Outcomes from wake up safe, the pediatric anesthesia quality improvement initiative

• DOI: 10.1111/pan.14044
• Publication Date: 2020-10-20T08:32:07Z
• Authors: Manon Haché; Lena S. Sun; Ghadah Gadi; Jennifer Busse; Angela C. Lee; Amanda Lorinc; Sally Rampersad
• Keywords: 03 medical and health sciences; 0302 clinical medicine; Databases, Factual; Humans; Anesthesia; Patient Safety; Registries; Child; Quality Improvement; 3. Good health

Abstract Background Wake Up Safe, a Patient Safety Organization founded by the Society for Pediatric Anesthesia, collects data on serious adverse events along with demographic from all pediatric patients receiving anesthesia care at participating institutions. This report reviews occurring between 2010 and 2015 focuses common that are anesthesia‐related. Aims Determine which were most to among Safe how many anesthesia‐related deemed be preventable. Methods is descriptive report. The registry queried September 29, 2017. Institutions included if they had complete least 5 per year reported. At time, 19 out of 29 institutions 2015. study describes these nineteen Descriptive extracted, event rate was calculated each category. In assessed as primarily related anesthesia, further detailed analysis performed. Results Of reported (2544 events), cardiac arrests (646, 31.6%), respiratory complications (598, 29.2%), medication (345, 16.9%). (612 (239, 31.9%), followed (181, 24.1%), (139, 18.5%). Overall, 85% somewhat or almost certainly Conclusions majority database Medication events. Innovations aimed decreasing may impactful.