angina pectoris a form of chronic pain? A comparison of two patient groups receiving spinal cord stimulation therapy
    Nick Pak
    Department of Anaesthesiology, The University of Auckland, Private Bag 92019, Auckland, New Zealand
    N Z Med J 127:52-61. 2014
    ..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...
  6. doi request reprint Randomized comparison between the combination of acetaminophen and ibuprofen and each constituent alone for analgesia following tonsillectomy in children
    Alan F Merry
    Department of Anaesthesiology, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand
    Can J Anaesth 60:1180-9. 2013
    ..Combined acetaminophen and ibuprofen may be more effective than either constituent alone for pain in adults. The combination was compared with the individual constituents for analgesia following tonsillectomy in children...
  7. ncbi request reprint Anaesthetic drug administration as a potential contributor to healthcare-associated infections: a prospective simulation-based evaluation of aseptic techniques in the administration of anaesthetic drugs
    Derryn A Gargiulo
    Department of Anaesthesiology, University of Auckland, Auckland, New Zealand
    BMJ Qual Saf 21:826-34. 2012
    ..To evaluate the possibility that anaesthetists are administering potentially pathogenic micro-organisms to their patients...
  8. ncbi request reprint Campaigning for safety
    Alan F Merry
    University of Auckland and Green Lane, Department of Anesthesia, Auckland City Hospital, Auckland, New Zealand
    J Extra Corpor Technol 44:P16-9. 2012
    ..The PDU is well placed to support quality improvement in perfusion by providing such data...
  9. ncbi request reprint Are two internal thoracic artery grafts as safe as one? Experience from Green Lane Hospital
    Arul Baradi
    Department of General Medicine, Auckland City Hospital, Auckland New Zealand
    N Z Med J 125:36-41. 2012
    ..Patients receiving BITA grafts were case-matched with patients receiving SITA grafts for confounding factors and comparison was made between perioperative outcomes in the two groups...
  10. ncbi request reprint Bivalirudin versus heparin and protamine in off-pump coronary artery bypass surgery
    Alan F Merry
    Department of Cardiothoracic Surgery, Green Lane Hospital, Auckland, New Zealand
    Ann Thorac Surg 77:925-31; discussion 931. 2004
    ..We also assessed flow with angiography at 3 months using a modified Thombolysis in Myocardial Infarction (TIMI) grade in the grafted coronary arteries...
  11. doi request reprint A simulation design for research evaluating safety innovations in anaesthesia*
    A F Merry
    Department of Anaesthesiology, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
    Anaesthesia 63:1349-57. 2008
    ..46, so in future studies 21 subjects would provide 80% statistical power to show a reduction in error rate of 30% from baseline with p<or=0.05. Our research design will facilitate the evaluation of safety initiatives in anaesthesia...
  12. pmc Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation
    Alan F Merry
    Department of Anaesthesiology, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92 019, Auckland 1142, New Zealand
    BMJ 343:d5543. 2011
    ..To clinically evaluate a new patented multimodal system (SAFERSleep) designed to reduce errors in the recording and administration of drugs in anaesthesia...
  13. doi request reprint The contribution of labelling to safe medication administration in anaesthetic practice
    Alan F Merry
    Department of Anaesthesiology, University of Auckland, Private Bag 92019, Auckland 1142, Auckland City Hospital, New Zealand
    Best Pract Res Clin Anaesthesiol 25:145-59. 2011
    ..Any medicine or fluid that cannot be identified (e.g., in an unlabelled syringe or other container) should be considered unsafe and discarded. Reducing adverse medication events will require the engagement of individual anaesthetists...
  14. ncbi request reprint Safety in anaesthesia
    Alan F Merry
    Department of Anaesthesiology, University of Auckland, Private Bag 92019, Auckland, New Zealand
    J Perioper Pract 19:348-51. 2009
    ..Use of this checklist has been shown to reduce harm. Incident reporting will be invaluable in monitoring its effectiveness and identifying areas for refinement...
  15. ncbi request reprint To do or not to do?--How people make decisions
    Alan F Merry
    Department of Anaesthesiology, University of Auckland, Auckland, New Zealand
    J Extra Corpor Technol 43:P39-43. 2011
    ..It follows that the very extensive experience of some of the older practitioners may have been more valuable in decision making than many of the very reasonable and logical advances that have influenced modern practice...
  16. ncbi request reprint The Professor Merry Lecture: Endings and beginnings
    Alan F Merry
    Department of Anaesthesiology, University of Auckland, Auckland, New Zealand
    J Extra Corpor Technol 43:P17-22. 2011
    ..It is, nevertheless, important that all involved are cognizant of the practical and ethical issues at stake...
  17. pmc An iterative process of global quality improvement: the International Standards for a Safe Practice of Anesthesia 2010
    Alan F Merry
    Department of Anaesthesiology, University of Auckland, Auckland 1142, New Zealand
    Can J Anaesth 57:1021-6. 2010
    ....
  18. pmc Combined acetaminophen and ibuprofen for pain relief after oral surgery in adults: a randomized controlled trial
    A F Merry
    Department of Anaesthesiology, University of Auckland, Private Bag 92019, Auckland, New Zealand
    Br J Anaesth 104:80-8. 2010
    ..We compared this combination with each of the constituent drugs for the relief of pain after extraction of third molar teeth...
  19. ncbi request reprint Human factors and the cardiac surgical team: a role for simulation
    Alan F Merry
    Department of Anesthesiology, University of Auckland, Auckland, New Zealand
    J Extra Corpor Technol 39:264-6. 2007
    ..In the longer-term, comprehensive simulations of cardiac surgical procedures involving all participants in meaningful simulated roles may be possible...
  20. doi request reprint Medication errors--new approaches to prevention
    Alan F Merry
    Department of Anaesthesiology, University of Auckland, and Auckland City Hospital, Auckland, New Zealand
    Paediatr Anaesth 21:743-53. 2011
    ....
  21. ncbi request reprint Clinical tolerability of perioperative tenoxicam in 1001 patients--a prospective, controlled, double-blind, multi-centre study
    Alan F Merry
    Department of Anaesthesiology, School of Medicine, University of Auckland, Private Bag 92 019, Green Lane Department of Anaesthesia, Auckland City Hospital, Auckland, New Zealand
    Pain 111:313-22. 2004
    ....
  22. ncbi request reprint A new infusion syringe label system designed to reduce task complexity during drug preparation
    A F Merry
    Department of Anasethesiology, School of Medicine, University of Aukland, and Green Lane Department of Anaesthesia, Aukland City Hospital, Aukland, New Zealand
    Anaesthesia 62:486-91. 2007
    ..045, Chi-squared test). Despite the difficulties of demonstrating significant benefit from safety initiatives in medicine, these data suggest that targeted system redesign can be effective inreducing error...
  23. ncbi request reprint Invited commentary
    Alan F Merry
    Department of Anesthesiology, University of Auckland, Private Bag 92019, Auckland, New Zealand 1003
    Ann Thorac Surg 84:840. 2007
  24. ncbi request reprint Bivalirudin, blood loss, and graft patency in coronary artery bypass surgery
    Alan F Merry
    University of Auckland and Green Lane Hospital, Auckland, New Zealand
    Semin Thromb Hemost 30:337-46. 2004
    ..A larger study is needed to investigate the impact of improved graft patency on other clinical outcomes after cardiac surgery...
  25. doi request reprint Focus on thrombin: alternative anticoagulants
    Alan F Merry
    Department of Anaesthesiology, University of Auckland, Auckland, New Zealand
    Semin Cardiothorac Vasc Anesth 11:256-60. 2007
    ..Balanced anticoagulation using combinations of drugs that act at different stages in the coagulation system may improve the management of coagulation in cardiac surgery, but careful investigation of this concept is needed...
  26. doi request reprint The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial
    J M Weller
    Centre for Medical and Health Science Education, University of Auckland and Department of Anaesthesia, Auckland City Hospital, Auckland, New Zealand
    Anaesthesia 64:126-30. 2009
    ..This provides objective evidence supporting the requirement for trained assistance to the anaesthetist, and furthermore, demonstrates that a simulation-based model can provide rigorous evidence on safety interventions in anaesthesia...
  27. doi request reprint Mini-clinical evaluation exercise in anaesthesia training
    J M Weller
    Auckland City Hospital, Park Road, Grafton, Auckland, New Zealand
    Br J Anaesth 102:633-41. 2009
    ..In this study, we evaluated the psychometric characteristics, logistics of application, and impact on the quality of supervision of the Mini-CEX in anaesthesia training...
  28. ncbi request reprint A prospective, randomised clinical evaluation of a new safety-orientated injectable drug administration system in comparison with conventional methods
    C S Webster
    Department of Anaesthesia, Green Lane Hospital, Private Bag 92 189, Auckland, New Zealand
    Anaesthesia 59:80-7. 2004
    ..Prefilled syringes for the new system increased costs by euro 23.00 per anaesthetic (p = 0.041), but this increase is likely to be offset by the potential of the new system to decrease costly iatrogenic harm by preventing drug error...
  29. doi request reprint Investigation of trainee and specialist reactions to the mini-Clinical Evaluation Exercise in anaesthesia: implications for implementation
    J M Weller
    Centre for Medical and Health Sciences Education, University of Auckland, Private Bag 92019, Auckland, New Zealand
    Br J Anaesth 103:524-30. 2009
    ..However, its value depends on how supervisors use it with their trainees. This study analyses experience with the mini-CEX after its introduction into anaesthesia departments in our institution...
  30. doi request reprint Standards for simulation in anaesthesia: creating confidence in the tools
    D Cumin
    Department of Anaesthesiology, University of Auckland, Auckland, New Zealand
    Br J Anaesth 105:45-51. 2010
    ..The absence of standards undermines confidence in the results of any simulation-based endeavour and increases the risk of negative learning. We propose a practical framework for setting standards for simulators for anaesthesia...
  31. ncbi request reprint The frequency and nature of drug administration error during anaesthesia
    C S Webster
    Department of Anaesthesia, Green Lane Hospital, Auckland, New Zealand
    Anaesth Intensive Care 29:494-500. 2001
    ..In addition, 47 transient physiological effects were reported, of which five required intervention. We conclude that drug administration error during anaesthesia is considerably more frequent than previously reported...
  32. ncbi request reprint A new, safety-oriented, integrated drug administration and automated anesthesia record system
    A F Merry
    Department of Anaesthesia, Green Lane Hospital, Auckland 1130, New Zealand
    Anesth Analg 93:385-90 , 3rd contents page. 2001
    ..It is in daily use in a tertiary teaching center and in a private hospital...
  33. ncbi request reprint Cost-effectiveness of spinal cord stimulation in patients with intractable angina
    A F Merry
    Department of Anaesthesia, Green Lane Hospital, Auckland
    N Z Med J 114:179-81. 2001
    ..To review the cost of healthcare utilisation by patients suffering from intractable angina, unsuitable for coronary revascularisation, before and after treatment with spinal cord stimulation...
  34. ncbi request reprint Tenoxicam 20 mg or 40 mg after thoracotomy: a prospective, randomized, double-blind, placebo-controlled study
    A F Merry
    Department of Anaesthesia, Green Lane Hospital, Auckland, New Zealand
    Anaesth Intensive Care 30:160-6. 2002
    ..These data support the inclusion of tenoxicam 20 mg IV in the management of pain at rest for patients undergoing thoracotomy, but do not show additional benefit for a higher dose...
  35. ncbi request reprint A national survey of infection control practice by New Zealand anaesthetists
    A J Ryan
    Melbourne Anaesthetic Group, Melbourne, Victoria and Department of Anaesthesiology, School of Medicine, University of Auckland, Auckland, New Zealand
    Anaesth Intensive Care 34:68-74. 2006
    ..However, these data suggest more effort is required to promote compliance with appropriate guidelines...
  36. ncbi request reprint Touch contamination levels during anaesthetic procedures and their relationship to hand hygiene procedures: a clinical audit
    A F Merry
    Department of Anaesthesia, Green Lane Hospital, Auckland, New Zealand
    Br J Anaesth 87:291-4. 2001
    ..73), and neither was an air towel alone (2.5, 15, 80; P=0.176) nor the hospital's standard procedure (0, 1, 500; P=0.035). If hand preparation is needed, an adequate and validated method should be used, together with thorough hand drying...
  37. doi request reprint Does manual anaesthetic record capture remove clinically important data?
    J M van Schalkwyk
    Auckland City Hospital, P Bag 92024, Auckland 1023, New Zealand
    Br J Anaesth 107:546-52. 2011
    ..We therefore sought to determine whether the behaviour of anaesthetists differed in assessing anaesthetic records re-synthesized from either handwritten or automated records...
  38. doi request reprint Education in airway management
    P A Baker
    Department of Anaesthesiology, The University of Auckland, New Zealand
    Anaesthesia 66:101-11. 2011
    ..Expertise stems from deliberate practice and a desire constantly to improve performance with a career-long commitment to education...
  39. doi request reprint Cerebral protection by lidocaine during cardiac operations: a follow-up study
    Simon J Mitchell
    Department of Anaesthesiology, University of Auckland, Private Bag, Auckland, New Zealand
    Ann Thorac Surg 87:820-5. 2009
    ..In the present study, we aimed to test the benefit of a 12-hour infusion in a broader group of cardiac surgery patients, including those undergoing coronary artery bypass graft surgery...
  40. doi request reprint Interdisciplinary team interactions: a qualitative study of perceptions of team function in simulated anaesthesia crises
    Jennifer M Weller
    Centre for Medical and Health Sciences Education, Faculty of Medical and Health Science, University of Auckland, Auckland, New Zealand
    Med Educ 42:382-8. 2008
    ..We placed anaesthesia teams into a stressful environment in order to explore interactions between members of different professional groups and to investigate their perspectives on the impact of these interactions on team performance...
  41. ncbi request reprint Lignocaine: neuro-protective or wishful thinking?
    Simon J Mitchell
    Department of Anesthesiology, University ofAuckland and Auckland City Hospital, Auckland, New Zealand
    J Extra Corpor Technol 41:P37-42. 2009
    ..However, two further RCTs have failed to demonstrate benefit. Lignocaine cannot be recommended for neuro-protection in cardiac surgery at this time, but a role in clinical neuro-protection in this or other contexts is not ruled out...
  42. doi request reprint TADAA: Towards Automated Detection of Anaesthetic Activity
    B R Houliston
    AURA Laboratory, School of Computing and Mathematical Sciences, Auckland University of Technology, Auckland, New Zealand
    Methods Inf Med 50:464-71. 2011
    ..Human observers are the current 'gold standard' for capturing task data, but they are expensive and have cognitive limitations...
  43. ncbi request reprint The effect of time of day on the duration of neuromuscular blockade elicited by rocuronium
    J F Cheeseman
    Department of Anaesthesiology, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
    Anaesthesia 62:1114-20. 2007
    ..005). A similar pattern was observed for the maintenance dose. The duration of action of rocuronium is influenced by time of day and this effect is of potential clinical significance and practical relevance to research...
  44. ncbi request reprint Simulators for use in anaesthesia
    D Cumin
    Department of Anaesthesiology, Faculty of Medical and Health Sciences, University of Auckland, Auckland City Hospital, New Zealand
    Anaesthesia 62:151-62. 2007
    ..We have found no common terminology amongst authors for describing or classifying simulators, and propose a framework for describing (or classifying) them that is simple, clear and applicable to any simulator...
  45. ncbi request reprint Treatment of recurrent chest pain in a heart transplant recipient using spinal cord stimulation
    H Singh
    Green Lane Department of Cardiothoracic and Otorhinolaryngology Anaesthesia, Auckland City Hospital, Grafton, Auckland, New Zealand
    Anaesth Intensive Care 36:242-4. 2008
    ..The patient was weaned from opioids and after six months had needed no further hospital admissions. We recommend consideration of spinal cord stimulation in patients with features of angina pectoris following heart transplantation...
  46. doi request reprint Cerebral ischemic lesions on diffusion-weighted imaging are associated with neurocognitive decline after cardiac surgery
    P Alan Barber
    Departments of Neurology, Auckland City Hospital, Park Road, Grafton, Auckland, New Zealand
    Stroke 39:1427-33. 2008
    ..We aimed to investigate (1) the rate of stroke, new ischemic change on MRI, and cognitive impairment after cardiac valve surgery; and (2) the controversial relationship between perioperative cerebral ischemia and cognitive decline...
  47. ncbi request reprint A prospective clinical audit of central venous catheter use and complications in 1000 consecutive patients
    C S Webster
    Department of Anaesthesia, Green Lane Hospital, Auckland, New Zealand
    Anaesth Intensive Care 31:80-6. 2003
    ..28 vs 1.63, P = 0.01), and placed lumens were used more intensively (P < 0.001). Data appear to justify the routine selection of a triple-lumen CVC in adult patients, but not of a quad-lumen CVC...
  48. doi request reprint Clinical assessment of a new anaesthetic drug administration system: a prospective, controlled, longitudinal incident monitoring study
    C S Webster
    Centre for Medical and Health Sciences Education, Department of Anaesthesiology, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
    Anaesthesia 65:490-9. 2010
    ..006-0.028%). No major adverse outcomes from these errors were reported with the new system while 11 (0.002%) were reported with conventional methods (p = 0.055). We conclude that targeted system re-design can reduce medical error...
  49. ncbi request reprint Safer cardiac surgery
    Alan F Merry
    University of Auckland and Green Lane Department of Anaesthesia, Auckland City Hospital, Auckland, New Zealand
    J Extra Corpor Technol 41:P43-7. 2009
    ..In the end, outcomes that the patients themselves desire are the most meaningful endpoint of the pursuit of safer cardiac surgery...
  50. ncbi request reprint Interference with the operation of medical devices resulting from the use of radio frequency identification technology
    Bryan Houliston
    AURA Laboratory, School of Computing and Mathematical Sciences, Auckland University of Technology, Auckland, New Zealand
    N Z Med J 122:9-16. 2009
    ..To replicate electromagnetic interference (EMI) with a common drug infusion device resulting from the use of radio frequency identification (RFID) technology in a simulated operating theatre environment...
  51. ncbi request reprint Extra-aortic balloon counterpulsation: an intraoperative feasibility study
    Malcolm E Legget
    Department of Cardiology, Green Lane Hospital, Auckland, New Zealand
    Circulation 112:I26-31. 2005
    ..The aim of this study was to determine the safety and performance of a new method of non-blood-contacting counterpulsation using an inflatable cuff around the ascending aorta (extra-aortic balloon [EAB])...
  52. ncbi request reprint Medication error in New Zealand--time to act
    Alan F Merry
    N Z Med J 121:6-9. 2008