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Description

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

On-Screen Instructions

Select 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


Awareness (during anesthesia)

Patient death or serious injury associated with awareness during anesthesia.

Includes

  • Under-sedation (under-sedation involving a medication (not including medical gas) submit as both “anesthesia” and “medication or other substance” events)

Excludes

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


Malignant hyperthermia

Patient death or serious injury associated with malignant hyperthermia.

Includes

  • Malignant hyperthermia that requires treatment with a rescue drug

Excludes

No additional information provided.

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

  • Oversedation involving a medication or other substance (not including medical gas) (submit as both “anesthesia” and “medication or other substance” events)

Excludes


Physical injury

Serious physical injury associated with anesthesia.

Includes

  • Dental injury

  • Ocular injury

  • Peripheral nerve injury

Excludes

No additional information provided.

Event-Type Specific Questions


Incorrect site anesthesia

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

Includes

  • Regional blocks

  • Nerve blocks

Excludes


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

Excludes

No additional information provided.

Event-Type Specific Questions


Other (please describe)

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


Guide for Use

If “Other” is selected, a text box for a description will also appear.

History

Start Date

2012

End Date

n/a

Change History

n/a

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