Anesthesia Quality Improvement Pediatric Outcomes



Case Info ?Anesthesia type?Date of Service?Provider ID/Provider NPI?Patient ID?CRNA ID?ASA Physical Status?Additional provider?Co-morbidities:Arrhythmia?Reactive Airway disease?Diabetes?Latex Allergy?Single Ventricle?Trach/Laryn/Bronch Malacia?GERD?Chromo Anomaly?CHF?Difficult Airway?Hypertension?H/O of ED?Cyanotic CHD?Cystic Fibrosis?Hemaglobinopathy?Obesity?Acyanotic CHD?VC Dysfunction?Liver disease/failure?Premi < 37 weeks?Pulmonary HTN?Pneumonia?Renal Disease/failure?Downs?Valve Disease?BPD/CLD?Hematologic?Seizures?Cardiomyopathy?OSA?Endocrine other?Developmental Delay?Metabolic disorder?Spina Bifida?Cerebral Palsy?Intracranial Hemorrhage?Failure to thrive?H/O SIDS?Hydrocephalus?Other?-115294225011NO ADVERSE EVENT/OUTCOME??Death ?Airway Trauma?Equipment/Device Failure/Malfunction?Peripheral Neurologic Deficit after Regional Anesthesia?Unplanned Post-Operative Ventilation?Anaphylaxis?Fall?Pneumothorax?Vascular Injury?Arrhythmia?Failed Intubation?Postdural Puncture Headache?Wrong Patient?Aspiration?High Spinal or Epidural?Pulmonary Edema?Wrong Site Surgery?Awareness?Inadvertent Hypothermia?Reintubation??Bronchospasm?Inadequate Pain Control?Respiratory Arrest??Burn Injury?Inadequate reversal of neuromuscular block?Seizure??Cardiac Arrest?Malignant Hyperthermia?Transfusion Reaction??Case Cancelled?Medication Error?Unplanned Dural Puncture??Corneal Injury?Myocardial Infarction?Unplanned Hospital Admission??Delirium?Perioperative Visual Loss?Unplanned ICU Admission? ................
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