Anesthesia-related critical incidents in the perioperative period in children; a proposal for an anesthesia-related reporting system for critical incidents in children

Summary Background The incidence, type and severity of anesthesia‐related critical incidents during the perioperative phase has been investigated less in children than in adults. Aim The aim of the study was to identify and analyze anesthesia‐related critical incidents in children to identify areas...

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Bibliographic Details
Published in:Pediatric anesthesia 2015-06, Vol.25 (6), p.621-629
Main Authors: de Graaff, Jurgen C., Sarfo, Marie-christine, van Wolfswinkel, Leo, van der Werff, Désirée B. M., Schouten, Antonius N. J.
Format: Article
Language:English
Subjects:
Adolescent
anesthesia
Anesthesia - adverse effects
Child
Child, Preschool
complications
critical incidents
Female
Humans
Incidence
Infant
Infant, Newborn
Male
Netherlands
pediatric
perioperative
Perioperative Period - statistics & numerical data
Risk Management - methods
Risk Management - statistics & numerical data
Severity of Illness Index
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Summary:Summary Background The incidence, type and severity of anesthesia‐related critical incidents during the perioperative phase has been investigated less in children than in adults. Aim The aim of the study was to identify and analyze anesthesia‐related critical incidents in children to identify areas to improve current clinical practice, and to propose a specialized anesthesia‐related critical incidence registration for children. Method All reported pediatric anesthesia‐related critical incidents reported on a voluntary reporting based on a 20‐item complication list of the Dutch Society of Anesthesiology between January 2007 and August 2013 were analyzed. An anesthesia‐related critical incident was defined as ‘any incident that affected, or could have affected, the safety of the patient while under the care of an anesthetist’. As the 20‐item complications list was too crude for detailed analyses, all critical incidents were reclassified into the more detailed German classification lists with the adjustment of specific items for children (in total 10 categories with 101 different subcategories). Results During the 6‐year period, a total of 1214 critical incidents were reported out of 35 190 anesthetics (cardiac and noncardiac anesthesia cases). The most frequently reported incidents (46.5%) were related to the respiratory system. Infants
ISSN:1155-5645
1460-9592
DOI:10.1111/pan.12623