与先前存在的疾病相关的麻醉责任
Alan D Kaye1, Sonnah Barrie2, Rucha A Kelkar3
1Department of Anesthesiology, Louisiana State University Health Sciences Center Shreveport, Shreveport, LA 71103, USA; Department of Pharmacology, Toxicology, and Neurosciences, Louisiana State University Health Sciences Center Shreveport, Shreveport, LA 71103, USA.
美国麻醉学家协会.
科学领域:
- 麻醉学 麻醉学
- 患者安全 患者安全
- 提高质量 提高质量
背景情况:
- 美国麻醉学会在1985年建立了一个封闭的索赔分析项目,以提高患者安全.
- 该项目记录了8954起与受镇静,区域麻醉和手术后护理等伤害相关的索赔.
- 关键并发症包括死亡 (2%),神经损伤 (2%) 和脑损伤 (9%).
研究的目的:
- 分析麻醉伤害声称识别趋势并提高患者安全.
- 评估最常见的麻醉相关并发症的原因和类型.
- 为减少未来麻醉相关伤害提供建议.
主要方法:
- 分析了与麻醉伤害相关的已关闭索赔的大数据库.
- 根据类型,原因和麻醉技术对伤害进行分类.
- 审查与各种麻醉相关事件相关的临床影响.
主要成果:
- 与麻醉相关的损害最常涉及区域块 (20%),呼吸系统事件 (17%),心血管事件 (13%) 和设备问题 (10%).
- 患者的并发症和外科手术的复杂性有助于受伤的风险.
- 分析强调了需要改进评估的领域,包括呼吸道管理,镇静和产科麻醉.
结论:
- 麻醉科应定期审查患者的结果,以确定需要改进的领域.
- 分析不良事件可以告知技术和麻醉管理的变化,以防止未来的并发症.
- 持续提高质量对于最大限度地降低麻醉相关风险至关重要.
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