Development of a computerized database for the study of anaesthesia care.

摘要: To record, tabulate and report problems associated with anaesthesia, we have developedan information collection system computer software to follow all patients attended by an anaesthetist at a teaching hospital in Canada. For the last 15 mo, data for 17,000 been collected is ongoing. Data from three sources: carbonless copies of handwritten Operating Room (OR) Post Anaesthetic Care Unit (PACU) records, other databases, postoperative visits. Adverse events (observations which differ specific physiological variables, or require intervention do not normally occur during routine conduct anaesthesia), are defined directly on each OR PA CU record. These recorded when they attending PACU nurse. All verified research nurse anaesthetist. Computer software, developed DBase IV, used track 95 individual items preoperative status anaesthetic technique another possible 1,450 selections drugs, physicians, airways, surgical procedures patient. analyzed SAS reports generated link casemix process outcome. Comparison entered into programme retrospective chart review revealed discrepancies less than 0.5%. Collection, verification entry takes five minutes per patient on-going cost estimated $4 Analysis this database has useful adverse outcome following resident expertise profiles, administrative management anaesthesia department.