Patient and procedural factors associated with an increased risk of harm or death in the first 4,000 incidents reported to webAIRS
This report describes an analysis of patient and procedural factors associated with a higher proportion of harm or death versus no harm in the first 4,000 incidents reported to webAIRS. The report is supplementary to a previous cross-sectional report on the first 4,000 incidents reported to webAIRS....
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| Veröffentlicht in: | Anaesthesia and intensive care 2017-03, Vol.45 (2), p.159-165 |
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| container_title | Anaesthesia and intensive care |
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| creator | Gibbs, N. M. Culwick, M. D. Merry, A. F. |
| description | This report describes an analysis of patient and procedural factors associated with a higher proportion of harm or death versus no harm in the first 4,000 incidents reported to webAIRS. The report is supplementary to a previous cross-sectional report on the first 4,000 incidents reported to webAIRS. The aim of this analysis was to identify potential patient or procedural factors that are more common in incidents resulting in harm or death than in incidents with more benign outcomes. There was a >50% higher proportion of harm (versus no harm) for incidents in which the patient's body mass index (BMI) was 1.5) for BMI |
| doi_str_mv | 10.1177/0310057X1704500205 |
| format | Article |
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M. ; Culwick, M. D. ; Merry, A. F.</creator><creatorcontrib>Gibbs, N. M. ; Culwick, M. D. ; Merry, A. F.</creatorcontrib><description>This report describes an analysis of patient and procedural factors associated with a higher proportion of harm or death versus no harm in the first 4,000 incidents reported to webAIRS. The report is supplementary to a previous cross-sectional report on the first 4,000 incidents reported to webAIRS. The aim of this analysis was to identify potential patient or procedural factors that are more common in incidents resulting in harm or death than in incidents with more benign outcomes. There was a >50% higher proportion of harm (versus no harm) for incidents in which the patient's body mass index (BMI) was <18.5 kg/m2, for incidents in post-anaesthesia care units and non-theatre procedural areas, and for incidents under the main category of cardiovascular or neurological. The proportion of incidents associated with death was also higher (risk ratio >1.5) for BMI <18.5 kg/m2, incidents in non-theatre procedural areas, and incidents under the main category of cardiovascular or neurological. In addition, the proportion of incidents associated with death was higher for incidents in which the patient's age was >80 years, the American Society of Anesthesiologists physical status was 4 or 5, incidents involving non-elective procedures, and incidents occurring afterhours (1800 to 0800 hours). When faced with incidents with these potential risk factors, anaesthetists should consider earlier interventions and request assistance at an earlier stage. 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M.</creatorcontrib><creatorcontrib>Culwick, M. D.</creatorcontrib><creatorcontrib>Merry, A. F.</creatorcontrib><title>Patient and procedural factors associated with an increased risk of harm or death in the first 4,000 incidents reported to webAIRS</title><title>Anaesthesia and intensive care</title><addtitle>Anaesth Intensive Care</addtitle><description>This report describes an analysis of patient and procedural factors associated with a higher proportion of harm or death versus no harm in the first 4,000 incidents reported to webAIRS. The report is supplementary to a previous cross-sectional report on the first 4,000 incidents reported to webAIRS. The aim of this analysis was to identify potential patient or procedural factors that are more common in incidents resulting in harm or death than in incidents with more benign outcomes. There was a >50% higher proportion of harm (versus no harm) for incidents in which the patient's body mass index (BMI) was <18.5 kg/m2, for incidents in post-anaesthesia care units and non-theatre procedural areas, and for incidents under the main category of cardiovascular or neurological. The proportion of incidents associated with death was also higher (risk ratio >1.5) for BMI <18.5 kg/m2, incidents in non-theatre procedural areas, and incidents under the main category of cardiovascular or neurological. In addition, the proportion of incidents associated with death was higher for incidents in which the patient's age was >80 years, the American Society of Anesthesiologists physical status was 4 or 5, incidents involving non-elective procedures, and incidents occurring afterhours (1800 to 0800 hours). When faced with incidents with these potential risk factors, anaesthetists should consider earlier interventions and request assistance at an earlier stage. Educational strategies on incident prevention and management should place even further emphasis on scenarios involving these factors.</description><subject>Access control</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anesthesia - adverse effects</subject><subject>Anesthesia - mortality</subject><subject>Anesthesia services</subject><subject>Body mass index</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cross-Sectional Studies</subject><subject>Electronic information resources</subject><subject>Harm reduction</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant</subject><subject>Internet</subject><subject>Middle Aged</subject><subject>Risk</subject><subject>Risk management</subject><issn>0310-057X</issn><issn>1448-0271</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kctuFDEQRS0EIkPgB1ggS2xY0MTVdvuxjKIAkSKBIIvsLI8fGQ_d7cH2KGLLl-POhIdAYmXZde6tcl2EngN5AyDECaFAyCCuQRA2ENKT4QFaAWOyI72Ah2i1AN1CHKEnpWwJAdWL4TE66mXPhaJihb5_NDX6uWIzO7zLyXq3z2bEwdiacsGmlGSjqd7h21g3DcNxttmb0l5yLF9wCnhj8oRTxs6bhsQZ143HIeZSMXtNCFkk0bUuBWe_S3lxqwnf-vXpxafPT9GjYMbin92fx-jq7fnV2fvu8sO7i7PTy84yxWsnZCChB6vaja6lGSAQLpgAUJQrDuAkd70B66gK1nLKqDBKhMAEl5zSY_TqYNt--XXvS9VTLNaPo5l92hcNUgyMUM6hoS__Qrdpn-c23ELx5sfE0Kj-QNmcSsk-6F2Ok8nfNBC9BKT_DaiJXtxb79eTd78kPxNpwMkBKObG_9H3f5bXB0WeYtU2jaO3Naa5bE0tuniT7UbHOaS7eso32qWozfrOlFLgv4ttkUxIqUCqgbUF_gAx97Yo</recordid><startdate>20170301</startdate><enddate>20170301</enddate><creator>Gibbs, N. 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M.</au><au>Culwick, M. D.</au><au>Merry, A. F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient and procedural factors associated with an increased risk of harm or death in the first 4,000 incidents reported to webAIRS</atitle><jtitle>Anaesthesia and intensive care</jtitle><addtitle>Anaesth Intensive Care</addtitle><date>2017-03-01</date><risdate>2017</risdate><volume>45</volume><issue>2</issue><spage>159</spage><epage>165</epage><pages>159-165</pages><issn>0310-057X</issn><eissn>1448-0271</eissn><abstract>This report describes an analysis of patient and procedural factors associated with a higher proportion of harm or death versus no harm in the first 4,000 incidents reported to webAIRS. The report is supplementary to a previous cross-sectional report on the first 4,000 incidents reported to webAIRS. The aim of this analysis was to identify potential patient or procedural factors that are more common in incidents resulting in harm or death than in incidents with more benign outcomes. There was a >50% higher proportion of harm (versus no harm) for incidents in which the patient's body mass index (BMI) was <18.5 kg/m2, for incidents in post-anaesthesia care units and non-theatre procedural areas, and for incidents under the main category of cardiovascular or neurological. The proportion of incidents associated with death was also higher (risk ratio >1.5) for BMI <18.5 kg/m2, incidents in non-theatre procedural areas, and incidents under the main category of cardiovascular or neurological. In addition, the proportion of incidents associated with death was higher for incidents in which the patient's age was >80 years, the American Society of Anesthesiologists physical status was 4 or 5, incidents involving non-elective procedures, and incidents occurring afterhours (1800 to 0800 hours). When faced with incidents with these potential risk factors, anaesthetists should consider earlier interventions and request assistance at an earlier stage. Educational strategies on incident prevention and management should place even further emphasis on scenarios involving these factors.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>28267937</pmid><doi>10.1177/0310057X1704500205</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Anaesthesia and intensive care, 2017-03, Vol.45 (2), p.159-165 |
| issn | 0310-057X 1448-0271 |
| language | eng |
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| source | MEDLINE; SAGE Journals; Alma/SFX Local Collection |
| subjects | Access control Adolescent Adult Aged Aged, 80 and over Anesthesia - adverse effects Anesthesia - mortality Anesthesia services Body mass index Child Child, Preschool Cross-Sectional Studies Electronic information resources Harm reduction Hospitals Humans Infant Internet Middle Aged Risk Risk management |
| title | Patient and procedural factors associated with an increased risk of harm or death in the first 4,000 incidents reported to webAIRS |
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