PMID- 36724490
OWN - NLM
STAT- MEDLINE
DCOM- 20230203
LR  - 20230627
IS  - 1445-6354 (Electronic)
IS  - 1445-6354 (Linking)
VI  - 23
IP  - 1
DP  - 2023 Feb
TI  - The safety of anaesthesia delivered by rural generalist anaesthetists: a scoping 
      review of the literature.
PG  - 7358
LID - 10.22605/RRH7358 [doi]
AB  - INTRODUCTION: Rural generalist anaesthetists (RGAs) are central to the delivery 
      of health care in much of rural and remote Australia. This article details a 
      systematic review of the literature specifically asking the question, 'What is 
      the current evidence of the 'safety' of anaesthesia delivered by RGAs?' METHODS: 
      Six databases were searched using terms including 'safety', 'rural', 
      'anaesthetics', 'general practitioners', and associated search terms. Relevant 
      articles were assessed for rigour, and information was summarised using 
      qualitative grid analysis that included information on the study setting, 
      participants, methods, limitations and key result areas. The primary author 
      developed key themes from the data, which were refined in discussion with other 
      authors. RESULTS: The safety of RGAs was described using five concepts: 
      appropriate training and leadership, rates of complications, volume or scope of 
      practice, access to equipment, and case selection. CONCLUSION: RGAs are pivotal 
      in the delivery of health care in rural and remote communities. The sparse 
      literature available on RGA safety is broadly grouped into five areas. There is a 
      need to characterise and describe the role of RGAs, review and revise training 
      and education, recognise RGA scope of practice and understand how RGAs lead the 
      management of safety and risk in their practice.
FAU - Gilchrist, Peter T
AU  - Gilchrist PT
AD  - Adelaide Rural Clinical School, Faculty of Health and Medical Sciences, The 
      University of Adelaide, Adelaide, SA 5005 peter.gilchrist@adelaide.edu.au.
FAU - Walters, Lucie
AU  - Walters L
AD  - Adelaide Rural Clinical School, Faculty of Health and Medical Sciences, The 
      University of Adelaide, Adelaide, SA 5005 lucie.walters@adelaide.edu.au.
FAU - Ward, Paul
AU  - Ward P
AD  - Research Centre for Public Health, Equity and Human Flourishing, Torrens 
      University, Adelaide Campus, Adelaide, SA 5000 paul.ward@torrens.edu.au.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20230202
PL  - Australia
TA  - Rural Remote Health
JT  - Rural and remote health
JID - 101174860
SB  - IM
CIN - Rural Remote Health. 2023 Jun;23(2):8284. PMID: 37307800
MH  - Humans
MH  - *Anesthesia
MH  - Delivery of Health Care
MH  - Australia
MH  - Anesthetists
MH  - *Rural Health Services
MH  - Rural Population
OTO - NOTNLM
OT  - Australia
OT  - generalist
OT  - safety
OT  - Anaesthesia
EDAT- 2023/02/02 06:00
MHDA- 2023/02/04 06:00
CRDT- 2023/02/01 17:03
PHST- 2023/02/01 17:03 [entrez]
PHST- 2023/02/02 06:00 [pubmed]
PHST- 2023/02/04 06:00 [medline]
AID - 7358 [pii]
AID - 10.22605/RRH7358 [doi]
PST - ppublish
SO  - Rural Remote Health. 2023 Feb;23(1):7358. doi: 10.22605/RRH7358. Epub 2023 Feb 2.