Improving the completeness of anaesthesia record charts for obstetric subarachnoid block among third year anaesthesia students in University of Gondar

Abstract

Documentation during obstetrics spinal anaesthesia will demand accuracy and completeness for maternal and neonatal safety. Third year anaesthesia students are the pioneer participants in documentation of perioperative information. This audit aimed to improve the documentation trends of third year anaesthesia students after subarachnoid obstetric anaesthesia. Methods: It was conducted from April to May 13, 2019 in University of Gondar Referral Hospital at maternity wards. Data were analyzed with SPSS version 20. Categorical variables were analyzed with chisquare test. Results: Documentation completion was 58.2% before interventions and 81.13% after interventions. Documentation completion of hospital number, name of the surgeon and urine output significantly improved after interventions Conclusions: This audit identified significant improvements of post intervention documentation of patient's data such as patient height, preoperative blood pressure and baseline saturation. So, we recommend having regular lecturing and re-auditing of documentation trends of our third year anaesthesia students.

Assessment of perioperative anesthesia record sheet completeness: A multi-center observational study

“…It is one of the Global Patient Safety Challenge. The expertise of anesthesia recording completeness helps to improve the safety of surgical care [ [1] , [2] , [3] ]. The anesthetic record should be recorded in a simple and logical manner, either electronically or by handwritten document [ 4 ].…”