Yada Sachiko, Nagao Yoshiaki, Ueki Ryusuke, Kaminoh Yoshiroh, Tashiro Chikara
Department of Anesthesiology, Hyogo College of Medicine, Nishinomiya.
Masui. 2008 Jan;57(1):100-6.
The Japanese Society of Anesthesiologists (JSA) started the annual survey of the critical incidents related to anesthesia in 1992. The certified anesthesia-training hospitals, which are more than 700 in Japan, send the questionnaire results to JSA every year. This is a nationwide large-scale survey, in which more than 150 million cases are analyzed per year. The accuracy of each data is essential for such a large data base. In this report, we examined the accuracy of data in our institute.
We have examined 2238 cases of anesthesia that we had managed between January 1 and June 30, 2005 in the Hyogo Medical College Hospital. We analyzed the data accuracy regarding the classification of surgical procedures, and anesthesia methods, especially total intravenous anesthesia (TIVA).
The error rate in the classification of surgical procedures was 15.1%. There were three types of errors; incorrect selection (8.1%), suspension by choosing "others" (4.9%), and no selection (2.1%). Inhalation anesthetics were used in 44.6% of cases which had been enrolled as TIVA.
The high error rate in the classification of surgical procedures and anesthesia methods impair the reliability of data analysis. We expect to discuss further at the JSA meeting regarding the method of the survey.
日本麻醉医师协会（JSA）于1992年开始对麻醉相关严重事件进行年度调查。日本700多家获得认证的麻醉培训医院每年将问卷调查结果发送给JSA。这是一项全国性的大规模调查，每年分析超过1.5亿例病例。对于如此庞大的数据库，每个数据的准确性至关重要。在本报告中，我们检查了我院的数据准确性。
我们检查了2005年1月1日至6月30日期间在兵库医科大学医院管理的2238例麻醉病例。我们分析了手术程序分类和麻醉方法，特别是全静脉麻醉（TIVA）的数据准确性。
手术程序分类的错误率为15.1%。有三种错误类型：选择错误（8.1%）、因选择“其他”而中止（4.9%）和未选择（2.1%）。在登记为TIVA的病例中，44.6%使用了吸入麻醉剂。
手术程序和麻醉方法分类中的高错误率损害了数据分析的可靠性。我们期望在JSA会议上进一步讨论调查方法。
