Andrew Smith
Andrew Smith obtained his medical degree from the University of Newcastle upon Tyne in 1988. He has been a consultant anaesthetist at the Royal Lancaster Infirmary since 1998 and Director of the Patient Safety Research Unit there since 2008. He is also Honorary Professor of Clinical Anaesthesia in the Faculty of Health and Medicine at Lancaster University. Clinically, his interests are in airway management, day case surgery, ophthalmic anaesthesia and paediatrics.
Research
In academic terms, he has been involved in projects using a variety of methodologies, including systematic reviews, qualitative techniques, database analysis and clinical measurement. His research centres on professional knowledge, evidence in practice, communication, risk and safety. As sole or co-applicant he has held project grants totalling over £2 million from the UK NHS Service Delivery and Organisation R&D Programme, the UK Patient Safety Research Programme and the European Commission, including a 5-year personal patient safety research development grant (2007-12) from the UK National Institute for Health Research (NIHR).This led to the formation of the Lancaster Patient Safety Research Unit, one of the few such units to be housed within an acute NHS Trust.. He has been an editor in the Cochrane Anaesthesia Review Group, based in Copenhagen, since 2000, and recently was awarded Cochrane Collaboration Programme Grants from the NIHR for a series of systematic reviews on the safety and quality of perioperative care (2011-14) and recovery after surgery and critical illness (2014-17). His previous work on education and expertise in anaesthesiology focused on the tacit elements of anaesthetic knowledge and practice and how these are acquired in training and used in practice. This contribution was recognised by the award of the George Arnott Professorship by the UK Royal College of Anaesthetists (2004).
Medical education
He has been involved with medical education for many years and at many levels.
He has been associated with the medical school at Lancaster since its early days and has served as interviewer for selection, examiner, supervisor of Special Study Modules and PBL tutor; since 2013 he has been Year 4 lead for undergraduates at Lancaster. He co-led the Royal College of Anaesthetists’ excellence project (2009-10) in response to the Tooke report’s criticisms of postgraduate medical education. His sustained contributions to education were recognised in 2011 by the award of Fellowship both of the Higher Education Academy and the Academy of Medical Educators; he is now an assessor for applications to the latter Academy. He was Academic Foundation Programme lead for the University Hospitals of Morecambe Bay NHS Trust from 2006 to 2010, having led one of only 6 successful bids in the North Western region to host academic Foundation trainees. He is also in demand as a lecturer in this country and Europe and thus contributes to lifelong learning of qualified anaesthetists and other health professionals.
National and specialty roles
Within anaesthesia, he is a member of the Professional Standards Committee of the Royal College of Anaesthetists (RCoA). He has also been an advisory member of the Safe Anaesthesia Liaison Group (RCoA/Association of Anaesthetists) since 2008. He acted as an expert assessor for the National Confidential Enquiry into Patient Outcome and Death’s enquiry into the perioperative care of the high risk surgical patient (2011), as an advisory member of the Expert Panel on the National Institute for Clinical Excellence’s diagnostic advisory group on depth of anaesthesia monitoring (2012) and a member of the Academy of Royal Medical College’s working party on safe sedation (2013). He has been an editor for the journal Anaesthesia since 2012. He has also chaired the European Society of Anaesthesiology’s Guidelines Committee (2009-12). He was also co-author of the 2010 Helsinki Declaration on Patient Safety in Anaesthesiology, a Europe-wide initiative to improve the safety of patient care, and was part of the Task Force charged with its implementation.
Recent publications
Cyna A, Tan S, Andrew M, Smith AF (eds). Communication Skills for Anaesthetists. Oxford University Press, 2011
Werner C, Smith AF, van Aken H. Guidelines on non-anaesthesiologist administration of propofol for gastrointestinal endoscopy – a double-edged sword (editorial) European Journal of Anaesthesiology 2011; 28: 553-5.
Smith AF, Pelosi P. Collaboration, simplicity and transparency (CoSiTra): the European Society of Anaesthesiology’s guidelines initiative (editorial). European Journal of Anaesthesiology 2011; 28: 231-4.
Campbell G, Smith AF. Health services research: what is it and what has it done for anaesthesia and critical care? (editorial) . European Journal of Anaesthesiology 2011; 28: 547-9.
Arfanis K, Smith AF. Informal risk assessment strategies in health care staff: an unrecognized source of resilience? Journal of Evaluation in Clinical Practice 2011 (online publication 13 September 2011). DOI: 10.1111/j.1365-2753.2011.01759.x
Arfanis K, Smith AF. Healthcare professionals’ understanding of patient safety: relevance to the development of person-centered medicine. International Journal of Person Centred Medicine 2011; 1: 475-81.
Smith I, Kranke P, Murat I, Smith AF, O’Sullivan G, Søreide E, Spies C, in’t Veld B. Perioperative Fasting in Adults and Children: Guidelines from the European Society of Anaesthesiology. European Journal of Anaesthesiology 2011; 28: 556-69.
De Hert S, Imberger G, Carlisle J, Diemunsch P, Fritsch G, Moppett I, Solca M, Ständer S, Wappler F, Smith AF. Guidelines for preoperative evaluation of the adult non-cardiac surgery patient; The Task Force on Preoperative Evaluation of the Adult Patient of the European Society of Anaesthesiology. European Journal of Anaesthesiology 2011; 28: 684-722.
Cassidy CJ, Smith AF, Arnot-Smith J. Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-8. Anaesthesia 2011; 66: 879-888.
Smith AF, Casey K, Wilson J, Fischbacher-Smith D. Wristbands as aids to reduce misidentification: an ethnographically-guided task analysis. International Journal for Quality in Health Care ; 23: 590-99. doi: 10.1093/intqhc/mzr045
Whitaker DW, Brattebø G, Smith AF, Ständer S. The Helsinki Declaration on Patient Safety in Anaesthesiology: putting words into practice. Best Practice and Research Clinical Anaesthesiology 2011; 25: 277-90.
Arfanis K, Fioratou E, Smith AF. Safety culture in anaesthesiology: basic concepts and practical application. Best Practice and Research Clinical Anaesthesiology 2011; 25: 229-38.
Shillito J, Arfanis K, Smith AF. Risking safety or safely risking? Healthcare professionals’ understanding of risk-taking in everyday work. Health, Psychology and Medicine 2011; 16: 66-73.
Smith AF, Glavin R, Greaves D. Defining excellence in anaesthesia: the role of personal qualities and practice environment. British Journal of Anaesthesia 2011; 106: 38-43.
Maclennan A, Smith AF. An analysis of critical incidents relevant to paediatric anaesthesia reported to the UK National Reporting and Learning System, 2006-2008. Pediatric Anesthesia 2011; 21: 841-7.
Mellin-Olsen J, Ständer S, Whitaker DK, Smith AF. The Helsinki declaration for patient safety in anaesthesiology. European Journal of Anaesthesiology 2010; 27: 592-7
Shillito J, Arfanis K, Smith AF. Checking in healthcare safety: theoretical basis and practical application. International Journal of Health Care Quality Assurance 2010; 23: 699-707.
Arnot-Smith J, Smith AF. Patient safety incidents involving neuromuscular blockade: analysis of the UK National Reporting and Learning System data from 2006 to 2008. Anaesthesia 2010; 65: 1106-13.
Smith AF. Monitoring of neuromuscular blockade in general anaesthesia. Lancet 2010; 376: 77-9.
Smith AF, Mishra K. Interaction between anaesthetists, their patients and the anaesthesia team. British Journal of Anaesthesia 2010; 105: 60-68.
Smith AF, Greaves JD. Beyond competence: defining and promoting excellence in anaesthesia. Anaesthesia 2010; 65: 184-91.
Smith AF, Boult M, Woods I, Johnson S. Promoting patient safety through prospective risk identification: example from perioperative care. Quality and Safety in Health Care 2010; 19: 69-73.
Smith AF, Mahajan RP. National critical incident reporting: improving patient safety (editorial). British Journal of Anaesthesia 2009; 103: 623-5.
Smith AF, Pope C, Goodwin D, Mort M. Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room. British Journal of Anaesthesia 2008
Smith AF, Goodwin D, Mort M, Pope C. Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting British Journal of Anaesthesia 2006; 96: 715-21.
Representative publications
Books and book chapters
Smith A. Preoperative fasting in adults. In: Colvin J, Peden C (eds). Raising the Standard: a compendium of audit recipes in anaesthesia. London: Royal College of Anaesthetists, 3rd edn, 2012.: 80.
Cyna A, Tan S, Andrew M, Smith AF (eds). Handbook of Communication Skills for Anaesthesia and Critical Care. Oxford: Oxford University Press, 2011.
Musizza B, Petrovčič J, Raeder J, Smith AF, Stankovski T, Stefanovska A, Svetek A. Monitoring cardiovascular and brain oscillations. In: Stefanovska A, McClintock PVE, Raeder J, Smith AF (eds) Nonlinear Dynamics of Anaesthesia: From Theory to Clinical Application. Heidelberg: Springer-Verlag (forthcoming).
Brady DWJ, Ode K, Smith AF. A brief history of anaesthesia and review of methods for measuring depth of anaesthesia. In: Stefanovska A, McClintock PVE, Raeder J, Smith AF (eds) Nonlinear Dynamics of Anaesthesia: From Theory to Clinical Application. Heidelberg: Springer-Verlag (forthcoming).
Bal R, Büscher M, Goodwin D, Mesman J, Sangiorgi D, Smith A. Moving towards a new view of diagnostic work: some implications. In: Büscher M, Goodwin D, Mesman J (eds), Ethnographies of Diagnostic Work: Dimensions of Transformative Practice. Basingstoke: Palgrave Macmillan 2010.
Smith AF, Pope C, Goodwin D, Mort M. Teams, talk and transitions in anaesthetic practice. In: Flin R, Mitchell L (eds): Safer Surgery: Analysing Behaviour in the Operating Theatre. Farnham: Ashgate, 2009: 241-57
[‘Highly Commended’ in British Medical Association Medical Book Awards 2010]
Pope C, Mort M, Goodwin D, Smith A. Anaesthetic talk in surgical encounters. In: Discourse of Hospital Communication: Tracing complexities in contemporary health care organizations. Basingstoke: Palgrave, 2007: 161-81.
Walker K, Smith AF Anaesthesia for day case surgery In: Møller A, Pedersen T (eds) Evidence-based anaesthesia and intensive care. Cambridge: Cambridge University Press, 2006: 184-204.
Knight S, Smith AF Integrating clinical practice and evidence: how to learn and teach evidence-based medicine. In: Møller A, Pedersen T (eds) Evidence-based anaesthesia and intensive care. Cambridge: Cambridge University Press, 2006: 88-102.
Smith AF Applying evidence in clinical practice. In: Severn AM, Grady K, Eldridge P (eds) Key Topics in Pain Medicine Oxford: Bios Scientific Publishers 3rd edition, 2006: 13-19.
A Bandrivskyy, M Entwistle, P V E McClintock, B Musizza, M Paluˇs, J Petrovˇciˇc, S Ribariˇc, A F Smith and A Stefanovska, “Stochastic dynamics of anaesthesia”, in L Reggiani, C Pennetta, V Akimov and M Rosini ed. Unsolved Problems of Noise and Fluctuations: UPoN 2005, AIP, Melville, New York, 2005: 553–558.
Goodwin D, Pope C, Mort M, Smith A Access, boundaries and their effects: legitimate participation in anaesthesia. In: Allen D, Pilnick A (eds) The Social Organisation of Healthcare Work. Oxford: Blackwell, 2006: 167-82.
Mort M, Goodwin D, Pope C, Smith AF Safety in sleep In: Owen C, Wackers G, Gregory J (eds.) Risky Work: the ecologies of human work within complex technological systems Cambridge, MA: MIT Press (forthcoming)
Smith AF, Venkatesan VG Anestesia per la chirurgia dell’occhio (Anaesthesia for eye surgery) . In: Romano E (ed) Anestesia Generale e Clinica. Torino: UTET, 2004: 915-26
Papers and reviews
Nicholson A, Cook TM, Smith AF, Lewis SR. Nitrous oxide-based versus nitrous oxide-free general anaesthesia and accidental awareness during general anaesthesia in surgical patients (Protocol). Cochrane Database of Systematic Reviews 2014, Issue 3. Art. No.: CD011052. DOI: 10.1002/14651858.CD011052
Pedersen T, Nicholson A, Hovhannisyan K, Møller AM, Smith AF, Lewis SR. Pulse oximetry for perioperative monitoring. Cochrane Database of Systematic Reviews 2014, Issue 3. Art. No.: CD002013. DOI: 10.1002/14651858.CD002013.pub3
Nicholson A, Lowe MC, Parker J, Lewis SR, Alderson P, Smith AF. Systematic review and meta-analysis of enhanced recovery programmes in surgical patients. British Journal of Surgery 2014; 101: 172-88.
Nicholson A, Smith AF, Lewis SR, Cook TM. Tracheal intubation with a flexible intubation scope versus other intubation techniques for obese patients requiring general anaesthesia. Cochrane Database of Systematic Reviews 2014, Issue 1. Art. No.: CD010320. DOI: 10.1002/14651858.CD010320.pub2
Brammar A, Nicholson A, Trivella M, Smith AF. Perioperative fluid volume optimization following proximal femoral fracture. Cochrane Database of Systematic Reviews 2013, Issue 9. Art. No.: CD003004. DOI: 10.1002/14651858.CD003004.pub3.
Reed S, Arnal D, Frank O, Gomez-Arnau JI, Hansen J, Lester O, Mikkelsen KL, Rhaiem T, Rosenberg PH, St. Pierre M, Schleppers A, Staender S, Smith AF. National critical incident reporting systems relevant to anaesthesia: a European survey. British Journal of Anaesthesia 2014; 112: 546-55.
Nicholson A, Coldwell CH, Lewis SR, Smith AF. Nurse-led versus doctor-led preoperative assessment for elective surgical patients requiring regional or general anaesthesia. Cochrane Database of Systematic Reviews 2013, Issue 11. Art. No.: CD010160. DOI: 10.1002/14651858.CD010160.pub2
Lewis SR, Nicholson A, Cardwell ME, Siviter G, Smith AF. Nonsteroidal anti-inflammatory drugs and perioperative bleeding in paediatric tonsillectomy. Cochrane Database of Systematic Reviews 2013, Issue 7. Art. No.: CD003591. DOI: 10.1002/14651858.CD003591.pub3
Campbell G, Rollin AM, Smith AF. Cases relating to anaesthetists handled by the UK General Medical Council in 2009; methodological approach and patterns of referral. Anaesthesia 2013; 68: 453-60.
Jokinen J, Smith AF, Roewer N, Eberhardt LJ, Kranke P. Management of postoperative nausea and vomiting: how to deal with refractory PONV. Anesthesiology Clinics 2012; 30: 481-93.
Kozek-Langenecker SA, Afshari A, Albaladejo P, Alvarez Santullano CA , de Robertis E, Filipescu DC, Fries D, Görlinger K, Haas T, Imberger G, Jacob M, Lancé M, Llau J, Mallett S, Meier J, Rahe-Meyer N, Samama CM , Smith A, Solomon C, Van der Linden P, Wikkelsø AJ, Wouters P, Wyffels P. Management of severe perioperative bleeding. Guidelines from the European Society of Anaesthesiology. European Journal of Anaesthesiology 2013; 30: 270-382.
Campbell G, Arfanis K, Smith AF. Distraction and interruption in anaesthetic practice. British Journal of Anaesthesia 2012; 109: 707-15.
Nicholson A, Cook TM, Smith AF, Lewis SR, Reed SS. Supraglottic airway devices versus tracheal intubation for airway management during general anaesthesia in obese patients. Cochrane Database of Systematic Reviews 2013, Issue 9. Art. No.: CD010105. DOI: 10.1002/14651858.CD010105.pub2
Sanders RD, Nicholson A, Lewis SR, Smith AF, Alderson P. Perioperative statin therapy for improving outcomes during and after noncardiac vascular surgery. Cochrane Database of Systematic Reviews 2013, Issue 7. Art. No.: CD009971. DOI: 10.1002/14651858.CD009971.
(244) Campbell G, Alderson P, Smith AF, Warttig S. Interventions for treating inadvertent postoperative hypothermia. CochraneDatabase of Systematic Reviews 2012, Issue 6. Art. No.: CD009892. DOI: 10.1002/14651858.CD009892.
(240) Alderson P, Campbell G, Smith AF, Warttig S, Nicholson A, Lewis SR. Thermal insulation for preventing inadvertent perioperative hypothermia. Cochrane Database of Systematic Reviews 2012, Issue 6. Art.No.: CD009908. DOI: 10.1002/14651858.CD009908.
(243) Alderson P, Campbell G, Smith AF, Warttig S. Pharmacological agents for preventing inadvertent perioperative hypothermia. Cochrane Database of Systematic Reviews 2012, Issue 6. Art. No.: CD009906. DOI: 10.1002/14651858.CD009906.
(241) Campbell G, Alderson P, Smith AF, Warttig S. Warming of intravenous and irrigation fluids for preventing inadvertent perioperative hypothermia. Cochrane Database of Systematic Reviews 2012, Issue 6. DOI: 10.1002/14651858.CD009891
Fioratou E, Arfanis K, Smith AF. Non-technical skills in anaesthesia. Revista Española de Anestesiologia y Reanimacion. 2011; 59(Suppl. 2): S39-S46
Arfanis K, Smith AF. Informal risk assessment strategies in health care staff: an unrecognized source of resilience? Journal of Evaluation in Clinical Practice 2012; 18: 1140-6.
Arfanis K, Smith AF. Healthcare professionals’ understanding of patient safety: relevance to the development of person-centered medicine. International Journal of Person Centred Medicine 2011; 1: 475-81.
Smith I, Kranke P, Murat I, Smith AF, O’Sullivan G, Søreide E, Spies C, in’t Veld B. Perioperative Fasting in Adults and Children: Guidelines from the European Society of Anaesthesiology. European Journal of Anaesthesiology 2011; 28: 556-69.
De Hert S, Imberger G, Carlisle J, Diemunsch P, Fritsch G, Moppett I, Solca M, Ständer S, Wappler F, Smith AF. Preoperative evaluation of the adult patient undergoing non-cardiac surgery: guidelines from the European Society of Anaesthesiology. European Journal of Anaesthesiology 2011; 28: 684-722.
Cassidy CJ, Smith AF, Arnot-Smith J. Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-8. Anaesthesia 2011; 66: 879-888.
Smith AF, Casey K, Wilson J, Fischbacher-Smith D. Wristbands as aids to reduce misidentification: an ethnographically-guided task analysis. International Journal for Quality in Health Care 2011; 23: 590-99. doi: 10.1093/intqhc/mzr045
Whitaker DW, Brattebø G, Smith AF, Ständer S. The Helsinki Declaration on Patient Safety in Anaesthesiology: putting words into practice. Best Practice and Research Clinical Anaesthesiology 2011; 25: 277-90.
Arfanis K, Fioratou E, Smith AF. Safety culture in anaesthesiology: basic concepts and practical application. Best Practice and Research Clinical Anaesthesiology 2011; 25: 229-38.
Shillito J, Arfanis K, Smith AF. Risking safety or safely risking? Healthcare professionals’ understanding of risk-taking in everyday work. Health, Psychology and Medicine 2011; 16: 66-73.
Shillito J, Arfanis K, Smith AF. Checking in healthcare safety: theoretical basis and practical application. International Journal of Health Care Quality Assurance 2010; 23: 699-707.
Smith AF, Glavin R, Greaves D. Defining excellence in anaesthesia: the role of personal qualities and practice environment. British Journal of Anaesthesia 2011; 106: 38-43
Arnot-Smith J, Smith AF. Patient safety incidents involving neuromuscular blockade: analysis of the UK National Reporting and Learning System data from 2006 to 2008. Anaesthesia 2010; 65: 1106-13.
Maclennan A, Smith AF. An analysis of critical incidents relevant to paediatric anaesthesia reported to the UK National Reporting and Learning System, 2006-2008. Pediatric Anesthesia 2011; 21: 841-7.
Smith AF, Mishra K. Interaction between anaesthetists, their patients and the anaesthesia team. British Journal of Anaesthesia 2010; 105: 60-68.
Smith AF, Greaves JD. Beyond competence: defining and promoting excellence in anaesthesia. Anaesthesia 2010; 65: 184-91.
Smith AF, Boult M, Woods I, Johnson S. Promoting patient safety through prospective risk identification: example from perioperative care. Quality and Safety in Health Care 2010; 19: 69-73.
Walker KJ, Smith AF. Premedication for anxiety in adult day surgery. Cochrane Database of Systematic Reviews 2009, Issue 4. Art. No.: CD002192. DOI: 10.1002/14651858.CD002192.pub2.
Walker KJ,McGrattan K, Aas-Eng K, Smith AF. Ultrasound guidance for peripheral nerve blockade. Cochrane Database of Systematic Reviews 2009, Issue 4. Art. No.: CD006459. DOI: 10.1002/14651858.CD006459.pub2.
Guimares MMF, El Dib R, Smith AF, Matos D. Incentive spirometry for prevention of postoperative pulmonary complications in upper abdominal surgery. Cochrane Database of Systematic Reviews 2009, Issue 3.
Hool A, Smith AF. Communication between anaesthesiologists and patients: how are we doing it now and how can we improve?
Current Opinion in Anaesthesiology 2009; 22: 431-5.
Wasem S, Smith A, Roewer N, Kranke P. Das Anesthesierisiko im Aufklärungsgespräch. Anaes Intensivmed Notfallsmed Schmerztherapie 2009; 3: 216-220.
McWilliam A, Smith AF. National UK audit projects in anaesthesia. Continuing Education in Anaesthesia, Critical Care and Pain 2008; 5: 172-5.
Mort M, Smith AF. Beyond Information: intimate relations in sociotechnical practice. Sociology 2009; 43: 215-31.
Smith AF, Pope C, Goodwin D, Mort M. Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room. British Journal of Anaesthesia 2008; 101: 332-7.
Smith AF. Patient safety: people, systems and techniques. Acta Anaesthesiologica Scandinavica 2007; 51 (Suppl 118): 51-3.
Rooksby J, Gerry RM, Smith AF Incident reporting schemes and the need for a good story International Journal of Medical Informatics 2007; 76 (Suppl 1): 205-11.
Doi: 10.1016/j.ijmedinf.2006.05.019
Leedal JM, Smith AF. Can techniques from business and management be used to improve the running of operating theatres? A critical review. Clinician in Management 2006; 14: 79-88.
Smith AF, Pope C, Goodwin D, Mort M. What defines expertise in regional anaesthesia? An observational analysis of practice. British Journal of Anaesthesia 2006; 97: 401-7.
Walker K, Smith AF, Pittaway AJ Anxiolytic premedication in adult day case surgery (updated review) In: The Cochrane Library Chichester: John Wiley, Issue 2, 2006.
Smith AF, Goodwin D, Mort M, Pope C. Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. British Journal of Anaesthesia 2006; 96: 715-21.
Prasad CV, Smith AF. Review articles and editorials: selection practices of anaesthesiology journal editors. The Internet Journal of Anesthesiology. 2006; 10 (2). (On line publication).
Smith A, Kane M, Milne R Prospects for the introduction of non-physician anaesthetists in the United Kingdom: qualitative analysis of interviews and case studies Journal of Advanced Perioperative Care 2006; 2: 123-30
Sharma S, Smith AF, Rooksby J, Gerry R Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia Anaesthesia 2006; 61: 350-4
Oakey RJ, Smith AF Incidence and significance of errors in a patient ‘track and trigger’ system during an epidemic of legionnaires’ disease: retrospective casenote analysis. Anaesthesia 2006; 61: 222-8.
Goodwin D, Pope C, Mort M, Smith AF Access, boundaries and their effects: legitimate participation in anaesthesia. Sociology of Health and Illness 2005; 27: 855-71
Leedal JM, Smith AF Methodological approaches to anaesthetists’ workload in the operating theatre. British Journal of Anaesthesia 2005; 94: 702-9
Mort M, Goodwin D, Smith A, Pope C Safe asleep? Ways of ‘knowing’ in medical practice Social Science and Medicine 2005; 61: 2027-37
Smith AF, Pope C, Goodwin D, Mort M Communication between anesthesiologists, patients and the anesthesia team: a descriptive study of induction and emergence. Canadian Journal of Anesthesia 2005; 52: 915-20
Smith AF, Wild C, Law J The Barrow-in-Furness legionnaires’ outbreak: qualitative study of the hospital response and the role of the major incident plan Emergency Medicine Journal 2005; 22: 251-5
Nicholas D, Williams P, Smith AF, Longbottom P The information needs of perioperative staff: a preparatory study for a proposed specialist library for theatres (NeLH) Health Information and Libraries Journal 2005; 22:35-43
Smith AF, Kane M, Milne R Comparative effectiveness and safety of physician and nurse anaesthetists: a narrative systematic review British Journal of Anaesthesia 2004; 93: 540-5
Kane M, Smith AF An American tale: professional conflicts in anaesthesia in the United States and implications for the United Kingdom Anaesthesia 2004; 59: 793-802
Smith AF, Mort M, Goodwin D, Pope C Making monitoring ‘work’: human-machine interaction and patient safety in anaesthesia . Anaesthesia 2003; 58: 1070-8
[shortlisted (among 8 out of 200 papers) for the Diana Forsythe Award of the American Medical Informatics Association 2004]
Smith AF, Goodwin D, Mort M, Pope C Expertise in practice: an ethnographic study exploring acquisition and use of knowledge in anaesthesia. British Journal of Anaesthesia 2003; 91: 319-28
[shortlisted (among 8 out of 200 papers) for the Diana Forsythe Award of the American Medical Informatics Association 2004]
Pope C, Smith A, Goodwin D, Mort M Passing on tacit knowledge in anaesthesia: a qualitative study. Medical Education 2003; 37: 650-5
Goodwin D, Mort M, Pope C, Smith AF Ethics and ethnography: an experiential account. Qualitative Health Research 2003; 13: 567-77
Markham R, Smith AF The limits to patient choice: an example from anaesthesia. BMJ 2003; 326: 863-4
Venkatesan VG, Smith AF What’s new in ophthalmic anaesthesia? Current Opinion in Anaesthesiology 2002; 15: 615-620
Adams AM, Smith AF. Risk perception and communication: recent developments and implications for anaesthesia. Anaesthesia 2001; 56: 745-55
Smith AF, Shelly MP. Communication skills for anaesthetists: a practical introduction. Canadian Journal of Anaesthesia 1999: 46: 1082-88
Smith AF, Thorpe SJ, Cook LB. Patient-controlled propofol: randomised, double-blind dose refinement. European Journal of Anaesthesiology 1999; 16: 18-22.
Smith AF, Wood J. Can some in-hospital cardiorespiratory arrests be prevented? A prospective survey. Resuscitation 1998; 37: 133-7.
Smith AF. In the spirit of John Snow: anaesthetists and the public health. British Journal of Hospital Medicine 1997; 58: 428-30.
Smith AF. An analysis of review articles in four anaesthesia journals. Canadian Journal of Anaesthesia 1997; 44: 405-9
Commentaries and letters
Staender S, SmithA, Brattebø G, Whitaker D. Three years after the launch of the Helsinki Declaration on patient safety in anaesthesiology. European Journal of Anaesthesiology 2013; 30: 651-4.
Smith A. Lest we forget: learning and remembering in clinical practice. Anaesthesia 2013; 68: 1099-1103.
Smith D, Andrzejowski J, Smith AF. Certainty and uncertainty: NICE guidance on ‘depth of anaesthesia’ monitoring. Anaesthesia 2013; 68: 1000-1005.
Smith AF, Cracknell J, Møller AM, Pace N. The Cochrane Collaboration and its worldwide contributions to anaesthesia research and care. British Journal of Anaesthesia 2013; 111: 532-5.
Smith AF, Arfanis K. ‘Sixth sense’ for patient safety. British Journal of Anaesthesia 2013; 110: 167-9.
Shelton CL, Smith AF. In pursuit of excellence in anaesthesia. British Journal of Anaesthesia 2013; 110: 4-6.
Smith A, Alderson P. Guidelines in anaesthesia: support or constraint?
British Journal of Anaesthesia 2012; 109: 1–4
Werner C, Smith AF, van Aken H. Guidelines on non-anaesthesiologist administration of propofol for gastrointestinal endoscopy – a double-edged sword (editorial) European Journal of Anaesthesiology 2011; 28: 553-5.
Smith AF, Pelosi P. Collaboration, simplicity and transparency (CoSiTra): the European Society of Anaesthesiology’s guidelines initiative (editorial) . European Journal of Anaesthesiology 2011; 28: 231-4.
Campbell G, Smith AF. Health services research: what is it and what has it done for anaesthesia and critical care? (editorial) . European Journal of Anaesthesiology 2011; 28: 547-9.
Mellin-Olsen J, Ständer S, Whitaker DK, Smith AF. The Helsinki declaration for patient safety in anaesthesiology. European Journal of Anaesthesiology 2010; 27: 592-7
Smith AF. Monitoring of neuromuscular blockade in general anaesthesia. Lancet 2010; 376: 77-9.
Smith AF, Mahajan RP. National critical incident reporting: improving patient safety. British Journal of Anaesthesia 2009; 103: 623-5.
Smith AF. In search of excellence in anaesthesiology. Anesthesiology 2009; 110: 4-5.
Walker K, Smith AF. Promoting awake fibreoptic intubation. Royal College of Anaesthetists’ Bulletin 2007; 46: 2329-33.
Smith AF. Reaching the parts that are hard to reach: expanding the scope of professional education in anaesthesia. British Journal of Anaesthesia 2007; 99: 453-6. doi: 10.1093/bja/aem234.
Telford D, Partridge S, Calvert N, Cumming I, Smith AF The legionnaires’ outbreak in Barrow-in-Furness, Summer 2002 Journal of Epidemiology and Community Health 2006; 60:464-466.
Smith AF Anaesthetic practitioners in the UK: promise, perils and psychology (editorial) Anaesthesia 2005; 60: 1055-8
Cassidy CJ, Griffiths E, Smith AF ‘ Safety in sleep’: anaesthetists, patients and the Working Time Directive (editorial) Anaesthesia 2004; 59: 841-3
Smith AF Patient information, risk and choice (editorial) Anaesthesia 2003; 58: 409-11
Prasad V, Smith AF. Preoperative assessment: from tribalism to cooperation. Lancet 2001; 358: 1747-8
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