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(117) See Law Reform Committee: Coroners Act 1985, above n 6, 113-14; VCCAMM, above n 32, 2; LRCWA, Final Report, above n 6, 35.
Furthermore, the VCCAMM peer review protocol was chosen because it is one of the few which allow the identification of both surgery and anaesthesia related complications.
Unplanned admissions were then categorized according to the Victorian Consultative Council on Anaesthetic Mortality and Morbidity (VCCAMM) classification system (3), which grades anaesthetic morbidity and mortality according to the causation and the degree of certainty of anaesthetic causation.
These groups were assigned by the assessors, using the VCCAMM keywords, describing the particular complication for ICU admission e.g.
This was not used as consensus opinion provides a simpler model and the VCCAMM model also allows for situations in which consensus cannot be reached.
Using a model derived from logistic regression analysis of the data, it was found that elective surgery and anaesthetic factor (VCCAMM category 1, 2 or 3) were predictive of an avoidable admission.
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