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Sydney Edlund

Staff Review

Approval Status

Description

Determination of which best describes this anesthesia event: awareness, malignant hyperthermia, oversedation, or wrong site anesthesia.

On-Screen Instructions

Check all that apply. If the anesthesia event involved a device, please also submit as a “device or medical/surgical supply” event. If the anesthesia event involved a medication or other substance (not including medical gas), please also submit as a “medication or other substance” event.

Field Type

Checkbox (multiselect)

Responses

Table of Contents
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excludeDescription|On-Screen Instructions|Field Type|Responses|Response Codes|OPSC Staff Notes|History|Guide for Use|Additional Guidance
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Anchor
Awareness
Awareness
Awareness (during anesthesia)

Patient death or serious injury associated with awareness during anesthesia.

Includes

  • Under-sedation

Excludes

  • Surgeries or other invasive procedures in which the patient is intentionally conscious


Anchor
Malignant-hyperthermia
Malignant-hyperthermia
Malignant hyperthermia

Patient death or serious injury associated with malignant hyperthermia.

Includes

  • Malignant hyperthermia that requires treatment with a rescue drug


Anchor
Oversedation
Oversedation
Oversedation

Patient death or serious injury associated with oversedation.

Includes

  • Oversedation associated with anesthesia during the operative period and prior to discharge from the PACU

Excludes

  • Oversedation associated with medications after the patient has left the PACU (submit as “medication or other substance: oversedation”)


Anchor
Physical-injury
Physical-injury
Physical injury

Serious physical injury associated with anesthesia.

Includes

  • Dental injury

  • Ocular injury

  • Peripheral nerve injury


Anchor
Incorrect-site
Incorrect-site
Incorrect site anesthesia

Patient death or serious injury associated with an anesthetic block placed at an incorrect site.

Includes

  • Regional blocks

Excludes

  • Incorrect site anesthesia administration (submit as “surgical or other invasive procedure event (incorrect site or side)”)


Anchor
Airway
Airway
Difficulty managing airway

Patient death or serious injury associated with difficulty managing the patient’s airway related to anesthesia.

Includes

  • Difficulty during tracheal intubation

  • Difficulty maintaining airway during procedure

  • Esophageal intubation

  • Re-intubation, following unplanned/unintended extubation, in the operating or recovery room


Anchor
Other
Other
Other

Patient death or serious injury related to an anesthesia event not otherwise included in the above categories.

Includes

  • Inadvertent bilateral epidural phrenic nerve block

  • Adverse reaction to anesthesia

Excludes

  • Contaminated anesthetic gas (submit as “contaminated, wrong, or no gas given to the patient”)

  • Anesthetic medication (submit as “medication or other substance”)

  • Problem with device used in the delivery of anesthesia (submit as “device or medical/surgical supply”)


Guide for Use

Event-Type Specific Questions

Filter by label (Content by label)
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History

Start Date

2012

End Date

n/a

Change History

n/a