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Stephen N Bolsin

Publications and source records attributed to Stephen N Bolsin.

6 recordsLinked to original sources
PubMed2006

Voluntary incident reporting by anaesthetic trainees in an Australian hospital.

OBJECTIVE: To assess the reporting of critical incidents by anaesthetic trainees using personal digital assistants. The project also identified the reporting of 'near miss' incidents by anaesthetic trainees. DESIGN: Comparison of electronic incident reporting with retrospective case note review of cases in which no incident was reported. SETTING: A 400-bed university teaching hospital in Victoria. PARTICIPANTS: Fourteen accredited Australian and New Zealand College of Anaesthetists (ANZCA) registrars and their training supervisors. INTERVENTIONS: Registrars and supervisors underwent initial training for 1 hour and were provided with ongoing support. The cases and incidents reported to the database using the portable digital assistants were analysed. MAIN OUTCOME MEASURES: These were the total number of anaesthetics reported to the database; the number of incidents reported to the database; the outcome severity of incidents reported; and the number of incidents detected in the case note review that were not reported to the database. RESULTS: An incident was reported for 156 (3.5%) of 4441 anaesthetic procedures reported to the database. Of these incidents, 72 (46.2%) were 'near misses'. One incident was identified in a review of 208 case notes, which had no incidents reported electronically, and was not reported to the database electronically. This gives a reporting rate of 99.52% [95% confidence interval (CI) 96.9-100%]. CONCLUSIONS: ANZCA trainees in routine anaesthetic practice can reliably use mobile computing technology to report critical incidents and 'near miss' incident data.

Anesthesiology↗
PubMed2005

Using portable digital technology for clinical care and critical incidents: a new model.

The number of patients suffering adverse incidents during treatment in hospitals is not declining. The cost of this poor safety record in Australia is 1 billion dollars to 4.7 billion dollars each year. Quality and safety initiatives focus on promoting adverse event reporting. Major problems include poor reporting of adverse events and lack of clinician involvement. We propose a model for clinician-led reporting based on secure transmission of encrypted data from a programmed personal digital assistant (PDA) to a secure database, leading to automated analysis of clinician-performance data. The programmed PDA also facilitates the reporting of critical incidents. All critical incidents are automatically fed back by email to the organisational quality managers.

Adverse Drug Reaction Reporting Systems↗
PubMed2004

Early audit of renal complications in a new cardiac surgery service in Australia.

OBJECTIVE: To assess the incidence of renal failure in a cardiac surgery service commencing in Australia. DESIGN: Prospective data collection and retrospective database analysis. SETTING: A tertiary referral, university teaching hospital in the state of Victoria, Australia. PARTICIPANTS: The first 502 patients undergoing cardiac surgery in this institution from commencement of the service. RESULTS: The overall rate of renal failure was low in comparison to other studies at 0.2% (95% CI 0.04-1.3%). The rate of postoperative renal dysfunction was also low at 4.2% (95% CI 2.7-6.5%). CONCLUSIONS: The safety of the new service with respect to this complication of cardiac surgery was good when compared with published data. However the lack of uniform definitions of renal failure following cardiac surgery make comparisons between studies difficult. Uniform reporting of this complication would facilitate comparisons between units and quality assurance activities in this field.

Journal Article↗
PubMed2003

Whistle blowing.

Explore the source record for details and available documents.

Commission on Professional and Hospital Activities↗
PubMed2002

Professional monitoring and critical incident reporting using personal digital assistants.

OBJECTIVE: To assess the practicality of using personal digital assistants (PDAs) for the collection of logbook data, procedural performance data and critical incident reports in anaesthetic trainees. DESIGN: Pilot study. SETTING: Two tertiary referral centres (in Victoria and New Zealand) and a large district hospital in Queensland. PARTICIPANTS: Six accredited Australian and New Zealand College of Anaesthetists (ANZCA) registrars and their ANZCA training supervisors. INTERVENTIONS: Registrars and supervisors underwent initial training for one hour, and supervisors were provided with ongoing support. MAIN OUTCOME MEASURES: Reliable use of the program, average time for data entry and number of procedures logged. RESULTS: ANZCA trainees reliably enter data into PDAs. The data can be transferred to a central database, where they can be remotely analysed before results are fed back to trainees. CONCLUSIONS: This technology can be used to monitor professional performance in ANZCA trainees.

Anesthesia↗