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Posted on 24 Sep 2019
Clinical/acute care
Incident response/review
Quality/safety improvement

A better understanding of patterns of risk in perioperative care will help us to manage more complex outcomes, says the latest report from the Victorian Consultative Council on Anaesthetic Morbidity and Mortality (VCCAMM). 

Released today, the report found that a human factors approach and multidisciplinary shared decision making are vital to preventing adverse events.

Anaesthesia in Victoria continues to be very safe, but there are always opportunities to learn how clinical care can be improved. 

From 2015 to 2017, more than 3 million individual episodes of anaesthesia care were recorded in Victoria. The report reviews 110 cases of anaesthesia-related mortality and morbidity submitted to the council during this period.

The report highlights the changing context in which anaesthesia is delivered and recommends:

  • a more consistent approach to the management of perioperative patients with obstructive sleep apnoea
  • practical point-of-care tools to support communication with patients from culturally diverse backgrounds
  • developing a better understanding of perioperative anaphylaxis through mandatory reporting.

Download the report for the full list of recommendations

While this is the final report from VCCAMM, these recommendations will be implemented by the new statewide council for perioperative care, the Victorian Perioperative Consultative Council.

The new council, established on 1 July 2019, will combine – and strengthen – the functions of VCCAMM and the Victorian Surgical Consultative Council.

For more than 40 years, Victorian anaesthetists have provided information about possible anaesthesia-related mortality and morbidity to VCCAMM to improve the quality and safety of anaesthetic care in Victoria.

The Victorian Perioperative Consultative Council will build on this work to improve outcomes for patients before, during and after surgery.

Page last updated: 09 May 2022