A multisite validity study of self-reported anesthesia outcomes.
The purpose of this study was to assess the validity of a multisite anesthesia voluntary adverse event reporting process. A data validation methodology was used through medical chart review on live records at 3 facilities (N = 600). The per-item aggregated error rate among all 42 data items was 0.3%: 0.1% for quality indicators, 1.3% for demographic/status variables, and 1.7% for administrative items. The per-patient error rate among all 42 data items was 6.3%: 3.0% for quality indicators, 1.7% for demographic/status variables, and 3.0% for administrative items. Trends such as better accuracy for more serious events continue, but observed error rates were lower than those found in previous surveys-an indication that, while further study is needed, nonpunitive voluntary reporting may reduce errors in anesthesia care.
North Shore-LIJ Health System, Great Neck, NY 11021, USA.
Peter
P
Walker
Renee
R
Pekmezaris
Martin L
ML
Lesser
Christian N
CN
Nouryan
Frank
F
Rosinia
Kathy
K
Pratt
Catherine
C
LaVopa
D016907:Adverse Drug Reaction Reporting Systems / Q000458:organization & administration*; D000758:Anesthesia / Q000009:adverse effects*; D054869:Clinical Audit / Q000379:methods; D016001:Confidence Intervals; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008508:Medication Errors / Q000517:prevention & control / Q000706:statistics & numerical data*; D011785:Quality Assurance, Health Care; D019984:Quality Indicators, Health Care; D057566:Self Report