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Canadian Journal of Anesthesia 52:680-684 (2005)
© Canadian Anesthesiologists' Society, 2005

General Anesthesia

A survey of British Columbia anesthesiologists on a provincial critical incident reporting program

[Une enquête auprès des anesthésiologistes de la Colombie-Britannique sur un programme provincial de notification des incidents critiques]

Richard N. Merchant, MD FRCPC and Patricia M. Gully, BA MLIS

From the Department of Anesthesia, the Royal Columbian Hospital, New Westminster; and the British Columbia Anesthesiologists’ Society, British Columbia, Canada.

Address correspondence to Dr. Richard N. Merchant, Department of Anesthesia, the Royal Columbian Hospital, 330 Columbia St. E, New Westminster, B.C. V5E 3W7, Canada. E-mail: richard.merchant{at}ubc.ca

Purpose: To determine why British Columbia’s anesthesiologists have not actively participated in a provincial Critical Incident Reporting Service by submitting reports of critical incidents experienced in their practice.

Methods: An email and postal mail survey of BC anesthesiologists was undertaken, proposing a variety of reasons why critical incidents may not be reported to the Service.

Results: 207 responses were received from 368 specialist and general practitioner anesthesiologists. Respondents indicated general satisfaction with the overall concept of having an incident reporting service, and with the design of the multi-page reporting form. The greatest perceived problems to reporting incidents were related to aspects of workload, fear of litigation or a record of problems, and difficulties with the terminology of incident and error reporting. There are implications to the establishment of broader based programs in Canada.

Conclusion: A number of factors are responsible for under reporting of critical events. Further efforts to encourage reporting are required.







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Copyright © 2005 by the Canadian Anesthesiologists' Society.