CRITICAL ANAESTHETIC INCIDENTS CAUSES AND ANALYSIS

Objective: To improve the standard operating procedures (SOPs) for perioperative anesthesia management and reduction of complications where human error is involved. Study Design: Retrospective observational descriptive study. Place and Duration of Study: Department of Anesthesiam, Combined Mil...

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Autores principales:	Saleem Pervaiz Bajwa, Dr. Abdullah, Muhammad Akram, Akhtar Hussain, C. Aqeel Safdar
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2019
Materias:	analysis critical incident reporting Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/9a2c84dfee3549dba03670c9f1a0d02e
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spelling	oai:doaj.org-article:9a2c84dfee3549dba03670c9f1a0d02e2021-11-12T06:30:57ZCRITICAL ANAESTHETIC INCIDENTS CAUSES AND ANALYSIS0030-96482411-8842https://doaj.org/article/9a2c84dfee3549dba03670c9f1a0d02e2019-04-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2743/2150https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To improve the standard operating procedures (SOPs) for perioperative anesthesia management and reduction of complications where human error is involved. Study Design: Retrospective observational descriptive study. Place and Duration of Study: Department of Anesthesiam, Combined Military Hospital (CMH) Lahore, from Jun 2017 to Jun 2018. Material and Methods: Anesthesia related critical incidents were reported voluntarily in a proforma in this study. Results were then analyzed and audited for human errors, equipment malfunction, drug mishaps, patient factors, and nature of surgeries. Averages and percentage were calculated for these occurrences. Results: During one year 159 critical incidents (1.56%) were reported in 10181 patients. Airway and pulmonary incidents (49%), cardiovascular (42.1%) drug related (5%) and rare causes were (3.9%). Most incidents occurred during maintenance phase (40.88%), followed by emergence (25.16%), induction (23.27%) and post-operative period (10.69%). General anesthesia (1.56%), regional anesthesia (1.78%) and local anesthesia under monitored care (0.56%) were responsible for these adverse events. Analysis for reasons of these incidents suggested human errors (47.16%), patient’s comorbids (28.30%), nature of surgical procedures (24.52%) and combined factors were (71%). Anesthesia related mortality in our study was 5 deaths per 10000 anesthetics. Conclusion: Critical incidents do occur even in the hands of highly qualified and skilled anesthesiologists but can be minimized by continuous efforts through reporting and analysis of these events and hence formulating safety protocols.Saleem Pervaiz BajwaDr. AbdullahMuhammad AkramAkhtar HussainC. Aqeel SafdarArmy Medical College Rawalpindiarticleanalysiscritical incident reportingMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 2, Pp 307-313 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	analysis critical incident reporting Medicine R Medicine (General) R5-920
spellingShingle	analysis critical incident reporting Medicine R Medicine (General) R5-920 Saleem Pervaiz Bajwa Dr. Abdullah Muhammad Akram Akhtar Hussain C. Aqeel Safdar CRITICAL ANAESTHETIC INCIDENTS CAUSES AND ANALYSIS
description	Objective: To improve the standard operating procedures (SOPs) for perioperative anesthesia management and reduction of complications where human error is involved. Study Design: Retrospective observational descriptive study. Place and Duration of Study: Department of Anesthesiam, Combined Military Hospital (CMH) Lahore, from Jun 2017 to Jun 2018. Material and Methods: Anesthesia related critical incidents were reported voluntarily in a proforma in this study. Results were then analyzed and audited for human errors, equipment malfunction, drug mishaps, patient factors, and nature of surgeries. Averages and percentage were calculated for these occurrences. Results: During one year 159 critical incidents (1.56%) were reported in 10181 patients. Airway and pulmonary incidents (49%), cardiovascular (42.1%) drug related (5%) and rare causes were (3.9%). Most incidents occurred during maintenance phase (40.88%), followed by emergence (25.16%), induction (23.27%) and post-operative period (10.69%). General anesthesia (1.56%), regional anesthesia (1.78%) and local anesthesia under monitored care (0.56%) were responsible for these adverse events. Analysis for reasons of these incidents suggested human errors (47.16%), patient’s comorbids (28.30%), nature of surgical procedures (24.52%) and combined factors were (71%). Anesthesia related mortality in our study was 5 deaths per 10000 anesthetics. Conclusion: Critical incidents do occur even in the hands of highly qualified and skilled anesthesiologists but can be minimized by continuous efforts through reporting and analysis of these events and hence formulating safety protocols.
format	article
author	Saleem Pervaiz Bajwa Dr. Abdullah Muhammad Akram Akhtar Hussain C. Aqeel Safdar
author_facet	Saleem Pervaiz Bajwa Dr. Abdullah Muhammad Akram Akhtar Hussain C. Aqeel Safdar
author_sort	Saleem Pervaiz Bajwa
title	CRITICAL ANAESTHETIC INCIDENTS CAUSES AND ANALYSIS
title_short	CRITICAL ANAESTHETIC INCIDENTS CAUSES AND ANALYSIS
title_full	CRITICAL ANAESTHETIC INCIDENTS CAUSES AND ANALYSIS
title_fullStr	CRITICAL ANAESTHETIC INCIDENTS CAUSES AND ANALYSIS
title_full_unstemmed	CRITICAL ANAESTHETIC INCIDENTS CAUSES AND ANALYSIS
title_sort	critical anaesthetic incidents causes and analysis
publisher	Army Medical College Rawalpindi
publishDate	2019
url	https://doaj.org/article/9a2c84dfee3549dba03670c9f1a0d02e
work_keys_str_mv	AT saleempervaizbajwa criticalanaestheticincidentscausesandanalysis AT drabdullah criticalanaestheticincidentscausesandanalysis AT muhammadakram criticalanaestheticincidentscausesandanalysis AT akhtarhussain criticalanaestheticincidentscausesandanalysis AT caqeelsafdar criticalanaestheticincidentscausesandanalysis
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CRITICAL ANAESTHETIC INCIDENTS CAUSES AND ANALYSIS

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