Five-year experience of critical incidents associated with patient-controlled analgesia in an Irish University Hospital.

Hdl Handle:
http://hdl.handle.net/10147/207876
Title:
Five-year experience of critical incidents associated with patient-controlled analgesia in an Irish University Hospital.
Authors:
Ahmad, I; Thompson, A; Frawley, M; Hu, P; Heffernan, A; Power, C
Affiliation:
Department of Anaesthesia, Adelaide and Meath Hospital, Belgard Road, Tallaght,, Dublin 24, Ireland. ishtiaqahmad99@hotmail.com
Citation:
Ir J Med Sci. 2010 Sep;179(3):393-7. Epub 2010 May 21.
Journal:
Irish journal of medical science
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207876
DOI:
10.1007/s11845-010-0482-6
PubMed ID:
20495886
Abstract:
BACKGROUND: Patient-controlled analgesia (PCA) is a common and effective means of managing post-operative pain. We sought to identify factors that may lead to critical incidents (CIs) in patient safety when using PCA in our institution. METHODS: An observational study of prospectively collected data of patients who received PCA from 2002 to 2006 was performed. All CIs were documented and analysed by staff members of the acute pain service (APS). Cause analysis of CIs was undertaken to determine if measures can be instituted to prevent recurrence of similar events. RESULTS: Over eight thousand patients (8,240) received PCA. Twenty-seven CIs were identified. Eighteen were due to programming errors. Other CIs included co-administration of opioids and oversedation. CONCLUSION: In our institution, the largest contributory factor to CIs with PCAs was programming error. Strategies to minimize this problem include better education and surveillance.
Language:
eng
MeSH:
Analgesia, Patient-Controlled/*adverse effects; Female; Hospitals, University; Humans; Ireland; Male; Middle Aged; Pain, Postoperative/prevention & control; Quality Assurance, Health Care; *Software; Surgical Procedures, Operative/statistics & numerical data
ISSN:
1863-4362 (Electronic); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorAhmad, Ien_GB
dc.contributor.authorThompson, Aen_GB
dc.contributor.authorFrawley, Men_GB
dc.contributor.authorHu, Pen_GB
dc.contributor.authorHeffernan, Aen_GB
dc.contributor.authorPower, Cen_GB
dc.date.accessioned2012-02-01T10:48:52Z-
dc.date.available2012-02-01T10:48:52Z-
dc.date.issued2012-02-01T10:48:52Z-
dc.identifier.citationIr J Med Sci. 2010 Sep;179(3):393-7. Epub 2010 May 21.en_GB
dc.identifier.issn1863-4362 (Electronic)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid20495886en_GB
dc.identifier.doi10.1007/s11845-010-0482-6en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207876-
dc.description.abstractBACKGROUND: Patient-controlled analgesia (PCA) is a common and effective means of managing post-operative pain. We sought to identify factors that may lead to critical incidents (CIs) in patient safety when using PCA in our institution. METHODS: An observational study of prospectively collected data of patients who received PCA from 2002 to 2006 was performed. All CIs were documented and analysed by staff members of the acute pain service (APS). Cause analysis of CIs was undertaken to determine if measures can be instituted to prevent recurrence of similar events. RESULTS: Over eight thousand patients (8,240) received PCA. Twenty-seven CIs were identified. Eighteen were due to programming errors. Other CIs included co-administration of opioids and oversedation. CONCLUSION: In our institution, the largest contributory factor to CIs with PCAs was programming error. Strategies to minimize this problem include better education and surveillance.en_GB
dc.language.isoengen_GB
dc.subject.meshAnalgesia, Patient-Controlled/*adverse effectsen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHospitals, Universityen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIrelanden_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshPain, Postoperative/prevention & controlen_GB
dc.subject.meshQuality Assurance, Health Careen_GB
dc.subject.mesh*Softwareen_GB
dc.subject.meshSurgical Procedures, Operative/statistics & numerical dataen_GB
dc.titleFive-year experience of critical incidents associated with patient-controlled analgesia in an Irish University Hospital.en_GB
dc.contributor.departmentDepartment of Anaesthesia, Adelaide and Meath Hospital, Belgard Road, Tallaght,, Dublin 24, Ireland. ishtiaqahmad99@hotmail.comen_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceLeinster-
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