Table 3.

Characteristics and performance against indicators for admissions undergoing surgery requiring spinal or general anaesthesia

Indicators
Time of last meal documented	56/145 (38.6) [20.7–60.2]
Operation notes written	143/145 (98.6) [94.5–99.7]
Operation notes signed	94/145 (65.0) [50.6–78.2]
Surgeon's name written in operation notes	130/145 (90.1) [78.9–96.4]
Anaesthetist complete anaesthetic record after procedure done	104/145 (71.7) [56.2–83.4]
Anaesthetist name identifiable	72/145 (49.7) [31.7–67.7]
Records with documentation of items of pre‐operative checklist
Consent	113/145 (77.9) [62.0–88.4]
BP	117/145 (80.7) [63.8–90.8]
Temperature	119/145 (82.1) [64.0–92.2]
Pulse rate	119/145 (82.1) [63.9–92.2]
Pre‐medication	33/145 (22.8) [7.3–52.3]
Records with documentation by surgeon of items relevant to operative procedure
Patient name	134/145 (92.4) [83.0–96.8]
IP number	106/145 (73.1) [51.3–87.5]
Findings during operation	120/145 (82.8) [66.9–91.9]
Procedure performed	137/145 (94.5) [86.4–97.9]
Estimated blood loss	1/145 (0.7) [0.1–5.4]
Verification of sponge/instrument count	10/145 (6.9) [2.7–16.7]
Patient's clinical status at conclusion of operation	97/145 (66.9) [49.9–80.4]
Records with documentation of items by anaesthesiologist relevant to anaesthetic procedure
Patient name	102/145 (70.3) [54.7–82.3]
IP number	86/145 (59.3) [41.7–74.8]
Medications used during induction of anaesthesia	98/145 (67.6) [53.3–79.2]
Medications used during procedure	101/145 (69.7) [54.2–81.7]
Vital signs	96/145 (66.2) [53.0–77.3]
Patient's clinical status at conclusion of operation	78/145 (53.8) [37.6–69.2]

Results presented include % in parentheses and 95% confidence intervals adjusted for clustering at hospital level in square brackets unless otherwise specified.