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January 1, 2017Journal of Clinical SciencesOpen Access

Critical incidents and near misses during anesthesia: A prospective audit

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Why the study?

What is the incidence and cause of critical incidents and near misses during anesthesia?

Population

1188 perioperative procedures over 5 months, with 42 patients experiencing critical incidents.

Design

Cohort

Follow-up

Perioperative period

Authors

PAPamelaOnorame AgbamuLagos University Teaching HospitalIMI D MenkitiLagos University Teaching HospitalEOEsoheIvie OhuobaLagos University Teaching Hospital

Discussion

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Implication

Voluntary reporting captured perioperative anesthesia risks; leaves open whether standardized systems improve safety outcomes.

Structured PICO

What is the incidence and cause of critical incidents and near misses during anesthesia?

P
Population
1188 perioperative procedures (excluding obstetrics) over 5 months, with 42 patients experiencing critical incidents.
I
Intervention
Anesthesia administration
O
Outcome
Incidence of perioperative critical incidents and near missessafety

Critical incidents during anesthesia occur in 6.1% of procedures, most commonly due to patient factors and human error, highlighting the need for protocols and incident reporting to improve safety.

Cite This Study

Agbamu et al. (2017) studied this question.

synapsesocial.com/papers/6a6fdca32163a0a01bc41a64https://doi.org/10.4103/2468-6859.199170
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Preventable Anesthesia Mishaps1978 · 942 citations
  2. 2An Analysis of Major Errors and Equipment Failures in Anesthesia Management1984 · 869 citations
  3. 3A Prospective Survey of Anaesthetic Critical Events in a Teaching Hospital1989 · 58 citations
  4. 4An analysis of critical incidents in a teaching department for quality assurance A survey of mishaps during anaesthesia1988 · 98 citations
  5. 5The Australian Incident Monitoring Study: An Analysis of 2000 Incident Reports1993 · 357 citations