A concurrent surgical miniaudit procedure: use of generic outcome screening criteria to detect anesthesia and other

QRB. Quality Review Bulletin
|March 1, 1981
PubMed

Insights

Operating room staff often missed reporting adverse events. A new surgical audit procedure improved the reporting of surgery and anesthesia incidents.

Area of Science:

  • Healthcare Quality Improvement
  • Patient Safety
  • Surgical Outcomes

Background:

  • Incomplete incident reporting of adverse events in the operating suite was identified at Cottonwood Hospital.
  • This underreporting poses a risk to patient safety and quality improvement initiatives.

Purpose of the Study:

  • To develop and implement a procedure to improve the reporting of adverse events in the operating room.
  • To enhance the capture of surgery and anesthesia-related incidents.

Main Methods:

  • A concurrent surgical miniaudit procedure was created with anesthesia department collaboration.
  • The audit utilized 14 generic outcome screening criteria to detect adverse perioperative events.

Main Results:

  • The implementation of the new miniaudit procedure led to a significant increase in incident reporting.
  • Reporting rates for surgery and anesthesia-related adverse incidents were markedly improved.

Conclusions:

  • The developed concurrent surgical miniaudit procedure is effective in enhancing the reporting of perioperative adverse events.
  • This improved reporting can contribute to better patient safety and quality management in surgical settings.

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