Quality Assessment of Anesthesia Service at Siriraj Hos pital

THITIMA CHINACHOTI, M.D.*, SUWANNEE SURASERANIVONGSE, M.D.* * SONGYOS VALAIRUCHA,M.D.** THARA TRITRAKARN, M.D.*

Affiliation : *Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.

AbstractAs part of a quality assurance program, the quality of the anesthesia service at Siriraj Hos pital was assessed by using a newly developed data collecting system to find the incidence of clinical indicators. During a 7-month period (June-December 2001), 14,036 anesthetics were included for evaluation. The mortality rate within 24 hours and CPR rate during anesthesia were equal at 20.6/ 10,000. Other clinical indicators were major anesthetic complications (mainly airway, respiratory and cardiovascular system) 144.8/10,000, drug mishaps and adverse drug reactions 6.4/10,000, anesthetic equipment related complications 3.5/10,000 and patient's dissatisfaction 30.6/10,000. Patterns of some complications were also reported. The implications of the results; comparison to international stan dard, prioritization of the problems, baseline information before intervention, recognition of compli cation patterns and guidance to future system management and research projects; were discussed. In conclusion, we demonstrated the effective data collecting system and its results and implication for quality assurance program.

Keywords : Quality Assessment, Anesthetic Complications, Risk Management

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