Quality of Quality Data (QoQ)
Quality of Quality Data - A Retrospective Study on Routine Quality Data Reporting in Anesthesia
研究概览
地位
条件
详细说明
Reliable quality data are an important basis for attempts to improve quality and safety of patient care. For anesthetic practice in Switzerland, an "Absolute Minimal Data Set" (AMDS) of preoperative patient characteristics and intra- and postoperative quality indicators is provided by the Institute of Social and Preventive Medicine (IUMSP, University of Lausanne) in cooperation with the Swiss Society of Anaesthesiology and Reanimation (SGAR-SSAR). Data are electronically forwarded by the participating institutions to IUMSP, whereas primary collection can be achieved by traditional paper records or electronic records as part of anesthesia information management systems (AIMS).
In the investigator's institution, physician and nurse anesthetists are supposed to use a window in the electronic anesthesia record for this purpose. This form should be completed at the end of each case. If an event according to the AMDS definitions occurs at least once during anesthesia, the respective box (e.g., "intraoperative hypotension") should be ticked in the form. The anesthesia record cannot be closed unless the quality form is filled, which can notably be done even in advance "on the quick" by ticking "no events". Considering the numerous duties of anesthesia staff at the end of a case, the investigators questioned the reliability of data generated during this busy phase.
A pilot study of 50 consecutive unselected cases of the year 2010 revealed a low rate of reporting (10.8%) of selected perioperative events related to anesthesia (specifically: hypotensive, hypertensive, bradycardic, tachycardic, and hypoxemic episodes). Consequently, the current extensive study with more representative sample size was initiated. To gain insight into possible causes (among others: time pressure, unclear definitions, fear of litigation), interviews with anesthesia staff are performed and will hopefully provide a basis for possible improvements. For the time being and considering the common nature of possible causes, the investigators suspect that their results may not be specific for their institution. The incidence of perioperative events may be grossly underestimated if the process of data collection is not properly designed and monitored.
研究类型
注册 (实际的)
联系人和位置
学习地点
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Zürich、瑞士、CH-8032
- Institute of Anesthesiology and Intensive Care, Klinik Hirslanden Zürich, Switzerland
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参与标准
资格标准
适合学习的年龄
- 孩子
- 成人
- 年长者
接受健康志愿者
有资格学习的性别
取样方法
研究人群
- Anesthesia records: a) Pilot study: 50 consecutive cases of the year 2010. b) Main study: 200 cases of the year 2010, random sample (generated with a random number generator). All cases are of one hospital, no further restrictions.
- anesthesia staff interviews: Physicians and nurses entering quality data into electronic anesthesia record
描述
Inclusion Criteria:
- 50 consecutive cases for pilot study;
- 200 anesthetic records of the year 2010 chosen as a random sample.
- all staff entering the quality data into the electronic anesthesia record (physicians, nurses)
Exclusion Criteria:
- participation of staff in this study,
- participation in quality data processing or assessment,
- longterm leave precluding the interview
学习计划
研究是如何设计的?
设计细节
队列和干预
团体/队列 |
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Anesthesia staff Interviewees
Staff entering quality data into the electronic anesthesia record are interviewed regarding working conditions and record layout
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Anesthesia records
Anesthesia records (all types of procedures) are checked for correct reporting of defined events
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
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Event reporting rate
大体时间:Outcome measure is assessed at the end of each included anesthetic. Event reporting rate comprises reporting rate of defined events occurring during the given anesthetic. Durations of anesthetics are approximately between 0.5 and 5 hours.
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For defined events (hypotensive, hypertensive, bradycardic, tachycardic, and hypoxemic episodes), occurrence documented in the electronic anesthesia record is compared with their actual reporting in the reporting section of the record.
From this, reporting rate is calculated for the various event types.
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Outcome measure is assessed at the end of each included anesthetic. Event reporting rate comprises reporting rate of defined events occurring during the given anesthetic. Durations of anesthetics are approximately between 0.5 and 5 hours.
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合作者和调查者
调查人员
- 首席研究员:Johannes Wacker, MD、IFAI, Klinik Hirslanden, Zürich, Switzerland
- 研究主任:Georg Mols, MD, Prof.、IFAI, Klinik Hirslanden Zürich, Switzerland
- 研究主任:Reto Stocker, MD, Prof.、IFAI, Klinik Hirslanden Zürich, Switzerland
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
关键字
其他研究编号
- KEK-ZH-Nr. 2011-0421
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