The incidence of perioperative events with optimized documentation discipline

The German Society of Anesthesiology and Intensive Care Medicine evaluated the standardized reporting of perioperative anaesthesia-related incidents, events, and complications (IEC). As part of the data validation efforts, the problem of variation in documentation procedure was evaluated. A study gr...

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Bibliographic Details
Published in:Der Anaesthesist 1999-11, Vol.48 (11), p.786-793
Main Authors: Bothner, U, Eberhart, L H, Georgieff, M, Schwilk, B
Format: Article
Language:ger
Subjects:
Analysis of Variance
Anesthesia - adverse effects
Documentation - standards
Germany - epidemiology
Humans
Intraoperative Complications - epidemiology
Reproducibility of Results
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Summary:The German Society of Anesthesiology and Intensive Care Medicine evaluated the standardized reporting of perioperative anaesthesia-related incidents, events, and complications (IEC). As part of the data validation efforts, the problem of variation in documentation procedure was evaluated. A study group of particularly motivated and instructed residents and attendants was scrutinized at a University teaching hospital from April through June 96. IEC assessment was completed according to the Society's definitions. Out of 4242 anaesthetics during the study period 839 (19.8%) were completed by the study group. In the univariate analysis, the incidence of IECs was significantly (P < 0.001) more reported by the physicians studied (36.4%) than by the control group (18.6%). In a multivariate analysis, while adjusting for all covariables, reported incidence of IEC was 2.4-fold significantly increased (P < 0.001). This study is another step in validating the assessment of IECs. The results gain importance with respect to upcoming nationwide quality comparisons among anaesthesia providers. In addition, they give a better estimate of economic implications from IECs within the institution.
ISSN:0003-2417