P074: EFFECTS OF ANESTHESIA RESIDENT TRAINING ON PERIOPERATIVE PATIENT SAFETY IN A COMMUNITY HOSPITAL
Daniel Eskander, MD, Luis Aranguren, MD, Furqan Haq, PhD, MPH, Jeffrey Huang, MD; USF-HCA GME Consortium
Background: Training residents has long been associated with increased risk in patient safety across medical specialties. These risks pose reason for greater concern in the perioperative setting where real-time error can have dire effects on patient outcome.
In this study we analyzed the impact that the inauguration of an anesthesiology residency has on perioperative safety in a community hospital. In a retrospective quality improvement database review we examined the frequency of perioperative complications to determine if training anesthesiology residents contributed to an environment that was less safe for patients. Few have examined the impact training anesthesiology residents has on patient safety in a community hospital and with a newly created residency program, this study can offer unique insight in this regard.
Materials and Methods: To evaluate perioperative patient safety associated with training anesthesiology residents we investigated the frequency of perioperative complications that had occurred in the three months from onset of resident training and the frequency of complications in the immediate three months prior that was without the involvement of residents. Criteria for perioperative complication, included incidences of chipped teeth, reintubations in the post-anesthesia care unit, use of reversal agents in the post-anesthesia care unit, improper drug administrations, and general hospital adverse event reports.
Results: In the first three months from the onset of residency training, out of 1620 cases, there were 9 documented incidences of perioperative complications (0.5%). In the three months prior without residents, 5 incidences of perioperative complications were recorded out of 1650 cases (.4%). Chi square analysis indicated a χ2 =1.21 and a p-value = 0.89.
Conclusions: Anesthesiology Residency training was not associated with an increase perioperative complications. These findings suggest that anesthesiology resident training does not adversely affect patient safety in the perioperative setting.