The Relationship Between Anesthesiologists’ Knowledge Level and the Incidence Rate of General Anesthesia Complications Among Pediatric Patients in Government Hospitals
DOI:
https://doi.org/10.65693/irss.2026.v7i2.62Keywords:
Anesthesiologists; Cognitive Knowledge; Anesthesia Complications; Pediatric Patients; Patient Safety; Government Hospitals; Sana'a.Abstract
- Objectives: This study aimed to assess the cognitive knowledge level of anesthesiologists and its relationship with the incidence rate of general anesthesia complications among pediatric patients in government hospitals in Sana'a. Additionally, it evaluated the level of adherence to patient safety standards and clinical risk reduction practices within operating theaters.
- Methodology: A descriptive cross-sectional design was utilized, targeting a convenience sample of 61 anesthesia practitioners across three major public teaching hospitals in Sana'a: Military Hospital, Republican Hospital, and Police Hospital. Data collection was executed using a validated questionnaire (Cronbach's alpha = 0.75) containing 30 items distributed across five core dimensions evaluated on a 5-point Likert scale. Statistical analysis was conducted via SPSS (Version 27) utilizing the Mann-Whitney U test, Kruskal-Wallis test, and Spearman's rank correlation coefficient.
- Results: Demographic analysis indicated that the vast majority of the sample were males (86.9%), under 30 years of age (60.7%), and held a Bachelor's Degree in Anesthesia (68.9%). Regarding study dimensions, "Physiological & Pharmacological Knowledge" yielded the highest competence level (Mean = 4.56), followed by "Patient Safety and Risk Reduction" (Mean = 4.45), "Preoperative Knowledge" (Mean = 4.39), and "Airway Management Knowledge" (Mean = 4.14). Conversely, the indicators of complication incidence and response patterns fell within a moderate range (Mean = 3.84). A statistically significant, moderate-to-strong positive correlation was identified between the practitioners' cognitive level and both complication recognition and patient safety practices (rho range: 0.53 – 0.57, p = 0.001). Specialized course participation significantly enhanced preoperative knowledge (p = 0.035), while extended clinical experience (>10 years) significantly bolstered safety protocol adherence (p = 0.040). Furthermore, pharmacological knowledge significantly varied by work location in favor of the Republican Hospital (p = 0.035).
- Conclusions: Anesthesia practitioners in Sana'a's government hospitals possess a robust theoretical foundation and maintain safe pediatric practices. Nonetheless, a critical clinical gap was identified regarding the suboptimal, irregular utilization of capnography (Mean = 3.16), alongside a prominent institutional need to establish non-punitive, systematic error review protocols to reinforce the safety culture.
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