title: Clinical audit of anaesthesia practice and adverse peri-operative events at Parkland Memorial Hospital, Dallas, Texas.
abstract: A study was undertaken to compare the quantity and nature of adverse event data collected during two equivalent time periods in 1990-1991 and 1991-1992 respectively. During the first period adverse event data were collected and reviewed sporadically, critical incidents were not specifically identified and no formal mechanism for regular presentation of these data existed. During the second period a new and detailed data collected from was introduced. The resulting data were analysed and presented to trainee and senior anaesthetists during formal clinical education sessions. Adverse incident reporting was significantly increased during the later period. Unsafe clinical practices and common errors were also more easily identified.
authors.affiliation: Department of Anesthesiology, University of Texas Southwestern Medical Center at Dallas 75235-9068.
authors.forename: D C
authors.initials: DC
authors.lastname: Over
authors.forename: N A
authors.initials: NA
authors.lastname: Pace
authors.forename: V E
authors.initials: VE
authors.lastname: Shearer
authors.forename: P F
authors.initials: PF
authors.lastname: White
authors.forename: A H
authors.initials: AH
authors.lastname: Giesecke
mesh_terms: D016907:Adverse Drug Reaction Reporting Systems; D000758:Anesthesia / Q000009:adverse effects* / Q000379:methods*; D000761:Anesthesia Department, Hospital; D000777:Anesthetics / Q000008:administration & dosage / Q000009:adverse effects; D003625:Data Collection; D006753:Hospital Records; D006785:Hospitals, University; D006801:Humans; D008485:Medical Audit; D012308:Risk Management; D013781:Texas; D014193:Trauma Centers
chemical_list: D000777:Anesthetics