Titre du document / Document title

Prozessqualität in der Anästhesiologie : Ergebnisse einer prospektiven Erhebung nach den Empfehlungen der DGAI = Quality control in anaesthesia. Results of a study according to the recommendations of the German Society of Anaesthesiology and Intensive Care

Auteur(s) / Author(s)

SCHWILK B. ⁽¹⁾ ; MUCHE R. ⁽²⁾ ; BOTHNER U. ⁽¹⁾ ; GOERTZ A. ⁽¹⁾ ; FRIESDORF W. ⁽¹⁾ ; GEORGIEFF M. ⁽¹⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Klin. Univ. Ulm, Universitätsklin. Anästhesiologie, ALLEMAGNE
⁽²⁾ Klin. Univ. Ulm, Klin. Dokumentation, ALLEMAGNE

Résumé / Abstract

The German Social Law has required quality assurance (QA) procedures since 1989. The measures must be suitable to allow «comparing investigations». In 1992 the German Society of Anaesthesiology and Intensive Care Medicine published recommendations for QA in anaesthesia: most problems during an anaesthetic should be documented in a standardised manner, and thus, a list of 63 pitfalls, events, and complications (PECs) and five degrees of severity were defined. The goal of this study was to determine the frequency of PECs in anaesthesia and to correlate PECs with procedures and preoperative health status. Materials and methods. Demographic data, preoperative findings, type and duration of anaesthesia and operation, and kind and severity of PECs were integrated in an automatically readable anaesthetic data record (ARADR). During 12 months all anaesthetics in our department were documented by the ARADR; the records were read by a reading device and the data stored in a modern SQL database (Informix). Degrees of severity: I. PEC leads to reaction of anaesthetist, no impact for recovery room (RR); II. impact for RR, no impact on transfer to ward; III. significant prolongation of RR stay or additional monitoring on ward; IV. PEC leads to intensive care unit admission; V. disabling damage or death. Results. In all, 18 350 anaesthetics were recorded (9055 male, 9295 female); the median age was 41 years (1 day-99 years). In 4251 (23.2%) anaesthetics 5927 PECs occurred, 3412 of them involving the cardiovascular and 949 the respiratory system, the latter with a tendency to higher degrees of severity. PECs caused by technical equipment (126) or lesions caused by anaesthesists (342) had no fatal outcomes and were less severe. Patients in ASA class I had 12.3% anaesthetics with PECs, ASA II 23.3%, ASA III 33.8%, ASA IV 34.9%, and ASA V 58.5%. PECs of degrees IV and V showed a higher incidence in the higher ASA classes. There was no fatal PEC in an ASA class I patient and only one (of 13615) in an elective procedure. Emergency cases had more frequent and more severe PECs: 16 of 19 PECs of degree V were in ASA class IV and V patients and 15 in emergency situations, all of them in surgical patients. Patients with cardiovascular disease had a more frequent incidence of PECs by a factor of 1.39 to 5.93 than those without such disease. Conclusions. Standardised incident reporting by defined PECs seems a good way to describe problems in anaesthesia. The types of PECs in our study had a similar distribution to those in other investigations, but there was a tendency to less frequent fatal PECs in ASA classes I to IV and more frequent ones in ASA class V. We expect better comparability when multicenter studies are done using identical methods in the next few years. Perhaps different patients collectives with special risks will be detected; efforts in quality improvement could focus on these patients

Revue / Journal Title

Der Anaesthesist   ISSN 0003-2417   CODEN ANATAE 

Source / Source

1995, vol. 44, n^o4, pp. 242-249 (29 ref.)

Langue / Language

Allemand

Editeur / Publisher

Springer, Berlin, ALLEMAGNE  (1952) (Revue)

Mots-clés anglais / English Keywords

Anesthesia ; Quality assurance ; Germany ; Human ; Epidemiology ; Complication ; Public health ; Europe ;

Mots-clés français / French Keywords

Anesthésie ; Assurance qualité ; Allemagne ; Homme ; Epidémiologie ; Complication ; Santé publique ; Europe ;

Mots-clés espagnols / Spanish Keywords

Anestesia ; Aseguración calidad ; Alemania ; Hombre ; Epidemiología ; Complicación ; Salud pública ; Europa ;

Localisation / Location

INIST-CNRS, Cote INIST : 8047, 35400005627766.0030