The use of a checklist reduces errors in equipment set-up by veterinary student anesthetists
IF 1.9
2区 农林科学
Q2 VETERINARY SCIENCES
引用次数: 0
Abstract
Objective
To investigate the relative frequency of set-up errors documented before and after the introduction of an anesthesia equipment checklist in two successive veterinary classes.
Study design
Pre- and post-intervention observational study.
Methods
In study year 1, our typical educational practices for training third year veterinary students in anesthesia equipment set-up and testing were followed (participant rate 96/96). In study year 2, a new third year class of students was introduced to and trained on the use of an anesthesia equipment checklist (participant rate 94/98). Data on errors in equipment set-up were recorded prospectively on a standardized collection sheet in a de-identified manner. Negative binomial regression models compared the overall count of errors per laboratory session and per possible error. Binary logistic regression models investigated the probability of each specific error occurring before and after introduction of the equipment checklist, as each specific error type could occur only once per equipment set-up.
Results
Checklist availability was the only variable with a significant effect on error. The relative number of errors per laboratory session was 88% less in the year after introduction of the checklist than the year prior, decreasing from an average of 0.066 errors per possible error (111 errors with 1691 opportunities for error) to 0.008 per possible error (15 errors with 1947 opportunities for error). The odds of making an airway supplies error from study year 1 to year 2 was reduced by 97.2%, decreasing from an occurrence in 16.2% of equipment set-ups to 0.8% of equipment set-ups. The odds of failure to open the adjustable pressure limiting valve decreased by 75.7%, from an occurrence in 5.9% of equipment set-ups to 1.5% of equipment set-ups.
Conclusions and clinical relevance
Exposure to an anesthesia equipment checklist decreased but did not eliminate equipment set-up errors by student anesthetists.
检查表的使用减少了兽医麻醉师学生在设备设置上的错误。
目的：调查两个连续的兽医班在引入麻醉设备清单前后记录的设置错误的相对频率。研究设计：干预前后观察性研究。方法：在研究一年中，我们对兽医三年级学生进行麻醉设备设置和测试的典型教育实践（参与率96/96）。在研究二年级，一个新的三年级班级的学生被介绍和培训使用麻醉设备清单（参与率94/98）。设备设置错误的数据以一种去识别的方式记录在标准化的收集表上。负二项回归模型比较了每次实验和每次可能错误的总错误数。二元逻辑回归模型调查了每种特定错误在引入设备检查表之前和之后发生的概率，因为每种特定错误类型在每次设备安装中只可能发生一次。结果：检查表可得性是唯一对误差有显著影响的变量。在引入检查表后的一年中，每次实验的相对错误数量比前一年减少了88%，从平均每可能错误0.066个错误（111个错误，1691个错误机会）减少到每可能错误0.008个错误（15个错误，1947个错误机会）。从研究第一年到第二年，气道供应错误的发生率降低了97.2%，从16.2%的设备设置发生率降低到0.8%。可调压力限位阀打开失败的几率降低了75.7%，从5.9%的设备设置到1.5%的设备设置。结论和临床意义：麻醉设备检查表的暴露减少了，但并没有消除麻醉师学生的设备设置错误。
本文章由计算机程序翻译，如有差异，请以英文原文为准。
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来源期刊
Veterinary anaesthesia and analgesia
农林科学-兽医学
CiteScore
3.10
自引率
17.60%
发文量
91
审稿时长
97 days
期刊介绍：
Veterinary Anaesthesia and Analgesia is the official journal of the Association of Veterinary Anaesthetists, the American College of Veterinary Anesthesia and Analgesia and the European College of Veterinary Anaesthesia and Analgesia. Its purpose is the publication of original, peer reviewed articles covering all branches of anaesthesia and the relief of pain in animals. Articles concerned with the following subjects related to anaesthesia and analgesia are also welcome:
the basic sciences;
pathophysiology of disease as it relates to anaesthetic management
equipment
intensive care
chemical restraint of animals including laboratory animals, wildlife and exotic animals
welfare issues associated with pain and distress
education in veterinary anaesthesia and analgesia.
Review articles, special articles, and historical notes will also be published, along with editorials, case reports in the form of letters to the editor, and book reviews. There is also an active correspondence section.
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