Assessment of perioperative anesthesia record sheet completeness: A multi-center observational study

Taye, Moges Gelaw; Fenta, Efrem; Tamire, Tadese; Fentie, Yewlsew

doi:10.1016/j.amsu.2022.104103

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…This discrepancy may be attributed to variations in the QoC measurement approaches and the incompleteness of the medical records we reviewed. Studies revealed substandard perioperative documentation practices among Ethiopian anesthetists, with up to 20% of preoperative, 10% of intraoperative, and 30–50% of postoperative recordings being incomplete [ 41 , 42 ].…”

Section: Discussionmentioning

confidence: 99%

Does higher performance in a national licensing examination predict better quality of care? A longitudinal observational study of Ethiopian anesthetists

Asemu,

Yigzaw,

Desta

et al. 2024

BMC Anesthesiol

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Background Ethiopia made a national licensing examination (NLE) for associate clinician anesthetists a requirement for entry into the practice workforce. However, there is limited empirical evidence on whether the NLE scores of associate clinicians predict the quality of health care they provide in low-income countries. This study aimed to assess the association between anesthetists’ NLE scores and three selected quality of patient care indicators. Methods A multicenter longitudinal observational study was conducted between January 8 and February 7, 2023, to collect quality of care (QoC) data on surgical patients attended by anesthetists (n = 56) who had taken the Ethiopian anesthetist NLE since 2019. The three QoC indicators were standards for safe anesthesia practice, critical incidents, and patient satisfaction. The medical records of 991 patients were reviewed to determine the standards for safe anesthesia practice and critical incidents. A total of 400 patients responded to the patient satisfaction survey. Multivariable regressions were employed to determine whether the anesthetist NLE score predicted QoC indicators. Results The mean percentage of safe anesthesia practice standards met was 69.14%, and the mean satisfaction score was 85.22%. There were 1,120 critical incidents among 911 patients, with three out of five experiencing at least one. After controlling for patient, anesthetist, facility, and clinical care-related confounding variables, the NLE score predicted the occurrence of critical incidents. For every 1% point increase in the total NLE score, the odds of developing one or more critical incidents decreased by 18% (aOR = 0.82; 95% CI = 0.70 = 0.96; p = 0.016). No statistically significant associations existed between the other two QoC indicators and NLE scores. Conclusion The NLE score had an inverse relationship with the occurrence of critical incidents, supporting the validity of the examination in assessing graduates’ ability to provide safe and effective care. The lack of an association with the other two QoC indicators requires further investigation. Our findings may help improve education quality and the impact of NLEs in Ethiopia and beyond.

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Section: Discussionmentioning

confidence: 99%

Does higher performance in a national licensing examination predict better quality of care? A longitudinal observational study of Ethiopian anesthetists

Asemu,

Yigzaw,

Desta

et al. 2024

BMC Anesthesiol

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“…With regard to anaesthesia management, the anaesthesia sheet was filled completely in 79.6% (n=199) of cases, The anesthetic record sheet is a crucial component of perioperative patient care and is a key element of the Global Patient Safety Challenge. Ensuring comprehensive and accurate anaesthesia records contributes to enhancing the safety of surgical care [24].…”

Section: Anaesthesia Managementmentioning

confidence: 99%

Compliance With World Health Organization (WHO)-World Federation of Societies of Anesthesiologists (WFAS) Standards for General Anesthesia at Ibn Sina University Hospital Center, Morocco

Harfaoui,

Ziani,

Slaihi

et al. 2024

Cureus

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Introduction: Patient safety in anaesthesia has significantly improved over the past decades, largely due to pharmacological and technological advancements, as well as the widespread adoption of guidelines and standards recommended by international organisations. This study aimed to evaluate the practice of anaesthesia and its compliance with the international standards for safe anaesthesia practice recommended by the World Federation of Societies of Anaesthesiologists (WFSA) and the World Health Organization (WHO). This study also describes the operating room within Ibn Sina University Hospital Centre (CHUIS) of Rabat, Morocco, the referral centre, with the aim of identifying its potential and shortcomings.Methods: This was a prospective analytical descriptive study from March 1, 2021, to July 31, 2021. All facilities within an operating room and information regarding patients undergoing general anaesthesia, whether it be emergency or scheduled procedures, administered by an anaesthetist, were included. A survey form based on the WHO-WFSA International Standards for a Safe Practice of Anesthesia was used to collect data about the anaesthesia sites. Sources of information included direct observation of anaesthesia procedures, patient records, registers, and qualified anaesthesia personnel. Manual data analysis and encoding were performed using Microsoft Word and Excel (Microsoft Corporation, Redmond, Washington, United States).Results: All the facilities within the operating rooms of CHUIS were surveyed. In total, 250 patients were recorded, with 43.6% at Ibn Sina Hospital, 18.4% in the Children's Hospital, 14% at the National Institute of Oncology, 12% at the Specialties, 6% at Maternity Hospital Souissi, and 6% at Orangers Maternity Hospital. The median age of patients was 50 years old with 37% of them aged 36-55 years. Overall, 67.6% of these patients were admitted for scheduled interventions. Anaesthetic risk assessment showed that 67.2% of the patients were in American Society of Anesthesiologists (ASA) class I. Pre-anaesthesia consultations were conducted in 65.6% of cases, and pre-anaesthesia visits were conducted in 89.6% of cases. Anaesthesia checklists were used in 89.6% of cases. General anaesthesia, including tracheal intubation 85.2% and facemask 7.2%, was the most common type of anaesthesia. Regarding anaesthetic agents, propofol was the most used intravenous narcotic, with fentanyl still being used in most cases 92% and rocuronium in 82% of cases. Electrocardiogram, non-invasive blood pressure, and pulse oxygen saturation (SPO2) monitoring were consistently used, while capnography was not available in 6% of cases. Crystalloid fluid resuscitation was used in 91.2% of cases, and colloid resuscitation was used in 1.2% of cases. The post-anesthesia care unit (PACU) was present in 58.8% of cases. Postoperative analgesia was administered in 80% of cases. Adverse events occurred in 58.4% of cases. Preoperative transfusion strategies were employed in 18% of cases. Patient transfers to the intensive care un...

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“…The World Health Organization of the World Federation of Societies of Anesthesiologists (WHO-WFSA) states that the completeness component of anesthesia documentation is the international standard for safe anesthesia practices. These components include patient-related data, pre-anesthesia assessment, provider information, anesthesia drugs, anesthesia techniques, pre-and intraanesthetic vital signs, postoperative orders, and patient outcomes (Taye et al, 2022). The completeness of both electronic and handwritten anesthesia records is an important measure of information during perioperatives, as well as a legal document against anesthesia providers (Søndergaard et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Development of ISBAR-Based Anesthesia Unit Handover Instrument with Android Apps Against Completeness Pre and Post Anesthesia Documentation in the Installation Central Surgery

Putra,

Bakr,

Hidayati

2024

IJGHR

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The completeness of anesthesia records both electronically and handwritten is an important measure of information during perioperatives, as well as a legal document against anesthesia providers.The development of a handover instrument model with an android application with Kopelman model theory is needed in order to create an effective handover in the policy of supporting infrastructure and the implementation of anesthesia as an evaluation of the completeness of anesthesia documentation. This study aims to develop an ISBAR instrument with an android application as a guide for the handover of the anesthesia unit at the Central Surgical Installation of RSUD Haji Surabaya. Method: Research design using Research and Development (R&D). The independent variable is the development of ISBAR-based handover instruments, and the dependent variable taken is the completeness of pre- and post-anesthesia documentation. The population was taken as many as 34 nurse anesthetists and 100 pre and post anesthesia documentation, sampling using purposive sampling. The instruments used are questionnaires and observation sheetsResults: The trial of the anesthesia handover using the ISBAR instrument on the android application using the SUS questionnaire obtained 85 results meaning acceptable. Analysis: In stage 1 using descriptive analysis to determine the frequency of data, while in stage 2 using descriptive analysis presented in percentage to show the presentation of application test feasibility results. Conclusions: The development of ISBAR handover instruments with andorrid applications is suitable for use during operational services with Acceptability Ranges conditions that are acceptable. Grade Scale includes B. Adjective Rating: Worst Imaginable results are Excellent and Percentiles results are good.

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Assessment of perioperative anesthesia record sheet completeness: A multi-center observational study

Cited by 3 publications

References 13 publications

Does higher performance in a national licensing examination predict better quality of care? A longitudinal observational study of Ethiopian anesthetists

Does higher performance in a national licensing examination predict better quality of care? A longitudinal observational study of Ethiopian anesthetists

Compliance With World Health Organization (WHO)-World Federation of Societies of Anesthesiologists (WFAS) Standards for General Anesthesia at Ibn Sina University Hospital Center, Morocco

Development of ISBAR-Based Anesthesia Unit Handover Instrument with Android Apps Against Completeness Pre and Post Anesthesia Documentation in the Installation Central Surgery

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