Document Detail


A survey of Australasian obstetric anaesthesia audit.
MedLine Citation:
PMID:  10470395     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In order to develop a minimal obstetric anaesthesia dataset based on current Australasian clinical audit best practice, we carried out a postal survey of 69 Australasian anaesthetic departments covering an obstetric service. We asked about data being collected, specifically concerning the high risk obstetric patient, epidural analgesia and postoperative anaesthetic review. Examples of any data collection forms were requested. Of the 66 responses, 35 departments (53%) were not collecting any audit data. Twenty-six of the 31 departments (84%) performing obstetric anaesthesia audit responded to our follow-up telephone survey. Eighteen departments believed that there had been an improvement in patient care as a result of their audit and 13 felt that the benefits outweighed the costs involved. However, only six departments (9%) had performed an audit cycle. The importance of feedback to patients or hospital staff and the incidence of post dural puncture headache (PDPH) were cited by some as priorities for obstetric anaesthesia audit. There was however no consistency as to what data should be collected. Many responses suggested a perceived need to collect clinical data without knowing what to do with it. Our survey has highlighted confusion between three distinct objectives; a dataset for obstetric anaesthesia record keeping, data required for continuing patient management in hospital and, a specific minimal dataset for clinical audit purposes. We conclude that current Australasian obstetric anaesthesia audit strategies are inadequate to develop a minimal dataset for cost-effective clinical audit.
Authors:
S J Smith; A M Cyna; S W Simmons
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anaesthesia and intensive care     Volume:  27     ISSN:  0310-057X     ISO Abbreviation:  Anaesth Intensive Care     Publication Date:  1999 Aug 
Date Detail:
Created Date:  1999-10-07     Completed Date:  1999-10-07     Revised Date:  2006-08-28    
Medline Journal Info:
Nlm Unique ID:  0342017     Medline TA:  Anaesth Intensive Care     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  391-5     Citation Subset:  IM    
Affiliation:
Department of Obstetric Anaesthesia, Women and Children's Hospital, Adelaide, South Australia.
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MeSH Terms
Descriptor/Qualifier:
Analgesia, Epidural / statistics & numerical data
Analgesia, Obstetrical / statistics & numerical data
Anesthesia, Obstetrical / statistics & numerical data*
Australia
Data Collection
Female
Humans
Medical Audit*
New Zealand
Pregnancy
Pregnancy, High-Risk

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


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