Journal article
Few Anesthesia-Related Adverse Events in a Retrospective Cohort Study of Patients With Unanticipated Intensive Care Unit Admission After Ambulatory Procedures
A&A practice, Vol.18(8), e01841
08/01/2024
DOI: 10.1213/XAA.0000000000001841
PMID: 39177375
Abstract
We evaluated whether a hospital-based anesthesia department can validly use automated intensive care unit (ICU) admission data after elective ambulatory procedures to assess the quality of anesthetic care. Among 13,656 patients, 25 (0.2%) had an unplanned hospital length of stay >1 night and ICU admission. On review, only 1 of the 25 cases (0.007%) had an anesthesia-related complication. The false-positive incidence of anesthetic complications was ≥96% for scheduled ambulatory cases with ICU admission. Therefore, fully automated computerized identification of all unexpected ICU admissions after ambulatory procedures without manual review is an unsuitable (invalid) metric of individual anesthesiologists' clinical performance.We evaluated whether a hospital-based anesthesia department can validly use automated intensive care unit (ICU) admission data after elective ambulatory procedures to assess the quality of anesthetic care. Among 13,656 patients, 25 (0.2%) had an unplanned hospital length of stay >1 night and ICU admission. On review, only 1 of the 25 cases (0.007%) had an anesthesia-related complication. The false-positive incidence of anesthetic complications was ≥96% for scheduled ambulatory cases with ICU admission. Therefore, fully automated computerized identification of all unexpected ICU admissions after ambulatory procedures without manual review is an unsuitable (invalid) metric of individual anesthesiologists' clinical performance.
Details
- Title: Subtitle
- Few Anesthesia-Related Adverse Events in a Retrospective Cohort Study of Patients With Unanticipated Intensive Care Unit Admission After Ambulatory Procedures
- Creators
- Elyana Wohl - University of Iowa, AnesthesiaFranklin Dexter - University of IowaRashmi Mueller - University of IowaAndrea Vannucci - University of Iowa
- Resource Type
- Journal article
- Publication Details
- A&A practice, Vol.18(8), e01841
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- DOI
- 10.1213/XAA.0000000000001841
- PMID
- 39177375
- ISSN
- 2575-3126
- eISSN
- 2575-3126
- Language
- English
- Date published
- 08/01/2024
- Academic Unit
- Anesthesia; Neurosurgery
- Record Identifier
- 9984698460302771
Metrics
3 Record Views