Anaesthesia related mortality in ASA-1 and 2 patients as a quality improvement indicator
JCPSP-Journal of the College of Physicians and Surgeons Pakistan. 2011; 21 (4): 234-236
in English
| IMEMR
| ID: emr-110168
ABSTRACT
Quality and safety in anesthesia is usually monitored by analysis of perioperative mortality-morbidity and incidents. Clinical quality indicator, death within 48 hours of anaesthesia exposure is considered to be a flag that can alert to possible problems in individual patient care. The measurement of perioperative mortality as a quality indicator is a continuous peer reviewed quality improvement activity. Medical records and morbidity and mortality files were reviewed to see the trends and finding the benchmark of mortality in ASA-1 and 2 patient who died between 1992-2006 within 48 hours of anaesthesia exposure. Mortality in class 1 was nil. Anaesthetic mortality in ASA-1 and 2 patients was 0.35 per 10,000 and 0.74 per 10,000 of ASA-2 patient's volume. Anaesthesia-related mortality was 0.17 per 10,000 and 0.37 per 10,000 of ASA-2 patient's volume which is almost double of the overall calculated incidence. We suggest continuing monitoring of anaesthesia related mortality as a continuous quality indicator in developing countries. The reporting and analyzing of data according to the ASA status volume should be taken as a denominator. The available benchmark will help in evaluating the confounding factors and perioperative care of a particular group of patients
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Safety
/
Retrospective Studies
/
Sensation Disorders
/
Benchmarking
/
Quality Indicators, Health Care
/
Perioperative Care
/
Quality Improvement
/
Anesthesia, General
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
J. Coll. Physicians Surg. Pak.
Year:
2011
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