Safety, quality & education

Predictive Validity of Anesthesiologists’ Quality of Clinical Supervision and Nurse Anesthetists’ Work Habits Assessed by Their Associations With Operating Room Times

Anesth AnalgPublished Retrospective cohort study

Authors' conclusion

Specifically, OR times were briefer when anesthesiologists supervised residents more closely, and when CRNAs had better work habits.

Study context

Population
Anesthesiologists evaluated by trainees (de Oliveira Filho scale) and nurse anesthetists (CRNAs) evaluated by anesthesiologists, with their OR cases264,060 cases
Exposure
Associations of anesthesiologists' supervision quality and CRNAs' work habits with probability of cases taking longer than estimated
Outcome
Predictive validity: association between higher supervision quality (work habits) and reduced probability of cases taking longer than estimated
Methodological detailsmixed-effects logistic regression, 8 fiscal years, 40,718 supervision evaluations and 53,722 work habit evaluations; 561 anesthesiologist-years and 605 CRNA-years
  • Mixed-effects logistic regression
  • 8 fiscal years
  • 40,718 supervision evaluations and 53,722 work habit evaluations; 561 anesthesiologist-years and 605 CRNA-years

Main finding

As reported in the abstract

Anesthesiologists' supervision quality (logit) vs logit probability of case taking longer than estimated: unitless slope (SE 0.0053), P < .00001

−0.0361

CRNAs' work habits (logit) vs logit probability of case taking longer than estimated: slope (SE 0.0054), P < .00001

−0.0238

Observational data: associations, not effects.

Further findings

Distribution of supervision quality and work habits

Anesthesiologist-years with below-average supervision quality (46/561)
8.2%
Anesthesiologist-years with above-average supervision quality (99/561)
17.7%
CRNA-years with below-average work habits (38/605)
6.3%
CRNA-years with above-average work habits (66/605)
10.9%

Original publication

Predictive Validity of Anesthesiologists’ Quality of Clinical Supervision and Nurse Anesthetists’ Work Habits Assessed by Their Associations With Operating Room Times. Anesth Analg. Published 11 July 2024. doi:10.1213/ane.0000000000007076

Composed by AI from the published abstract and checked against it. How Briefs are made →

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