Anesthesiology 2020 07;133(1):41-52
From the Geriatric Research Education and Clinical Center, Tennessee Valley Veterans Affairs Healthcare System, Nashville (J.S.L., J.M.S., M.B.W.) the Center for Research and Innovation in Systems Safety, Vanderbilt University Medical Center (J.S.L., J.M.S., G.W., M.S.S., E.P., M.B.W.) the Departments of Anesthesiology (all authors); Biomedical Informatics (M.B.W.) Biostatistics (M.S.S.), Vanderbilt University School of Medicine and Vanderbilt University Medical Center, Nashville, Tennessee.
Background: A nonroutine event is any aspect of clinical care perceived by clinicians or trained observers as a deviation from optimal care based on the context of the clinical situation. The authors sought to delineate the incidence and nature of intraoperative nonroutine events during anesthesia care.
Methods: The authors prospectively collected audio, video, and relevant clinical information on 556 cases at three academic hospitals from 1998 to 2004. Read More