Home Print this page Email this page Small font size Default font size Increase font size
Users Online: 3898
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2020  |  Volume : 9  |  Issue : 9  |  Page : 4592-4602

Risk reduction in anesthesia and sedation—An analysis of process improvement towards zero adverse events


1 Department of Anesthesiology, MGM Medical College and LSK Hospital, Kishanganj, Purab Palli, Kishanganj, Bihar, India
2 Department of Biochemistry, MGM Medical College and LSK Hospital, Kishanganj, Purab Palli, Kishanganj, Bihar, India

Correspondence Address:
Dr. Maitraye Basu
Tutor, Department of Biochemistry, MGM Medical College and LSK Hospital, Kishanganj, Purab Palli, Kishanganj, Bihar - 855 107
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jfmpc.jfmpc_722_20

Rights and Permissions

Introduction: Anesthesia is a complex domain that is highly technical and skill based. Primary Care Physicians often have to do the initial evaluation of surgical patients they encounter during their daily practice before referring them to the surgical team. Thus, the Primary Care Physician's preliminary knowledge in anesthesia processes, risks involved and interventions that can be done to minimize these risks can improve patient-centered care and ultimately patient safety. Materials and Methods: The study was conceptualized and conducted in the Department of Anesthesiology from January 2018 to December 2018 in a 600 bed Multispecialty teaching hospital in Bihar, India. The study aimed towards Anesthesia Care related Risk Identification and Reduction and encompassed process improvements. Results: Risk Severity Analysis of the Critical Steps of Anesthesia Care was done. The average Hazard Score reduced from 21.59 during January 2018 to March 2018 to 8.23 during April 2018 to June 2018 subsequently to 3.53 during July 2018 to September 2018 and finally to 2.12 during October 2018 to December 2018. Thus, there was an overall reduction of 90.18% in the Hazard Score from April'18 to June'18 quarter to October 2018 to December 2018 quarter. Conclusion: Adverse Anesthesia/Sedation Events reported during the period from January 2019 to December 2019 was “Zero”. A systematic approach towards Risk Reduction not only lead to reduction in Hazard Score and Process Improvement but also made the Anesthesia Care Safe which is evident in the consistency of reporting “Zero” Adverse Anesthesia/Sedation Events for the last one year.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed81    
    Printed0    
    Emailed0    
    PDF Downloaded8    
    Comments [Add]    

Recommend this journal