Document Detail


Errors on anaesthetic record charts as a measure of anaesthetic performance during simulated critical incidents.
MedLine Citation:
PMID:  9505779     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
A J Byrne; A J Sellen; J G Jones
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  British journal of anaesthesia     Volume:  80     ISSN:  0007-0912     ISO Abbreviation:  Br J Anaesth     Publication Date:  1998 Jan 
Date Detail:
Created Date:  1998-03-24     Completed Date:  1998-03-24     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0372541     Medline TA:  Br J Anaesth     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  58-62     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia, Addenbrooke's Hospital, Cambridge.
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MeSH Terms
Descriptor/Qualifier:
Anesthesiology / 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:
Br J Anaesth. 1998 Sep;81(3):482-3   [PMID:  9861147 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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