Value sets – OAS Anaesthesia complication

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Anaesthesia complication

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Concept IDDescription
427787004Abscess in epidural space of cervical spine
429437003Abscess in epidural space of lumbar spine
427916006Abscess in epidural space of thoracic spine
737614006Accidental awareness during maintenance of general anaesthesia
768804008Accidental awareness under general anaesthesia
737615007Accidental awareness under general anaesthesia during emergence or extubation
737613000Accidental awareness under general anaesthesia during induction or intubation
305352006Admission to adult intensive care unit
84901000000108Admission to high dependency unit or intensive therapy unit following anaesthetic adverse event
218727000Adverse reaction to spinal anaesthetic
735173007Anaphylactic shock
79337003Anaphylactic transfusion reaction
39579001Anaphylaxis
15919521000119106Anaphylaxis caused by anaesthetic
15919481000119106Anaphylaxis caused by analgesic
8217007Arachnoiditis
744853008Aspiration of foreign body into lung
35144003Aspiration of tooth or dental material
129571008Aspiration syndrome in the adult
397829000Asystole
703162001Bradycardic cardiac arrest
410429000Cardiac arrest
410430005Cardiorespiratory arrest
699748007Cardiorespiratory arrest with successful resuscitation
261195002Circulatory arrest
310481001Complaining of paraesthesia
718447001Difficult intubation
241937000Drug-induced anaphylaxis
405600004Endobronchial tube wrongly placed during anaesthetic procedure
61974008Epidural abscess
192743008Epidural intracranial abscess
230204001Epidural supratentorial pyogenic abscess
405361005Excessive spread of local anaesthetic
359844001Extradural infratentorial pyogenic abscess
698826004Failed epidural anaesthesia
1263713000Failed intubation of larynx
1263712005Failed intubation of trachea
763327008Failed mask ventilation
698825000Failed spinal anaesthesia
766780003Failed supraglottic airway ventilation
1264229001Fetal cardiac arrest
1163490004Fungal spinal epidural abscess
398987004Headache following lumbar puncture
428900007History of headache after dural puncture
723866006Idiopathic ventricular fibrillation not Brugada type
714107007Inability to reverse neuromuscular block
830275007Inadvertent dural tap
781129002Inadvertent dural tap during anaesthesia
397871004Incomplete reversal of neuromuscular block
312216007Infective meningitis
713419002Intraoperative cardiorespiratory arrest
295549004Local anaesthetic agent overdose
405501007Malignant hyperthermia
288264001Maternal anaesthetic/analgesic problem
180906006Neonatal cardiac arrest
181869007Neonatal cardiorespiratory arrest
57182000Nerve injury
448584000Neuraxial haematoma
264552009Neurological deficit
200071001Obstetric spinal and epidural anaesthesia-induced headache
200068009Obstetric toxic reaction to local anaesthesia
10756061000119109Pain during postpartum period due to and following caesarean section
398058003Pain during regional anaesthesia for caesarean section
233915000Paroxysmal familial ventricular fibrillation
764873005Perioperative pulmonary aspiration
230479008Post dural puncture headache
1268344005Postoperative anaphylaxis
698504006Postoperative cardiopulmonary failure
68052005Pulmonary aspiration
25797006Pulmonary aspiration of blood
30227006Pulmonary aspiration of gastric contents
234172002Pulseless electrical activity
309809007Pulseless electrical activity with successful resuscitation
405368004Regional blockade – excessive cephalad spread of local anaesthesia
200076006Spinal and epidural anaesthesia-induced headache during labour and delivery
200072008Spinal and epidural anaesthesia-induced headache during pregnancy
200073003Spinal and epidural anaesthesia-induced headache during the puerperium
63627007Spinal epidural abscess
703861005Spinal epidural haematoma
231255000Spinal subdural local anaesthetic block
54602006Suxamethonium apnoea
277362007Total spinal blockade
405363008Total spinal nerve blockade following local anaesthetic injection
200069001Toxic reaction to local anaesthesia during pregnancy
200070000Toxic reaction to local anaesthesia during the puerperium
200075005Toxic reaction to local anaesthetic during labour and delivery
397945004Unexpected admission to intensive care unit
718446005Unexpected difficult airway
718448006Unexpected difficult intubation
1263661003Unintended oesophageal intubation
71908006Ventricular fibrillation
195083004Ventricular fibrillation and flutter
398231003Wrong route of administration

CHAT theory also explicitly addresses five areas which if addressed systematically will help overcome stakeholder differences in pursuit of the common goal:

1. Understanding the artefacts that characterise the group and its activity.
• The artefacts might be clinical settings or the forms and templates used to capture and share information. During the pilot we heard about hard copy Dialog response forms; locally generated templates for collating information from different systems; letters and emails to GPs; images, poems or other non-text artefacts that service users might want to include in their ‘about me’ or care plan.

2. Understanding the multi-views of the group. Such groups are always a community of multiple points of view, traditions and interests. 
• Different participants in the group will have different roles and will bring to the group and their roles their own histories, language, and ‘rules’. During our Stocktake preparations and workshops we worked with psychiatrists, mental health nurses, occupational therapists, social workers, transformation leads and voluntary sector representatives, all professions and interests with their own language, approaches professional ‘rules’ but united in their interest in care plans, care planning.

3. Activity systems (like the ICSs) take shape and get transformed over periods of time. ‘Historicity’ is a term coined to express how the group’s problems and potentials can only be understood against their own history. 

 

• ‘We’ve always done it this way’, ‘that didn’t work before’, ‘it’s always like this’, ‘it wasn’t always like this’, ‘they are changing things again’, are all typical statements that often frustrate those charged with overseeing change initiatives. Without addressing the experiences that lie behind such comments you risk repeating mistakes of the past, alienating your stakeholders or just not understanding the real starting point for your transformation project. This is particularly the case for the implementation of the PCSP standard, the success of which will be largely reliant on point-of-care practices and information protocols as well as having systems which are user friendly and appropriately configured.

4. The central role of contradictions as sources of change and development. Contradictions are not the same as problems or conflicts. Contradictions are historically accumulating structural tensions within and between activity systems. Collectively addressing contradictions in how policy, practice, culture and technology interact will empower teams to find genuinely novel solutions for apparently intractable challenges, like interoperability and shared care plan/planning. 

This links to the fifth principle that:

5. the possibility of expansive transformations in activity systems. As the contradictions of an activity system are aggravated, some individual participants begin to question and deviate from its established norms. In some cases, this escalates into collaborative envisioning and a deliberate collective change effort. “An expansive transformation is accomplished when the object and motive of the activity are re-conceptualised to embrace a radically wider horizon of possibilities than in the previous mode of the activity.”