TY - JOUR
T1 - A Multisite Validity Study of Self-Reported Anesthesia Outcomes
AU - Walker, Peter
AU - Pekmezaris, Renee
AU - Lesser, Martin L.
AU - Nouryan, Christian N.
AU - Rosinia, Frank
AU - Pratt, Kathy
AU - LaVopa, Catherine
PY - 2012/9
Y1 - 2012/9
N2 - The purpose of this study was to assess the validity of a multisite anesthesia voluntary adverse event reporting process. A data validation methodology was used through medical chart review on live records at 3 facilities (N = 600). The per-item aggregated error rate among all 42 data items was 0.3%: 0.1% for quality indicators, 1.3% for demographic/status variables, and 1.7% for administrative items. The per-patient error rate among all 42 data items was 6.3%: 3.0% for quality indicators, 1.7% for demographic/status variables, and 3.0% for administrative items. Trends such as better accuracy for more serious events continue, but observed error rates were lower than those found in previous surveys-an indication that, while further study is needed, nonpunitive voluntary reporting may reduce errors in anesthesia care.
AB - The purpose of this study was to assess the validity of a multisite anesthesia voluntary adverse event reporting process. A data validation methodology was used through medical chart review on live records at 3 facilities (N = 600). The per-item aggregated error rate among all 42 data items was 0.3%: 0.1% for quality indicators, 1.3% for demographic/status variables, and 1.7% for administrative items. The per-patient error rate among all 42 data items was 6.3%: 3.0% for quality indicators, 1.7% for demographic/status variables, and 3.0% for administrative items. Trends such as better accuracy for more serious events continue, but observed error rates were lower than those found in previous surveys-an indication that, while further study is needed, nonpunitive voluntary reporting may reduce errors in anesthesia care.
KW - anesthesia
KW - incident reporting and analysis
KW - quality improvement
KW - teamwork
UR - http://www.scopus.com/inward/record.url?scp=84866284385&partnerID=8YFLogxK
U2 - 10.1177/1062860611428004
DO - 10.1177/1062860611428004
M3 - Article
C2 - 22326979
AN - SCOPUS:84866284385
SN - 1062-8606
VL - 27
SP - 417
EP - 425
JO - American Journal of Medical Quality
JF - American Journal of Medical Quality
IS - 5
ER -