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Critical incidents associated with pediatric anesthesia: changes over 6 years at a tertiary children’s hospital

BACKGROUND: Sustained interest is needed in the characteristics of critical incidents in pediatric anesthesia and related changes, for determining the causes and degree of potential harm; this will also improve the quality of medical care. This study aimed to analyze the incidence of critical incide...

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Autores principales: Cho, Sung-Ae, Lee, Ji-Hyun, Ji, Sang-Hwan, Jang, Young-Eun, Kim, Eun-Hee, Kim, Hee-Soo, Kim, Jin-Tae
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Anesthesiologists 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9663956/
https://www.ncbi.nlm.nih.gov/pubmed/36317431
http://dx.doi.org/10.17085/apm.22164
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author Cho, Sung-Ae
Lee, Ji-Hyun
Ji, Sang-Hwan
Jang, Young-Eun
Kim, Eun-Hee
Kim, Hee-Soo
Kim, Jin-Tae
author_facet Cho, Sung-Ae
Lee, Ji-Hyun
Ji, Sang-Hwan
Jang, Young-Eun
Kim, Eun-Hee
Kim, Hee-Soo
Kim, Jin-Tae
author_sort Cho, Sung-Ae
collection PubMed
description BACKGROUND: Sustained interest is needed in the characteristics of critical incidents in pediatric anesthesia and related changes, for determining the causes and degree of potential harm; this will also improve the quality of medical care. This study aimed to analyze the incidence of critical incidents recorded in 2014–2019, and to compare them with those in 2008–2013. METHODS: Critical incidents associated with pediatric anesthesia, including cardiac arrest, recorded in a voluntary departmental reporting system between January 2014 and December 2019 were compared with those reported between January 2008 and August 2013 using chi-square test. RESULTS: We identified 295 (0.55%) critical incidents from 53,541 cases of pediatric anesthesia (3,471 cardiothoracic surgeries); this is consistent with the previously reported incidence of 0.46%. Among the critical incidents, the incidences of adverse events, sentinel event, near miss case and no-harm events were 93.9%, 1.7%, 0%, and 6.1% in 2014–2019, whereas those were 98.3%, 2.6%, 1.7%, and 0% in 2008–2013 (P = 0.023, 0.686, 0.080, and < 0.001, respectively). Cardiac arrest accounted for 25 (8.5%) cases of the 295 critical events, which significantly lower than that previously reported (18.3%; P = 0.020). Human factor-related events accounted for 61.0% of all critical incidences; this was similar to the previous data (58.5%). CONCLUSIONS: Over six years, there has been no significant difference in the total incidence of critical events. Despite the decrease in the incidence of serious critical events, perioperative care in pediatric anesthesia can be further improved.
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spelling pubmed-96639562022-11-28 Critical incidents associated with pediatric anesthesia: changes over 6 years at a tertiary children’s hospital Cho, Sung-Ae Lee, Ji-Hyun Ji, Sang-Hwan Jang, Young-Eun Kim, Eun-Hee Kim, Hee-Soo Kim, Jin-Tae Anesth Pain Med (Seoul) Pediatric Anesthesia BACKGROUND: Sustained interest is needed in the characteristics of critical incidents in pediatric anesthesia and related changes, for determining the causes and degree of potential harm; this will also improve the quality of medical care. This study aimed to analyze the incidence of critical incidents recorded in 2014–2019, and to compare them with those in 2008–2013. METHODS: Critical incidents associated with pediatric anesthesia, including cardiac arrest, recorded in a voluntary departmental reporting system between January 2014 and December 2019 were compared with those reported between January 2008 and August 2013 using chi-square test. RESULTS: We identified 295 (0.55%) critical incidents from 53,541 cases of pediatric anesthesia (3,471 cardiothoracic surgeries); this is consistent with the previously reported incidence of 0.46%. Among the critical incidents, the incidences of adverse events, sentinel event, near miss case and no-harm events were 93.9%, 1.7%, 0%, and 6.1% in 2014–2019, whereas those were 98.3%, 2.6%, 1.7%, and 0% in 2008–2013 (P = 0.023, 0.686, 0.080, and < 0.001, respectively). Cardiac arrest accounted for 25 (8.5%) cases of the 295 critical events, which significantly lower than that previously reported (18.3%; P = 0.020). Human factor-related events accounted for 61.0% of all critical incidences; this was similar to the previous data (58.5%). CONCLUSIONS: Over six years, there has been no significant difference in the total incidence of critical events. Despite the decrease in the incidence of serious critical events, perioperative care in pediatric anesthesia can be further improved. Korean Society of Anesthesiologists 2022-10-31 2022-09-22 /pmc/articles/PMC9663956/ /pubmed/36317431 http://dx.doi.org/10.17085/apm.22164 Text en Copyright © the Korean Society of Anesthesiologists, 2022 https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Pediatric Anesthesia
Cho, Sung-Ae
Lee, Ji-Hyun
Ji, Sang-Hwan
Jang, Young-Eun
Kim, Eun-Hee
Kim, Hee-Soo
Kim, Jin-Tae
Critical incidents associated with pediatric anesthesia: changes over 6 years at a tertiary children’s hospital
title Critical incidents associated with pediatric anesthesia: changes over 6 years at a tertiary children’s hospital
title_full Critical incidents associated with pediatric anesthesia: changes over 6 years at a tertiary children’s hospital
title_fullStr Critical incidents associated with pediatric anesthesia: changes over 6 years at a tertiary children’s hospital
title_full_unstemmed Critical incidents associated with pediatric anesthesia: changes over 6 years at a tertiary children’s hospital
title_short Critical incidents associated with pediatric anesthesia: changes over 6 years at a tertiary children’s hospital
title_sort critical incidents associated with pediatric anesthesia: changes over 6 years at a tertiary children’s hospital
topic Pediatric Anesthesia
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9663956/
https://www.ncbi.nlm.nih.gov/pubmed/36317431
http://dx.doi.org/10.17085/apm.22164
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