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ORIGINAL ARTICLE
Year : 2013  |  Volume : 1  |  Issue : 2  |  Page : 72-77

Risk management status of anaesthesia equipment using standards of Emergency Care Research Institute


1 Health Services Administration, Qazvin University of Medical Sciences, Qazvin, Iran
2 Research Center for Social Determinants of Health, Qazvin University of Medical Sciences, Qazvin, Iran
3 Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Correspondence Address:
Ahmad Reza Raeisi
Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2347-9019.128117

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Context: Anaesthesia equipment failure can lead to incidents during anaesthesia and surgeries. A comprehensive system for risk management of anaesthesia equipment is necessary. Aims: Identify risks related to anaesthesia equipment, identify deficiencies and problems, provide solutions, planning and prevention from adverse event due to anaesthesia equipment in teaching hospitals in Iran. Settings and Design: Collected data were analysed in six dimensions. Then, the statistical comparisons between hospitals were done. Subjects and Methods: A descriptive-analytic study was designed. Instrument for data collection was a standard structured checklist that had been developed by Emergency Care Research Institute (ECRI). Checklists were filled onsite through direct observation and interviews with anaesthesia personnel in 46 operating rooms. Statistical Analysis: To statistical analysis one-way analysis of variance was used. SPSS statistical program, version 16, was used for performance all statistical analyses. P < 0.05 were defined as the level of statistically significance. Results: Descriptive statistics in this study indicated that total mean score of risk management status of anaesthesia equipment was 2.52 from the scale of 3. In the studied operating rooms, 69% complied with pre-determined standards, 14% needed improvement and 17% had no compliance. Routine check and alarm control were at good level. Maintenance, training, evaluation and monitoring and availability were at medium level. Conclusions: The risk management status of anaesthesia equipments in the studied hospitals are in good condition. The best means for prevention of adverse event-related anaesthesia equipment is using a viable and effective risk management programme. Development of programme in alarm control, maintenance, routine check, training and evaluation and monitoring of anaesthesia equipment is necessary strategy for this subject.


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