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February 1, 2000Anesthesia & Analgesia

Factors Influencing the Reporting of Adverse Perioperative Outcomes to a Quality Management Program

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Why the study?

Is physician self-reporting more reliable than medical chart review or incident reporting for identifying adverse perioperative outcomes?

Population

37,924 anesthetics administered between January 1, 1992, and December 31, 1994, resulting in 734 reported…

Comparison

Physician self-reporting of adverse… vs Medical chart review and incident reporting

Design

Cohort

Authors

RKRobert I. KatzUniversity of FloridaRLRobert S. LagasseYale University

Discussion

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Overview

Physician self-reporting may detect more adverse perioperative outcomes than chart review or incident reports; leaves open optimal surveillance methods pending validation.

Structured PICO

Is physician self-reporting more reliable than medical chart review or incident reporting for identifying adverse perioperative outcomes?

P
Population
37,924 anesthetics administered between January 1, 1992, and December 31, 1994, resulting in 734 reported adverse outcomes, along with surveyed hospital personnel (20 attending anesthesiologists, 15 resident anesthesiologists, 29 operating room nurses, 19 postanesthesia care unit nurses, and 6 hospital chart reviewers).
I
Intervention
Physician self-reporting of adverse perioperative outcomes
C
Comparator
Medical chart review and incident reporting
O
Outcome
Identification rate of adverse perioperative outcomes and factors influencing reporting

Physician self-reporting is a more reliable method for identifying adverse perioperative outcomes compared to chart review or incident reporting.

Cite This Study

Katz et al. (2000) studied this question.

synapsesocial.com/papers/6a6fee45ac440176ef289577https://doi.org/10.1213/00000539-200002000-00020
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Also Consider

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

  1. 1Defining Quality of Perioperative Care by Statistical Process Control of Adverse Outcomes1995 · 92 citations
  2. 2An analysis of critical incidents in a teaching department for quality assurance A survey of mishaps during anaesthesia1988 · 98 citations
  3. 3Accidents, near accidents and complications during anaesthesia A retrospective analysis of a 10‐year period in a teaching hospital1990 · 142 citations
  4. 4Detection of Intraoperative Incidents by Electronic Scanning of Computerized Anesthesia Records1996 · 181 citations
  5. 5Is Voluntary Reporting of Critical Events Effective for Quality Assurance?1996 · 46 citations