Awareness and use of a cognitive aid for anesthesiology.
Jt Comm J Qual Patient Saf
; 33(8): 502-11, 2007 Aug.
Article
en En
| MEDLINE
| ID: mdl-17724947
ABSTRACT
BACKGROUND:
The Veterans Health Administration's (VHA's) National Center for Patient Safety developed a cognitive aid to help anesthesiologists manage rare, high-mortality adverse events.METHODS:
Six months after the aids were sent to VHA facilities with anesthesia machines, anesthesia providers were surveyed about their knowledge and use of the aid.RESULTS:
Seven percent of respondents had used the cognitive aid in an emergency ("emergent users"). Most (87%) of respondents were aware of the aid. Half used it only as a reference ("reference users"), 30% were nonusers, and 13% of respondents were unaware of the aid. User groups did not differ regarding exposure to emergencies. All emergent users reported that it helped during an emergency, and 93% reported that it was well designed and easy to use. Emergent users were more likely than other groups to have first found out about it through formal orientation (53%; p < .001). Nonusers (46%) and reference users (38%) were more likely than emergent users (30%) and those who never saw it (5%) to have first found out about it through informal communication with a colleague (p = < 0.001). The majority of those who never saw the aid first became aware of it through this survey (71%; p < .001). The aid was used most commonly for difficult airway.DISCUSSION:
A cognitive aid for use in rare emergencies proved clinically useful to anesthesia providers.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Árboles de Decisión
/
Guías de Práctica Clínica como Asunto
/
Administración de la Seguridad
/
Anestesiología
Tipo de estudio:
Guideline
/
Prognostic_studies
/
Qualitative_research
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Jt Comm J Qual Patient Saf
Asunto de la revista:
SERVICOS DE SAUDE
Año:
2007
Tipo del documento:
Article
País de afiliación:
Estados Unidos