麻醉期间的关键事件:前性审计
K Bielka1, I Kuchyn2, M Frank2
1Bogomolets National Medical University, department of surgery, anesthesiology and intensive care of postgraduate education, Kyiv, Ukraine. ekateryna.belka@gmail.com.
BMC anesthesiology
|June 14, 2023
概括
在麻醉中发生的危急事件很常见,通常涉及呼吸道和心血管系统,并可能导致患者的严重后果. 改善报告系统对于患者安全至关重要.
科学领域:
- 麻醉学 麻醉学
- 患者安全 患者安全
- 关键事件分析 关键事件分析
背景情况:
- 关键事件报告和分析对于麻醉学中的患者安全至关重要.
- 了解关键事件的频率,原因和结果至关重要.
研究的目的:
- 确定麻醉期间关键事件的频率和特征.
- 确定主要原因,促成因素和对患者结果的影响.
- 评估事件报告和分析的普遍性.
主要方法:
- 2021年1月1日至12月1日,乌克兰13家医院进行了多中心前性审计.
- 麻醉科医生自愿使用谷歌表格报告关键事件.
- 这项研究得到了Bogomolets国家医学大学伦理委员会的批准.
主要成果:
- 危急事件的发生率为每1000次麻醉程序9.35,呼吸和心血管事件是最常见的.
- 增加风险的因素包括选择性手术,年龄较大和更高的ASA状态;区域麻醉降低了风险.
- 在诱导或维护过程中经常发生事故,手术前评估不足和患者特征是关键原因. 可预防的事件很常见,具有重大后果,包括长时间住院,ICU转移和死亡率.
- 大多数事件是通过纸质表格报告的,电子报告较少.
结论:
- 在麻醉中发生的危急事件是经常发生的,并且可能会产生严重的后果.
- 报告和分析对于提高患者安全至关重要.
- 建议在地方和国家层面开发基于网络的报告系统.
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