title: [The incidence of perioperative events with optimized documentation discipline].
abstract: OBJECTIVE
  The German Society of Anesthesiology and Intensive Care Medicine evaluated the standardized reporting of perioperative anaesthesia-related incidents, events, and complications (IEC). As part of the data validation efforts, the problem of variation in documentation procedure was evaluated.
  
  
  METHODS
  A study group of particularly motivated and instructed residents and attendants was scrutinized at a University teaching hospital from April through June 96. IEC assessment was completed according to the Society's definitions.
  
  
  RESULTS
  Out of 4242 anaesthetics during the study period 839 (19.8%) were completed by the study group. In the univariate analysis, the incidence of IECs was significantly (P < 0.001) more reported by the physicians studied (36.4%) than by the control group (18.6%). In a multivariate analysis, while adjusting for all covariables, reported incidence of IEC was 2.4-fold significantly increased (P < 0.001).
  
  
  CONCLUSIONS
  This study is another step in validating the assessment of IECs. The results gain importance with respect to upcoming nationwide quality comparisons among anaesthesia providers. In addition, they give a better estimate of economic implications from IECs within the institution.
authors.affiliation: Universitätsklinik für Anästhesiologie, Universität Ulm.
authors.forename: U
authors.initials: U
authors.lastname: Bothner
authors.forename: L H
authors.initials: LH
authors.lastname: Eberhart
authors.forename: M
authors.initials: M
authors.lastname: Georgieff
authors.forename: B
authors.initials: B
authors.lastname: Schwilk
mesh_terms: D000704:Analysis of Variance; D000758:Anesthesia / Q000009:adverse effects*; D004282:Documentation / Q000592:standards*; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology*; D015203:Reproducibility of Results