| Errors on anaesthetic record charts as a measure of anaesthetic performance during simulated critical incidents. | |
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MedLine Citation:
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PMID: 9505779 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We have measured the performance of 10 trainee anaesthetists during a single simulated anaesthetic during which there was a complex critical incident. Errors in the recording on the anaesthetic charts of the "patient's" oxygen saturation, heart rate, systolic and diastolic arterial pressures and end-tidal carbon dioxide concentrations were used as a measure of mental workload and hence performance. The critical incident was designed to be stressful and contained, in sequence, episodes of hypotension, arrhythmia and bronchospasm. Chart recording errors increased markedly during the critical incident (P < 0.01) and decreased subsequently when the "patient" had stabilized. More than 22% of the values charted during the simulation were in error by more than 25% of the real value, and errors in excess of 100% of the actual value were recorded. There was no evidence of a tendency to consistently underestimate the magnitude of abnormal values. This method is appropriate for assessing the performance of groups of anaesthetists during simulated critical incidents. It also raises questions on the accuracy of anaesthetic record charts when recording critical incidents. |
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Authors:
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A J Byrne; A J Sellen; J G Jones |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: British journal of anaesthesia Volume: 80 ISSN: 0007-0912 ISO Abbreviation: Br J Anaesth Publication Date: 1998 Jan |
Date Detail:
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Created Date: 1998-03-24 Completed Date: 1998-03-24 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0372541 Medline TA: Br J Anaesth Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 58-62 Citation Subset: IM |
Affiliation:
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Department of Anaesthesia, Addenbrooke's Hospital, Cambridge. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anesthesiology
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education* Clinical Competence / standards* Computer Simulation Education, Medical, Graduate / methods* Emergencies England Hemodynamics Humans Medical Errors* Medical Records / standards* Risk Management* Workload |
| Comments/Corrections | |
Comment In:
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Br J Anaesth. 1998 Sep;81(3):482-3
[PMID:
9861147
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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