Post Operative Incidents Reporting In Patients- A Clinical Study
Journal Title: Harsukh Educational Charitable Society International Journal of Community Health and Medical Research - Year 2018, Vol 4, Issue 2
Abstract
Background: Evaluating the errors helps us to learn, identify and solve a major problem in health care systems, also this systematic approach does not intend to punish or blame individual personnel. The present study was conducted to assess incident reporting in post operative patients. Materials & Methods: The present study was conducted in the department of Anesthesia. It comprised of 2430 patients of both genders. A proforma was developed which included information about the type of incident, severity of incident, person responsible. Whenever an incident was identified, a proforma was filled. Results: Out of 2430 patients, males were 1280 and females were 1150. The difference was non- significant (P- 0.1). Type of incidents were human errors which includes orders not written (7), wrong documentations (8), underdosage (3) and improper patient selection (4). In equipment selection, pump malfunctions (10), battery problem (12) and in patient factors, patient unable to push PCIA handset was seen (8). The difference was significant (P< 0.05). Factors responsible for incidents were inattentional (54%), lack of knowledge (18%), lack of cooperation (12%) and inadequate communication (26%). The difference was significant (P< 0.05). Conclusion: Incident reporting proved to be a effective method of improving quality care in patients. It not only provides valuable information about areas which needed improvement but also guides to take steps to avoid it.
Authors and Affiliations
Rajiv Lakhotia, Dr Somnath Longani, Rakhi Gupta, Archna Agarwal, Jaishree Bogra, LD Mishra
Keywords
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