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VOLUME 1 , ISSUE 3 ( July-September, 2015 ) > List of Articles

RESEARCH ARTICLE

A Clinical Audit of Quality Indicators in Anesthesia Practice

Maya Nadakarni, Desi Prakruthi

DOI: 10.5005/jp-journals-10045-0014

License: NA

Published Online: 01-04-2017

Copyright Statement:  NA


Abstract

Background

To measure and monitor the quality of care in anesthesia, which is lacking in India. The objective of this audit was to formulate a set of quality indicators and use them to audit our daily anesthetic practice.

Materials and methods

We applied eight quality indicators to audit 4,147 medical records of our hospital. We measured the quality of anesthesia care in the preoperative, intraoperative, and postoperative period by collecting and analyzing the various data.

Results

We found out the weaker areas where quality of anesthesia care could be improved. In 160 (3.85%) patients, preanesthetic check-up was lacking; in 569 (13.72%) patients, anesthesia plan was modified on the day of surgery. A total of 378 (9.11%) patients were ventilated following anesthesia. A total of 123 (2.96%) patients were in recovery room for more than the normal expected time and 187 (4.50%) patients were shifted to the ICU for further intensive care. There was no mortality in our audit findings.

Conclusion

In this audit, we found several areas where improvements could be done. In future, the quality of anesthesia services will be monitored by quality assurance programs using quality indicators, which will improve the perioperative outcome. A dramatic change is expected in anesthesia practice for the betterment of patient care. At present we should try to adopt these practices and improve anesthesia delivery services.

How to cite this article

Nadakarni M, P Desi, H Sahajananda. A Clinical Audit of Quality Indicators in Anesthesia Practice. J Med Sci 2015;1(3):47-51.


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  1. Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. Br J Anaesth 2006 Jun;96(6:)715-721.
  2. JCAH perspective: Quality assurance in anesthesia services. AANA J 1982 Oct;50(5:)462-464.
  3. Quality indicators in anaesthesia – An audit of local practice: Online J Clin Audits 2013;5(4).
  4. Quality and safety indicators in anesthesia: a systematic review. Anesthesiology 2009 May;110(5:)1158-1175.
  5. Patient satisfaction with general anaesthesia. Too difficult to measure? Anaesthesia 1996 Apr;51(4:)327-332.
  6. What do outpatients value most in their anesthesia care? Can J Anaesth 2001 Jan;48(1:)12-19.
  7. Patient satisfaction with anaesthesia care: Development of a psychometric questionnaire and benchmarking among six hospitals in Switzerland and Austria. Br J Anaesth 2002 Dec;89(6:)863-872.
  8. Development and validation of a perioperative satisfaction questionnaire. Anesthesiology 2005 Jun;102(6:)1116-1123.
  9. Emotional and interpersonal factors are most important for patient satisfaction with anaesthesia. Acta Anaesthesiol Scand 2005 Jul;49(6:)735-742.
  10. Systematic review of questionnaires measuring patient satisfaction in ambulatory anesthesia. Anesthesiology 2009 May;110(5:)1061-1067.
  11. Development and psychometric testing of a quality of recovery score after general anesthesia and surgery in adults. Anesth Analg 1999 Jan;88(1:)83-90.
  12. Validity and reliability of a postoperative quality of recovery score: The QoR-40. Br J Anaesth 2000 Jan;84(1:)11-15.
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