Quality assessment of anesthesia service at Siriraj Hospital.
Article
in English
| IMSEAR
| ID: sea-40805
ABSTRACT
As part of a quality assurance program, the quality of the anesthesia service at Siriraj Hospital 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 standard, prioritization of the problems, baseline information before intervention, recognition of complication 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.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Quality Assurance, Health Care
/
Risk Management
/
Thailand
/
Humans
/
Data Collection
/
Prospective Studies
/
Hospital Mortality
/
Adverse Drug Reaction Reporting Systems
/
Anesthesia
Type of study:
Etiology study
/
Practice guideline
/
Observational study
/
Risk factors
Country/Region as subject:
Asia
Language:
English
Year:
2002
Type:
Article
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