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Slagle JM, Anders S, Porterfield E, Arnold A, Calderwood C, Weinger MB. Significant Physiological Disturbances Associated With Non-Routine Event Containing and Routine Anesthesia Cases. Journal of Patient Safety. 2014 Mar 10.
Abstract
A nonroutine event (NRE) is defined as any event that deviates from ideal clinical care for a given patient in a specific clinical situation. We sought to compare anesthesia providers' reporting of NREs with the incidence of significant physiological disturbances (SPDs) detected via retrospective videotape review. SPD criteria were defined prestudy to be deviations of physiological parameters (heart rate, systolic blood pressure, and oxygen saturation) requiring clinical intervention. We hypothesized that SPDs would occur more frequently in NRE cases than in routine (no reported NRE) cases.