Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency.
This analysis of data reported to the National Patient Safety Agency found that most safety problems associated with airway devices occurred after the procedure (tracheotomy or endotracheal intubation) was performed and not during the procedure itself. The report makes recommendations for the proper use of monitoring equipment to ensure safety for intubated patients. An AHRQ WebM&M commentary discusses an adverse event associated with airway management during surgery.