Effect of Critical Incident Reporting System on the quality of clinical anesthesia
10.3760/cma.j.issn.0254-1416.2017.09.012
- VernacularTitle:危警事件报告系统对临床麻醉质量的影响
- Author:
Linlin LIU
1
;
Youwei CHEN
;
Wenying YUAN
;
Yizhen JIA
;
Shufa CHEN
;
Min LI
;
Youtan LIU
Author Information
1. 518053,香港大学深圳医院麻醉科
- Keywords:
Anesthesia department,hospital;
Risk management;
Medical errors
- From:
Chinese Journal of Anesthesiology
2017;37(9):1074-1077
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of Critical Incident Reporting System on the quality of clinical anesthesia.Methods Anesthesia-related critical incidents happened in the perioperative period were reported in voluntary,anonymous,no punishment and confidential manners.The data was collected,classified and documented by assigned professionals on a regular basis from September 2012 to August 2016.The critical incidents were retrospectively analyzed after the risk was assessed.The 4-year reporting rate was collected.The risk of critical incidents was assessed using severity and probability analysis,and the critical incidents-inducing risk factors were analyzed.Results The 4-year reporting rate of critical incidents was 0.551％.From 1st to 4th year,the reporting rates were 0.729％,0.598％,0.819％ and 0.368％,respectively,and the incidence of injury incidents was 0.112％,0.106％,0.133％ and 0.031％,respectively.The reporting rate of critical incidents and incidence and reporting rate of the injury incidents showed a decreasing trend for 1st and 2nd year,significantly increased for 3rd year and decreased for 4th year (P＜0.05).The first three critical incident categories were equipment use and respiratory system-and workflowrelated incidents.Patient injury during surgery was considered an extremely high risk incident;the factor of the medical staff in the department of anesthesiology is the first critical incidents-inducing risk factor.Conclusion Critical Incident Reporting System can discover and correct the system-related risk and the inducing factors in the department of anesthesiology and is an effective method of improving the service quality of clinical anesthesia.
