Neuraxial Anesthesia Charting
Conditions
Keywords
neuraxial attempts, anesthetic charting, anesthetic documentation
Brief summary
The goal of this study is to compare observed neuraxial (Epidural, spinal, combined spinal-epidural) insertion attempts with actual documented attempts in anesthesia providers (staff, residents and fellows) at one maternal hospital. Trained research staff will document the number of neuraxial attempts before the operation, and compare this with the attempts recorded in the patient's chart. The definition of a neuraxial attempt will be determined before the study begins through a thorough literature review.
Interventions
None listed
Sponsors
University of British Columbia
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
19 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Healthy parturients receiving any neuraxial procedure
Exclusion criteria
* Patient refusal of observation * Provider refusal of observation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percent accuracy of recorded neuraxial attempts | 1 day post-operatively | Charted neuraxial attempts divided by observed neuraxial attempts |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percent accuracy of recorded neuraxial redirections | 1 day post-operatively | Charted neuraxial attempts divided by number of observed attempts and redirections |
| Define a neuraxial attempt | 1 month before recruitment starts | Use thorough literature review to establish a working definition of a neuraxial attempt |
| Define a neuraxial redirection | 1 month before observations start | Use thorough literature review to establish a working definition of a neuraxial redirection |
| Departmental consensus on a neuraxial attempt | One week after observations conclude | Survey the department to understand how staff define a neuraxial attempt |
| Completeness of documentation | 1 day post-operatively | Percentage completion of requisite charting prompts on anesthesia record |
Countries
Canada
Outcome results
None listed