Differences in anaesthesiologist–surgeon seniority and patient safety: a single-centre mixed-methods study
Main finding · Anaesthesia-related adverse events (odds), by differences in anaesthesiologist-surgeon seniorityResult — go to the resultAdjusted odds ratio 1.00 95% CI 0.98–1.01Authors' conclusion
The capacity of anaesthesiologists to uphold patient safety was not significantly affected by their seniority levels relative to surgeons.
Study context
- Population
- Surgical patients at a general hospital; attending anaesthesiologists (qualitative phase)
- Participants
- 390 vs 1,560
- Comparison
- Differences in work experience between anaesthesiologists and surgeons
- Casen = 390
- Controln = 1,560reference
- Outcome
- Anaesthesia-related adverse events
Methodological detailsretrospective case-control study followed by semi-structured interviews, sequential explanatory, single-centre, matched by surgeon, surgery, and surgery year, grounded theory analysis
- Retrospective case-control study followed by semi-structured interviews
- Sequential explanatory
- Single-centre
- Matched by surgeon, surgery, and surgery year
- Grounded theory analysis
Main finding
As reported in the abstract
Anaesthesia-related adverse events (odds), by differences in anaesthesiologist-surgeon seniority
Adjusted odds ratio
1.00
95% CI 0.98–1.01
P = 0.634
Differences in anaesthesiologist-surgeon seniority
aOR 1.00 (95% CI 0.98–1.01); P = 0.634
Observational data: associations, not effects.
Further findings
Qualitative findings (interviews)
- In disagreements with surgeons, anaesthesiologists primarily based clinical decisions on the potential impact on patient safety
- Junior anaesthesiologists faced challenges when rejecting surgeons but received robust support from anaesthesiology colleagues
Original publication
Differences in anaesthesiologist–surgeon seniority and patient safety: a single-centre mixed-methods study. Br J Anaesth. Published 28 November 2024. doi:10.
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