Quality assessment of anesthesia service at Siriraj Hospital.
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.
Chinachoti
Thitima
T
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.
Suraseranivongse
Suwannee
S
Valairucha
Songyos
S
Tritrakarn
Thara
T
D016907:Adverse Drug Reaction Reporting Systems; D000758:Anesthesia / Q000009:adverse effects / Q000592:standards*; D003625:Data Collection / Q000379:methods; D017052:Hospital Mortality; D006801:Humans; D011446:Prospective Studies; D011785:Quality Assurance, Health Care; D012308:Risk Management; D013785:Thailand