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Original ArticleOpen Access
Quality Assessment of Anesthesia Service at Siriraj Siriraj Hospital
Chinachoti T 
,
Valairucha S ,
Suraseranivongse S ,
Tritrakarn T
,
Valairucha S ,
Suraseranivongse S ,
Tritrakarn T As part of a quality assurance program, the quality of the anesthesia service at Siriraj Hos-
pital was assessed by using a newly developed data collecting system to find the incidence of clinical
indicators. During a 7-month period (June-December 2001), 14,036 anesthetics were included for
evaluation. The mortality rate within 24 hours and CPR rate during anesthesia were equal at 20.6/
10,000. Other clinical indicators were major anesthetic complications (mainly airway, respiratory and
cardiovascular system) 144.8/10,000, drug mishaps and adverse drug reactions 6.4/10,000, anesthetic
equipment related complications 3.5/10,000 and patient's dissatisfaction 30.6/10,000. Patterns of some
complications were also reported. The implications of the results; comparison to international stan-
dard, prioritization of the problems, baseline information before intervention, recognition of compli-
cation patterns and guidance to future system management and research projects; were discussed.
In conclusion, we demonstrated the effective data collecting system and its results and
implication for quality assurance program.
Key word : Quality Assessment, Anesthetic Complications, Risk Management
pital was assessed by using a newly developed data collecting system to find the incidence of clinical
indicators. During a 7-month period (June-December 2001), 14,036 anesthetics were included for
evaluation. The mortality rate within 24 hours and CPR rate during anesthesia were equal at 20.6/
10,000. Other clinical indicators were major anesthetic complications (mainly airway, respiratory and
cardiovascular system) 144.8/10,000, drug mishaps and adverse drug reactions 6.4/10,000, anesthetic
equipment related complications 3.5/10,000 and patient's dissatisfaction 30.6/10,000. Patterns of some
complications were also reported. The implications of the results; comparison to international stan-
dard, prioritization of the problems, baseline information before intervention, recognition of compli-
cation patterns and guidance to future system management and research projects; were discussed.
In conclusion, we demonstrated the effective data collecting system and its results and
implication for quality assurance program.
Key word : Quality Assessment, Anesthetic Complications, Risk Management
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