Survey of 11-year anesthesia-related mortality and analysis of its associated factors in Taiwan

Tien Chien Liu, Ju O. Wang, Siu Wah Chau, Shen Kou Tsai, Jhi Joung Wang, Ta Liang Chen, Yu Chuan Tsai, Shung Tai Ho

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

In developed countries, the societies of anesthesiologists have published reports of anesthesia quality. However, there are still no publications on anesthesia quality in Taiwan, even though the Taiwan Society of Anesthesiologists (TSA) was founded in 1956. This study was designed to evaluate the quality of anesthesia in Taiwan using databases maintained by the TSA and the Bureau of National Health Insurance-Taiwan (BNHI-T). The TSA published annual reports in 1995-1998 and 2002-2008 (with a 3-year interval), which included a survey on anesthesia-related mortality and morbidity, the manpower and composition of anesthesia teams, and the causes of anesthesia-related complications. Since 2002, the BNHI-T has collaborated with the National Health Research Institute-Taiwan to establish a database of health care service. To understand anesthesia quality in Taiwan, we collected data from the annual TSA surveys and the BNHI-T, and analyzed trends in anesthesia-related mortality, causes of anesthesia complications, and relative manpower composition. The rate of anesthesia-related mortality was 11.9 deaths/100,000 cases. More than 50 of all anesthesia-related complications were preventable. About 1500 anesthetic procedures were performed annually by each anesthesiologist in Taiwan. The ratio of anesthesiologists to nurse anesthetists was 1:3-5. Anesthesia-related mortality was about 10-fold higher in Taiwan than in the United States, Japan and the United Kingdom. Mortality related to quality of anesthesia in Taiwan must be reduced. To achieve this target, we have recommended the following six approaches: (1) decrease the workload of anesthesiologists; (2) increase reimbursement by the BNHI-T for anesthesia; (3) improve the training quality of anesthetist residents; (4) strengthen the quality of board examinations; (5) improve the training quality of nurse anesthetists; and (6) standardize monitoring procedures and equipment. Only once these measures are introduced, in combination with effective quality assurance and subjective improvement systems, can we expect an improvement in the quality of anesthesia in Taiwan.

Original languageEnglish
Pages (from-to)56-61
Number of pages6
JournalActa Anaesthesiologica Taiwanica
Volume48
Issue number2
DOIs
Publication statusPublished - Jun 2010

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Taiwan
Anesthesia
Mortality
National Health Programs
Nurse Anesthetists
Surveys and Questionnaires
Databases
Annual Reports
Anesthesiologists
Quality Improvement
Workload
Developed Countries
Health Services
Anesthetics
Publications
Japan

Keywords

  • anesthesia-related mortality
  • Taiwan

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Survey of 11-year anesthesia-related mortality and analysis of its associated factors in Taiwan. / Liu, Tien Chien; Wang, Ju O.; Chau, Siu Wah; Tsai, Shen Kou; Wang, Jhi Joung; Chen, Ta Liang; Tsai, Yu Chuan; Ho, Shung Tai.

In: Acta Anaesthesiologica Taiwanica, Vol. 48, No. 2, 06.2010, p. 56-61.

Research output: Contribution to journalArticle

Liu, Tien Chien ; Wang, Ju O. ; Chau, Siu Wah ; Tsai, Shen Kou ; Wang, Jhi Joung ; Chen, Ta Liang ; Tsai, Yu Chuan ; Ho, Shung Tai. / Survey of 11-year anesthesia-related mortality and analysis of its associated factors in Taiwan. In: Acta Anaesthesiologica Taiwanica. 2010 ; Vol. 48, No. 2. pp. 56-61.
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