Perioperative and anesthetic adverse events in Thailand (PAAd Thai) incident report study: Anesthetic adverse events in correlation with communication mishaps
© JOURNAL OF THE MEDICAL ASSOCIATION OF THAILAND | 2019. Objective: The Royal College of Anesthesiologists of Thailand (RCAT) had performed the trial entitled “The Perioperative Anesthetic Adverse Events Study in Thailand (PAAd Thai)”. This multi-center, prospective, observational study was held in...
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th-cmuir.6653943832-657432019-08-05T04:40:23Z Perioperative and anesthetic adverse events in Thailand (PAAd Thai) incident report study: Anesthetic adverse events in correlation with communication mishaps S. Nimmaanrat W. Angkasuvan W. Lapisatepun S. Charuluxananan J. Choorat N. Chernsirikasem W. Sriraj A. Pulnitiporn P. Akavipat Medicine © JOURNAL OF THE MEDICAL ASSOCIATION OF THAILAND | 2019. Objective: The Royal College of Anesthesiologists of Thailand (RCAT) had performed the trial entitled “The Perioperative Anesthetic Adverse Events Study in Thailand (PAAd Thai)”. This multi-center, prospective, observational study was held in 22 hospitals all over the country in 2015. The present trial was a part of the PAAd Thai that explicitly intended to emphasize on anesthetic adverse events related to communication mishaps. Materials and Methods: The PAAd Thai working team generated a standardized incident record form. Any incidents marked by reporters by means of either communication problem as a contributing factor, to improve communication as a factor to minimize the incident, or improvement of communication as a suggested corrective strategy were collected for analysis. Results: Among 2,206 incident reports, there were 234 cases (10.6%) of communication mishaps. The most frequent ineffective communication happened in ASA class III patients. The communication error-related adverse events mainly occurred intraoperatively in cases with cardiac arrest (27.8%), desaturation (23.5%), severe arrhythmia (21.8%), death (17.5%), and re-intubation (15.8%). Unplanned ICU admission accounted for 18.4% of the cases, while 17.5% died. At the seventh day post-operatively, 144 patients fully recovered. Communication problems took place mostly within the anesthesia team (46%) followed by with surgeon (31%). About one tenth happened with more than one type of colleagues. Conclusion: From PAAd Thai study, communication mishaps were found in approximately 10% of the cases with anesthesia-related adverse events. Effective communication is mandatory for safe anesthesia and surgery. Strategies to improve communication among various health care professionals are highly recommended. 2019-08-05T04:40:23Z 2019-08-05T04:40:23Z 2019-06-01 Journal 01252208 2-s2.0-85068593358 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85068593358&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/65743 |
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Medicine S. Nimmaanrat W. Angkasuvan W. Lapisatepun S. Charuluxananan J. Choorat N. Chernsirikasem W. Sriraj A. Pulnitiporn P. Akavipat Perioperative and anesthetic adverse events in Thailand (PAAd Thai) incident report study: Anesthetic adverse events in correlation with communication mishaps |
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© JOURNAL OF THE MEDICAL ASSOCIATION OF THAILAND | 2019. Objective: The Royal College of Anesthesiologists of Thailand (RCAT) had performed the trial entitled “The Perioperative Anesthetic Adverse Events Study in Thailand (PAAd Thai)”. This multi-center, prospective, observational study was held in 22 hospitals all over the country in 2015. The present trial was a part of the PAAd Thai that explicitly intended to emphasize on anesthetic adverse events related to communication mishaps. Materials and Methods: The PAAd Thai working team generated a standardized incident record form. Any incidents marked by reporters by means of either communication problem as a contributing factor, to improve communication as a factor to minimize the incident, or improvement of communication as a suggested corrective strategy were collected for analysis. Results: Among 2,206 incident reports, there were 234 cases (10.6%) of communication mishaps. The most frequent ineffective communication happened in ASA class III patients. The communication error-related adverse events mainly occurred intraoperatively in cases with cardiac arrest (27.8%), desaturation (23.5%), severe arrhythmia (21.8%), death (17.5%), and re-intubation (15.8%). Unplanned ICU admission accounted for 18.4% of the cases, while 17.5% died. At the seventh day post-operatively, 144 patients fully recovered. Communication problems took place mostly within the anesthesia team (46%) followed by with surgeon (31%). About one tenth happened with more than one type of colleagues. Conclusion: From PAAd Thai study, communication mishaps were found in approximately 10% of the cases with anesthesia-related adverse events. Effective communication is mandatory for safe anesthesia and surgery. Strategies to improve communication among various health care professionals are highly recommended. |
format |
Journal |
author |
S. Nimmaanrat W. Angkasuvan W. Lapisatepun S. Charuluxananan J. Choorat N. Chernsirikasem W. Sriraj A. Pulnitiporn P. Akavipat |
author_facet |
S. Nimmaanrat W. Angkasuvan W. Lapisatepun S. Charuluxananan J. Choorat N. Chernsirikasem W. Sriraj A. Pulnitiporn P. Akavipat |
author_sort |
S. Nimmaanrat |
title |
Perioperative and anesthetic adverse events in Thailand (PAAd Thai) incident report study: Anesthetic adverse events in correlation with communication mishaps |
title_short |
Perioperative and anesthetic adverse events in Thailand (PAAd Thai) incident report study: Anesthetic adverse events in correlation with communication mishaps |
title_full |
Perioperative and anesthetic adverse events in Thailand (PAAd Thai) incident report study: Anesthetic adverse events in correlation with communication mishaps |
title_fullStr |
Perioperative and anesthetic adverse events in Thailand (PAAd Thai) incident report study: Anesthetic adverse events in correlation with communication mishaps |
title_full_unstemmed |
Perioperative and anesthetic adverse events in Thailand (PAAd Thai) incident report study: Anesthetic adverse events in correlation with communication mishaps |
title_sort |
perioperative and anesthetic adverse events in thailand (paad thai) incident report study: anesthetic adverse events in correlation with communication mishaps |
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2019 |
url |
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85068593358&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/65743 |
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