Perioperative and Anesthetic Adverse Events in Thailand (PAAd Thai) incident reporting study: hospital characteristics and methods
, , , , , , , , , , , , y | 31 ago 2017
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Article Category: Brief communication
Publicado en línea: 31 ago 2017
Páginas: 33 - 39
DOI: https://doi.org/10.5372/1905-7415.1101.536
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© 2017 Yodying Punjasawadwong, Wimonrat Sriraj, Somrat Charuluxananan, Phuping Akavipat, Wichai Ittichaikulthol, Worawut Lapisatepun, Sasikaan Nimmaanrat, Aksorn Pulnitiporn, Nopadon Chernsirikasem, Somchai Agprudyakul, Somkhuan Dechasilaruk, Pongpat Sattayopas, Sireetorn Cholitkul, Wanna Srirojanakul
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
Figure 1
Figure 2
Participating hospitals categorized by location in Thailand and level of teaching involvement
| Participating hospitals by location in Thailand | Level of teaching involvement | ||
|---|---|---|---|
| (N = 22) | Resident | Medical student | Nurse anesthetist |
| North 6 (27%) | |||
| Buddhachinaraj Hospital | yes | yes | yes |
| Chiang Rai Hospital | yes | yes | yes |
| Lampang Hospital | no | yes | no |
| Lamphun Hospital | no | no | no |
| Maharaj Nakorn Chiang Mai Hospital | yes | yes | no |
| Nakorn Ping Hospital | yes | yes | yes |
| Northeast 4 (18%) | |||
| Khon Kaen Hospital | yes | yes | yes |
| Maharaj Nakorn Rachasima Hospital | yes | yes | yes |
| Srinagarind Hospital | yes | yes | yes |
| Sunpasitthiprasong Hospital | no | yes | yes |
| Middle 9 (41%) | |||
| Bangkok Metropolitan Administration General Hospital | no | yes | no |
| Buddhasothorn Hospital | yes | no | no |
| Charoenkrung Pracharak Hospital | no | no | no |
| HRH Princess Maha Chakri Sirindhorn Medical Center | yes | yes | no |
| King Chulalongkorn Memorial Hospital | yes | yes | no |
| Phramongkutklao Hospital | yes | yes | no |
| Prasat Neurological Institute | yes | no | no |
| Ramathibodi Hospital | yes | yes | yes |
| Siriraj Hospital | yes | yes | yes |
| East 1 (5%) | |||
| Chonburi Hospital | yes | yes | yes |
| South 2 (9%) | |||
| Hatyai Hospital | yes | no | yes |
| Songklanagarind Hospital | yes | yes | yes |
Distribution of ratio of anesthesia providers
| Ratio of anesthesia providers: operating room | Frequency, n (%) |
|---|---|
| Anesthesiologists (MD): operating room | |
| 2.5 – <3 | 0 (0) |
| 2.0 – <2.5 | 0 (0) |
| 1.5 – <2 | 0 (0) |
| 1.0 – <1.5 | 4 (18) |
| 0.5 – <1 | 12 (55) |
| <0.5 | 6 (28) |
| Nurse anesthetists: operating room | |
| 2.5 – <3 | 6 (27) |
| 2.0 – <2.5 | 8 (36) |
| 1.5 – <2 | 4 (18) |
| 1.0 – <1.5 | 2 (9) |
| 0.5 – <1 | 2 (9) |
| <0.5 | 0 (0) |
Hospital characteristics based on type of hospital (university/nonuniversity), size, number of operating rooms/theaters, number of anesthesiologists, nurse anesthetists, assistants, and trainees (residents/medical students/nurses)
| Characteristic | N = 22 (%) |
|---|---|
| Type of hospital | |
| University | 8 (36) |
| Nonuniversity | 14 (64) |
| Number of beds | |
| >2000 | 1 (5) |
| 1001–2000 | 6 (27) |
| 500–1000 | 10 (46) |
| <500 | 5 (23) |
| No. of operating rooms/theaters | |
| 51–70 | 2 (9) |
| 31–50 | 3 (14) |
| 11–30 | 12 (55) |
| ≤10 | 5 (23) |
| No. of anesthesiologists (MD) | |
| 51–70 | 3 (14) |
| 31–50 | 0 (0) |
| 11–30 | 8 (36) |
| ≤10 | 11 (50) |
| No. of nurse anesthetists (CRNA) | |
| 51–70 | 1(5) |
| 31–50 | 7 (32) |
| 11–30 | 9 (41) |
| ≤10 | 5 (23) |
| No. of anesthetist assistants | |
| 51–70 | 0 (0) |
| 31–50 | 3 (14) |
| 11–30 | 11 (50) |
| ≤10 | 8 (36) |