Critical Incident, Safety Issues
Conditions
Keywords
patient safety, critical incident, anaesthesia
Brief summary
A multicenter study in Ukrainian hospitals on compliance with the requirements for responding to critical cases in the operating room, and the availability of relevant documentation and checklists.
Detailed description
Timely information and response to emergencies are important both in the context of patient safety and in the context of the hospital economy. The availability of information systems is one of the security requirements of the Helsinki Declaration of Patient Safety. Ukraine has only just begun its path to implementing the Declaration of Helsinki in Ukrainian hospitals. The level of adherence to the recommendations can vary considerably depending on the region, the provision of the hospital and the effectiveness of the institution's internal management. In our survey of Ukrainian hospitals, only 74% of hospitals kept records of anaesthesia complications in general, with only 46% having separate electronic or paper documents to record complications; Also, the majority of respondent physicians (62.9%) reported the absence of checklists or algorithms for actions in case of emergencies or emergencies during anaesthesia.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* critical incident during anaesthesia: massive hemorrhage \>1000ml, difficult intubation, severe hypotension, severe bradycardia, desaturation, cardiac arrest, high spinal block, anesthetic toxicity, miocardial ischemia, severe arhytmia etc
Exclusion criteria
* critical incidents without aneasthesia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Critical Incident During Anaesthesia | 5 months | Critical Incident During Anaesthesia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The use of the WHO Safe Surgery checklist | 5 months | The use of the WHO Safe Surgery checklist |
| Keeping records of the critical incidents | 5 months | Keeping records of the critical incidents during anaesthesia |
Countries
Ukraine