• Liadaine Freestone, Stephen N Bolsin, Mark Colson, Andrew Patrick, and Bernie Creati.
• Department of Anaesthesia, The Geelong Hospital, Geelong, Victoria, Australia.
• Int J Qual Health Care. 2006 Dec 1;18(6):452-7.

ObjectiveTo assess the reporting of critical incidents by anaesthetic trainees using personal digital assistants. The project also identified the reporting of 'near miss' incidents by anaesthetic trainees.DesignComparison of electronic incident reporting with retrospective case note review of cases in which no incident was reported.SettingA 400-bed university teaching hospital in Victoria.ParticipantsFourteen accredited Australian and New Zealand College of Anaesthetists (ANZCA) registrars and their training supervisors.InterventionsRegistrars and supervisors underwent initial training for 1 hour and were provided with ongoing support. The cases and incidents reported to the database using the portable digital assistants were analysed.Main Outcome MeasuresThese were the total number of anaesthetics reported to the database; the number of incidents reported to the database; the outcome severity of incidents reported; and the number of incidents detected in the case note review that were not reported to the database.ResultsAn incident was reported for 156 (3.5%) of 4441 anaesthetic procedures reported to the database. Of these incidents, 72 (46.2%) were 'near misses'. One incident was identified in a review of 208 case notes, which had no incidents reported electronically, and was not reported to the database electronically. This gives a reporting rate of 99.52% [95% confidence interval (CI) 96.9-100%].ConclusionsANZCA trainees in routine anaesthetic practice can reliably use mobile computing technology to report critical incidents and 'near miss' incident data.

13 keywords...

hide…