Safety, quality & education

Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post-induction checklist

Anaesth Crit Care Pain MedPublished Prospective observational study

Main finding · Omission ratesResult — go to the resultRelative risk 0.64 95% CI 0.45–0.92

Authors' conclusion

Omission rates during the pre- and post-induction phases of routine general anesthesia procedures remain high.

Study context

Population
Non-emergent GA inductions; providers familiar with the institutional checklists (CL)
Participants
237 GA inductions
Exposure
Checklist use vs no checklist use during GA induction
Outcome
Omission rate in the pre- and immediate post-induction phases
Methodological detailsmonocentric, CL introduced two years prior to the study
  • Monocentric
  • CL introduced two years prior to the study

Main finding

Omission rates

Relative risk

0.64

95% CI 0.45–0.92

P = 0.01

CL vs No CL
RR 0.64 (95% CI 0.45–0.92); P = 0.01

As reported in the abstract

≥1 omission, pre-induction setup
32%
≥1 omission, immediate post-induction phase
40%

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post-induction checklist. Anaesth Crit Care Pain Med. Published 10 December 2022. doi:10.1016/j.accpm.2022.101186

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