1 / 28

National Audit Project 4: Major Complications of Airway Management in UK Anesthetic Practice

This project aims to investigate major airway management complications in UK anesthesia, calculate serious complication rates, learn from adverse events, and identify themes. The census provides a snapshot of practice over a two-week period in 2008/2009, offering valuable data on interventions and outcomes. Organized by a multispecialty planning group, the project utilizes local reporters for data collection, case submission, and review. Findings are compared with national data for accuracy assessment. Insights include the prevalence of complications, number of interventions, and work patterns of anesthetists in the UK. The project aims to enhance patient safety by understanding and addressing airway management challenges.

rosellar
Download Presentation

National Audit Project 4: Major Complications of Airway Management in UK Anesthetic Practice

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. NAP4 Methods and Census Results Dr Nick Woodall NAP4 Wednesday July 13th 2011

  2. Outline • Aims • Organisation of the project • Census • Census results

  3. National Audit Project 4 Investigate the major complications of airway management in UK anaesthetic practice Calculate the incidence of serious complications Learn from adverse events and look for themes

  4. Major Complications of Airway Management Death Brain damage Emergency surgical airway ICU admission

  5. Major Complications of Airway Management Death Brain damage Emergency surgical airway ICU admission or increased length of stay

  6. National Audit Project 4 Investigate the major complications of airway management in UK anaesthetic practice Calculate the incidence of serious complications Learn from adverse events and look for themes

  7. Incidence Census A snapshot of practice Over a 2 week period During 2008/2009 Provides denominator Case submission Study of complications Over one year 01/09/2008 - 31/08/2009 Provides numerator Number of complications _________________________________________________________________________________ Number of Airway Interventions

  8. NAP4 2 Phases Snapshot A snapshot of practice Over a 2 week period During 2008/2009 Provides denominator Case submission Study of complications Over one year 01/09/2008 - 31/08/2009 Provides numerator Number of complications _________________________________________________________________________________ Number of Airway Interventions

  9. Incidence Census A snapshot of practice Over a 2 week period During 2008/2009 Provides denominator Case submission Study of complications Over one year 01/09/2008 - 31/08/2009 Provides numerator Number of complications _________________________________________________________________________________ Number of Airway Interventions

  10. Organisation • Multispecialty planning group • Local reporters recruited • Census of current activity • Secure web-site on-line case submission • Case review panel

  11. Local Reporters • Point of contact • Disseminated information • Co-ordinate data collection

  12. The Census Two week period September 2008-2009 Number of general anaesthetics Airway management of cases under GA

  13. 100% of hospitals returned data Census

  14. Census accurate (0-2% error) close estimate (2-10% error) estimate (>10% error) or guess (no data to support the figure)

  15. Census

  16. Census Results Results tested against HES and ONS data

  17. Census accurate (0-2% error) close estimate (2-10% error) estimate (>10% error) or guess (no data to support the figure)

  18. Incidence Number of complications _________________________________________________________________________________ Number of Airway Interventions

  19. Incidence Number of complications _________________________________________________________________________________ 2,900,000

  20. Incidence Case submission Study of complications Over one year 01/09/2008 - 31/08/2009 Provides numerator Number of complications _________________________________________________________________________________ 2,900,000

  21. Census accurate (0-2% error) close estimate (2-10% error) estimate (>10% error) or guess (no data to support the figure)

  22. 12,600 Anaesthetists 2007

  23. General Anaesthetics per WT Anaesthetist • 2.9 million general anaesthetics • 12,600 anaesthetists • 230 GA cases pa • 1/3 cases 2 anaesthetists • 10% work part-time • 360 cases pa WT anaesthetist • ICU, pain, hospital management, academic anaesthesia • regional anaesthesia

  24. Census Findings • 2.9 million general anaesthetics • 56% SAD • 38% Tracheal tube • 5% Facemask • 360 GA pa whole-time anaesthetist

  25. The End

More Related