A Survey of Australasian Obstetric Anaesthesia Audit
| Autor: | S. W. Simmons, S. J. Smith, Allan M Cyna |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Clinical audit
medicine.medical_specialty Post-dural-puncture headache Pregnancy High-Risk Best practice MEDLINE Audit Critical Care and Intensive Care Medicine 03 medical and health sciences 0302 clinical medicine Obstetric anaesthesia Pregnancy Anesthesia Obstetrical Humans Medicine In patient 030212 general & internal medicine Medical Audit Data collection business.industry Obstetrics Data Collection Australia 030208 emergency & critical care medicine medicine.disease Analgesia Epidural Telephone survey Anesthesiology and Pain Medicine Analgesia Obstetrical Female Medical emergency medicine.symptom business New Zealand |
| Zdroj: | Anaesthesia and Intensive Care. 27:391-395 |
| ISSN: | 1448-0271 0310-057X |
| Popis: | In order to develop a minimal obstetric anaesthesia dataset based on current Australasian clinical audit best practice, we carried out a postal survey of 69 Australasian anaesthetic departments covering an obstetric service. We asked about data being collected, specifically concerning the high risk obstetric patient, epidural analgesia and postoperative anaesthetic review. Examples of any data collection forms were requested. Of the 66 responses, 35 departments (53%) were not collecting any audit data. Twenty-six of the 31 departments (84%) performing obstetric anaesthesia audit responded to our follow-up telephone survey. Eighteen departments believed that there had been an improvement in patient care as a result of their audit and 13 felt that the benefits outweighed the costs involved. However, only six departments (9%) had performed an audit cycle. The importance of feedback to patients or hospital staff and the incidence of post dural puncture headache (PDPH) were cited by some as priorities for obstetric anaesthesia audit. There was however no consistency as to what data should be collected. Many responses suggested a perceived need to collect clinical data without knowing what to do with it. Our survey has highlighted confusion between three distinct objectives; a dataset for obstetric anaesthesia record keeping, data required for continuing patient management in hospital and, a specific minimal dataset for clinical audit purposes. We conclude that current Australasian obstetric anaesthesia audit strategies are inadequate to develop a minimal dataset for cost-effective clinical audit. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|