Clinical Audit on the Quality of Pre-Anaesthesia Assessment based on Predefined Pre-anaesthesia Assessment Form
DOI:
https://doi.org/10.51253/pafmj.v74i1.8681Keywords:
Anaesthesia, Assessment form global quality index, Predefined pre-anaesthesiaAbstract
Objective: To determine the percentage completion of individual GQI indicators and the overall percentage of completed predefined Pre-anaesthesia assessment forms and identify any areas for improvement in the documentation of pre-anaesthesia assessment.
Study Design: Cross-sectional study.
Place and Duration of Study: Department of Anaesthesiology, Combined Military Hospital, Sialkot Pakistan, from Mar to Sep 2021.
Methodology: Patients who reported to the operation theatre during the study period for elective surgery after having undergone formal pre-anaesthesia assessment preoperatively based on predefined Pre-anaesthesia assessment form (PAAF) were included. The quality of Pre-anaesthesia assessments from completion was assessed using a modified Global Quality Index with twenty-seven components.
Results: The overall completion rate for all pre-anaesthesia assessment form components was 77.10±30.26%. The lowest completed items were local examination (0.00%), airway assessment, neck mobility, mouth opening, thyromental distance (24,10.61%), weight (25, 11.36%), GIT (86, 38.64%) and CNS/GCS (108, 48.48%) assessment, pre-operative vitals (121, 54.55%) and family history (129, 58.33%).
Conclusion: We need to improve the quality of pre-anaesthesia assessment forms at our institution by ensuring that all relevant information is collected and documented.
Downloads
Metrics
References
Indra I, Kulsum K. Pre-Anesthesia Assessment and Preparation.
Bp Int Res Exact Sci 2020; 2(2): 228-235.
https://doi.org/10.33258/birci.v3i2.977.
American Society of Anesthesiologists Task Force on
Preanesthesia Evaluation. Practice Advisory for Preanesthesia
Evaluation: A Report by the American Society of
Anesthesiologists Task Force on Preanesthesia Evaluation. J Am,
Soci, Anesth 2002; 96(2): 485-496.
https://doi.org/10.1097/00000542-200202000-00037.
Tobias JD. Preoperative anesthesia evaluation. Semin Pediatr
Surg 2018; 27(2): 67-74.
https://doi.org/10.1053/j.sempedsurg.2018.02.002.
Omole OB, Torlutter M, Akii AJ. Preanaesthetic assessment and
management in the context of the district hospital. S Afr fam
pract. 2021; 63(1) : e1-e7.
https://doi.org/10.4102/safp.v63i1.5357.
Santos ML, Novaes CO, Iglesias AC. [Epidemiological profile of
patients seen in the pre-anesthetic assessment clinic of a
university hospital]. Rev Bras Anestesiol 2017; 67(5): 457-467.
https://doi.org/10.1016/j.bjan.2016.06.002.
Almeshari M, Khalifa M, El-Metwally A, Househ M, Alanazi A.
Quality and accuracy of electronic pre-anesthesia evaluation
forms. Comput Meth Programs Biomed 2018; 160: 51-56.
https://doi.org/10.1016/j.cmpb.2018.03.006.
Sobrie O, Lazouni MEA, Mahmoudi S, Mousseau V, Pirlot M. A
new decision support model for preanesthetic evaluation.
Comput Meth Programs Biomed 2016; 133: 183-193.
https://doi.org/10.1016/j.cmpb.2016.05.021.
Vetter TR, Boudreaux AM, Ponce BA, Barman J, Crump SJ.
Development of a preoperative patient clearance and
consultation screening questionnaire. Anesth Analg 2016; 123(6):
-1457. https://doi.org/10.1213/ANE.0000000000001532.
Kluger M, Tham E, Coleman N, Runciman W, Bullock M.
Inadequate pre‐operative evaluation and preparation: a review
of 197 reports from the Australian Incident Monitoring Study.
Anaesthesia 2000; 55(12): 1173-1178.
https://doi.org/10.1046/j.1365-2044.2000.01725.x.
Shah S, Hariharan U, Chawla R. Integrating perioperative
medicine with anaesthesia in India: Can the best be achieved? A
review. Indian J Anaesth 2019; 63(5): 338.
https://doi.org/10.4103/0019-5049.258058.
Aronson S, Westover J, Guinn N, Setji T, Wischmeyer P, Gulur P,
et al. A perioperative medicine model for population health: an
integrated approach for an evolving clinical science. Anesth
Analg 2018; 126(2): 682-690.
https://doi.org/10.1213/ANE.0000000000002606.
Turbitt L, Mariano E, El‐Boghdadly K. Future directions in
regional anaesthesia: not just for the cognoscenti. Anaesthesia
; 75(3): 293-297. https://doi.org/10.1111/anae.14768.
Shahzad S, Younas T. Clinical audit on quality of preanesthesia
evaluation. Anaesth Pain Intensiv 2021; 25(1): 15-20.
https://doi.org/10.35975/apic.v25i1.1429.
Mokgwathi GT, Baloyi B, Ogunbanjo G. An audit of preoperative
evaluation of general surgery patients at Dr George Mukhari
Hospital. South Afr J Anaesth Analg 2011; 17(2): 177-180.
Downloads
Published
How to Cite
Issue
Section
