caa a22 4500 397519060 CHVBK 20180308164627.0 cr unu---uuuuu 161202e199512 xx s 000 0 eng 10.1093/intqhc/7.4.363 doi (NATIONALLICENCE)oxford-10.1093/intqhc/7.4.363 A Prospective Analysis of Critical Incidents Attributable to Anaesthesia [Elektronische Daten] [MURRAY J. SPITTAL, GEORGE P. FINDLAY, IAN SPENCER] The purpose of the study was an accurate and comprehensive prospective analysis of all untoward anaesthetic events and their sequelae, within a general hospital over a period of 1 year. We identified five system sets into which each of these critical incidents could be categorised. We also recorded data pertaining to the severity of the disturbance or event, the monitor that first identified the problem and the affect, if any, of the incident upon the patient. We found a critical incident rate of 6.68%, or one in 15 anaesthetic procedures performed. By far the majority of incidents were rapidly detected and effectively managed, with a morbidity rate of only 0.53%. The application of minimum monitoring standards was strongly reinforced. The presence of an anaesthetist throughout the period of the whole anaesthetic was shown to be the most effective component of these standards. The audit identified a trend for junior anaesthetists in particular to have a higher incidence of problems with the airway and circulation and for these to be associated with increased morbidity. This prompted revised supervision and training strategies for our junior anaesthetists. © 1996 Elsevier Science Ltd Articles nationallicence Anaesthesia nationallicence complications nationallicence morbidity nationallicence audit nationallicence peer review nationallicence anaesthetic practice nationallicence SPITTAL MURRAY J. Anaesthetic Department, Princess Alexandra's RAF Hospital, Wroughton, Swindon, Wiltshire SN4 0QJ, UK aut FINDLAY GEORGE P. Anaesthetic Department, Princess Alexandra's RAF Hospital, Wroughton, Swindon, Wiltshire SN4 0QJ, UK aut SPENCER IAN Anaesthetic Department, Princess Alexandra's RAF Hospital, Wroughton, Swindon, Wiltshire SN4 0QJ, UK aut International Journal for Quality in Health Care Oxford University Press 7/4(1995-12), 363-371 1353-4505 7:4<363 1995 7 intqhc https://doi.org/10.1093/intqhc/7.4.363 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/intqhc/7.4.363 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- SPITTAL MURRAY J. Anaesthetic Department, Princess Alexandra's RAF Hospital, Wroughton, Swindon, Wiltshire SN4 0QJ, UK aut NATIONALLICENCE 700 1- FINDLAY GEORGE P. Anaesthetic Department, Princess Alexandra's RAF Hospital, Wroughton, Swindon, Wiltshire SN4 0QJ, UK aut NATIONALLICENCE 700 1- SPENCER IAN Anaesthetic Department, Princess Alexandra's RAF Hospital, Wroughton, Swindon, Wiltshire SN4 0QJ, UK aut NATIONALLICENCE 773 0- International Journal for Quality in Health Care Oxford University Press 7/4(1995-12), 363-371 1353-4505 7:4<363 1995 7 intqhc Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford