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Biomedical subjects

J P Jayasuriya

Publications and source records attributed to J P Jayasuriya.

12 recordsLinked to original sources
PubMed1996

Improvements in anaesthetic care resulting from a critical incident reporting programme.

The rôle of an anaesthetic incident reporting programme in improving anaesthetic safety was studied. The programme had been running for 4 to 5 years in three large hospitals in Hong Kong and more than 1000 incidents have been reported. The number of reports being made and frequency of the various categories of incident reported, did not alter during the study period. Sixty nine percent of incidents were considered to be preventable. Human error contributed to 76% of incidents and violations of standard practice to 30% of incidents. The programme was effective in its ability to detect latent errors in the anaesthesia system and when these were corrected, incidents did not recur. The frequency with which various contributing factors were cited did not decrease with time. With the exception of problems dealt with by specific protocol development, the study found no evidence that an increasing awareness of the problem of human error was effective in reducing this kind of problem.

Accident Prevention↗
PubMed1995

Compliance with an incident report scheme in anaesthesia.

Voluntary anonymous reporting of incidents which occur during anaesthesia is a mechanism for obtaining information about such problems. Our objective was to estimate with reporting such incidents. For 3 months, alongside the incident report form, another form, which had to be completed for every patient, was used. This form listed a series of defined events which could occur intra-operatively. Compliance with the incident reports was estimated by comparing the data obtained from the two sets of forms. Overall compliance was only about 30%. There were differences in compliance for different events. Compliance was high with more serious events and poor in the case of common events, or when successful recovery had occurred. In order to improve compliance, incident report forms should be available on each anaesthetic machine and staff should be made more aware of the fact that reportable incidents are not limited to events which harmed the patient, but also include those which could have affected patient safety.

Anesthesia↗
PubMed1990

Cost awareness among junior anaesthetists in Sri Lanka.

A group of junior anaesthetists were asked to estimate the prices of twenty five drugs they commonly used in order to determine their cost awareness. Overall cost awareness was poor and was not influenced by their training status or the number of years in anaesthetic practice. The group, as a whole, under-estimated the prices of new drugs and tubocurarine but over-estimated the prices of other drugs. Some factors which may have influenced their decisions are discussed and suggestions made as to how cost awareness can be improved.

Anesthesiology↗