Prozessqualität in der Anästhesiologie : Ergebnisse einer prospektiven Erhebung nach den Empfehlungen der DGAI.
Traduction en anglais : Quality control in anaesthesia. Results of a study according to the recommendations of the German Society of Anaesthesiology and Intensive Care.
The German Social Law has required quality assurance (QA) procedures since 1989.
The measures must be suitable to allow « comparing investigations ».
In 1992 the German Society of Anaesthesiology and Intensive Care Medicine published recommendations for QA in anaesthesia : most problems during an anaesthetic should be documented in a standardised manner, and thus, a list of 63 pitfalls, events, and complications (PECs) and five degrees of severity were defined.
The goal of this study was to determine the frequency of PECs in anaesthesia and to correlate PECs with procedures and preoperative health status.
Materials and methods
Demographic data, preoperative findings, type and duration of anaesthesia and operation, and kind and severity of PECs were integrated in an automatically readable anaesthetic data record (ARADR).
During 12 months all anaesthetics in our department were documented by the ARADR ; the records were read by a reading device and the data stored in a modern SQL database (Informix).
Degrees of severity :
I. PEC leads to reaction of anaesthetist, no impact for recovery room (RR) ;
II. impact for RR, no impact on transfer to ward ;
III. significant prolongation of RR stay or additional monitoring on ward ;
PEC leads to intensive care unit admission ; V. disabling damage or death.
In all, 18 350 anaesthetics were recorded (9055 male, 9295 female) ; the median age was 41 years (1 day-99 years).
Mots-clés Pascal : Anesthésie, Assurance qualité, Allemagne, Europe, Homme, Epidémiologie, Complication
Mots-clés Pascal anglais : Anesthesia, Quality assurance, Germany, Europe, Human, Epidemiology, Complication
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0263646
Code Inist : 002B27A06. Création : 01/03/1996.