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The development of anesthesia guidelines and standards.

E C Pierce1

  • 1Harvard Medical School, Boston.

QRB. Quality Review Bulletin
|February 1, 1990
PubMed
Summary

The American Society of Anesthesiologists (ASA) pioneered practice standards for patient safety in anesthesia. These detailed guidelines ensure high-quality care, developed by physicians for physicians.

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Area of Science:

  • Medical Risk Management
  • Patient Safety
  • Anesthesiology Practice

Background:

  • Anesthesiology is a key medical field focused on risk management and patient safety.
  • The American Society of Anesthesiologists (ASA) has a long history of developing practice guidelines.
  • Early guidelines were established in 1968, with stricter standards introduced in 1986.

Purpose of the Study:

  • To highlight the development and importance of ASA practice standards.
  • To emphasize the role of physician-led standard-setting in anesthesia.
  • To underscore the commitment to patient safety within anesthesiology.

Main Methods:

  • Review of historical development of ASA practice guidelines and standards.
  • Analysis of the impetus behind physician-led standard creation.
  • Examination of the detailed nature of ASA practice standards.

Main Results:

  • The ASA has consistently developed practice guidelines since 1968.
  • Stricter practice standards were published by the ASA in 1986.
  • These standards provide detailed specifications for anesthesia practice.

Conclusions:

  • Physician self-regulation is a core principle in ASA's standard development.
  • ASA standards are crucial for ensuring patient safety in anesthesiology.
  • The evolution of standards reflects a commitment to advancing anesthesia care.

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