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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.
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| Measure | Description | Time Frame |
|---|---|---|
| Percent accuracy of recorded neuraxial attempts | Charted neuraxial attempts divided by observed neuraxial attempts | 1 day post-operatively |
| Measure | Description | Time Frame |
|---|---|---|
| Percent accuracy of recorded neuraxial redirections | Charted neuraxial attempts divided by number of observed attempts and redirections | 1 day post-operatively |
| Define a neuraxial attempt | Use thorough literature review to establish a working definition of a neuraxial attempt |
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Inclusion Criteria:
Exclusion Criteria:
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Patients must meet the inclusion criteria, and give verbal consent to being watched. Providers must give verbal consent to being watched
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| Name | Affiliation | Role |
|---|---|---|
| Anthony Chau, MD | University of British Columbia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| BC Women's Hospital | Vancouver | British Columbia | V6H 3N1 | Canada |
IPD will not be shared with other researchers
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| 1 month before recruitment starts |
| Define a neuraxial redirection | Use thorough literature review to establish a working definition of a neuraxial redirection | 1 month before observations start |
| Departmental consensus on a neuraxial attempt | Survey the department to understand how staff define a neuraxial attempt | One week after observations conclude |
| Completeness of documentation | Percentage completion of requisite charting prompts on anesthesia record | 1 day post-operatively |