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Year : 2016  |  Volume : 1  |  Issue : 1  |  Page : 13-16

Adverse events survey in the postanesthetic care unit in a teaching hospital

1 Department of Anesthesia, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia
2 Department of Anesthesia, University Malaya Medical Centre, Kuala Lumpur, Malaysia

Correspondence Address:
Mohamed Sayed Hajnour
Department of Anesthesia, King Khalid University Hospital, King Saud University, P. O. Box 7805, Riyadh 11472
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2542-4629.193040

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Background and Objectives: This is a survey study of adverse events in the postanesthesia care unit (PACU) at the University Malaya Medical Center (UMMC). Patients and Methods: After obtaining the hospital ethics committee approval, 2704 patients who were operated and admitted to the PACU at UMMC were included in the survey. The survey period was from July 1, to September 30, 2005. The modified Aldrete score was used in the PACU. If it was <9 on a 10-point scale that was defined as a patient complication. A patient diagnosed with a complication was immediately notified by the recovery nurse to the attended anesthesiologist who managed the case, and a survey report was completed. Results: Nearly 9.7% reported incidents of adverse events included two accidents of cardiac arrests. The majority of which were due to hypothermia and cardiovascular instability. Most incidents were in American Association of Anesthetists 3 and 4 category. General surgery was associated with the highest incidents. Most of the incidents resulted in prolonged PACU stay. Conclusions: This study provides auditing information on adverse incidence in the PACU with issues of care delivery; besides, it highlights a roadmap for quality improvement for a better patient care.

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