The goal of this study is to compare observed neuraxial (Epidural, spinal, combined spinal-epidural) insertion attempts with actual documented attempts in anesthesia providers (staff, residents and fellows) at one maternal hospital. Trained research staff will document the number of neuraxial attempts before the operation, and compare this with the attempts recorded in the patient's chart. The definition of a neuraxial attempt will be determined before the study begins through a thorough literature review.
Study Type
OBSERVATIONAL
Enrollment
220
BC Women's Hospital
Vancouver, British Columbia, Canada
Percent accuracy of recorded neuraxial attempts
Charted neuraxial attempts divided by observed neuraxial attempts
Time frame: 1 day post-operatively
Percent accuracy of recorded neuraxial redirections
Charted neuraxial attempts divided by number of observed attempts and redirections
Time frame: 1 day post-operatively
Define a neuraxial attempt
Use thorough literature review to establish a working definition of a neuraxial attempt
Time frame: 1 month before recruitment starts
Define a neuraxial redirection
Use thorough literature review to establish a working definition of a neuraxial redirection
Time frame: 1 month before observations start
Departmental consensus on a neuraxial attempt
Survey the department to understand how staff define a neuraxial attempt
Time frame: One week after observations conclude
Completeness of documentation
Percentage completion of requisite charting prompts on anesthesia record
Time frame: 1 day post-operatively
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