Skip Navigation



International Journal for Quality in Health Care Advance Access published online on October 19, 2006
International Journal for Quality in Health Care, doi:10.1093/intqhc/mzl054
This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
18/6/452    most recent
mzl054v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Freestone, L.
Right arrow Articles by Creati, B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Freestone, L.
Right arrow Articles by Creati, B.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author 2006. Published by Oxford University Press on behalf of International Society for Quality in Health Care; all rights reserved
Accepted September 17, 2006

Article

Voluntary incident reporting by anaesthetic trainees in an Australian hospital

Liadaine Freestone 1, Stephen N. Bolsin 1 *, Mark Colson 1, Andrew Patrick 1, and Bernie Creati 1

1 Department of Anaesthesia, The Geelong Hospital, Geelong, Victoria, Australia

* To whom correspondence should be addressed.
Stephen N. Bolsin, E-mail: steveb{at}barwonhealth.org.au


  Abstract

Objective. To assess the reporting of critical incidents by anaesthetic trainees using personal digital assistants. The project also identified the reporting of ‘near miss’ incidents by anaesthetic trainees.

Design. Comparison of electronic incident reporting with retrospective case note review of cases in which no incident was reported.

Setting. A 400-bed university teaching hospital in Victoria.

Participants. Fourteen accredited Australian and New Zealand College of Anaesthetists (ANZCA) registrars and their training supervisors.

Interventions. Registrars and supervisors underwent initial training for 1 hour and were provided with ongoing support. The cases and incidents reported to the database using the portable digital assistants were analysed.

Main outcome measures. These were the total number of anaesthetics reported to the database; the number of incidents reported to the database; the outcome severity of incidents reported; and the number of incidents detected in the case note review that were not reported to the database.

Results. An incident was reported for 156 (3.5%) of 4441 anaesthetic procedures reported to the database. Of these incidents, 72 (46.2%) were ‘near misses’. One incident was identified in a review of 208 case notes, which had no incidents reported electronically, and was not reported to the database electronically. This gives a reporting rate of 99.52% [95% confidence interval (CI) 96.9-100%].

Conclusions. ANZCA trainees in routine anaesthetic practice can reliably use mobile computing technology to report critical incidents and ‘near miss’ incident data.

Keywords: adverse events, anaesthesia, critical incidents.
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 BMJHome page
J. Cassidy
Name and shame
BMJ, July 27, 2009; 339(jul24_1): b2693 - b2693.
[Full Text]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.