Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/14597
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Type: Journal article
Title: Inadequate pre-operative evaluation and preparation: a review of 197 reports from the Australian incident monitoring study
Author: Kluger, M.
Tham, E.
Coleman, N.
Runciman, W.
Bullock, M.
Citation: Anaesthesia, 2000; 55(12):1173-1178
Publisher: Blackwell Publishing Ltd
Issue Date: 2000
ISSN: 0003-2409
1365-2044
Statement of
Responsibility: 
M. T. Kluger, E. J. Tham, N. A. Coleman, W. B. Runciman and M. F. M. Bullock
Abstract: The Australian Incident Monitoring Study database was examined for incidents involving inadequate pre-operative patient preparation and/or evaluation. Of 6271 reports, 727 had appropriate keywords, of which 197 (3.1%) were used for subsequent analysis. All surgical categories were represented. In 10% of reports the patient was not reviewed pre-operatively by an anaesthetist, whilst in 23% the anaesthetist involved in the operating theatre had not performed the pre-operative assessment. Death followed in seven cases, major morbidity in 23 cases, admission to a high-dependency unit or intensive care unit in 17 cases, and surgery was cancelled in nine cases. Poor airway assessment, communication problems and inadequate evaluation were the most common contributing factors. Respondents indicated that the incident was preventable in 57% of cases. Proposed corrective strategies include improved communication, quality assurance activities, development of protocols and additional training. A structured assessment of the airway, along with improvements in information exchange, patient assessment, and use of clearly defined patient management plans and pathways would prevent most of the incidents reported.
Keywords: Patient assessment
pre-operative
Anaesthesia
complications
Description: Article first published online: 7 JUL 2008
DOI: 10.1046/j.1365-2044.2000.01725.x
Published version: http://dx.doi.org/10.1046/j.1365-2044.2000.01725.x
Appears in Collections:Aurora harvest 7
Nursing publications

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