[Experiment of an anesthetic adverse events reporting].
OBJECTIVE
This article summarizes functioning and results of anaesthesia adverse effects reporting system over its first 18 months, from August 2006 to February 2008.


METHODS
Monocentric retrospective study.


METHODS
Reporting system is available 24/24h, 7/7 to every employee with an individual password. A committee with anaesthesiologists, nurses and risk management engineer examines every notification by two months. We evaluated number of reports, type of reporter, type of dysfunction reported and solutions. Numerical data are compared with a Student t test or X(2) test. A p-value of less than 0.05g being considered as statistically significant.


RESULTS
One hundred and eighty-five reports were registered for the first 18 months (1% of anesthesia activity) with a slowdown with time (p=0.02). Eighty-six percent of the statements were made by anesthesiologists, but some physicians had never reported. Malfunctions shared between different services (identity, operating room organisation) are rarely solved (67%) compared to specific anesthesia problems (93%) (p<0.001).


CONCLUSIONS
The reporting system is simple and available but some professionals don't declare, generating reporting bias. This network underlines major general dysfunctions (identity) but ways to solve are limited to date.
Thevenin
A
A
Service d'anesthésie, hôpital Foch, 40 rue Worth, Suresnes, France.
Chenet
V
V
Schlumberger
S
S
Fischler
M
M
D016907:Adverse Drug Reaction Reporting Systems; D000758:Anesthesia / Q000009:adverse effects*; D000777:Anesthetics / Q000009:adverse effects*; D006801:Humans; D012189:Retrospective Studies
D000777:Anesthetics